1. CDR (PN-Res.) MA. VILMA V. DIEZ, MD, MHA, PHSAE, MNSA, CESO IV
Director III, NCR-DOH
Magandang buhay po…
Ako po si Vi Diez, narito upang ilahad sa inyo ang ating DOH high impact 5 program…
Ako po ay kasalukuyang assistant regional director sa NCRO ng DOH
Hi5

2. Ang nakaraan… (Background)
Tunghayan po natin ang nakaraan…

3. CALL TO ACTION
In Sept., 2000 all 191 UN Member States including our country, have agreed to try to achieve the 8 goals of the United Nations Millennium Development Goals. This United Nations Millennium Declaration, signed by world leaders aimed to combat poverty, hunger, disease, illiteracy, environmental degradation, and discrimination against women. Of the 8 goals, 3 goals pertains to health… these are MDGs 4, 5, & 6

4. Kalusugang Pangkalahatan (KP)
Roadmap to
Kalusugang Pangkalahatan (KP)
Actions and Interventions
Health Prevention and Promotion at community level
Health Care at the LGU Health Centers
Hospital Health Care
Outcomes and Strategies
Health Governance Improved
Quality Health Care Services enjoyed by constituent
Increased enrolment and utilization of PhilHealth packages
Achievement of Public Health MDGs
Universal Health Care
Improved Health condition of the community
To achieve the MDG goals for health, our DOH journeyed towards UHC or KP… whose actions and interventions includes:

5. Financial Risk Protection
Attainment of Health-Related MDGs
Access to Quality Health Services
In fact there was a contest for the KP logo and this logo won: the umbrella… symbolizes KP or UHC...
Our 2015 commitments remain focused on the 3 strategic thrusts of KP: financial risk protection, attainment of health-related MDGs, and access to quality health services.
In the next slides, we will review our achievements for 2014 as they compare to our targets, as well as our commitments to be achieved by December 2015 and June 2016, as the Aquino Administration ends

6. Financial Risk Protection
PAPs
2014
COMMITMENTS
Remarks
Targets
Actual
Dec 2015
Jun 2016
Expand Phil-Health Coverage
Coverage of all Filipinos
85%
87%
90%
95%
Coverage of the poor (NHTS)
100%
Improve PhilHealth Benefit Package
NHTS-PR enlisted to a primary care provider
65%
79%
No Out-of-Pocket (OOP) cost for Sponsored Prog. Claims in Govt Facilities
40%
40%*
70%
*Partial as of Aug 2014
As per the financial risk protection… we have ACHIEVEd our targets! …

7. Millennium Development Goals
PAPs
2014
COMMITMENTS
Targets
Actual
Dec 2015
Jun 2016
Reduce Maternal and Child Mortality (4,5)
Pregnant women delivering at facilities
70%
(1.9 out of 2.7 M)
76%*
(2.05 out of 2.7 M)
80%
(2.16 out of 2.7 M)
45%
Infants fully immunized
95%
(2.2 out of 2.3 M)
90%
(2.07 out of 2.3 M) -
Pentavalent
(DPT, Hep B, HiB) 3 doses
50%
(1.15 out of 2.3 M)
Hep B vaccine
(Birth dose)
Bacillus Calmette–Guérin (BCG) for TB
Oral Polio Vaccine (OPV) 3 doses
Measles Containing Vaccine (MCV) 2 doses
*Partial report from 9 regions only. Data only from public health facilities*Partial report from 9 regions only. Data only from public health facilities

8. Millennium Development Goals
PAPs
2014
COMMITMENTS
Remarks
Targets
Actual
Dec 2015
Jun 2016
Control and Eliminate Infectious Diseases (6)
Malaria-free provinces 32
(out of 53) 28 30
Deaths due to malaria (per 100,000) 10 8 6
Number of malaria cases
6,958
4,900
4,500
4,000
Post-exposure Prophylaxis against rabies
100%
(500,000) -
TB Case detection rate, all forms
85%
87%
90%
TB Treatment Success Rate, all forms

