8-POINT ACTION AGENDA

The Medium-Term Strategy of the Health Sector for 2023-

2028
“Sa Bagong Pilipinas, Bawat Buhay Mahalaga”
doh.gov.p
h
 Department of Health
Office of the President
Administrative Order 2023-0015,
Memorandum Circular No. 53,
Sept 13, 2023
June 4, 2024
Adoption of the 8-Point Action
Adopting The National Objectives for
Agenda as the Medium-Term
Health 2023-2028 and Directing the
Strategy of the Health Sector for
Implementation Thereof
2023-2028

Encourages all government agencies to Directs all national government agencies,

align policies, programs, and funds for health instrumentalities and GOCCs to support
with the 8PAA the implementation of the NOH
Encourages LGUs to support the
Encourages LGUs to align LIPHs and AOPs implementation of the NOH
(2021)

Republic of the Philippines

Department of 2
/doh.gov.ph
Health
 Maternal Mortality Ratio
111 144 Health Sector
Performance
(2015) (2020)

Infant Mortality Rate

21 22
(2017) (2022) Percent of Provinces w/
Adequate Bed to
Tuberculosis Incidence Population Ratio
554 650 27 23
(2017) (2022)
(2016) (2021)

Estimated Number of PLHIV Social Health Insurance

Percent of LGUs w/
117K 158K Adequate Nurse to Spending
(2010) (2022)
Population Ratio based as Percentage of CHE
2 7 18 14
(2022) on SDG (2023) (2016) (2022)
Premature Mortality
Attributed
4.6 to NCDs
4.6
(2010) (2019) Percent of LGUs w/ Incidence of Catastrophic
Adequate Midwife to Health Expenditure
Stunting among Under- Population Ratio based (inpatient)
Five Children 82 on SDG 80 30
33.4 26.7 (2022) (2023) (2021)
(2010) (2021)

Source: NOH 2017-2022 Performance Report with Republic of the Philippines

updated performance for HRH indicators Department of 4
/doh.gov.ph
Health
 Health Sector Strategy Map
VISION FOR THE HEALTH SECTOR
IMPACT

Filipinos are among the healthiest people in Asia by 2040

BETTER HEALTH STRONGER HEALTH ACCESS TO ALL LEVELS
OUTCOMES SYSTEMS OF CARE

8-Point Action Agenda

Sa Bagong Pilipinas, Bawat Buhay Mahalaga!
STRATEGY

Bawat Health
Bawat Pilipino Bawat Komunidad
Worker
at Institusyon

HUMANISTIC LEADERSHIP & GOOD GOVERNANCE Republic of the Philippines

Department of 5
/doh.gov.ph
Health
8PAA Monitoring and Evaluation Framework

8-Point Action Agenda

Sa Healthy Pilipinas, Bawat Buhay
Mahalaga!
UHC
INTERMEDIATE
INPUT PROCESS / OUTPUT IMPACT
OUTCOME
Investments in Conversion of Changes that Contribution to
health: health occurs as a result health goals:
investments into of products and
▶ Financial products and services: ▶ Better Health
▶ Personnel services: Outcomes (3)
▶ Infrastructure and ▶ Bawat Pilipino (20) ▶ Stronger Health
technologies ▶ Policies ▶ Bawat Komunidad Systems (3)
▶ Technical (10) ▶ Access to all
Assistance ▶ Bawat Health Levels of Care
▶ Engagement Worker and (4)
▶ Provider Networks Institution (7)
▶ Health services
 Health Goal: BETTER HEALTH OUTCOMES
END TERM TARGET
NO. INDICATOR BASELINE
(2028)

Male 70 (2020) Male 71

1 Average Life Expectancy (years)
Female 76 (2020) Female 77
Prevalence of stunting among children under five 27
2
years of age (2021)
13.5

3 Mortality Rates:

⏵ Infant mortality rate per 1,000 live births 22 11.52

(2022)

⏵ Maternal mortality ratio per 100,000 live births 154 84

(2021)

⏵ Tuberculosis mortality rate 54 21

(2021)

⏵ Death rate due to road traffic injuries per 100,000 8

population (2020)
4.80

⏵ Premature mortality rate attributed to non- 4.6

communicable diseases per 1,000 population (2020)
3.46

Republic of the Philippines

8
Department of
Health
 Health Goal: STRONGER HEALTH SYSTEMS
END TERM TARGET
NO. INDICATOR BASELINE
(2028)

Percent of ambulatory care sensitive conditions in 34

4
hospitals (2022)
24

Percent of international health regulations joint

5 external evaluation indicators with a score of 3 or TBD 100
higher

6 UHC Service Coverage Index 58 >63

(2021)

