I. National Objectives For Health 2005 -2010 Department Of Health

I. National Objectives for Health 2005 -2010 Department of Health Republic of the Philippines The NOH 2005-2010 provides the road map for stakeholders in health and health-related sectors to intensify and harmonize their efforts to attain its time-honored vision of health for all Filipinos and continue its avowed mission to ensure accessibility and quality of health care to improve the quality of life of all Filipinos, especially the poor. The NOH sets the targets and the critical indicators, current strategies based on field experiences, and laying down new avenues for improved interventions. It provides concrete handle that would guide policy makers, program managers, local government executives, development partners, civil society and the communities in making crucial decisions for health. Objectives of the Health Sector: a. Improve the general health status of the population - reduce infant mortality rate - reduce child mortality rate - reduce maternal mortality rate - reduce fatal fertility rate - increase life expectancy and quality of years b. Reduce morbidity and mortality from certain diseases - diarrhea - pneumonia - sexually transmitted disease (STD) - hepatitis B - dental caries and periodontal disorders - protein-energy malnutrition - iron deficiency anemia c. Eliminate certain diseases as public health problems - measles - tetanus - diphtheria - pertussis - vitamin A deficiency - iodine deficiency disorders d. Promote healthy lifestyle and environmental health e. Protect vulnerable groups with special health and nutrition needs f. Strengthen local and national health systems to ensure better health service delivery g. Pursue public health and hospital reforms h. Reduce the cost and ensure the quality of essential drugs i. Institute health regulatory reforms to ensure quality and safety of health goods and services j. Strengthen health governance and management support systems k. Institute safety nets for the vulnerable and marginalized groups

l. Expand the coverage of social health insurance m. Mobilize more resources for health n. Improve efficiency in the allocation, production and utilization of resources for health Source: http://www.doh.gov.ph II. Population Pyramid Philippines Population Pyramid for 2005 Age and sex distribution for the year 2005:

In comparison with other countries, the Philippines ranked twelfth among the countries of the world in terms of total population. The phiippines is also among the countries of the world with a high annual population growth rate and is ranked fifth among Southeast Asian countries. Source: US Census Bureau, July 12, 2003 III. Demographic Data Philippines Demographics Profile (2009) Population: 97,976,603 (July 2009) Age structure  0-14 years: 35.2% (male 17,606,352/female 16,911,376)  15-64 years: 60.6% (male 29,679,327/female 29,737,919)  65 years and over: 4.1% (male 1,744,248/female 2,297,381) (2009)

 Median age  total: 22.5 years  male: 22 years  female: 23 years (2009)  Population growth rate: 1.957% (2009)  Birth rate: 26.01 births/1,000 population (2009)  Death rate: 5.1 deaths/1,000 population (July 2009)  Net migration rate: -1.34 migrant(s)/1,000 population (2009)  Urbanization  

urban population: 65% of total population (2008) rate of urbanization: 3% annual rate of change (2005-10 est.) Sex ratio

    

at birth: 1.05 male(s)/female under 15 years: 1.04 male(s)/female 15-64 years: 1 male(s)/female 65 years and over: 0.76 male(s)/female total population: 1 male(s)/female (2009)



Infant mortality rate total: 20.56 deaths/1,000 live births male: 23.17 deaths/1,000 live births female: 17.83 deaths/1,000 live births (2009) Life expectancy at birth total population: 71.09 years male: 68.17 years female: 74.15 years (2009) Total fertility rate: 3.27 children born/woman (2009) HIV/AIDS - adult prevalence rate: less than 0.1% (2003) HIV/AIDS - people living with HIV/AIDS: 8,300 (2007) HIV/AIDS – deaths: fewer than 200 (2007) Major infectious diseases    

degree of risk: high food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever vectorborne diseases: dengue fever, malaria, and Japanese encephalitis water contact disease: leptospirosis (2009)

Nationality  

noun: Filipino(s) adjective: Philippine

Ethnic groups



Tagalog 28.1%, Cebuano 13.1%, Ilocano 9%, Bisaya/Binisaya 7.6%, Hiligaynon Ilonggo 7.5%, Bikol 6%, Waray 3.4%, other 25.3% (2000 census)

