Report - Social Watch Philippines

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Table 2: Reported Malaria Cases 19 114 SOCIAL WATCH PHILIPPINES 1999 2000 2001 2002 2003 Philippines 37,061 36,596 34,787 37,005 43,644 Although it is no longer the leading cause of morbidity in the country, malaria is still a major public health threat. In 2006, malaria was the 9th cause of morbidity with a 27.6 rate per 100,000 population. 20 In 2006, there were 222 deaths reported due to malaria. However, malaria national surveillance mechanisms vary differently in its quality and completeness thus giving little information on the real picture of the malaria burden in the country. Tables 3 & 4 show that the epidemic, in estimated average, declined for the past years in the country. However, aggregated data in the sub-national and regional level present another story. While some have made progress as evidenced by the decrease in reported cases, other provinces continue to have reported malaria incidence (see Figure 8). Table 3: Reported Malaria deaths 21 1999 2000 2001 2002 Philippines 755 536 439 71 Table 4. Malaria Morbidity and Mortality Rates Year Morbidity Rate (per 100,000) Mortality Rate (per 100,000) 1990 123 1.5 1995 86 0.9 1998 72 0.8 2005 55 0.17 2007 27.5 0.08 2008 24 0.06 Source: Department of Health (DOH) Sustained comprehensive malaria control is central in achieving this particular MDG. The Philippine government, through DOH, implements the Malaria 19 http://apps.who.int/globalatlas/dataQuery/reportData.asp?rptType=1 20 2006 FHSIS Report Health Status Statistics. 21 Loc cit. 22 “May pera pa ba?” Social Watch Philippines. 2006. Control Program (MCP). The DOH continues to implement the MCP using a multi-stakeholder approach that is engaging the local government units, the civil society and the communities at risk. It is through the MCP that the government was able to generate funds and resources for its malaria control activities seeking the assistance of international donors – primarily, the Global Fund and the Roll Back Malaria Projects. However, these resources were mainly spent on training and capacity building leaving fund defi ciencies for the purchase of drugs, diagnostics and insecticides. Furthermore, for the government to be able to halt and reverse the effect of malaria by 2015, it requires an estimated budgetary support of Php 1.727 billion yearly. 22 The DOH, in its 2005 report which identified the available and needed funding for its programs for malaria and TB, indicated that from the presented budget above, only 21.65 percent is being financed through the national budget (1.11percent) while 20.54 percent is being financed by various overseas development assistance (ODA) programs. Clearly, there is a funding gap of Php 1.353 billion or 78.35 percent of total annual funding requirement. For the 2005 to 2015 Malaria MDG operations, the amount of Php 18.997 billion is required (see Table 5). However, the available fund is only Php 4.113 billion. Hence, the projected 11- year financing gap for malaria alone is Php 14.884 billion – bigger than the entire annual budget of the agency (see Table 6). Among others, educating the Philippine communities, particularly the indigenous peoples of the hinterlands, on the prevention of malaria remains a greater challenge in the implementation of the government program. For instance, the belief among the Ata-Manobo in Davao del Norte ethnic areas is that malaria comes from the food or the leaves of certain
Table 5. Annual estimated cost for programs and projects to fi ght Malaria 23 MDGs Programs and Projects Total Cost (P) trees. 24 Traditional beliefs, considering the diverse cultures of the indigenous peoples of the country, should be taken into account in the development of intervention programs. Tuberculosis The global burden of TB According to the World Health Organization (WHO), tuberculosis kills 1.7 million people annually, most often in their prime and productive years 25 and mostly in developing countries. From the 8.3 million DOH Funding (P) ODA Assistance (P) Budget Gap (?) (P) Treatment of Cases 9,217,687 0 9,217,687 0 Prophylaxis for Pregnant Women and Visitors 1,109,180,000 0 41,676,536 1,067,503,464 Laboratory Supplies 1,395,600 0 1,395,600 246,000,000 Insecticide Impregnated Mosquito nets 410,000,000 0 164,000,000 246,000,000 Indoor Residual Spraying 35,000,000 0 601,384 34,398,616 Capability Building, Research, TA, Equipments, etc. 162,309,683 19,200,000 137,509,683 5,600,000 Total Source: DoH, 2005 1,727,102,970 19,200,000 137,509,683 1,353,502,080 Table 6. DOH Annual Budget 1993-2003 Year Annual Budget (Billions) 2003 9,900,000,000.00 2002 11,420,000,000.00 2001 9,260,000,000.00 2000 10,740,000,000.00 1999 11,300,000,000.00 1998 13,059,476,000.00 1997 11,020,083,000.00 1996 9,301,912,000.00 1995 8,647,889,000.00 1994 7,418,233,000.00 1993 Source: DOH 7,262,829,000.00 reported cases in 2000, the UNDP reported that there was a global increase of 1 million new cases of TB in 2008 with the Asian region having the highest incidence accounting for 55 percent of new cases followed by the Sub-Saharan region. 26 The Philippines ranks ninth on the list of 22 high-burden TB countries in the world, according to the WHO’s Global TB Report 2009. After China, it had the second highest number of cases in the WHO Western Pacifi c Region in 2007 (see Figure 10). Figure 10: Estimated TB incidence rates, 2008 23 Ibid. 24 IRIN website 25 Global Tuberculosis Control: A short update to the 2009 report. WHO 2009. 26 What will it take to achieve the Millennium Development Goals?: An international assessment.UNDP. 2010. Winning the Numbers, Losing the War: The Other MDG Report 2010 115
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Winning the Numbers, Losing the War
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ACKNOWLEDGEMENT Many deserve our th
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CLEEP Comprehensive Livelihood and
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MOA-AD Memorandum of Agreement on A
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ABOUT THE AUTHORS/CONTRIBUTORS Leon
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FOREWORD By ISAGANI R. SERRANO This
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An urgent MDG message: Inadequate f
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The use of the budget instrument fo
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MDG chances: stability and vulnerab
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may mean a short honeymoon period.
