DOH Annual Calendar January 2009 Deworming of School Children (Grade 1-6)- Round 12-16 National Cancer Awareness

Week 21-27 Goiter Awareness Week 25 World Leprosy Day February 2009 National Health Insurance Program Month Oral Health Month 2-6 National Mental Retardation Week 4 World Cancer Day 3rd wk Leprosy Prevention and Control Week March 2009 Burn Injury Prevention Month 8 National Womens Day 22 World Water Day 24 World TB Day April 2009 Cancer in Children Awareness Month 7 World Health Day 25 World Malaria Day 14-20 Garantisadong Pambata Round 1 4th wk Head and Neck Consciousness Week May 2009 Cervical Cancer Awareness Month Natural Family Planning Month 2 12-18 17 31 World Asthma Day Safe Motherhood Week AIDS Candlelight Memorial Day World No Tobacco Day

June 2009 National Kidney Month No Smoking Month Prostate Cancer Awareness Month

5 World Environmental Day 14 World Blood Donor Day 16-22 Safe Kids Week 23 DOH Anniversary July 2009 July 2009 National Disaster Consciousness Month National Blood Donors Month Nutrition Month Deworming of School Children (Grade 1-6) Round 2 Schistosomiasis Awareness Month National Disaster Consciousness Month 7 National Allergy Day 11 World Population Day 13-17 National Disability Prevention and Rehabilitation Week 13-17 National Diabetes Awareness Week August 2009 Family Planning Month Lung Cancer Awareness Month National Lung Month National Tuberculosis Awareness Month Sight-Saving Month 1-7 World Breastfeeding Week 1-7 Mother-Baby Friendly Hospital Initiative Week 6-12 National Hospital Week 10-14 Asthma Week 11-17 Phil. National Research System Week 19 National Tuberculosis day 3rd wk Brain Attack Awareness Week September 2009 Generics Awareness Month Liver Cancer Awareness Month 1-7 National Epilepsy Awareness Week 7-11 Obesity Prevention and Awareness Week 26- World Heart Day 28 World Rabies Day October 2009

Breast Cancer Awarenss Month National Children Month 1-7 Elderly Filipino Week 5-9 National Mental Health Week 6-12 National Newborn Screening Week 10 World Mental Health Day 10 World Sight Day 13-19 Garantisadong Pambata Round 2 12-16 Health Education Week 12-16 National Attention Deficit/Hyperactivity Disorder Awareness Week 15 Global Handwashing Day 20-26 food Safety Awareness Week November 2009 Cancer Pain Awareness Month Filariasis Awareness Month Malaria Awareness Month Traditional and Alternative Health Care Month 2-6 Chronic Obstructive Pulmonary Disease (COPD) Awareness Week 2nd Week National Skin Disease Detection and Prevention Week 7 National Food Fortification Day 9-13 Deaf Awareness Week 14 World Diabetes Day 16-20 Drug Abuse Prevention and Control Week 23-29 Population and Development Week December 2009 Firecracker Injury Prevention Month 1 World AIDS Day 6 National Health Emergency Preparedness Day 3-9 Ear, Nose and Throat Consciousness Week 10 National Youth Health Day

Republic Act Published: 2008-01-16 13:56 Republic Act No. 9502 - An act providing for cheaper and quality medicines, amending for the purpose Republic Act No. 8293 or the Intellectual Property Code, Republic Act No. 6675 or the Generics Acts of 1988, and Republic Act No. 5921 or the Pharmacy Law, and for other purposes Republic Act No. 9482 - An Act Providing for the Control and Elimination of Human and Animal Rabies, Prescribing Penalties for Violation Thereof and Appropriating Funds Therefore Republic Act No. 9288 - Newborn Screening An Act Promulgating A Comprehensive Policy and A National System For Ensuring Newborn Screening Republic Act No. 9257 - Expanded Senior Citizens Act of 2003 An Act Granting Additional Benefits and Privileges to Senior Citizens Amending for the Purpose Republic Act No. 7432 Otherwise Known As & quot ; An Act To Maximize the Contribution of Senior Citizens to Nation Building, Grant Benefits and Special Privileges and for other Purposes & quot; Republic Act No. 9211 - Tobacco Regulation Act of 2003 An Act Regulating the Packaging, Use, Sale Distribution and Advertisements of Tobacco Products and for other Purposes

Republic Act No. 9165 - Dangerous Drugs Act of 2002 An Act Instituting the Comprehensive Dangerous Drugs Act of 2002, repealing republic act no. 6425,otherwise known as the Dangerous Drugs Act of 1972, as amended, providing funds therefore and for other purposes Republic Act No. 8976 - Philippine Food Fortification Act of 2000 Republic Act No. 8749 - Philippine Clean Air Act of 1999 An Act Providing For A Comprehensive Air Pollution Control Policy And For Other Purposes Republic Act No. 8504 - Prevention and Control of 1988 Promulgating Policies And Prescribing Measures For The Prevention And Control Of Hiv/Aids In The Philippines, Instituting A Nationwide HIV/Aids Information And Educational Program, Establishing A Comprehensive Hiv/Aids Monitoring System, Strengthening The Philippine National Aids Council, And For Other Purposes Republic Act No. 8423 - Traditional and Alternative Medicine Act (TAMA of 1997) An Act creating the PHILIPPINE INSTITUTE OF TRADITIONAL AND ALTERNATIVE HEALTH CARE (PITAHC) to accelerate the development of traditional and alternative health care in the Philippines, providing for a TRADITIONAL AND ALTERNATIVE HEALTH CARE DEVELOPMENT FUND and for other purposes Republic Act No. 8344 - An Act Prohibiting the Demand of Deposits or Advance Payments : An Act Prohibiting The Demand Of Deposits Or Advance Payments For The Confinement Or Treatment Of Patients In Hospitals And Medical Clinics In Certain Cases Republic Act No. 8203 - Special Law on Counterfeit Drugs An Act of Prohibiting Counterfeit drugs, Providing Penalties for Violations and Appropriating Funds Thereof Republic Act No. 7883 - Barangay Health Workers Benefits and Incentives Acts of 1995 An Act Granting Benefits and Incentives to Accredit Barangay Health Workers and for Other Purposes Republic Act No. 7876 - Senior Citizens Center Act of the Philippines An Act to Maximize the Contribution of Senior Citizens to Nation Building, Grant Benefits and Special Privileges Republic Act No. 7875 - National Health Insurance Act of 1995 An Act Instituting A National Health Insurance Program For All Filipinos And Establishing The Philippine Health Insurance Corporation For The Purpose Republic Act No. 7719 - National Blood Services Act of 1994

