Universal Health Coverage Perspectives:

Young Public Health Professional

Albert Francis Domingo, MD, MSc
Consultant
WHO Regional Office for the Western Pacific
Presented at the
Asian Development Bank Auditorium
2 March 2016
Disclaimer: The views expressed in this paper/presentation are the views of the
author and do not necessarily reflect the views or policies of the Asian Development
Bank (ADB), or its Board of Governors, or the governments they represent. ADB
does not guarantee the accuracy of the data included in this paper and accepts no
responsibility for any consequence of their use. Terminology used may not
necessarily be consistent with ADB official terms.

Note: The contents of these slides and the views expressed during delivery are the sole
responsibility of the presenter and do not necessarily reflect the position of his clients.

The Language Game

Universal Health Coverage

Universal Health Care
Health for All
Kalusugan Pangkalahatan

25

0
Parameter
Life Event
Care Provider
Dx, Tx, Rx

Costs of Care
Financing
Catastrophe
Regulation

75

x 1,000 km

100

25

75

100

Manufacture to
Prime

Middle Age

Resale / Trade-in /
Scrap

Casa

Talyer / Self-repair

Preventive
Maintenance
(e.g., Oil Changes)

Brake Pad
Replacements,
Recalibrations

Overhauls

+++

+++++

Co-pay

Co-pay, Insurance

Co-pay, Insurance

MV Crash (Damage)
LTO, LTFRDB, MMDA, etc.

25

0
Parameter
Life Event
Care Provider
Dx, Tx, Rx
Costs of Care
Financing
Catastrophe
Regulation

75

x 1 year

100

25

75

100

Birth to Early
Adulthood

Middle to Old Age

(Very) Old Age

Clinics

Clinics / Hospitals

Hospitals

(OB, Pedia, Surg)

(IM, Surg)

(IM, Surg, Patho)

Outpatient > Inpatient

Outpatient = Inpatient

Outpatient << Inpatient

(Vaccines, Vitamins, etc)

(Maintenance Meds,
etc)

(ACLS, Critical Care, etc)

+++

+++++

OOP vs. Insurance

OOP vs. Insurance

OOP vs. Insurance

MV Crash (Trauma)
PRC Board of Medicine, DOH (incl. FDA), PHIC, etc.

(Berman, 2012)

Resource generation
Health policy

Stewardship
Financing

Population

Provision

Health system functions

Disease management programmes

NCDs

FP/MCH

TB

HIV/AIDS

TB

HIV/AIDS

Resource generation
Financing
Provision

vertical
horizontal

Stewardship
NCDs

FP/MCH

Population groups (susceptible and ill)