The State of Health in the Philippines: The Role of Research and the Philippine National Health Rese

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The State of Health in the Philippines The Role
of Research and the Philippine National Health
Research System
Dr. Jaime C. MontoyaExecutive DirectorPhilippine
Council for Health Research and Development
(PCHRD)Department of Science and Technology
(DOST)
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Outline

• Philippine National Health Research System
• Regional Health Research Systems
• National Unified Health Research Agenda
• (NUHRA)
• PNHRS Act Bill
• Roles of stakeholders

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PHILIPPINE NATIONAL HEALTH RESEARCH SYSTEM
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Current State of Health

• lt 30 population have regular access to drugs
• 3 out of 5 sick Filipinos not able to see doctors
• 5 out of 10 die w/out medical attention
• 10 women die every 24 hours due MCH problems
• Persistent infectious disease problems
• Phils ranked 90th out of 177 countries in
  2007/2008 Human Development Index Report

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Philippine National Health Research System
Tool for Growth and Development
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Direct link between research and development
Research for health and development
Poverty Reduction Strategy Papers An
Opportunity for strengthening national health
research systems, COHRED Special Learning
Session, Forum 10, Cairo, 2006
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PNHRS
Established in March 2003 to be a
vibrant, dynamic and responsible health research
community for the attainment of national and
global health goals
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Four agencies joined forces to form one
integrated health research system
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PNHRS
Integrated national framework for health research
in the country A convergent strategy that aims
to promote cooperation and integrate all health
research efforts and stakeholders in the country
to ensure that research contributes to
evidence-informed health policies and actions
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The PNHRS

• Vision
• A vibrant, dynamic and responsible health
  research community for the attainment of national
  and global health goals
• Mission
• To create and sustain an enabling environment for
  health research toward evidence informed health
  and health related policies and actions

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Strategic Goals

• To ensure that health research is linked to
  health systems needs
• To ensure that investments in health research
  yield the most benefits
• To foster high performing and ethical research
  organizations

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• Proclamation No. 1309

President Gloria Arroyo declared every 2nd
week of August of every year as PNHRS Week
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Committees

• Research Management
• Ethics
• Capacity Building
• Research Utilization
• Resource Mobilization
• Structure, Organization, Monitoring and Evaluation

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PNHRS Organizational Structure
Governing Council
Secretariat
Ethics
Research Management
Research Utilization
SOME
Resource Generation/ Mobilization
Capacity Building

Health
Agriculture
S T
Labor
Industry
Environment
Academe
Philippine Health Research Forum (Stakeholders
Forum)
Regional Health Research Systems
Development Planning
Finance
Professional Society
NGOs/ CSOs
Private Sector
Individuals Communities
Budget
Users Beneficiaries
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PNHRS in Regions
REGIONAL HEALTH RESEARCH SYTEMS
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REGIONAL HEALTH RESEARCH AND DEVELOPMENT
CONSORTIA (RHRDCs)?
Before 2006
REGION I
(San Fernando, La Union)?
MMHSC
(Manila)?
REGION VIII
(Tacloban City)?
REGION VI
(Iloilo City)?
REGION VII
(Cebu City)?
REGION XI
(Davao City)?
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REGIONAL HEALTH RESEARCH AND DEVELOPMENT
CONSORTIA (RHRDCs)?
2006 - 2007
REGION II
(Tuguegarao)?
REGION I
(San Fernando, La Union)?
MMHSC
(Manila)?
Region V
(Legazpi City)?
REGION VIII
(Tacloban City)?
REGION VI
(Iloilo City)?
REGION VII
(Cebu City)?
REGION XI
REGION IX
(Davao City)?
(Zamboanga City)?
REGION XII
ARMM
(Cotabato City)?
(Cotabato City)?
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REGIONAL HEALTH RESEARCH AND DEVELOPMENT
CONSORTIA (RHRDCs)?
Early 2008
REGION II
(Tuguegarao)?
REGION I
(San Fernando, La Union)?
MMHSC
Region IV
(Manila)?
(Cavite?)
Region V
(Legazpi City)?
REGION VIII
(Tacloban City)?
REGION VI
(Iloilo City)?
REGION VII
(Cebu City)?
REGION XI
REGION IX
(Davao City)?
(Zamboanga City)?
REGION XII
ARMM
(Cotabato City)?
(Cotabato City)?
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REGIONAL HEALTH RESEARCH AND DEVELOPMENT
CONSORTIA (RHRDCs)?
Before end of 2008
REGION II
(Tuguegarao)?
REGION I
CAR
(San Fernando, La Union)?
Region III
MMHSC
Region IV
(Manila)?
(Cavite?)
Region V
(Legazpi City)?
REGION VIII
(Tacloban City)?
REGION VI
(Iloilo City)?
Caraga Region
REGION VII
(Cebu City)?
Region X
REGION XI
REGION IX
(Davao City)?
(Zamboanga City)?
REGION XII
ARMM
(Cotabato City)?
(Cotabato City)?
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National Unified Health Research Agenda

• Joint effort of the PCHRD-DOST, DOH, and CHED
• Provides focus in health research and development
  efforts in the country
• Minimizes duplication
• Maximizes resource utilization among stakeholders
• Serves as
• template for the countrys research and
  development efforts for the next 5 years
• platform to advocate for local, national, and
  international support, including
  multidisciplinary and multisectoral participation

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Forming a Unified Health Research Agenda

• Required inputs from the regional levels
• Involved different stakeholders
• Addressed multidisciplinary and cross sectoral
  concerns of health