9. Increasing >25% NCR CHALLENGE
Out of 186 reporting countries, the Philippines is ONE of the 9 Countries with highest increase in HIV reported cases amongst adults 15–49 years old from
Increasing >25%
Bangladesh
Indonesia
Philippines
Sri Lanka
Kazakhstan
Kyrgyzstan
Georgia
Republic of Moldova
Guinea-Bissau
Source: UNAIDS Estimates

10. Updated Categorisation
High Impact Breakthrough Model Plan for HIV/AIDS
Updated Categorisation
Greater Metro Manila
NCR (16 cities & 1 municipality)
San Jose del Monte
Antipolo
Cainta
Bacoor
Imus
Dasmarinas
Sta. Rosa, Laguna
Other High Prevalence Cities
Davao
Angeles
Bacolod
Cagayan De Oro City
Zamboanga City

11. Upgrade and Improve Health Units and Hospitals
Access to Quality Care
PAPs
2014
COMMITMENTS
Remarks
Targets
Actual
Dec 2015
Jun 2016
Upgrade and Improve Health Units and Hospitals
Non-Birthing BHS providing for TSeKaP (80% of 16,038 BHS) -
1 %
(143/ 12,830)
(PCB)
50%
(6,415/12,830)
100%
(12,830)
Birthing BHS providing for TSeKaP and MCP (20% of 16,038 BHS)
5 %
(148/ 3,253)
(MCP only)
(1,604)
(3,208)
RHUs/City Health Centers upgraded (out of 3,074)
+1,011
1,028
RHUs accredited for TSeKaP, TB-DOTS, MCP
28%
(852/3,074)
100% in all prov
(3,074)
LGU hospitals upgraded (out of 664)
+378
389
All government hospitals will be subjected to performance-based allocation in
DOH regional hospitals upgraded (out of 70) +5 +3

12. Access to Quality Care PAPs 2014 COMMITMENTS Remarks Targets Actual
Dec 2015
Jun 2016
Construction of New Health Facilities
Barangays with Schools but no BHS (TSeKaP accredited) -
25%
(4,429)
50% (8,858)
DepEd-DOH-LGU Dental Health Program
Provision of mobile dental services
162 dental clinics

13. Barangay-deployed effective 2015
Access to Quality Care
PAPs
2014
COMMITMENTS
Remarks
Targets
Actual
Dec 2015
Jun 2016
Health human resources deployed
UHC implementers/ DTTB (Doctors)
319
320
398
1,192
Nurses
11,000
11,292
13,500
15,000
Barangay-deployed effective 2015
Midwives
2,738
2,700
3,100
Public health associates -
192
3,074
Community Health Teams
50,000
49,590

14. Financial Risk Protection
Attainment of Health-Related MDGs
Access to Quality Health Services
In fact there was a contest for the KP logo and this logo won: the umbrella… symbolizes KP or UHC...
Our 2015 commitments remain focused on the 3 strategic thrusts of KP: financial risk protection, attainment of health-related MDGs, and access to quality health services.
In the next slides, we will review our achievements for 2014 as they compare to our targets, as well as our commitments to be achieved by December 2015 and June 2016, as the Aquino Administration ends

15. KP Jingle
Chorus:
Kalusugang Pangkalahatan lalo na’t para sa mahirap na mamamayan (2x)
Verse:
Ang kagawaran ng kalusugan
May programang KP na nakalaan
Sa pag sugpo ng mga sakit
Giginhawa na ang sambayanan
Sa pinagbuting pamamaraan,
Pag gamot ng mga karamdaman
Sa mahusay na serbisyo ating makakamtan
Bridge:
Mahirap man o mayayaman
Serbisyong taos-pusong mabibigyan
Paglaganap o pagkalat ng AIDS, TB, Malaria at iba pa
Sa programang KP, ito na
Maiiwasan na, isulong na
Buong pamilya sama-sama …
Repeat Chorus (2x)
Repeat Bridge …
Repeat Chorus (4x)
Shout: Hi5

16. WHAT is Universal Health Care (UHC) High Impact Five (Hi-5) ?
Ang kasaluluyan…
WHAT is Universal Health Care (UHC) High Impact Five (Hi-5) ?