An Act Promoting Voluntary Blood Donation, Providing For An Adequate Supply Of Safe Blood Regulating Blood Banks And Providing Penal Ties For Violation Thereof Republic Act No. 7432 - Senior Citizen Act of 1992 An Act to Maximize the Contribution of Senior Citizens to Nation Building, Grant Benefits and Special Privileges Republic Act No. 7394 The Consumer Act Of The Philippines Republic Act No. 7305 - Magna Carta of Public Health Workers Magna Carta of Public Health Workers Republic Act No. 7277 - An act providing for the rehabilitation, selfdevelopment and self-reliance of disabled person and their integration into the mainstream of society and for other purposes. Republic Act No. 7183 - An Act Regulating the Sale, Manufacture, Distribution and Use of Firecrackers and Other Pyrotechnic Devices Amendment to RA 7170 - Organ Donation Act of 1991 An Act To Advance Corneal Transplantation In The Philippines, Amending For The Purpose Republic Act Numbered Seven Thousand One Hundred And Seventy (R.A. N0. 7170) Otherwise Known As The Organ Donation Act Of 1991 Republic Act No. 6675 - Generics Act of 1988 An Act to Promote, Require and Ensure the Production Of An Adequate Supply, Distribution, Use And Acceptance Of Drugs And Medicines Identified By Their Generic Names Republic Act No. 6425 - Dangerous Drugs Act of 1972 This Act shall be known and cited as "The Dangerous Drugs Act of 1972." Republic Act No. 5921 An Act Regulating The Practice Of Pharmacy And Settings Standards Of Pharmaceutical Education In The Philippines And Other Purposes Republic Act No. 4688 - An Act Regulating the Operation and Maintenance of Clinical Laboratories and Requiring the Registration of the same with the Department of Health, Providing Penalty for the Violation thereof, and for Other Purposes Republic Act No. 4226 - Hospital Licensure Act An Act Requiring the Licensure of all Hospitals in the Philippines and Authorizing the Bureau of Medical Services to Serve as the Licensing Agency

Republic Act No. 1241 - An act to amend certain provisions of RA 997 otherwise known as the "Reorganization Act of 1954," approved June 9, 1954, and for other purposes Republic Act No. 997 - An Act Creating the Government Survey and Reorganization Commission and Appropriating Funds Therefor

National Objectives for Health The National Objectives for Health 2005-2010 provides the "roadmap" of key ideas, targets, indicators and strategies to bring the health sector to its desired outcomes. It also defines the collective and individual roles that the various stakeholders - policy makers, program planners and

managers, service providers, local government executives, development partners, the academe and civil society - play in shaping the future of our country's health system and in bringing better health outcomes for our people. NOH for Health 1999-2004 | Health Sector Reform Agenda Highlights of Secretary FTD's Accomplishment from 20052007 HIGHLIGHTS OF ACCOMPLISHMENTS Secretary Duque is a dedicated health leader who has injected a lot of dynamism and innovation in how things are done and accomplished in the health sector since he began his term in 2005 as the appointed Secretary of Health. A man of action and reform, Secretary Duque charted a clear road map for the ehalth sector, which he called the Fourmula One for Health (F1). The F1 strategy specified clear targets and identified priority projects and activities (PPAs) of the DOH for the mediumand long term emphasizing the needs to focus attention toward the attainment of the Millennium Development Goals and the National Objectives for Health for 2005-2010. Through F1, Secretary Duque prioritized the four pillars of Fourmula One: 1) Health Financing - sustaining and increasing investments for health with Philhealth as the center of health financing initiatives. 2) Health Regulations - flexing the regulatory muslces of DOH to ensure safe, affordable and quality health goods and services (i.e. strenthening of BFAD and other regulatory offices of DOH; making the Low Cost Medicines Program the key focus during his term) 3) Health Service Delivery - efficient and effective delivery of health services with doable and cost-effective interventions and 4) Good Governance - improving public health service delivery through integrity development and elimination of wastages and corruption in the DOH. On his third year as the leader of the health sector, his reforms have enables DOH to improve health and reach the poor more effectively.

He has maintained and sustained PhilHealth's coverage now at 73%. With a dramatic increase in Philhealth's budget in 2008, universal health coverage can be reached and 5 million indigent families are expected to be covered with an adequate health safety net.

He continues to increase PhilHeatlh's social relevance through enhanced benefits such as the expanded Maternity package, the Newborn Benefits Package, the Avian Flue package, and the outpatient packages for HIV/AIDS, TB and Malaria, all in keeping with the country's commitment to race toward the Milllenium Development Goals by 2015. The poor has greater access to low-cost, high quality medicines as shown by the SWS 2006 survey that more than 50% of Filipinos are now buying and using generics. Close to 11,000 Botika ng Barangays have been established nationwide plus more than 1,200 Botika ng Bayan outlets operating in coordination with PITC since the Low Cost Medicines Program was launched in 2001. With the integration of the goals and functions of DOH and PITC under his leadership, essential medicines and drugs continue to be more affordable and accessible to the public generating overall consumer savings up to 80%. Secretary Duque has also earned oversight of the government's multi-agency drive to mitigate hunger and malnutrition in the country. In 2006, he was named by the President as the antihunger czar of the Philippines and the National Nutrition COuncil was transferred to the DOH as one of its attached agencies. The Accelerated Hunger Mitigation Program (AHMP) is currently the lead program of the national government in combating the probelm of malnutrtion particularly among yung children from poor families. The AHMP consists or targeted interventions designed to address the supply and demand side factors contributing to the dynamics of hunger and poverty in the Philippines. Secretary Duque has also placed the health mothers and children at the center of health sector reform consistent with our pledge to cut maternal and child deaths by 2015 (MDG 4 and 5). o He is tenacious in his campaign for Safe Motherhood and is consistent with his advocacy that all women have the right to safe and quality emergency obstetric services (EmOC) to prevent maternal and newborn deaths. By 2010, he wants to reverse the current unacceptable reality where 60% of women deliver at home and are attended by unskilled health professionals. Target is 100% of all women giving birth in health facilities attended by doctors, nurses and midwives. o He is resolute in completing the massive push towards Universal Child Immunization. In 2005, he did not waste time to avert a potential pilio resurgence in the Mindanao region by conducting mass polio immunization after polio reemerged in neighboring Indonesia. In 2006, he signed into implementation the 100% Hepa B immunization policy for all infants to counter the high prevalence of Hepatitis B in the country --- the leading

cause of chrrhosis and liver cancer in the Philippines. And very recently, he led the DOH into another victory with a 95% coverage during the 2007 Knockout Tigdas campaign. o His advocacy for Breastfeeding is recognized hear globally. His term as Secretary of Health will be remembered with his signing of the Revised IRR of the National Milk Code, the revitalization of the Mother Baby Friendly Hospital Initiative of the DOH, breastfeeding stations in SM supermalls, and the Supreme Court upholding all but three provisions of the IRR scoring another big win for the Department. In the fight against proverty-related diseases (MDG 6), the following were his accomplishments: o TB - hitting and sustaining TB control targets adn the formulation of new policies and guidelines for nationwide prevention and control of TB among children, TB coinfection with HIV/AIDS and management of multiple and extensively drug-resistant TB (MDR and XDR-TB) o Malaria - Declaration of more malaria-free provinces bringing the total number to 22 o HIV/AIDS - kept the HIV/AIDS prevalence at 0.03/100,000 population. He has also pushed for the approval of the outpatient HIV/AIDS package of Philhealth to cover antiretroviral medications. o Secretary Duque also launched the Disease-Free Zones Initiative of the DOH for easily eradicable diseases such as rabies, shcistosomiasis, filariasis and vaccinepreventable diseases. Under his leadership, the National Avian Flu Pandemic Preparedness Plan was also crafted. Currently, the DOH maintains a stockpile of Oseltamivir good for 10,000 treatment courses. The country's capability and preparedness in rapid containment should avian flu arise was recently tested in the PANSTOP II simulation exercise conducted by the World Health Organization. While he has undeniably set a record-high of wrestling with 23 major health disasters and emergencies in 2006 alone, he is more proud of beating corruption and inefficiency at the DOH. Through his leadership example and with a bold directive to exercise good governance in the health sector, DOH embarked on the implementation of reforms for integrity development, transparency in government transactions and corrupt-free practices since 2005. In 2007, the DOH received the most number of recognition from PAGC, NEDA, the Office of the Ombudsman, local and international development partners as well as different survey outfits highlighting the seriousness of the current DOH administration to bosst performance, increase transparency and accountability and institute good governance in the health sector.