Republic of the Philippines

9
Department of
Health
 Health Goal: ACCESS TO ALL LEVELS OF CARE
END TERM TARGET
NO. INDICATOR BASELINE
(2028)

7 Responsiveness score 93 >93

(2019)

85% (public facilities) >85 (public facilities)

8 Client Satisfaction Rate 97% (private facilities)
(2019) >97 (private facilities)
Household (out-of-pocket) health spending as 44.7
9
percentage of Current Health Expenditure (CHE) (2022)
28.1

Incidence of catastrophic health expenditure among 30%

10
those who had at least one inpatient care (2021)
<23

Republic of the Philippines

10
Department of
Health
 Bawat
Pilipino

Bawat
Komuni
dad

Bawat
Health
Worker
at
Institus
yon
Republic of the Philippines
Department of 11
/doh.gov.ph
Health
 1
Mainstream and strengthen the primary
2
health care approach, ensuring that
every Filipino has access to
comprehensive health services without
experiencing financial hardship.
STRATEGIC
0 Ensure access to primary
INTERVENTIONS
Republic of the Philippines
Department of

1 care services
Health

0
/doh.gov.ph

Strengthen Primary Care

Provider Networks and
2 Health Care Provider
0 Network
Ensure every Filipino is
registered to a Primary Care
3 Provider
0 Boost national and local

4
financing for primary care
 Action Agenda 1: BAWAT PILIPINO RAMDAM ANG
KALUSUGAN END TERM TARGET
NO. INDICATOR BASELINE
(2028)

Percent of population with access to an ambulatory (primary) care 47%

11
facility within 30 minutes (2020)
60%

Percent of provinces with adequate ambulatory (primary) care 21%

12
facilities (2022)
50%

13 Percent of Konsulta-accredited ambulatory (primary) care facilities 18% 100%

(2023)

Percent of Functional Health Care Provider Network contracted by 0

14
PhilHealth (2022)
100%

15 Percent of Filipinos registered to a Primary Care Provider 15% 90%

(2022)

Percent of priority population with first-patient encounter in a

16
Konsulta accredited facility
TBD 100%

17 PhilHealth Support Value 66% 80%

(2019)

Ambulatory care spending as a percent of current health 3%

18
expenditure (2022)
8%
Republic of the Philippines
13
Department of
Health
 1
4 Ensure the provision of high-quality,
safe, and people-centered services,
which include access to affordable
medicines, across the lifestages.

STRATEGIC
0 Ensure delivery of
INTERVENTIONS
Republic of the Philippines
Department of
Health

comprehensive and
/doh.gov.ph

1 integrated health and

nutrition services across all

0
levels of care
Implement mechanisms for
commodity availability and
2 affordability

0 Adopt agile regulation to

accommodate underserved
3 areas
Action Agenda 2: LIGTAS, DEKALIDAD, AT MAPAGKALINGANG
SERBISYO
END TERM TARGET
NO. INDICATOR BASELINE
(2028)
Percent of ambulatory (primary) care facilities, schools, and
19 workplaces delivering integrated and comprehensive primary care TBD 100%
services

20 Percent of provinces with adequate bed-to-population ratios 23% 50%

(2022)

21 Percent of functional designated specialty centers established 74% 100%

(2022)

22 Percent of fully immunized children 72% 95%

(2022)

Percent of women aged 15-49 who received antenatal care from 86

23
skilled health personnel for the most recent birth (2022)
92.7%
Tuberculosis Case Notification Rate, All forms (per 100,000 382
24
population) (2022)
523

25 Percent of PLHIV on Antiretroviral Treatment (ART) 62% 95%

(2022)

<4x the
Median consumer price ratio of selected essential medicines in drug 3.22
26 International
retail outlets (2022)
Reference
Republic of the Philippines
15
Department of
Health
Action Agenda 2: LIGTAS, DEKALIDAD, AT MAPAGKALINGANG
SERBISYO

END TERM TARGET

NO. INDICATOR BASELINE
(2028)
Proportion of identified hypertensive adults (20-59 years old) and
27 elderly (60 years old and above) provided with antihypertensive 83% 100%
(2020)
medications*
Proportion of identified Type 2 Diabetes Mellitus adults (20-59 years
28 old) and elderly (60 years old and above) provided with diabetes 63% 100%
medications*

29 Proportion of women 30-65 years old screened for cervical cancer* 1.78% 30%
(2020)

Proportion of symptomatic 30-65 year old women screened for breast 0.44%
30 25%
mass*
*Indicators to be officially included in the NOH through the 8PAA MEAL Administrative Order (2022)