17. UHC Hi-5, is a strategy which aims to:
produce the greatest improvements in health outcomes &
the highest impact on the priority vulnerable population,
with focus on 5 critical UHC interventions,
prioritizing the poor,
providing tangible outputs which are “felt” within a breakthrough period of 15 months through synchronized nationwide implementation of activities.

18. General Objective
To produce the greatest improvements in health outcomes & the highest impact on the population within a short period of implementation.

19. Specific Objectives
To intensify regional operations & converge in priority poverty program areas;
To implement model plans on 5 key high impact interventions.

20. Hi-5 Roadmap 2015 – 2016 Universal Health Care
Millenium Development Goals
UHC – High Impact Five
Intensified Regional Operations (M4-M12)
Caravan Roadshow
RAIDERS
Immunization
Micronutrient ++
Mass deworming
Blood Networking
Oral Health
HRH
Preparatory Activities (M1-M3)
Creation of TWG & Regional Task Force
Advocacy Activities (Buntis Congress, TSiSMIS, Hi5 Summit)
Profiling

21. Hi-5 Targets HIV/AIDS 50% of NHTS profiled and matched to SDN
22% Reduction in Under 5 Mortality
57% Reduction in Maternal Deaths
HIV/AIDS
Infant care
Child care
Service Delivery Network
Maternal health
26% Reduction in Infant Mortality
40% MSMs tested and know their HIV status

22. Para kanino? (Priority Population)

23. HIGH IMPACT BREAKTHROUGH
Maternal Care
Infant Care
Under Five
Halt HIV-AIDS
Establishing SDNs
INTENSIFIED REGIONAL OPERATIONS
Priority Poor
NHTS-PR
BuB
43 Provinces
C1 Provinces/Municipalities
Rest of the Country
Neonate, Infant, Child
Adolescent
Adult
Older Person
2015 TARGETS → 2016
HIGH IMPACT BREAKTHROUGH
15 months

24. Category 1: Provinces with High Poverty Magnitude
Provinces where opportunities for growth may be present but the poor are unable to participate in the growth process, list shows provinces with the biggest number of poor household
REGION
PROVINCE 1
REGION 1
PANGASINAN 2
REGION 4A
QUEZON 3
REGION 5
CAMARINES SUR 4
REGION 6
NEGROS OCCIDENTAL 5
ILOILO 6
REGION 7
CEBU 7
REGION 8
LEYTE 8
REGION 9
ZAMBOANGA DEL SUR 9
REGION 11
DAVAO DEL SUR 10
ARMM
SULU

25. Category 2: Provinces with High Poverty Incidence
Provinces with lesser opportunities for growth as they are generally characterized by small population, low density, and remote areas
REGION
PROVINCE 1
CAR
APAYAO 2
REGION 5
MASBATE 3
REGION 8
EASTERN SAMAR 4
NORTHERN SAMAR 5
REGION 9
ZAMBOANGA DEL NORTE 6
REGION 10
CAMIGUIN 7
REGION 12
COTABATO (NORTH COTABATO) 8
SARANGANI 9
ARMM
MAGUINDANAO 10
LANAO DEL SUR

26. Category 3: Provinces Vulnerable to Shocks and Disasters
Provinces where the marginally non-poor can easily slide to poverty, and the poor can slide deeper to poverty
REGION
PROVINCE 1
CAR
BENGUET 2
ABRA 3
REGION 1
ILOCOS NORTE 4
ILOCOS SUR 5
REGION 2
NUEVA VIZCAYA 6
CAGAYAN 7
ISABELA 8
QUIRINO 9
REGION 3
ZAMBALES 10
PAMPANGA 11
AURORA 12
REGION 4A
RIZAL 13
CAVITE 14
LAGUNA
REGION
PROVINCE 15
REGION 5
CATANDUANES 16
REGION 6
ANTIQUE 17
ILOILO 18
REGION 7
BOHOL 19
REGION 8
SOUTHERN LEYTE 20
EASTERN SAMAR 21
NORTHERN SAMAR 22
LEYTE 23
REGION 9
ZAMBOANGA SIBUGAY 24
ZAMBOANGA DEL SUR 25
REGION 13
AGUSAN DEL SUR 26
SURIGAO DEL SUR 27
SURIGAO DEL NORTE 28
DINAGAT ISLANDS