o o o

+50 NET SATISFACTION RATING (increased by 7 points from last quarter survey; 2007 3rd Quarter SWS Survey) +54 NET APPROVAL RATING, (increased by 5 points from 2006 survey; 2007 2nd Quarter PUlse Asis Survey) #1 IN ALIGNING DONOR INITIATIVES WITH HEALTH SECTOR PROGRAM (National Economic Development Authority, 2007)

The reforms of DOH through F1 boosted partnerships and stakeholder participation at the local and iternational levels. Effective donor coordination pooled some $530 million worth of offical development assistance (ODA) targeting the key priority programs, projects and activities of the DOH in the 37 F1 provinces of DOH where reforms are being implemented together with the local governments. International partners include the World Bank, the European Commission, the Asian Development Bank, the WHO, UNICEF, UNFPA, JICA, USAID, AusAID, GTZ, among others.

#1 IN INTEGRITY DEVELOPMENT REVIEW AMONG 11 GOVERNMENT AGENCIES (Office of the Ombudsman, Development Academy of the Philippines and Asian Development Bank, 2007)

A joint study of the ADB, the DAP and the Office of the Ombudsman recently rated DOH as the "best performer" among 11 public sector agencies in terms of corruption prevention and integrity development (2nd cycle). The DOH got the highest rating of 3 in five out ten parameters: leadership, human resource management, performance management, procurement management and managing interface with the external environment. A score of 2 was also given to the Health department for financial management and corruption resk management.

#2 MOST SINCERE GOVERNMENT LINE AGENCY IN FIGHTING CORRUPTION AMONG 80 GOVERNMENT AGENCIES (Presidential Anti-Graft Commission, 2005 and 2006)

For 2005 and 2006, DOH earned the #1 ranking given by the Presidential Anti-Graft Commission in terms of its compliance in implementing its Integrity Development Action Plan. For 2007, DOH landed #2 in tis anti-graft measures next to DSWD among 80 government agencies. The Integrity Development Action Plan involves projects and activities focusing on systems improvement, values formation and moral recovery aimed at eliminating graft in all branches and agencies

GOOD PERFORMANCE IN FIGHTING CORRUPTION (SWS Business Survey on Corruption, 2007)

For two straight years, the DOH earned the approval of the Makati Business Club in terms of its seriousness to fight and eliminate graft and corruption within the bureacracy. In 2006, the DOH got a net rating of +22 (MODERATE performance) and placed #1 among all govenrment line agencies next only to Local Church Leaders, the Supreme Court and SSS. In 2007, the DOH improved ints net rating to +26 (GOOD performance).

"VERY GOOD PRACTICE" IN IMPLEMENTING THE PARIS DECLARATIONS ON AID EFFECTIVENESS AND THE SECTOR DEVELOPMENT APPROACH IN HEALTH (SDAH) AMONG COUNTRIES REVIEWED IN SOUTHEAST ASIA (European Commission Study in Southeast Asia, 2006)

The Philippines sector Development Approach in health (SDAH) was characterized as "VERY GOOD PRACTICE" among SEA countries in termes of its commitment to the 2005 Paris Declaration on alignment and coordination of policies and harmonization of donor imputs to the health sector reform program. The SDAH approach of DOH was found to be fully compliant to "Best Practice" efforts in 4 out 9 essential characteristics of SDAH and partially compliant in 5 out 9 parameters. Fully Compliant: 1. 2. 3. 4. Improved predictability of sector funding Government Leadership of the Process Reduced disparities between sector activities and regions Increased coordination and collaboration between government and donors

Partially compliant: 1. 2. 3. 4. 5. Clearly defined policy and strategy framework Reduced transaction costs for Government and donors Financing to sector through unified processes All participants subject standard measure of performance All activites subject to a consistent monitoring and evaluation process

Central Office External websites open to a new window/browser. 1. Administrative Service 2. Bureau of Food and Drugs

3. Bureau of Health Devices and Technology 4. Bureau of Health Facilities and Services 5. Bureau of International Health Cooperation 6. Bureau of Local Health Development 7. Bureau of Quarantine and International Health Surveillance 8. *Finance Service 9. Health Emergency Management Staff 10. Health Human Resource Development Bureau 11. Health Policy Development and Planning Bureau 12. Information Management Service 13. Materials Management Division 14. National Center for Health Facilities Development 15. National Center for Disease Prevention and Control 16. National Drug Policy - Pharmaceutical Management Unit 17. National Center for Health Promotion 18. National Epidemiology Center 19. Procurement Division/COBAC Secretariat 20. Research Institute for Tropical Medicine Centers for Health Development (CHD's) DOH Regional Offices, or Centers for Health Development (CHDs) .* Links open to a new window/browser

Ilocos Region Cagayan Valley Central Luzon Southern Luzon CALABARZON MIMAROPA Bicol Region Western Visayas Central Visayas Eastern Visayas Zamboanga Peninsula Northern Mindanao Davao Region Central Mindanao CAR CARAGA NCR ARMM

DOH Hospitals

Philippine Children's Medical Center Quezon Avenue, Quezon City National Kidney Institute East Avenue, Quezon City

Lung Center of the Philippines Quezon Avenue, Quezon City Philippine Heart Center East Avenue, Quezon City Jose R. Reyes Memorial Medical Center Rizal Avenue,Sta. Cruz, Manila Department of Urology, JRRMMC San Lazaro Hospital (SACCL) Quiricada, Manila Dr. Jose Fabella Memorial Hospital Lope de Vega, Manila East Avenue Medical Center National Reference Laboratory East Avenue, Quezon City Philippine Orthopedic Center Banawe, Quezon City National Center for Mental Health Mandaluyong City National Children's Hospital E. Rodriguez, Quezon City Tondo Medical Center Balut, Tondo, Manila Quirino Memorial Medical Center Project 4, Quezon City Amang Rodriguez Medical Center Marikina City Rizal Medical Center Pasig City Research Institute for Tropical Medicine Filinvest Corporate City, Alabang, Muntinlupa City Las Pias Medical Center Las Pias City Taguig-Pateros District Hospital Taguig, Metro Manila Valenzuela Medical Center Karuhatan, Valenzuela City Jose N. Rodriguez Memorial Hospital Tala, Caloocan City Batanes Regional Hospital Basco, Batanes Ilocos Training and Regional Medical Center San Fernando, La Union Mariano Marcos Memorial Medical Center Batac, Ilocos Norte Region I Medical Center Dagupan City, Pangasinan Baguio General Hospital and Medical Center BGHMC Cmpd., Baguio City

