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Prof. Rene T. Domingo Asian Institute of Management rtd@aim.edu

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<strong>Pr<strong>of</strong></strong>. <strong>Rene</strong> T. <strong>Domingo</strong><br />

<strong>Asian</strong> <strong>Institute</strong> <strong>of</strong> <strong>Management</strong><br />

<strong>rtd@aim</strong>.<strong>edu</strong>


PHILIPPINES QUICK FACTS<br />

Land Area<br />

300,000 sq.km. (7,107 islands)<br />

Population<br />

97,703,638 (2013 est.)<br />

Population Density 308.0/sq. km.<br />

GDP<br />

US$424.355 billion (2012 est.)<br />

Per capita GDP US$4,429<br />

Crude birth rate 25 per 1,000<br />

Health expenditure 3.6% <strong>of</strong> GDP<br />

Hospital beds 10.4 per 10,000<br />

Physicians 12 per 10,000<br />

Nurses/midwives 61per 10,000<br />

Life expectancy 69 years (at birth)<br />

Unemployment 7.4% (2010)


Health Care Service Delivery Challenges<br />

Logistic Challenges<br />

<br />

<br />

<br />

Geography and Population<br />

Transport<br />

Communication<br />

Socio-Economic Challenges<br />

Healthcare Infrastructure Challenges


Coping with Challenges<br />

Frugal Engineering<br />

Entrepreneurship<br />

Partnership


“Frugal Engineering”<br />

the creative use <strong>of</strong> available<br />

resources and technologies to<br />

overcome financial, physical,<br />

and time limitations


“Use your head,<br />

not your money.”<br />

-Taiichi Ono


PHILIPPINE<br />

“JEEPNEY”


Innovative Health Care Solutions<br />

Innovative Transport Solutions<br />

Innovative Human Resource Solutions<br />

Innovative Use <strong>of</strong> Technology<br />

Telemedicine<br />

Tele-Public Health<br />

Innovative Partnership


Microscopy on Wheels (MOW)


Ayod Community<br />

Health Team


Lakbay Buhay Kalusugan (LBK) or “Journey to a Healthy Life”


Well-Family Midwife Clinic (WFMC)


Mother Bles Birthing Clinics<br />

(MBBC)


TEENS HEALTHQUARTERS


Philippine Health Informatics<br />

Buddy Works<br />

M-DOK<br />

TextB<br />

Mobile Midwife<br />

Community Health Information Tracking System (CHITS)<br />

Synchronized Patient Alert via SMS (SPASMS)<br />

Amputee Screening via Cellphone Networking (ASCENT)<br />

Secured Health Information Network & Exchange (SHINE)<br />

Surveillance in Post Extreme Emergencies & Disasters (SPEED)<br />

Wireless Access for Health (WAH)<br />

Infoboard


AMPUTEE SCREENING VIA CELLPHONE NETWORKING (ASCENT)


Secured Health Information<br />

Network and Exchange


PUBLIC-<br />

PRIVATE<br />

PARTNERSHIP


Conclusions<br />

1. Use readily available resources to overcome logistictransportation<br />

problems – tricycles, jeepneys, buses,<br />

“hammocks”<br />

2. Use readily available technologies to overcome logisticcommunication<br />

problems – GSM, SMS, internet<br />

3. Use readily available manpower to overcome manpower<br />

costs and availability – unemployed nurses, midwives,<br />

village leaders, parents <strong>of</strong> patients, religious leaders<br />

4. Transform volunteers to entrepreneurs to ensure<br />

sustainability<br />

5. Partner for leverage and synergy to overcome capital and<br />

budget constraints – private-public, private-private, forpr<strong>of</strong>it<br />

– non-for-pr<strong>of</strong>it


Coping with Challenges<br />

Frugal Engineering<br />

Entrepreneurship<br />

Partnership<br />

“Use your head, not<br />

your money”


<strong>Pr<strong>of</strong></strong>. <strong>Rene</strong> T. <strong>Domingo</strong><br />

<strong>Asian</strong> <strong>Institute</strong> <strong>of</strong> <strong>Management</strong><br />

<strong>rtd@aim</strong>.<strong>edu</strong>


<strong>Pr<strong>of</strong></strong>. <strong>Rene</strong> T. <strong>Domingo</strong><br />

<strong>Asian</strong> <strong>Institute</strong> <strong>of</strong> <strong>Management</strong><br />

<strong>rtd@aim</strong>.<strong>edu</strong><br />

www.rtdonline.com

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