27. Summary Focus Geographic Areas
Category 1: High Poverty Magnitude 10
Category 2: High Poverty Incidence
Category 3: Vulnerable to Shocks and Disasters 28
Total for 5 double category provinces
Iloilo (Cat 1 & 3)
E. Samar (Cat 2 & 3)
N. Samar (Cat 2 & 3)
Leyte (Cat 1 & 3)
Zamboanga Del Sur (Cat 1 & 3)
Total of 43 Priority Provinces

28. NAPC Identified Municipalities
Ensures the inclusion of the funding requirements for local development needs as they are identified at the local level in the budget proposals of participating agencies.
Includes a total of 1,411 CCT areas
127 cities & 1,271 municipalities

29. Accelerated & Sustainable Anti-Poverty Program (ASAPP)
To reduce poverty in multiple dimensions through the creation of sustainable employment opportunities for the poor
Anchored on the Philippine Development Plan
Informed by lessons learned from previous poverty reduction efforts • Modality is to involve the private sector and LGUs
REGION
PROVINCE
MUNICIPALITY 1
REGION 1
Pangasinan
City of Alaminos 2
Bayambang 3
City of Urdaneta 4
Umingan 5
REGION 6
Iloilo
Pototan 6
City of Passi 7
Tigbauan 8
Concepcion 9
Negros Occidental
San Carlos City 10
Binalbagan 11
La Carlota 12
Hinoba-An (Asia) 13
REGION 7
Cebu
Dalaguete 14
Tuburan 15
Santa Fe
REGION
PROVINCE
MUNICIPALITY 16
REGION 8
Leyte
Hilongos 17
Abuyog 18
Mahaplag 19
City of Baybay 20
REGION 9
Zamboanga Del Sur
Aurora 21
Kumalarang 22
REGION 11
Davao Del Sur
Magsaysay 23
Hagonoy 24
Mahayag 25
City of Digos 26
REGION 4a
Quezon
Burdeos 27
Alabat 28
Agdangan 29
ARMM
Sulu
Jolo

30. Priority Cities in NCR (2013, 2014) as per NAPC
District I
District III
(CaMaNaVa)
(MaMaManSan)
Caloocan
Manila
Valenzuela
District II (PaPaMaTaQue)
District IV
(MuntiParLasPa)
Pasig
Muntinlupa
Marikina
Las Piñas
Taguig
Pasay
Quezon City

31. WHO are the HI-5 Recipient/Beneficiaries?
Prioritization of the Poor
(Please refer to Annex 1)
National Household Targeting System for Poverty Reduction identified poor
43 Category 1, 2, and 3 provinces
National Anti-Poverty Commission identified municipalities for Bottom-Up Budgeting
29 Accelerated and Sustainable Anti-Poverty Program municipalities belonging to Category 1 provinces and 35 municipalities in 8 provinces identified in Whole of Nation Initiative (WNI).
The rest of the country shall also be targeted in a life cycle approach spanning:
Neonates, infants, and children
Adolescents
Adults
Elderly

32. Hi-5 Activities

33. Hi5 focuses on specific services of critical UHC interventions such as 1. Maternal Care 2. Infant Care 3. Care for Under Five Children 4. HIV/AIDS Prevention and Control and 5. Establishment of Functional Service Delivery Network that will prioritized the poor and providing tangible outputs which are “felt” within a breakthrough period of 15 months a synchronized nationwide implementation of activities are to be provided on-top of the routine services of the Regional Offices.