Luis Hora Memorial Hospital Abatan, Bauko, Mt. Province Conner District Hospital Conner, Apayao Far North General Hospital and Training Center Quirino, Luna, Apayao Cagayan Valley Medical Center Tuguegarao, Cagayan Veterans Regional Hospital Bayombong, Nueva Vizcaya Southern Isabela General Hospital Santiago City Paulino J. Garcia Memorial Research and Medical Center Cabanatuan City Jose B. Lingad Memorial Regional Hospital San Fernando, Pampanga Talavera Extension Hospital Talavera, Nueva Ecija Bataan General Hospital Balanga, Bataan Batangas Regional Hospital Batangas City Ospital ng Palawan Puerto Princesa City Culion Sanitarium Culion, Palawan Bicol Medical Center Naga City Bicol Regional Training and Teaching Hospital Legaspi City Bicol Sanitarium Cabusao, Camarines Sur Western Visayas Medical Center Mandurriao, Iloilo City Don Jose Monfort Medical Center Extension Hospital Barotac Nuevo, Iloilo Corazon Locsin Montelibano Memorial Regional Hospital Bacolod City Western Visayas Sanitarium Sta. Barabara, Iloilo Vicente Sotto Memorial Medical Center Cebu City Celestino Gallares Memorial Medical Center Tagbilaran City St. Anthony Mother and Child Hospital Cebu City Eversely Child Sanitarium Mandaue City Talisay District Hospital Talisay, Cebu Eastern Visayas Regional Medical Center Tacloban City

Schistosomiasis Control and Research Hospital Palo, Leyte Zamboanga City Medical Center Zamboanga City Dr. Jose Rizal Memorial Hospital Lawa-an, Dapitan City MINDANAO CENTRAL SANITARIUM Pasobolong, Zamboanga City BASILAN GENERAL HOSPITAL Isabela, Basilan MARGOSATUBIG REGIONAL HOSPITAL Margosatubig, Zamboanga del Sur LABUAN PUBLIC HOSPITAL Labuan, Zamboanga del Sur SULU SANITARIUM Jolo, Sulu NORTHERN MINDANAO MEDICAL CENTER Capitol Cmpd., Cagayan de Oro City HILARION A. RAMIRO SR. REGIONAL AND TEACHING HOSPITAL Ozamis City CAMIGUIN GENERAL HOSPITAL Mambajao, Camiguin DAVAO REGIONAL HOSPITAL Tagum, Davao del Norte DAVAO MEDICAL CENTER Davao City COTABATO REGIONAL MEDICAL CENTER Sinsuat Ave., Cotabato City COTABATO SANITARIUM Brgy. Pinaring, Sultan Kudarat, Maguindanao AMAI PAKPAK MEDICAL CENTER Marawi, Cotabato City CARAGA REGIONAL HOSPITAL Surigao City ADELA SERRA TY MEMORIAL MEDICAL CENTER Tandag, Surigao del Sur

DOH Profile Department of Health Vision - The leader of health for all in the Philippines Mission - Guarantee equitable, sustainable and quality health for all Filipinos, especially the poor, and to lead the quest for excellence in health. Department of Health Profile The recent change in political leadership provides the Philippines with the chance to revitalize the health care system. This is in line with the administrations thrust to prioritize delivery of services to the masses and improve the quality of life of all Filipinos, especially the poor. The differences in health status among various groups and regions in the country have widened through the years. These disparities indicate deficient economic and social policies, showing the need to reprioritize interventions to promote equity, fairness and immediate action. Unnecessary and unfair gaps in the health care delivery system that deprive the poor of access to basic services must be reduced. The system must work efficiently to reach the highest possible health standards that can be shared by all Filipinos, given the limited resources available for health. Although socioeconomic differences significantly influence health status, the equitable distribution of quality health services is an important measure of fairness in the country. Revitalizing the health care system must be seen within the broader context of several forces affecting the delivery of basic health services in the past two

decades. Among these factors are the devolution of health services to local governments, passage of national legislation for universal coverage for health through social insurance, the epidemiologic shift and current double burden of disease brought about by the rise in degenerative diseases and the reemergence of previously controlled infectious diseases, demographic trends pointing to longer life span, greater number of adolescents and youth, rapid urbanization, industrialization, environmental degradation and climate change. Under these realities, the health sector must work to attain a common vision of health for all Filipinos. Its mission is to ensure accessibility and quality of health care to improve the quality of life of all Filipinos, especially the poor. The DOH Offices The DOH is composed of about 17 central offices, 16 Centers for Health Development located in various regions, 70 hospitals and 4 attached agencies. Central Office The central office is composed of the Office of the Secretary and five major function clusters: Office of the Secretary The following comprise the staff support services to the Secretary of Health: Health Emergency Management Staff; Internal Audit Staff, the Media Relations Group and the Public Assistance Group including 3 major Zonal Offices of the DOH located in Luzon, Visayas and Mindanao. These Zonal Offices are headed by an Undersecretary and supported by an Assistant Secretary. These offices are mandated to coordinate and monitor the implementation the Health Sector Reform Agenda, the National Health Objectives and the Local Government Code with the various Centers for Health Development. Sectoral Management Support Cluster It is composed of Health Human Resource Development Bureau and the Health Policy Development and Planning Bureau.> Internal Management Support Cluster It is composed of the Administrative Service, Information Management Service, Finance Service and the Procurement and Logistics Service. Health Regulation Cluster It is composed of the Bureau of Health Facilities and Services, Bureau of Food and Drugs and Bureau of Health Devices and

Technology. External Affairs Cluster It is composed of the Bureau of Quarantine and International Health Surveillance, Bureau of International Health Cooperation. Bureau of Local Development Health Program Development Cluster It is composed of the National Center for Disease Prevention and Control, National Epidemiology Center, National Center for Health Promotion and National Center for Health Facilities Development. Center for Health Development Responsible for field operations of the Department in its administrative region and for providing catchment area with efficient and effective medical services. It is tasked to implement laws, regulation, policies and programs. It is also tasked to coordinate with regional offices of the other Departments, offices and agencies as well as with the local governments. DOH Hospitals Provides hospital-based care; specialised or general services, some conduct research on clinical priorities and training hospitals for medical specialisation. Attached Agencies The Philippine Health Insurance Corporation is implementing the national health insurance law, administers the medicare program for both public and private sectors. The Dangerous Drugs Board on the other hand, coordinates and manages the dangerous drugs control program. The other two agencies are Philippine Institute of Traditional and Alternative Health Care and the Philippine National AIDS Council.