Republic of the Philippines

16
Department of
Health
 1
7
Leverage digital health and technology
for efficient and accessible health
service delivery.
STRATEGIC
0 Increase
INTERVENTIONSefficiency and
productivity in service
1 delivery by harnessing
Republic of the Philippines
Department of

digital health technologies

Health

0
/doh.gov.ph

Streamline administrative
processes and data
2 management in the DOH and
the health sector through
0 digital
Improve transformation
benefit payment
processing through
3 leveraging data services and
innovative technologies
0 Engage the private sector in
digitalization initiatives in
4 health
 Action Agenda 3:
TEKNOLOHIYA PARA SA MABILIS NA SERBISYONG
PANGKALUSUGAN
END TERM TARGET
NO. INDICATOR BASELINE
(2028)

Percent of health facilities utilizing interoperable electronic

31
medical records for digitalized service delivery
TBD 100%

Republic of the Philippines

18
Department of
Health
 1 Ensure a responsive and resilient health
9
system and communities that can
effectively prevent, prepare for,
respond to and recover from public
health
emergencies and crises

STRATEGIC
Republic of the Philippines
Department of

0 Strengthen the climate

Health

INTERVENTIONS
/doh.gov.ph

resilience and environmental

1 sustainability of health care
facilities

0 Advance capability to
manage large-scale health
2 emergencies
 Action Agenda 4: HANDA SA KRISIS

END TERM TARGET

NO. INDICATOR BASELINE
(2028)

Percent of hospitals recognized as safe, green, and climate 7%

32
resilient (2022)
50%

Percent of LGUs with evident DRRM-H system for public health 0

33
emergencies (2022)
100%

Republic of the Philippines

20
Department of
Health
 2 Address determinants of health and
1
improve healthy behaviors through the
promotion of health-enabling settings,
implementation of healthy public
policies, and
enhancement of health literacy.

STRATEGIC
Republic of the Philippines
Department of

0 Enable adoption of healthy

Health

INTERVENTIONS
/doh.gov.ph

behaviors of the seven

1 priority areas of the Health
Promotion Framework

0
Strategy
Strengthen intersectoral
action and health promotion
2 governance at all levels
 Action Agenda 5: PAG-IWAS SA SAKIT
END TERM TARGET
NO. INDICATOR BASELINE
(2028)

34 Percent of Filipinos with Good Health Seeking Behavior 79% 80%

(2021)

Percent of Filipino adults 18 years old and above with sufficient or 35%
35
excellent comprehensive health literacy (2021)
69%

Percent of healthy settings recognized as:

⏵ Healthy Communities 10%**
36
⏵ Healthy Workplaces (2023)
100%
⏵ Healthy Schools

Proportion of women aged 15–49 years who make their own

37 informed decisions regarding sexual relations, contraceptive use, 82.3% 90%
(2022)
and reproductive health care

Prevalence of current tobacco use among adults 15 years old and 23.8%
38
above (2015)
16%

39 Percentage of households using safely managed water services* 64.8% 91%

(2022)

Percentage of household using safely managed sanitation 66.1%

40 91%
*Indicators toservices*
(2022)
be officially included in the NOH through the 8PAA MEAL Administrative Order
**Indicative only; actual baseline data on recognized schools and communities shall be available this year (CY 2024) as per Health Promotion Bureau
 2
3
Enhance Filipinos’ well-being and
ensure quality mental
health services

STRATEGIC
0 Improve access to health
INTERVENTIONS
Republic of the Philippines
Department of
Health

services for mental,

/doh.gov.ph

1 neurological and substance

use disorders
0 Integrate client-focused
approaches towards holistic
2 care

0 Institutionalize Enhanced
Treatment Program for
3 Outpatient Services for Drug
Users
 Action Agenda 6: GINHAWA NG ISIP AT DAMDAMIN

END TERM TARGET

NO. INDICATOR BASELINE
(2028)

Proportion of ambulatory (primary) care facilities providing mental 24

41
health services (2024)
80%

Proportion of ambulatory (primary) care facilities with Community- 2%

42
Based Drug Rehabilitation Program (2023)
80%

Republic of the Philippines

24
Department of
Health
 2
Ensure an adequate, competent, and
5
committed health workforce by
providing fair compensation, decent
work conditions, and opportunities for
career development
STRATEGIC
0 Increase availability of
INTERVENTIONS
Republic of the Philippines
Department of
Health

health workers in health

/doh.gov.ph

1 facilities, institutions, and

communities

0 Strengthen capacities of
health workers to deliver
2 quality health services

0 Improve working conditions

of healthcare workers at all
3 levels of the health care
system
Action Agenda 7: KAPAKANAN AT KARAPATAN NG HEALTH
WORKERS
END TERM TARGET
NO. INDICATOR BASELINE
(2028)