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what we got from Annex I countries
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(Php58.6 Billion) of GDP at current
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Fourth Assessment Report provide a
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Losing the war on poverty The Other
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Table 1. Philippines’ MDG progres
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(NER) and medium on both cohort sur
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incidence of 97.46 percent. The las
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special needs; (c) 228,928 women in
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cultural structures urgently needin
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capacity to confront the dreaded cl
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MDG Goal 1 Targets 1 and 3: On erad
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Table 1. Prevalence of undernutriti
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2007, women’s national unemployme
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in the service and production secto
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een generally positive—increased
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Table 9: Partial Listing of Big Lan
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and promote gender equality in all
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While many see this as an education
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seen in both public and private pre
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and therefore, limited coverage. Th
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Table 7. Education Expenditure as a
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Box 2. Education budget tracking (2
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This paper looks at highly vulnerab
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to education. 5 In practice, debt p
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Table 5. Distribution of Government
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Table 7. Average Daily Basic Pay by
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in the 80’s, according to Sibal,
Page 80 and 81: eports of female OFW deaths, sexual
Page 82 and 83: Table 13. Trafficked Migrants Assis
Page 84 and 85: plicating overpopulation and poor w
Page 86 and 87: CAN$318.8 billion. While they found
Page 88 and 89: . Women’s economic empowerment i.
Page 90 and 91: statistics-fs-violence-against-fi l
Page 92 and 93: New policies and programs meant to
Page 94 and 95: Table 2: Immunization Status 1998 2
Page 96 and 97: Table 4. List of Nutritionally Vuln
Page 98 and 99: percent), who gave birth at home (9
Page 100 and 101: protocol is another comprehensive s
Page 102 and 103: 5. Revamping the health insurance s
Page 104 and 105: Universalizing health care As we po
Page 106 and 107: Progress of work in improving mater
Page 108 and 109: Figure 2. Use of Skilled Birth Atte
Page 110 and 111: In terms of postnatal care, 77 perc
Page 112 and 113: Abortion Worldwide abortion rates h
Page 114 and 115: went down from 9.8 percent in 2005
Page 116 and 117: longer to health care centers in co
Page 118 and 119: However, USAID, with the concurrenc
Page 120 and 121: Box 1. Safe Motherhood: a brief his
Page 123 and 124: The rising challenge of HIV/AIDS an
Page 125 and 126: Sexual transmission remains to be t
Page 127 and 128: national response. Since health was
Page 129: Figure 7. Frequency distribution of
Page 133 and 134: tion of Public-Private Mix Departme
Page 135 and 136: Not much time, but not without opti
Page 137 and 138: Questions and more questions on the
Page 139 and 140: Figure 1: Biodiversity Hotspots Bio
Page 141 and 142: MDG’s, but more importantly, on b
Page 143 and 144: 8. Organic Agriculture Act of 2010;
Page 145 and 146: science Bureau (MGB) but funded by
Page 147 and 148: Problems and gaps Incoherent and cl
Page 149 and 150: must be able to provide for non-pro
Page 151 and 152: Trade, debt and aid: MDG retardants
Page 153 and 154: Table 1. Recent Trade and Investmen
Page 155 and 156: elated social spending; Three, ille
Page 157 and 158: eing proposed in Congress. But more
Page 159: Results - Developing countries and
Page 162 and 163: Mindanao situation Mindanao is the
Page 164 and 165: Table 1.Cohort Survival Rate by Reg
Page 166 and 167: MTPDP has not gained momentum to ef
Page 168 and 169: Seven provinces in Mindanao, almost
Page 170 and 171: a. Lobby for the crafting of laws a
Page 172 and 173: Moro situation after the Treaty of
Page 174 and 175: and Palawan movement and Mindanao I
Page 176 and 177: Appendix B Are the Moros Filipinos?
Page 178 and 179: Government with respect to the Moro
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legal and political shields behind
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Goals and Targets (from the Millenn
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