Milestone
2006

The Presidential Anti-Graft Commission recognized and awarded the DOH as the number one government agency in fighting corruption. DOH also topped in the Pulse Asia 3rd Quarter Survey as the number one government agency in terms of overall performance. 2005 FOURmula ONE for Health (F1) was launched as the health sectors blue print for the implementation of reforms to bring about better health outcomes, more responsive health system and more equitable healthcare financing. Province-wide Investment Plans for Health were developed in 16 provinces as the basis of F1 implementation in these sites. 2003 The One-Script Systems Improvement Program was established (AO 50. S. 2003) to orchestrate unity, synchronicity and focused targeting of priority public health programs that would provide the biggest impact to attaining equity, efficiency, access and quality health care in the country. A major breakthrough was achieved in providing fiscal autonomy to 68 DOH retained hospitals with the approval of a special provision of FY 2003 GAA which authorized 100% retention and the use of hospital income for upgrading of health facilities and services. 2001 In July 13, 2001, Administrative Order 37 which contained the guidelines on the operationalization of the HSRA implementation plan was signed by Sec. Manuel Dayrit. It is also during this year that the 13 convergence sites or the advance implementation areas have been established. 2000 The year 2000 marked the institutionalization of the Health Sector Reform Agenda (HSRA). The HSRA was endorsed for approval and support by the National Government Agencies, national and local stakeholders in health, and partners in the international community. The HSRA has become the major framework for policies and investments for the health sector . 1999 The functions and operations of the DOH was directed to become consistent with the provisions of Administrative Code 1987 and RA 7160 through Executive Order 102. The Health Sector Reform Agenda of the Philippines, 1999-2004 was launched. The reforms are: provide fiscal autonomy to government hospitals; secure funding for priority health programs; promote the

development of local health systems and ensure its effective performance; strengthen the capacities of health regulatory agencies and expand coverage of the National Health Insurance Programs. National Objectives for Health 1999-2004 was launched. This states the Philippines objectives for the eradication and control of infectious diseases commonly affecting our people, major chronic illnesses and injuries that compromise lives of the productive sector. It encourages promotion of healthy lifestyle and health-seeking behaviors to prevent or control certain debilitating illness and life-threatening diseases 1992 Full implementation of Republic Act No. 7160 or Local Government Code. The DOH changed its role from one of implementation to one of governance. Significant change: branching out of the Office of the Public Health Services to form the Office for Special Concerns. Two big offices merged to become the Office of Hospital Facilities, Standards and Regulation. Special projects were highlighted like the NID. National Micronutrient Campaign, Disaster Management, Urban Health and Nutrition Project, Traditional Medicine, Doctors to the Barrios Program, "Lets DOH It"! became a national battlecry. 1987 Another re-organization under Executive Order No. 119, which placed under the Secretary of Health five offices headed by an undersecretary and an assistant secretary. These offices are the Chief of Staff, Public Health Services, Hospital and Facilities Services, Standard and Regulations, and Management Service. 1986 The Ministry of Health became Department of Health again. 1982 Under Executive Order No. 851, the Health Education and Manpower Development Service was created, and the Bureau of Food and Drugs assumed the functions of the Food and Drug Administration. 1972 Through Letter of Implementation No. 8, pursuant to Presidential Decree No.1, Sept.24, 1972, the DOH was renamed Ministry of Health. The National Cancer Center and Radiation Health Service were created. The Ministry was divided into 12 regions covering several provinces and cities under a regional health director. Attached offices were the Philippine Medical Care Commission, the Dangerous Drugs Board, National Nutrition Council, Population

Commission, National Schistosomiasis Control Council and the Tondo General Hospital. 1958 The creation of eight regional health offices and two Undersecretaries of Health: the Undersecretary of health and the Medical Services and the Undersecretary of Special Services. 1971 The creation of the Food and Drug Administration, Bureau of Disease Intelligence Center, Malaria Eradication Service, Bureau of Dental Health Service, the National Comprehensive Maternal and Child Health / Family Planning Program, National Nutrition Program, and the National Schistosomiasis Control Commission, among others. 1950 Under Executive Order No. 392, s. 1950, the Department of Health gained additional functions brought about by the transfer of the Institute of Nutrition, together with the Division of Biological Research and the Division of Food Technology from the Institute of Science, and the Public Schools Medical and Dental Services from the Office of the President of the Philippines and the Bureau of Public School respectively to the DOH. Within the Department of Health, certain changes were also effected thru the transfer of the Division of Health Education and Information from the Bureau of Health to the Department proper, in exchange for which the drug Inspection Division was transferred to the former office from the latter; the conversion of the Section of Tuberculosis into a Division of Tuberculosis, directly under the Office of the Secretary, and the conversion of the Division of Laboratories into an Office of Public Health Research Laboratory. 1947 Reorganization of government offices under Executive Order No. 94, series of 1947 with the transfer of the Bureau of Public Welfare to the Office of the President and the Department was renamed Department of Health (DOH). Under this set-up were the following: 01 January 1941 Creation of the Department of Health and Public Welfare as provided for in Executive Order No. 317, series of 1941. The Department was under the Secretary of Health and Public Welfare and also included the Bureau of Quarantine; the health department of chartered cities; the provincial, city and municipal hospitals; dispensaries and clinics, the public markets and slaughter houses; the health resorts; and all charitable and relief agencies. However, the Philippine General Hospital was detached from the Department and transferred to the Office of the President of the Philippines.

1932 Passage of Act No. 4007, also "the Reorganization Act of 1932", which created the Office of the Commissioner of Health and Public Welfare, the Philippine General Hospital, and the five examining boards (medical, pharmaceutical, dental, optical and nursing). 1915 Changing of the name of the Bureau of Health to the Philippine Health Service, which was later on changed to its former name. 1912 Passage of Act. No. 2156, so- called "Fajardo Act", which authorized the consolidation of municipalities into sanitary division and established what is now known as the "Health Fund" 1906 Passage of Act No. 1487 of the Philippine Commission repealing Act No. 307 wherein the provincial Board of Health gave way to the Office of the District Health Officer

1899 - 1905 Abolition of the Board of Health and appointment of Dr. Guy L. Edie as the first Commissioner of Public Health. Act. No. 157 of the Philippine Commission - creation of the Board of Health for the Philippine Islands; it also acted as the Board of Health for the city of Manila Acts Nos. 307, 308 and 309-establishment of the Provincial and Municipal Boards of Health, completing the health organisation in accordance with the territorial division of the Islands. Act. No. 1407- (also the "Reorganization Act" ) abolition of the Board of Health and its functions and activities were taken over by the Bureau of Health. 29 September 1898 Establishment of the Board of Health for the City of Manila under General Orders No. 15. 23 June 1898

Creation of the Department of Public Works, Education & Hygiene (now the Department of Public Works & Highways, Department of Education Culture & Sports, and Department of Health, respectively) through the Proclamation of President Emilio Aguinaldo. Administrative Service

PLS ACTIVITIES General Functions a. Provides the Department of Health with efficient and effective services related to personnel, legal and general services including housekeeping, security, facilities and ground maintenance and other related services b. Advises the Secretary of Health on matters pertaining to personnel, legal and general administrative services. 1. Legal Services Division Specific Functions a. Provides the Department of Health with legal advice on all policy, programs and operational matters b. Acts as counsel for the Department and its personnel in legal cases.

