2014 doh budget ppt

8/12/2019 2014 Doh Budget Ppt

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2014 DOH Budget: Towards

further privatization of

health services

August 10, 2013



Points:

1. Increases are geared towards privatization

2. PhilHealth does not guarantee accessibility

of health care for the poor.

3. Budget does not address actual needs of the

people for free, affordable, accessible health

services

4. Aquino's proposed DOH budget is nodifferent from the health budget of previous

administrations



DOH budget increase: does not

address people’s health needs 2013 RA

10352

2014 NEP Difference %

Total National

Expenditure Program

2.006 T 2.268 T 262B 13%

DOH 51.074 B 80.807 B 29.733 B 58%

Percentage to Total

NEP

2.55 3.56

Total Allotment All

Hospitals

10.733 B 16.694 B 5.961 B 55.54%

Hospital Allotment

compared to Total

DOH Budget

21% 21% 0



Decreasing Hospital Budget

Share

2009 2010 2011 2012 2013 2014

DOH Budget (B) 27.876 28.686 32.427 42.769 51.075 80.171

Hosp Allotment (B) 10.747 10.143 8.808 9.831 10.734 16.695

Percent to DOH 38.55 35.36 27.16 22.99 21.02 20.82

0.000

10.000

20.000

30.000

40.00050.000

60.000

70.000

80.000

90.000



PhilHealth: highest increase in

DOH allotmentPhilHealth

Subsidy

2014 NEP

Compared

to 2013

PhilHealth

Subsidy

12.612B

Compared

to DOH

Budget

2014

80.807B

Compared

to Total

Hospital

Allotment

201310.333B

Compared

to Total

hospital

Allotment

201416.695B

PhilHealth

Increase

compared

to DOH

Increase29.733B

35.295B 22.683B

difference

or 180%increase

43.31% 341%

(more than

3x)

211%

(more than

2x)

76%

But PhilHealth does not guarantee

free, affordable and accessible health

services for the poor



Health Facilities Enhancement

Program (HFEP) & Capital Outlay:

Increase directed towardsPrivatization

2014 NEP 2013

GAA

Difference %

Difference HFEP 13.325B 10.772B 2.553B 24%

CO Hospitals 2.062B 0 2.062B

2014 CO 2013 2012 2011 2010 2009

2.063B 0 750M 0 716M 2.148B



Hospitals without Capital Outlay

Allotment1. Jose R. Reyes Memorial Medical Center

2. Rizal Medical Center

3. San Lazaro Hospital4. Veterans General Hospital

5. St. Anthony Mother & Child Hospital

6. Schistosomias Hospital7. Labuan Public Hospital



Hospitals without Capital Outlay

Allotment

8. Lung Center of the Philippines

9. National Kidney and Transplant Institute10. Philippine Children’s Medical Center

11. Philippine Heart Center

12. Philippine General Hospital



Measly Increase Maintenance & Other

Operating Expenses (MOOE)

2014 MOOE

NEP

2013 MOOE Difference %

4.167B 3.869B 298M 7.70

This will worsen the inadequacy of

supplies, medicines, and

procedures and further increase

rates of health services



MOOE 2009-2014

-40

-30

-20

-10

0

10

20

30

2009 2010 2011 2012 2013 2014 MOOE (Billions)

Percent change



MOOE 2009-2014

2014MOOE

NEP

2013MOOE

2012MOOE

MOOE2011

MOOE2010

MOOE2009

4.167B 3.869B 3.235B 3.047B 4.357B 3.613B

7.70

(2013-14)

19.59(2012-13)

6.19(2011-12)

-30.08(2010-11)

20.59(2009-10)

Percent

Change

Under the Aquino administration, public

hospitals got the biggest decrease in MOOE(2011)



Hospitals Without MOOE

Increase1. Lung Center of the Philippines

2. Philippine Children's Medical Center

3. Las Pinas General Hospital and Satellite Trauma

Center4. San Lorenzo Ruiz Special Hospital for Women

5. Ilocos Training and Regional Medical Center

6. Far North Luzon General Hospital and Training Center

7. Southern Isabela General Hospital8. Batanes General Hospital

9. Talavera Extension Hospital



Hospitals Without MOOE

Increase10. Ospital ng Palawan

11.Don Jose S. Monfort Medical Center

12.Gov. Celestino Gallares MemorialHospital

13.Labuan Public Hospital

14.Margosatubig Regional Hospital15.Adela Serra Ty Memorial Medical Center



Special Provision No 2 allows the use of

hospital income for MOOE and CO (at

least 25% for purchase of equipment).

more revenue enhancement in the form

of rates hike and more fee for service.



Magna Carta increased due to

Struggle!

2014 NEP 2013 GAA Difference Percent

Total Personnel 10.768B 8.866B 1.902B 21%

Magna carta 1.016B

** 348M

1.152B

331%

Hazard duty

pay 1.279B 1.279B



But, with DOH-DBM Joint

Circular # 1:• Removal of either Longevity Pay or step

increment

• Reduction of hazard pay: high risk and low

risk rates among health workers



Doctor to the Barrios & Rural

Health Practice

2014 NEP 2013

GAA Difference %

DTTB & Rural

Hlth Prac 2.969B

2.799B

170.484M

6%



Health Services

2014 NEP 2013 GAA Difference % TB, Malaria,

Schisto,

Leprosy,

Filariasis 827.258M 570.443M 256.815M 45%

Rabies Control 202.803M

118.740M

84.063M

71%

EPI 2.842B 1.949B 892.150M 46%

TB Control 1.062B 1.021B 40.841M 4%

Emerging/Ree

merging:HIV,Dengue 781.702M 321.951M 459.751M 143%

Non-

Communicable

Diseases 677.891M 70.764M 607.127M 858%

Family Health 2.843B

2.539B

303.246M

12%



• Health Services increases geared towards the

implementation of health-related MDG targets in

2015• Foreign donor-driven programs through MDGs

part of the conditions imposed by foreign

monopoly capitalists for their economic interests

• Government not addressing the causes of

poverty that bring about illnesses (massive

landlessness and land monopoly, lack of

national industrialization, and domination of theforeign and local elite)



PGH: “Ospital ng Bayan” now

“Ospital na may Bayad”

PGH PS MOOE CO Total

2014 1.374B 616.90

3M

0 1.990B

2013 1.377B 616.90

3M

0 1.994B

Change -3.621M

(0)

0 -

3.621M



Wanted: DOH Budget Relevant to

the Needs of the People

Health allotment based on WHO

recommendation of 5% of GDP

Stop privatization of public hospitals andhealth services

Free, accessible, affordable andcomprehensive health services especially

for the poor



Calls

PhilHealth subsidy should be directly

allocated to public hospitals and health

facilities, and direct service provision.

Adequate budget allotment for PS,

MOOE, CO of public hospitals.



Calls

Stop contractualization! Additional plantilla positionsfor doctors, nurses, midwives and health workers in

communities and public hospitals. Absorb all RN

HEALS as regular employees.

Fully fund Magna Carta benefits and given to all

health workers according to the provisions and intent

of Magna Carta of Health Workers (RA 7305).

Fund salary grade increases for nurses (SG 15 for

nurse 1at P24,889 per month and doctors (SG24 for

MO1at P50,000 per month ) and other health workers

2014 doh budget ppt

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