Ao2017 0012
Ao2017 0012
ADMINISTRATIVE ORDER
No.2017- 0ttl2
I. Rationale
The Philippine Health Agenda 2016-2022 seeks to uphold every Filipino's right to
health consistent with the International Alma-Ata Declaration that health is a fundamental
human right. This underscores the need for (l) a health system that is built on health
promotion and strong primary health care with referral systems to higher levels as needed,
and (2) citizens engaged and empowered to demand for their entitlements. To this end, the
PHA commits to guarantee an explicit and comprehensive set of primary health care
interventions both population and individual level - that will ensure healthy lives and
-
promote well-being for all Filipinos at all ages. Moreover, Republic Act 10606 mandates that
the Philippine Health Insurance Corporation (PhilHealth) shall finance health services
deemed cost-effective through health technology assessment.
II. Objectives
This issuance shall apply to all concerned and relevant stakeholders of primary health
care such as, but not limited to, DOH central office bureaus and units, regional offices,
retained hospitals, national reference centers, laboratories, diagnostics clinics, drug outlets,
and attached agencies of the Department of Health, other key government agencies, local
government units (LGUs), public and private hospitals and health care facilities, health care
providers, civil society organizations (CSOs), medical societies, development partners,
academe, individuals, families and communities.
The issuance shall guide all investments required to make possible delivery of
primary health care.
Building l, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila o Trunk Line 651-7800 local l l l3, t 108, 1135 (
Direct Line: 7ll-9502:71l-9503 Fax:743-1829 o URL: http://www.doh.gov.ph; e-mail: [email protected]
private health facilities.
B. Health Technology Assessment (from DOH AO 2016-34) - refers to the systematic
evaluation of properties, effects and/or impacts of health technology to inform
policy decision making.
C. Primary Health Care (PHC) - refers to essential health care based on practical,
scientifically sound, and socially acceptable methods and technology made
universally accessible to individuals and families in the community through their
full participation and at a cost that the community and country can afford to
maintain at every stage of their development in the spirit of self-reliance and self-
determination (Alma-Ata Declaration VI)
D. Primary Care (PC) - is first-contact, accessible, continued, comprehensive and
coordinated care. First-contact care is accessible at the time of need; ongoing care
focuses on the long-term health of a person rather than the short duration of the
disease; comprehensive care is a range of services appropriate to the common
problems in the respective population and coordination is the role by which primary
care acts to coordinate with other specialists that the patient may need. PC is a
subset of PHC (WHO, n.d.).
E. Primary Care Facilities (from DOH AO 2012-0012) - a first-contact healthcare
facility that offers basic services including emergency service and provision for
normal deliveries. It is subdivided into:
1. With in-patient beds - a short stay facility where patients can be admitted for a
period of I to 3 days. Examples are infirmary, dispensary and birthing home
2. Without beds - a facility where medical and/ or dental examination and
treatment and minor surgical procedures are rendered without confining the
patient. Examples are Medical Outpatient Clinic, OFW Clinics, and Dental
Clinics.
V. General Guidelines
l. The health guarantees are organized per life stage. A11 interventions are classified as
population-based interventions, or health care services that cannot be specifically
traced back to a singular person/beneficiary or individual-based interventions, or
health care services that can be definitively traced back to a singular person.
2. The baseline set of guarantees is summarized in Annex A, initially developed by a
technical working group participated in by various offices of the DOH and its
attached agencies, in consultation with key stakeholders.
3. The baseline set of primary health care guarantees shall be regularly updated
through a single, fair, and transparent priority setting process or health technology
assessment. An Evidence Appraisal Group (EAG) shall be constituted to
recommend to the financing agents DOH (Secretary of Health), PhilHealth
-
(PhilHealth Board of
Directors), and LGUs (Local Chief Executives) on
inclusion/exclusion of additional interventions into the primary health care
guarantees list.
14(l
e.g. health managers, health providers, and clienVfamilies.
5. The effectiveness, efficiency, and equity dimensions of the primary health care
guarantees implementation shall be monitored by the DOH, PhilHealth, and
LGUs. All health information systems shall enable tracking of utilization of
health guarantees.
The provisions of previous Orders and other related issuances inconsistent or contrary
to the provisions of this Administrative Order are hereby revised, modified, repealed or
rescinded accordingly. All provisions of existing issuances which are not affected by this
Order shall remain valid and in effect.
IX. Effectivity
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(
ANNEX B: Philippine burden of disease data - 2013 Global Burden of Disease (GDB)
Institute of Health Metrics and Evaluation EHIME)
Table 1. List of top 48 diseases and corresponding Disability Adjusted Life Year (DALY)
Page 1 of 2
42 Protein-energy malnutrition 5.740.97
43 Dermatitis 4.82r.35
44 Trichuriasis 4.759.89
45 Bipolar Disorder 4-269.72
46 Dysthymia 4.174.31
47 Falls 4.095.21
48 Dengue 4.090.93
Reference:
Wong, J.Q. Technical Assisatnce to the Philippine Health Insurance Corporation in Developing
a Benefit Development Plan - Phase 1. EpiMetrics. pp. 17-23
Page 2 of 2