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Participants covered in the regional consultations

• Department of Health
• Department of Science and Technology
• Commission on Higher Education
• Department of Social Welfare and Development
• Department of Environment and Natural Resources
• Department of Labor and Employment
• National Economic and Development Authority
• Commission on Population
• Local Government Units
• Philippine Health Insurance Co,
• Zonal Research Centers (of CHED)
• NGOs and POs
• Some donor agencies

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Medium Term Philippine Development Plan
National Health Plan Fourmula One National
Objectives for Health
Millennium Development Goals
PNHRS Research Agenda
Gender and Development Sustainable Development
etc
Other national or Local initiatives Related to
health
National Science and Technology Thrusts
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ZONES AND REGIONS

• North Luzon
• Ilocos
• Cagayan Valley
• CAR

• South Luzon
• Central Luzon
• CALABARZON/MIMAROPA
• Bicol
• Metro Manila

• Mindanao
• Zamboanga Peninsula
• Northern Mindanao
• Davao
• Socsargen and ARMM
• Caraga

• Visayas
• Western Visayas
• Central Visayas
• Eastern Visayas

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ZONES
Zone 1 North Luzon Dr.Leonardo Quitos NEDA I
Zone 2 South Luzon Dr. Charles Yu De La Salle
University
Zone 3 Visayas Dr. Fidelis Quiza, Cebu Institute
of Medicine
Zone 4 Mindanao Dr. Marlina Lacuesta Ateneo de
Davao University
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Health Research Priority Agenda

• Health Financing
• Governance
• Health Regulations
• Health Service Delivery
• Health Technology Development
• Health Research Ethics
• Health Information

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Health Care Financing

• a major concern for the government with
  increasing costs of health care, aggressive
  marketing of social health insurance and growth
  of HMOs
• broad research areas
• macro and local financing
• Philhealth / Health insurance

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Governance

• to improve health systems performance at the
  local and national levels
• broad research areas
• strategies for improving governance
• external factors affecting governance

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Health Regulations

• to assure access to quality and affordable health
  products, devices, facilities and services
• broad research areas
• improving licensing, accreditation, and
  certification of health products and services
• client satisfaction and perceptions of regulations

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Health Service Delivery

• to improve the accessibility and availability of
  basic and essential health care for all
• broad research areas
• disease control and prevention
• environmental and occupational health
• nutrition
• substance abuse
• family health (MCH, reproductive health,
  adolescent health)?

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Health Service Delivery

• Cont., major research areas
• vulnerable populations
• other public health concerns
• health emergencies and disasters
• hospital services

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Health Technology Development

• support health services delivery with the
  provision of evidence based technologies that are
  safe, appropriate, and accessible to address
  urgent health needs
• use of indigenous resources in health product
  development
• support growth of small and medium scale
  entrepreneurs on health bioindustry

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Health Technology Development

• broad research areas
• development of pharmaceuticals low cost drugs,
  vaccines, biologicals, diagnostic kits,
  therapeutics
• development of natural products particularly
  herbal medicine
• development of functional foods and
  nutraceuticals
• development of personal care products

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Health Research Ethics

• need to conduct research on the practice of
  health research ethics and related concerns
• broad research areas
• effectivity of ethics review
• interaction of Filipino culture and research
  ethics
• issues related to research implementation, public
  health interventions, and research participants

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Health Information System

• need for a functional and effective information
  system to support research, planning, and policy
  formulation
• areas for development
• public-private mix (referral, reporting,
  networking)?
• mass drug administration surveillance
• Philhealth (insurance monitoring, financial
  tracking)

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Health Information System

• Cont., areas for development
• rabies control (mopping up houses)
• human resource planning
• monitoring and evaluation (disease free zones)?
• health research information

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But investments have to be made in research
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COHRED Benchmarks

• Governments in low to middle income countries
  should allocate 2 of national health
  expenditures and 5 of externally funded
  programmes to research and capacity
  strengthening.

10/90 Report on Health Research 2001-2002, Global
Forum for Health Research
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RD Expenditure / GDP () Asian Countries
JICA Seminar on Evaluation of National RD
Projects, Feb 13 - Mar 18 2001, TOKYO
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PHILIPPINE NATIONAL HEALTH RESEARCH SYSTEM ACT
House Bill Nos. 1241, 2597, 3271 Senate Bill No.
1708
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PNHRS Act Bill
AN ACT INSTITUTIONALIZING THE PHILIPPINE
NATIONAL HEALTH RESEARCH SYSTEM, ESTABLISHING THE
PHILIPPINE NATIONAL HEALTH RESEARCH FUND AND
PROVIDING FOR ITS ADMINISTRATION AND FOR OTHER
PURPOSES
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PNHRS Act will

• Institutionalize the Philippine National Health
  Research System
• Create a robust and empowered research community
• Create the Philippine National Health Research
  Fund (PNHRF)

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PNHRS Act translates to

• Cheaper medicines, better more effective health
  services
• Prompt and appropriate response to national
  emergencies to emerging infections such as
  Avian Flu
• Accomplishment of MDGs by reducing MMR IMR
• Promotion of global competitiveness, particularly
  in biotechnology
• Improvement in system governance
• Better environment
• Alleviation of poverty

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Roles of stakeholders

• Advocate for the NUHRA
• Initiate and Implement researches along NUHRA
• Fund Researches along NUHRA
• Support passage of the PNHRS Act

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www.pchrd.dost.gov.ph
Thank you very much!
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