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Abstract

Health is an important component of human development. A healthy and well-trained workforce attracts investments and spurs economic progress. For this reason, countries need to ensure that its health system provides adequate services to its population. Where the system relies on public and private providers, there must be effective synergy between the two sectors. In the case of the Philippines where inequity has been a major concern in health outcomes and service provision, policy makers face the following challenges: (1) reduce the discrepancy in the access to healthcare services among its socioeconomic classes; (2) reduce the discrepancy in the quality of health services between the public and private sectors; (3) increase the availability of services to geographically isolated and depressed areas; and (4) reduce out-of-pocket expenditures as a percentage of total health expenditure.

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Notes

  1. 1.

    See http://www.doh.gov.ph/national-objectives-health

  2. 2.

    The focus is on differences that can be addressed using policy action. Disparities in biological and genetic conditions cannot be considered as inequities.

  3. 3.

    This section draws on earlier work by the author. See Mendoza (2008).

  4. 4.

    Recent empirical analysis of catastrophic health spending in India by Bonu et al. (2009) suggest that the poverty headcount in that country may have increased by as much as 28–31 percent due to health payments—translating to about 40 million people falling below the poverty line .

References

  • Bonu S, Bhushan I, Rani M, Anderson I (2009) Incidence and correlates of ‘catastrophic’ maternal health care expenditure in India. Health Policy Plan 24(6):445–456

    Article  Google Scholar 

  • Carrin G, James C (2005) Social health insurance: key factors affecting the transition towards universal coverage. Int Soc Sec Rev 58(1):45–64

    Article  Google Scholar 

  • Congress of the Philippines (2012) Republic Act No. 10351, An act restructuring the excise tax on alcohol and tobacco products, Manila, Philippines, Congress of the Philippines. Republic of the Philippines

    Google Scholar 

  • Dayrit MM, Lagrada LP, Picazo OF, Pons MC, Villaverde MC (2018) The Philippines health system review. Vol. 8 No. 2. World Health Organization, Regional Office for South-East Asia, New Delhi

    Google Scholar 

  • Furtado X (2001) Decentralization and public health in the Philippines. Dev J 44(1):108–116

    Article  Google Scholar 

  • Kim EU, Loayza N (2018) The Drive toward universal health coverage: progress and challenges around the world. World Bank Policy Brief 13. Kuala Lumpur

    Google Scholar 

  • Kraft A, Nguyen K, Jimenez-Soto E, Hodge A (2013) Stagnant neonatal mortality and persistent health inequality in middle-income countries: a case study of the Philippines. PLOS

    Google Scholar 

  • Lakshminarayanan R (2003) Decentralization and its implications for reproductive health: the Philippines experience. PubMed 11(21):96–107

    Google Scholar 

  • Mendoza RU (2008) Why do the poor pay more? Exploring the poverty penalty concept. J Int Dev 23(1):1–28

    Article  Google Scholar 

  • Philippine Statistics Authority and ICF International (2014) Philippine national demographic and health survey 2013. Philippine Statistics Authority, Manila

    Google Scholar 

  • Sen A (2002) Why health equity? Health Econ 11:659–666

    Article  Google Scholar 

  • Senate (2018) Senate Bill No. 1896. An act instituting universal health care for all Filipinos, prescribing reforms in the health care system, amending for the purpose of certain laws, appropriating funds therefor, and for other purposes

    Google Scholar 

  • Shrime MG, Dare AJ, Alkire BC, O’Neill K, Meara JG (2015) Catastrophic expenditure to pay for surgery worldwide: a modelling study. Lancet Glob Health 3(S2):S38–44.h. https://doi.org/10.1016/S2214-109X(15)70085-9

    Article  Google Scholar 

  • Son HH (2009) Equity in health and health Care in the Philippines. SSRN Electronic Journal

    Google Scholar 

  • Strina A, Cairncoss S, Barreto ML, Larrea C, Prado MS (2003) Childhood diarrhea and observed hygiene behavior in Salvador, Brazil. Am J Epidemiol 157(11):1032–1038

    Article  Google Scholar 

  • Van Doorslaer, Eddy van and others (2007) Paying out-of-pocket for health care in Asia: Catastrophic and poverty impact. Mimeo

    Google Scholar 

  • Xu K, Evans D, Kawabata K, Zeramandi R, Klavus J, Murray C (2003) Household catastrophic health expenditure: a multicountry analysis. Lancet 362:111–117

    Article  Google Scholar 

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Banaag, M.S., Dayrit, M.M., Mendoza, R.U. (2019). Health Inequity in the Philippines. In: Batabyal, A., Higano, Y., Nijkamp, P. (eds) Disease, Human Health, and Regional Growth and Development in Asia. New Frontiers in Regional Science: Asian Perspectives, vol 38. Springer, Singapore. https://doi.org/10.1007/978-981-13-6268-2_8

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