2. Personnel Services Division Specific Functions a. Formulates and implements policies standards and guidelines for the Department in matters pertaining to personnel recruitment selection and placement b. Develops a personnel incentive and benefit system c. Encourages improvement of employee performance and efficiency through annual performance appraisal d. Develops and maintains a personnel information system. 3. General Services Division Specific Functions a. Provides general custodial services to include housekeeping, maintenance of equipment, buildings and grounds b. Manages and supervises janitorial and security services

DOH Budget DEPARTMENT OF HEALTH CY 1991-2009 BUDGET APPROPRIATION

YEA PS MOOE CO TOTAL R 199 2,970,670,0 3,882,689,00 319,392,00 7,172,751,00 1 00 0 0 0 199 5,089,652,0 4,710,415,00 427,677,00 10,227,744,0 2 00 0 0 00 199 2,227,344,0 3,862,613,00 824,775,00 6,914,732,00

3 00 0 0 0 199 2,274,670,0 3,679,651,00 1,377,870,0 7,332,191,00 4 00 0 00 0 199 2,872,405,0 3,595,884,00 2,065,787,0 8,534,076,00 5 00 0 00 0 199 3,370,752,0 4,089,307,00 1,777,494,0 9,237,553,00 6 00 0 00 0 199 3,965,000,0 4,537,828,00 2,435,029,0 10,937,857,0 7 00 0 00 00 199 4,967,983,0 5,435,953,00 2,539,281,0 12,943,217,0 8 00 0 00 00 199 5,042,874,0 5,300,903,00 922,061,00 11,265,838,0 9 00 0 0 00 200 5,028,963,0 5,313,600,00 396,342,00 10,738,905,0 0 00 0 0 00 200 5,020,223,0 4,392,428,00 9,456,263,00 43,612,000 1 00 0 0 200 5,404,739,0 5,115,498,00 899,000,00 11,419,237,0 2 00 0 0 00 200 5,368,302,0 3,807,988,00 730,000,00 9,906,290,00 3 00 0 0 0 200 5,368,302,0 3,789,927,00 405,575,00 9,563,804,00 4 00 0 0 0 200 5,397,944,0 3,942,388,00 384,986,00 9,725,318,00 5 00 0 0 0 200 5,397,944,0 3,760,310,00 299,031,00 9,457,285,00 6 00 0 0 0 200 5,789,064,0 4,639,809,00 969,898,00 11,398,771,0 7 00 0 0 00 200 5,832,513,0 10,643,479,0 2,436,018,0 18,912,010,0 8 00 00 00 00 200 6,727,340,0 10,584,705,0 6,354,610,0 23,666,655,0 9 00 00 00 00 SOURCE: General Appropriations Act 1991-2009

Administrative Service Mission: Our mission is to provide and make available humane, quality, facilitative administrative and legal services to DOH employees resulting to highly motivated and satisfied employees. Vision: We are the epitome of servant leadership and catalysts for change in the provision of administrative and legal services to the DOH employees. Goal: Technical Assistance/Expertise promptly and efficiently concerning Personnel management and administrative concerns, building/facility and equipment maintenance provided to employees and different offices of the DOH. Administrative Service Objectives: To review existing policies relating to personnel transaction and

services and institutionalize policies/procedures for a sound personnel recruitment, selection and placement. To conduct orientation and formulate monitoring scheme for the smooth implementation of Performance Evaluation System (PES). To implement and intensive information dissemination program to create awareness on the DOH Grievance Machinery and Program on Awards and Incentives for Service Excellence (PRAISE). To provide continuous education & staff development program to all AS Staff. Presidential Decrees and Other Proclamations

Presidential Proclamation No. 1168 November 10, 2006 Declaring the Month of November of Every Year as Malaria Awareness Month Presidential Decree 480 June 6, 1974 Creating a Radiation Health Office in the Department of Health Presidential Decree 881 January 30, 1976 Empowering the Secretary of Health to regulate the labeling, sale and distribution of hazardous substances Presidential Decree No. 856 Code on Sanitation of the Philippines (with Implementing Rules and Regulations) Presidential Decree No. 522 Prescribing Sanitation Requirements for the Operation of Establishments and Facilities for the Protection and Convenience of the Travelling Public Presidential Decree No. 651 Requiring the Registration of Births and Deaths in the Philippines which occured from January 1, 1974 and thereafter Presidential Decree No. 996 Providing for Compulsory Basic Immunization for Infants and children below eight years of age Presidential Decree No. 498 Amending sections two, three, four, seven, eight, eleven, thirteen, sixteen, seventeen, twenty-one and twenty-nine of Republic Act No. 5527, also known as the Philippine Medical Technology Act of 1969 Presidential Decree No. 965 A Decree Requiring Applicant for Marriage License to Receive Instructions on Family Planning and Responsible Parenthood Presidential Decree No. 1631 Creating the Lunsod ng Kabataan Presidential Decree No. 1823 Creating the Lung Center of the Philippines

Presidential Decree No. 384 Amending Republic Act Numbered 4073, entitled an An Act Further LIberalizing the Treatment of Leprosy by Amending and Repealing certain Sections of the REvised Administrative Code Presidential Decree No. 1832 Creating National Kidney Foundation of the Philippines Presidential Decree No. 893 Reconstituting the National Schistosomiasis Control Commission into the Schistosomiasis Control Council and for other Purposes Presidential Decree No. 79 Revising the Population Act of Nineteen Hundred and Seventyone

Executive Order

Executive Order No. 288 Providing for the Implementing Details for Reorganization Plans Nos. 12-A, 13-A and 14-A relative to Health Executive Order No. 663 Implementing the the National Commitment for "Bakuna ang Una Sa Sanggol At Ina", Attaining World Health Organization's goals to Eliminate Measles and Neonatal Tetanus, Eradicate Polio, Control Hepatitis B and Other Vaccine-Preventable Diseases Executive Order No. 637 Providing the Basis for the Computation of the Incentive Benefits of Personnel who may be Affected by the Implementation of the Rationalization Program under Executive Order No. 366s. 2004 Executive Order No. 611 Authorizing Compensation Adjustments to Government Personnel Executive Order No. 567 Devolving the Taguig-Pateros District Hospital from the Department of Health to the City of Taguig Executive Order No. 452 Directing the Enrollment of 2.5 Million Indigent Families Pursuant to Executive Order No. 276s. 2004 also known as the Enhanced PCSO Greater Medicare Access Program and for other Purposes Executive Order No. 441 Delegating to the Secretary of Department Health (DOH) the Power to Exercise Oversight Function over the Philippine Sports Commission (PSC) Executive Order No. 442 Designating the Philippine International Trading Corporation as the Lead Coordinating Agency to Make Quality Medicines Available, Affordable and Accessible to the greater masses of Filipinos

Executive Order No. 437 Encouraging the implementation of Community-Based Rehabilitation (CBR) for persons with disabilities in the Philippines Executive Order No. 417 Directing the implementation of the Economic Independence Program for Person with Disabilities Executive Order No. 392 Amending Executive Order No. 182 dated February 14, 2003, Entitled " Transferring the Medicare Functions of the Overseas Workers Welfare Administration to the Philippine Health Insurance Corporation Executive Order No. 102 Redirecting the Functions and Operations of the Department of Health. Executive Order No. 51 Adopting a National Code of Marketing of Breastmilk Supplements and related products, penalizing violations thereof, and for other purposes. Executive Order No. 247 Prescribing Guidelines and Establishing a Regulatory Framework for the Prospecting of Biological ang Genetic Resources, their By-Products and Derivatives, for Scientific and Commercial Purposes; and for other Purposes Executive Order No. 455 Transferring the Supervision and Control of the Philippine Charity Sweepstakes from the Department of Social Welfare and Development to the Department of Health, and for other Purposes Executive Order No. 472 Transferring the National Nutrition Council from the Department of Agriculture to the Department of Health