34. Preparatory activities shall ensure that implementation of the Intensified Regional Operations are well-organized and standardized so that delivery units at the National and Regional Levels shall efficiently manage performance on HI-5. Profiling of target recipients, health facilities, and health care providers shall then be carried out to establish baseline data for service delivery. Baseline data shall include a) master lists of target recipients as a pro-active means of reaching target population and b) improving access to relevant health information, health services, and commodities.

35. HI-5 Impact Activities May ‘15 June ‘15 Sept. ‘15 March ’16 M2 M3 M6
NDP Deployment in Barangays
Impact 2
KP HI-5 Caravan
Impact 3
July ‘15
Oct ‘15
Jan. ‘16
Apr ’16 M4 M7
M10
M13
-RAIDERS
-Mass deworming
-Nutrition (ASAPP)
-Blood donation (voluntary) and networking
Garantisadong Pambata
Mass deworming

36. HI-5 Impact Activities (4-7)
Dec ‘15
Feb ‘16 M9
M11
Impact 4
Child Injury Prevention (First Aid Kit)
Impact 5
Gawad Kalusugan
Impact 6
HIV Voluntary Testing (May & Dec)
Impact 7
Aug – Nov ‘16
KB para sa KP
Alagang Pinoy
Adequate supply of drugs and medicines, POC
SDN,
Surgical Mission

37. RAIDeRS Reach And Innovate Desired Rational Scores
Trace defaulters
Link between community and RHU
Maternal Health
pre-natal care, facility-based delivery, post-natal care and family planning
Infant and Child Health
Immunization
Breastfeeding

38. TSiSMIS Tama, Sigurado, Sapat, Makabuluhang
Using “TSiSMIS”
in positive perspective
TSiSMIS
Tama, Sigurado, Sapat, Makabuluhang
Information System for
Community Health Action Teams

39. Public Health Associates
DEPLOYMENT
NDPs in Barangays
UHC Implementers
(JO Doctors)
Public Health Associates
Maternal Health
Profiling
Advocacy
Information
Augment services
Analyze data/ report, feedback/ intervene
Data collection
Analysis
Make Reports
Infant Health
Child Health
Service Delivery Network

40. HIV JO/ NDP/ Peer counsellors
↑ testing kit for all social hygiene clinic
National HIV Testing Week (May )
Candle Light Memorial (May)
Social Media Forum (counseling, advice, learning, video conference)
Hotlines
MSM Friendly Model Facility (Clinica Bernardo in Q.C.)
World AIDS Day Celebration

41. HOW to implement the HI-5?
General Guidelines
Intensified Regional Operations. Regional Offices shall intensify operations for routine services and for HI-5 special activities to augment routine services, for a period of 15 months from April 2015 to June 2016.
5 Critical UHC Interventions. The Special Breakthrough Services shall focus on reducing maternal, infant and under-five mortality; reducing the burden of HIV/AIDS; & establishing Service Delivery Networks.
Prioritization of the Poor. HI-5 shall focus on the poor population.
Focus on Direct Service Delivery. HI-5 activities shall prioritize direct service delivery & other direct interventions like deployment of HHR, to ensure that HI-5 is tangible to the target population.
Synchronization of Activities. All major HI-5 activities shall be synchronized to occur nationwide & at key specific dates so as to have a greater impact on the target population.

42. DOH INSPIRES DOH CARES DOH TOUCHES DOH EMBRACES DOH PROMOTES DOH HALTS
Maternal health
DOH TOUCHES
Infant care
DOH INSPIRES
DOH EMBRACES
Pamilyang Pinoy
Child care
DOH PROMOTES
DOH HALTS
Service Delivery Network
HIV/AIDS

43. Sa tuwid na daan… Kalusugang Tuloy-Tuloy Para sa Pamilyang Pinoy

44. Push Mo Yan!

45. Salamat po sa inyong lahat…
Sa hinaharap…
Health for all Filipinos!
Salamat po sa inyong lahat…