1. 2 nd National Staff Meeting April 19-21, 2006 Tagaytay City Asec. MARIO C. VILLAVERDE, MD, MPH, MPM Sectoral Management and Coordination Team Leader HEALTH CARE FINANCING SITUATION: The Philippine National Health Accounts, 1991-2004 and the DOH Budget 2000 - 2006

2. Sectoral Management and Coordination Team Philippine National Health Accounts A framework for the compilation of information on the country’s health expenditures Health Accounts answers... –who pays for health care (sources) –where health financing is being spent (uses)

3. Sectoral Management and Coordination Team Total Health Expenditures as a % share of GNP GNP (in billion pesos current prices, 2004) 5,167.6 GDP (in billion pesos current prices, 2004) 4,826.3 2004 Total Health Expenditures = P165.2 B THE as % share of GNP 3.2%

4. Sectoral Management and Coordination Team Per Capita Spending for Health 2004 Current Prices (2004) P1,979 Real Prices (1985) P494

5. Sectoral Management and Coordination Team Sources of Funds for Health 2004 Social Health Insurance 9.5% Out-of- pocket 47% Others 12% National 16% Local 14%

6. Sectoral Management and Coordination Team Uses of Funds for Health 2004 Others 11.4% Personal 78.3% Public 10.3%

7. Sectoral Management and Coordination Team Trends of Total Health Expenditures, 1991-2004 2001 200220032004 Year (in billion pesos) at 1985 pricesat current prices

8. Sectoral Management and Coordination Team Trends of Per Capita Health Spending, 1991-2004

9. Sectoral Management and Coordination Team Share of Health Expenditures to GNP, 1991-2004

10. Sectoral Management and Coordination Team Health Expenditures by Source of Funds, 1991-2004 Private Sources Government Social Insurance

11. Sectoral Management and Coordination Team Health Expenditures by Use of Funds, 1991-2004

12. Sectoral Management and Coordination Team Sources of Government Health Expenditures, 2003 Sources(In Billion)(Percent) National26.316% –DOH15.459% –Other Agencies5.020% –Loan1.7 6% –Grants4.216% Local Gov’t.23.814% TOTAL GOV’T.50.130%

13. Sectoral Management and Coordination Team Uses of Government Health Expenditures, 2004 DOH PSMOOECOTotal (in B)% % % % Personal5.555.04.141.70.313.29.9100 Public0.4018.81.779.80.031.42.1100 Others1.753.11.342.40.14.53.2100 Total7.549.67.247.20.53.215.2*100

14. Sectoral Management and Coordination Team Uses of Government Health Expenditures, 2003 LGU PSMOOECOTotal (in B)% % % % Personal4.349.24.248.90.21.98.7100 Public7.869.43.127.50.33.111.2100 Others.00 00 Total12.060.67.336.80.52.619.8*100

15. Sectoral Management and Coordination Team Total Health Expenditures National VS Local Govt

16. Sectoral Management and Coordination Team DOH Health Expenditures VS Local Govt

17. Sectoral Management and Coordination Team DOH Expenditures by Use of Funds

18. Sectoral Management and Coordination Team Local Government Health Expenditures by Use of Funds

19. Sectoral Management and Coordination Team Target VS Actual 2004 Health Care Spending Patterns Use of Funds SOURCE OF FUNDS Total by Use Gov’t.SHIPrivate Sector Out-of- pocket Others TargetActualTargetActualTargetActualTargetActualTargetActual Personal Health Care 101425820477116280 Public Health Care 20100000002010 Others 1075100331811 Total by Source 40313092047714100

20. Sectoral Management and Coordination Team Policy Areas for Health Financing Interventions AreasGoals Resource Mobilization Increase total resources (quantity/amount) Resource Allocation Increase proportion for preventive & promotive (allocative efficiency) Efficiency of Production Increase products & services out of the existing resources (operational efficiency) Equity of Distribution Decrease gaps in terms of access & utilization (equity)

21. 2 nd National Staff Meeting April 19-21, 2006 Tagaytay City DOH Budget Through The Years (CY 2000-2006)

22. Sectoral Management and Coordination Team Budget Appropriation CY 2000-2006, In Billion Pesos 10.74 9.46 11.42 9.91 9.56 9.73 9.98 0.00 2.00 4.00 6.00 8.00 10.00 12.00 CY 2000CY 2001CY 2002CY 2003CY 2004CY 2005CY 2006 YEARS AMOUNT IN BILLION PESOS

23. Sectoral Management and Coordination Team Auto + Unobligated 63% DepEd 11% DPWH 6% DND 4% DILG 4% DOTC 1% SUCs 2% Other Agencies 8% 7th DOH 1% Share of DOH Budget from the Total Proposed National Expenditure Program CY 2006

24. Sectoral Management and Coordination Team SUMMARY TABLE OF DOH BUDGET VS.NATIONAL GOVERNMENT BUDGET AND GROSS DOMESTIC PRODUCT (In Billion Pesos )

25. Sectoral Management and Coordination Team DOH & ATTACHED AGENCIES BUDGET, CY 2006

26. Sectoral Management and Coordination Team Distribution of Budget by Expense Class CY 2006 CO (O.53B) 5% MOOE (4.04B) 41% PS (5.41B) 54% CO (O.53B) 5% MOOE (4.04B) 41% PS (5.41B) 54%

27. Sectoral Management and Coordination Team Budget Allocation By Expense Class CY 2000-2006, In Billion Pesos

28. Sectoral Management and Coordination Team PER CAPITA DISTRIBUTION OF MOOE* By Geographical Area, CY 2006 AreaEst. 2005 Population MOOE (Thousand Pesos) Percent Allocation Per Capita Allocation (Pesos) NCR 11,240,74377,87646.93 Luzon 35,607,663 769,3604621.61 Visayas 17,103,869337,6062019.74 Mindanao 20,289,100505,8573024.93 Philippines 84,241,3751,690,69910020.07 *CHD Offices & CHD Hospitals

29. Sectoral Management and Coordination Team PER CAPITA DISTRIBUTION OF MOOE* By Geographical Area, CY 2006 AreaEst. 2005 Population MOOE (Thousand Pesos) Percent Allocation Per Capita Allocation (Pesos) NCR 11,240,743822,41333.773.16 Luzon 35,607,663 769,36031.621.61 Visayas 17,103,869337,60613.919.74 Mindanao 20,289,100505,85720.824.93 Philippines 84,241,3752,435,236100.028.91 *NCR includes 12 MM Special Hospitals (referrals)

30. Sectoral Management and Coordination Team Public Health (1.06B) 26% Admin. & Regulation (0.52B) 13% Hospital Services (2.46B) 61% Distribution of MOOE by Function CY 2006

31. Sectoral Management and Coordination Team Department of Health MOOE Distribution by Function CY 2000 – 2006 (In Billion Pesos)

32. 2 nd National Staff Meeting April 19-21, 2006 Tagaytay City Thank You! Sectoral Management and Coordination Team