Health Programs - Adolescent and Youth Health and Development Program - Botika Ng Barangay - Breastfeeding Program / Mother and Baby Friendly Hospital Initiative - Blood Donation Program - Cancer Control Program - Child Health - Diabetes Mellitus Prevention Program - Dengue Control Program - Dental Health Program - Doctors to the Barrios (DttB) Program - Emerging Disease Control Program - Environmental Health - Expanded Program on Immunization - Family Planning - Food and Waterborne Diseases Prevention and Control Program - Food Fortification Program - FOURmula One - Garantisadong Pambata - GMA 50 / Parallel Drug Importation (PDI) - Human Resource Health Network - Healthy Lifestyle Program - Health Sector Development Program - Knock-Out Tigdas - Leprosy Control Program - Malaria Control Program - Measles Elimination Campaign (Ligtas Tigdas) - National Cardiovascular Disease Prevention and Control Program - National Filariasis Elimination Program - National Mental Health Program - Natural Family Planning - Newborn Screening - Nutrition - Occupational Health Program - Health Development Program for Older Persons (Elderly Health) - Pinoy MD - Persons with Disabilities Program - Pnuemonia and Other Acute Respiratory Infections (ARI's) - Prevention of Blindness Program - Rabies Control Program - Safe Motherhood and Women's Health - Schistosomiasis Control Program - Smoking Cessation Program - Soil Transmitted Helmenthiasis - TB Control Program

Environmental Health Environmental Health is concerned with preventing illness through managing the environment and by changing people's behavior to reduce exposure to biological and non-biological agents of disease and injury. It is concerned primarily with effects of the environment to the health of the people. Program strategies and activities are focused on environmental sanitation, environmental health impact assessment and occupational health through inter-agency collaboration. An InterAgency COmmittee on Environmental Health was created by virute of E.O. 489 to facilitate and improve coordination among concerned agencies. It provides the venue for technical collaboration, effective monitoring and communication, resource mobilization, policy review and development. The Committee has five sectoral task forces on water, solid waste, air, toxic and chemical substances and occupational health. Vision: Health Settings for All Filipinos Mission: Provide leadership in ensuring health settings Goals: Reduction of environmental and occupational related diseases, disabilities and deaths through health promotion and mitigation of hazards and risks in the environment and worksplaces. Strategic Objectives: 1. Development of evidence-based policies, guidelines, standards, programs and parameters for specific healthy settings. 2. Provision of technical assistance to implementers and other relevant partners 3. Strengthening inter-sectoral collaboration and broad based mass participation for the promotion and attainment of healthy settings Key Result Areas:

Appropriate development and regular evaluation of relevant programs, projects, policies and plans on environmental and occupational health Timely provision of technical assistance to Centers for Health Development (CHDs) and other partners Development of responsive/relevant legislative and research agenda on DPC Timely provision of technical inputs to curriculum development and conduct of human resource development Timely provision of technically sound advice to the Secretary and other stakeholders Timely and adequate provision of strategic logistics

Components:

Inter- agency Committee on Environmental Health IACEH Task Force on Water IACEH Task Force on Solid Waste IACEH Task Force on Toxic Chemicals IACEH Task Force on Occupational Health Environmental Sanitation Environmental Health Impact Assessment Occupational Health

Expanded Program on Immunization Children need not die young if they receive complete and timely immunization. Children who are not fully immunized are more susceptible to common childhood diseases. The Expanded Program on Immunization is one of the DOH Programs that has already been institutionalized and adopted by all LGUs in the region. Its objective is to reduce infant mortality and morbidity through decreasing the prevalence of six (6) immunizable diseases (TB, diphtheria, pertussis, tetanus, polio and measles) Special campaigns have been undertaken to improve further program implementation, notably the National Immunization Days (NID), Knock Out Polio (KOP) and Garantisadong Pambata (GP) since 1993 to 2000. This is being supported by increasing/sustaining the routine immunization and improved surveillance system.

Update No. 17 - Influenza A(H1N1) Monitoring May 21, 2009 As of May 21, the Department of Health has identified seven new cases under observation, five of whom were from NCR, one from Region 6 and one from Region 8. All cases had history of travel from Influenza A (H1N1) affected countries. Four of the new cases laboratory test results for Influenza A (H1N1), together with three cases reported previously, are still pending. All other previous cases tested negative for Influenza A (H1N1). While the intensive laboratory testing procedures for individuals possibly infected with Influenza A (H1N1) is on-going, the DOH reiterates that influenza-like illness monitoring at the community level is also enhanced. This is to ensure that outbreaks of influenza are detected early and control measures are implemented immediately. Update No. 16 - Influenza A(H1N1) Monitoring May 20, 2009 As May 20, the Department of Health has identified two new cases under observation from Region 7. Both cases had history of travel from Japan. Their laboratory test results for Influenza A(H1N1), together with one case reported yesterday are still pending. All other previous cases tested negative for Influenza A(H1N1) is on-going, the DOH reiterates that

influenza-lilke illness monitoring at the community level is also enhanced. This is to ensure that outbreak of influenza are detected early and control measures are implemented immeidately. Though the World Health Organization has reported 9,830 confirmed Influenza A(H1N1) cases in 40 countries as of May 19, only five new deaths were reported. The case fatality remains below 1%. PLANS AGAINST H1N1 Health Secretary Francisco T. Duque III convenes a Command Conference with all its Directors of the Centers for Health Development, and the DOH-retained hospitals including the regional epidemiologist to firm up its readiness plans against the H1N1 and command and control system for an imminent pandemic. ( 5 May 2009, paking )

SAFE MOTHERHOOD WEEK CELEBRATION May 10-15, 2009 The Department of Health ( DOH ) celebrates Safe Motherhood Week every 2nd week of May in collaboration with various partner agencies per Executive Order No. 200 series of 2001. This years campaign slogan is Una sa Lahat, Ligtas na PANGANGANAK Manganak Lamang sa Ospital o Health Center. This is to give focus on the critical importance of giving birth in a health facility with skilled health professionals among women especially expectant or pregnant mothers. May is Cervical Cancer Awareness Month

There will be a free cervical cancer screening and open forum on May 22, 2009 for women ages15-45 years

old. Registration will be on May 12-15 in the following DOH Hospitals: Amang Rodriguez Medical Center, Dr. Jose Fabella Memorial Hospital, East Avenue Medical Center, Dr. Jose N. Rodriguez Memorial Hospital, Jose R. Reyes Memorial Medical Center, Las Pias City Medical Center, Quirino Memorial Medical Center, Rizal Medical Center, Valenzuela General Hospital, Tondo Medical Center, Davao Medical Center, Ilocos Training and Regional Medical Center, Region 1 Medical Center, and Vicente Sotto Memorial Medical Center. Garantisadong Pambata 9 in 2009 (9 Ways to Save your Child) About 4M of these children die in the first weeks of life the neonatal period and a similar number are still unborn. The Philippines is one of 6 countries that contribute to 75% of all deaths among children below 5 years in the Western Pacific Region with 82,000 Filipino children dying before their 5th birthday. HL to the MAX The Healthy Lifestyle campaign will be revitalized and repackaged to focus on the prevention of risk factors that give rise to the incidence the four main chronic diseases that affect all members of the family - from the newborn to the elderly. Thus, the Healthy Lifestyle is the main message and it will highlight on the following seven major vital healthy practices: NO SMOKING (Huwag Manigarilyo) DON'T DRINK ALCOHOL (Iwas Alak) NO TO ILLEGAL DRUGS (Talo Ka sa Droga) EAT LOW-FAT, LOW SALT, HIGH FIBER DIET (Wastong Pagkain) PREVENT HYPERTENSION (Bantay Presyon) DO PHYSICAL ACTIVITY (Katawang Aktibo) MANAGE STRESS (Bawas Stress) Pharma 50 The National Drug Policy-Pharmaceutical Management Unit (NDP-PMU 50) or Pharma 50 is the name of the Department of Health (DoH) undertaking to effect the SONA pledge of President Gloria MacapagalArroyo. The primary goal of the project is to ensure that affordable, high quality, safe and effective drugs and medicines are always available, especially to the poor. Health care is central to the concept of development and that a health policy of conscious intervention through public agencies is