3% (MD) 72% (MD)

Percent of cities and provinces with adequate Human Resources 2% (RN)
43
for Health to population ratio
72% (RN)
82% (RM)
(2022) 95% (RM)
Percent of cities and municipalities with adequate number of 4.9%
44
Primary Care Worker-certified Human Resources for Health (2021)
100%

45 HRH engagement score TBD TBD

Republic of the Philippines

26
Department of
Health
 2
7
Strengthen health systems and
structures to prevent, manage, and
recover from disease outbreaks and
potential pandemics

STRATEGIC
Republic of the Philippines
Department of

0 Strengthen Disease
Health

INTERVENTIONS
/doh.gov.ph

Surveillance and Epidemic

1 Response

0 Institutionalization of
Philippine Health Laboratory
2 System
Action Agenda 8: PROTEKSYON SA ANUMANG PANDEMIYA

END TERM TARGET

NO. INDICATOR BASELINE
(2028)

Percent of region and provincial/city/municipality LGUs with 41%

46
functional epidemiology and surveillance unit (2020)
100%

Percent of Public Health Laboratories Institutionalized in the 31%

47
Philippine Health Laboratory System (2022)
68%

Republic of the Philippines

28
Department of
Health
 Health Sector Strategy Map
VISION FOR THE HEALTH SECTOR
IMPACT

Filipinos are among the healthiest people in Asia by 2040

BETTER HEALTH STRONGER HEALTH ACCESS TO ALL LEVELS
OUTCOMES SYSTEMS OF CARE

8-Point Action Agenda

Sa Bagong Pilipinas, Bawat Buhay Mahalaga!
STRATEGY

Bawat Health
Bawat Pilipino Bawat Komunidad
Worker
at Institusyon

HUMANISTIC LEADERSHIP & GOOD GOVERNANCE Republic of the Philippines

Department of 29
/doh.gov.ph
Health
 HUMANISTIC
LEADERSHIP
HUMANISTI This leadership approach
calls on all stakeholders to
C demonstrate genuine
empathy, care, and support
LEADERSHI for others. The essence of
this leadership style is its
P & GOOD service-driven and people-
oriented nature.
GOVERNAN GOOD
CE GOVERNANCE
This calls on all stakeholders
to ensure that health
commitments are judiciously
pursued using strategy,
Republic of the Philippines
performance, and quality
Department of 30 management systems.
/doh.gov.ph
Health
IMPLEMENTIN
G
GUIDELINES Organizational
Development
Alignment of
Initiatives
Alignment of
Policies,
Programs,
Projects and
Funds

Monitoring and Investments for

Republic of the Philippines Evaluation Health
Department of 32
/doh.gov.ph
Health
 Additional Information
DOH Strategic Focus
Primary Care
8 Priority Outcomes :
1. ↑ Fully Immunized Children to 95% from 72%
2. ↓ Stunting to 13.5% from 27% (Half)
3. ↓ Maternal deaths to <111 per 100K LB from 152
per 100K LB (lower levels pre-pandemic)
4. ↑ Percentage of population with access to safe
water to 100% from 88%
5. Zero TB case mortality rate from 34 per 100K
population
6. ↓ death rate attributed to road injuries to 4 from 8
per 100K population
7. ↑ Coverage for Hypertension and Diabetes Mellitus
management
8. ↑ Early Detection, Screening and Treatment for
Cancer
Cross-cutting: Digitalization of Health Services
 Additional Information
AmBisyon Natin 2040 Vision for Health 2040
Matatag, Maginhawa at Panatag na Buhay Filipinos are among the Healthiest in Asia

Sustainable Development Goals 2030

Leave No One Behind

The Administration’s 8-Point Health Sector 8-Point

Stakeholder
Socioeconomic Agenda Action Agenda 2023-2028 commitments
Accelerate poverty reduction while addressing the Sa Healthy Pilipinas, Bawat Buhay Mahalaga
issues brought by the COVID-19 pandemic and
contributions
Philippine Development Plan National Objectives for Health
2023-2028 monitored in
2023-2028
Transforming the economic and social sectors
and institutions for a prosperous, inclusive,
Sa Healthy Pilipinas, Bawat Buhay Mahalaga scorecards:
and resilient society

▶ DOH
▶ LGUs
▶ International
Local Health
Filipinos
Government Providers
International
& Local
Health Partners
Partners
▶ Attached
Agencies and
Corporations

DOH as Steward of Health

Maraming Salamat po!

Republic of the Philippines

Department of Health
/doh.gov.ph