Religions 

Roman Catholic 80.9%, Muslim 5%, Evangelical 2.8%, Iglesia ni Kristo 2.3%, Aglipayan 2%, other Christian 4.5%, other 1.8%, unspecified 0.6%, none 0.1% (2000 census)

Languages 

Filipino (official; based on Tagalog) and English (official); eight major dialects - Tagalog, Cebuano, Ilocano, Hiligaynon or Ilonggo, Bicol, Waray, Pampango, and Pangasinan

   

definition: age 15 and over can read and write total population: 92.6% male: 92.5% female: 92.7% (2000 census)

Literacy

School life expectancy (primary to tertiary education)  total: 12 years  male: 11 years  female: 12 years (2006) Education expenditures: 2.5% of GDP (2005) Source: 2003 NATIONAL DEMOGRAPHIC AND HEALTH SURVEY http://www.census.gov.ph IV. Leading Causes of Morbidity and Mortality

MORBIDITY: TEN (10) LEADING CAUSES Number and Rate /100,000 Population, Philippines 5-Year Average (2000-2004) & 2005 5 Year Average (2 2005* CAUSE 000-2004) No. Rate No. Rate 1. Acute Lower RTI and 694,20 884. 690,566 809.9 Pneumonia 9 6 669,80 854. 2. Bronchitis/Bronchiolitis 616,041 722.5 0 7 3. Acute Watery Diarrhea 726,21 928. 603,287 707.6

1 3 459,62 587. 4. Influenza 406,237 476.5 4 0 314,17 400. 5. Hypertension 382,662 448.8 5 5 109,36 139. 6. TB Respiratory 114,360 134.1 9 7 7. Diseases of the Heart 43,945 56.2 43,898 51.5 8. Malaria 35,970 46.1 36,090 42.3 9. Chickenpox 79,236 41.1 30,063 35.3 10. Dengue Fever 15,383 19.6 20,107 23.6 ** Pneumonia only from 2000-2002 * reference year Last Update: June 29, 2009 MORTALITY: TEN LEADING (10) LEADING CAUSES Number and rate/100,000 Population Philippines 5-Year Average (2000-2004) & 2005

Cause

5 Year Average (2000-2004) Numb Rate er

1. Diseases of the Heart

66,412

83.3

2. Diseases of the Vascular system

50,886

63.9

3. Malignant Neoplasm

38,578

48.4

4. Pneumonia

32,989

41.4

5. Accidents

33,455

42.0

6. Tuberculosis, all forms

27,211

34.2

7. Chronic lower respiratory diseases

18,015

22.6

8.Diabetes Mellitus

13,584

17.0

9. Certain conditions

14,477

18.2

2005* No. 77,06 0 54,37 2 41,69 7 36,51 0 33,32 7 26,58 8 20,95 1 18,44 1 12,36

Rate 90.4 63.8 48.9 42.8 39.1 31.2 24.6 21.6 14.5

originating in the perinatal period 10. Nephritis, nephrotic syndrome and nephrosis

8 9.166

11.5

11,05 6

3.6

Note: Excludes ill-defined and unknown causes of mortality (R00-R99) n=23,235 * reference year ** External Causes of Mortality Last Update: June 29, 2009 Source: http://www.doh.gov.ph V. Priority Health Problems

The Philippines is facing the following priority health problems: • • • •

reducing the cost of essential medicines expanding health insurance strengthening public health programs, particularly on tuberculosis, HIV/AIDS, and malaria, and establishing drug treatment and rehabilitation centers

The priority communicable diseases are:  

   

tuberculosis (TB), malaria dengue fever typhoid fever parasite-related diseases diarrhea

For the group of diseases due to unhealthy lifestyles, the leading disorders are heart disease (including stroke and hypertension), asthma, diabetes, cancer, and kidney diseases. Aside from medical diseases, there are three other general health issues afflicting the country. These are problems in health manpower, the high cost of drugs, and the low budget and priority for health.