required in order to reach certain basic health objectives. In order to achieve these health objectives provisions for the basic requirement of preventive, promotive and curative health care services must be top priority. An essential component of a health policy includes measures to promote the rational use of drugs and ensure the availability of medicines of adequate quality at a reasonable price. To date the cost of medicines in the Philippines remains hign and is even higher by 40% to 70% compared to other ASEAN countries. Moreover, our budget for drugs and medicines is too small to procure sufficient quantities of low-cost, essential drugs for the population in need. In 23 July 2001, H.E. President Gloria Macapagal-Arroyo made a commitment to lower the prices of drugs and medicines frequently bought by the poor by 50%. | List of Drugs | Participating Hospitals | Comparative Price | Drug Consignment System | Drug Price Reference Index (DPRI) | What is Pharma 50%? NDP-PMU 50 or Pharma 50 is a project unit created and established by the Department of Health to operate and manage the implementation of the State of the Nation Address (SONA) pledge of Pres. Gloria Macapagal-Arroyo to reduce the price of drugs and medicines. The primary goal of the project is to ensure that affordable, high quality, safe and effective drugs and medicines are always available, especially to the poor. How does Pharma 50 intend to attain its objective? The strategies that Pharma 50 will employ are: A. Short-term (2001 SONA - 2002 SONA) 1. Continue the importation of high quality, safe, effective and affordable drugs and medicines for as long as the prices in the country remain high. 2. Expand, as appropriate the list of drugs and medicines for importation. The list will contain essential drugs needed to treat the prevailing causes of morbidity and mortality. 3. Increase the number of outlets. Initially, the outlets will be limited to public health facilities i.e., DoH and LGU retained hospitals, Botika ng Barangay, and NFA rolling stores. However, initial meetings with private retail outlets are being conducted to draw up the guidelines for their involvement.

B. Medium and Long-term (SONA 2002 and beyond) 1. Promote the use of Generic drugs and medicines. Basically, generic counterparts of branded drugs are far lower in prices. However, generic product in the country has very low acceptability to the medical practitioners and general public, as reflected in the sales and use. There is a need to ensure the quality, safety and efficacy of these products through regulations and other measures. 2. Ensure continuous supply of high quality, safe, effective and affordable drugs and medicines, whether imported or locally manufactured. (i.e.Toll Manufacturing for selected drugs and medicines, the PITC to procure for government health facilities, encourage local production, etc). 3. Develop reimbursement scheme for medicines with PhilHealth (Reference price for 100 most commonly needed/claimed drugs and medicines, PHIC to reimburse Generic drugs, etc). 4. Work with the pharmaceutical industry/organization/companies for them to reduce significantly the prices of drugs and medicines. 5. Work with the local retail industry for them to pass on to the consumers the low price of drugs and medicines, and 6. Wage war versus substandard drugs. Who are involved? Reducing the prices of drugs and medicines requires the cooperation and collaboration of many organizations, both private and public. As of today, the major players are: A. Public 1. Department of Health a) Bureau of Food and Drugs b) Philippine Health Insurance Corporation 2. Department of Trade and Industry a) Philippine International Trade Corporation b) Philippine Health Insurance Corporation 3. Philippine Charity Sweepstakes 4. National Food Authority 5. Local Government Units B. Private 1. Association of Drug Industries in the Philippines

2. Philippine Healthcare Association of the Philippines 3. Chamber of Filipino Pharmaceutical Manufacturers and Distributors 4. Filipino Drug Association 5. Generics Association of the Philippines 6. United Laboratories, Inc. 7. Drugstore Association of the Philippines What have we accomplished so far? 1. Undertaken 2 importation of 8 drugs and medicines and distributed in 30 DOH retained hospitals. 2. Third shipment of about 40 drugs and medicines in transit to be distributed in 73 DOH retained hospitals 3. Approval of a Special License to Operate for the Botika ng Barangay and National Food Authority Rolling Stores to sell over-thecounter drugs and medicines. 4. Lagundi and Sambong are sold in NFA rolling stores in Metro Manila. 5. Develop the operational guidelines for establishing Botika ng Barangay. What needs to be done? Agency Expectation Promote rational drug use Strengthen the capability of the Bureau of Food and Drugs Intensify the promotion of generic drugs and medicines Import drugs and medicines at affordable prices Source of funds Increase enrollment to PHIC Procure, use and sell affordable high quality drugs and medicines Practice rational drug use

Department of Health

Philippine International Trade Philippine Charity Sweepstakes

Local Government Units

Philippine Health Insurance Price reference Corporation Drug reimbursement scheme for generic

drugs and medicines Health practices Board of Investments Incentives to pharmaceutical firms

List of Drugs | Participating Hospitals | Comprarative Price Inventory Report of Pharma50 | Botika ng Barangay Initiative Drug Consignment System | Botika ng Barangay Monitoring System ARSP Progress Report 2005 | Drug Price Reference Index (DPRI)

Comparative Price of Drugs of NDP-PMU 50 Project Price in Priva te Drug Outle ts Price in % Price 30 Differe Saving DOH s Hospit nce als

Type of Disease

Generic Name/Brand Name

1. Asthma

Salbutamol (Ventolin/Ventorlin ) 294.7 100 mcg/dose x 200 doses MDI 5

197.60 97.15

49.16%

2. Asthma

Beclomethasone (Becloforte/Becori 831.0 532.50 298.50 de) 0

56.06%

250 mcg inhaler Atenolol 3. Hypertension (Tenormin) 50 mg tablet Nifedipine 4. Hypertension (Adalat Retard) 20 mg capsule

17.75 9.05

8.70

96.13%

34.15 5.75

28.40

493.91 %

5. Bronchitis/ Pneumonia/ UTI

Cotrimoxazole (Bactrim) 800 mg SMZ + 24.10 5.10 160 mg TMP tablet Cotrimoxazole (Bactrim) 400 mg 13.50 2.80 SMZ + 80 mg TMP tablet Cotrimoxazole (Septrin/Septran) 200 mg SMZ + 40 mg TMP/5 ml susp. 50 mL bot. Glibenclamide (Daonil) 5 mg tablet 82.68 67.60

19.00

372.55 %

6. Bronchitis/ Pneumonia/ UTI

10.70

382.14 %

7. Bronchitis/ Pneumonia/ UTI

15.08

22.31%

8. Diabetes mellitus

7.75

3.10

4.65

150.00 %