Philippines: Build Universal Health Care Program (Subprogram 1)

Sovereign Project | 55105-001

The Government of the Philippines enacted the Universal Health Care (UHC) Act on 20 February 2019 to ensure equitable access to quality health services for all Filipinos with financial protection. The UHC Act envisioned the implementation of a series of reforms over at least 6 years and the proposed program will support the implementation of these health financing, service delivery, and performance monitoring reforms needed to achieve UHC. It is consistent with the Philippine Development Plan, 2017-2022; the country partnership strategy, 2018-2023 of the Asian Development Bank (ADB); and ADB's Strategy 2030. The programmatic approach will provide long-term support to improve the sequencing and implementation of UHC policy reforms and harmonize national and local-level reforms.

Project Details

  • Project Officer
    Banzon, Eduardo P.
    Southeast Asia Department
    Request for information
  • Approval Date
    19 November 2021
  • Country
    Philippines
  • Sector
    • Health
Project Name Build Universal Health Care Program (Subprogram 1)
Project Number 55105-001
Country Philippines
Project Status Approved
Project Type / Modality of Assistance Loan
Technical Assistance
Source of Funding / Amount
Loan 4145-PHI: Build Universal Health Care Program (Subprogram 1)
Ordinary capital resources US$ 600.00 million
TA 6832-PHI: Supporting Building Up Universal Health Care Program
Japan Fund for Poverty Reduction US$ 2.00 million
Strategic Agendas Environmentally sustainable growth
Inclusive economic growth
Drivers of Change Gender Equity and Mainstreaming
Governance and capacity development
Knowledge solutions
Partnerships
Private sector development
Sector / Subsector

Health / Health sector development and reform

Gender Equity and Mainstreaming Effective gender mainstreaming
Description The Government of the Philippines enacted the Universal Health Care (UHC) Act on 20 February 2019 to ensure equitable access to quality health services for all Filipinos with financial protection. The UHC Act envisioned the implementation of a series of reforms over at least 6 years and the proposed program will support the implementation of these health financing, service delivery, and performance monitoring reforms needed to achieve UHC. It is consistent with the Philippine Development Plan, 2017-2022; the country partnership strategy, 2018-2023 of the Asian Development Bank (ADB); and ADB's Strategy 2030. The programmatic approach will provide long-term support to improve the sequencing and implementation of UHC policy reforms and harmonize national and local-level reforms.
Project Rationale and Linkage to Country/Regional Strategy The Philippine economy was hit hard by the coronavirus disease (COVID-19) pandemic and contracted by 9.6% in 2020. Unemployment soared to a record high of 17.6% by April 2020 before easing to 8.7% by October 2020. However, the economy is projected to recover to 4.5% in 2021. With regards to health outcomes, life expectancy at birth has increased from 63.7 years in 1980 to 71.1 years in 2018, and infant mortality decreased from 53.0 per 1,000 live births in 1980 to 21.6 per 1,000 in 2019. The share of deliveries at health facilities increased from 28% in 1993 to 78% in 2017, and the share of total births attended by skilled health providers rose to 84%. However, maternal mortality remains high at 121 per 100,000 livebirths in 2017 (a decrease from 180 in 1990), and adolescent fertility is still high at 55% as of 2018 (up from 52% in 1980). Noncommunicable diseases now account for 68% of all deaths, at an estimated economic cost of around Php756.5 billion per year while current health expenditure (CHE) remains low at 4.1% of 2019 GDP compared to the 2018 global average of 9.8%. Out of pocket spending for health remains high at 47.9% of CHE. Major health system constraints include insufficient government financing and uncoordinated health purchasing, inadequate and fragmented health services, and weak information management and accountability at the national and local government levels. In response, the UHC Act was enacted to guarantee access to quality health services for all Filipinos and address health system constraints. The program loan will support the Philippines implement the law and achieve universal health coverage.
Impact
Project Outcome
Description of Outcome
Progress Toward Outcome
Implementation Progress
Description of Project Outputs
Status of Implementation Progress (Outputs, Activities, and Issues)
Geographical Location Nation-wide
Safeguard Categories
Environment C
Involuntary Resettlement C
Indigenous Peoples C
Summary of Environmental and Social Aspects
Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design
During Project Implementation
Responsible ADB Officer Banzon, Eduardo P.
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Department of Finance
DOF Building
Bangko Sentral ng Pilipinas Complex
Roxas Blvd., Manila, Philippines
Department of Health
Tayuman Street
Sta. Cruz, Manila
Philippines
Timetable
Concept Clearance 04 Jun 2021
Fact Finding 27 May 2021 to 17 Jun 2021
MRM 30 Jul 2021
Approval 19 Nov 2021
Last Review Mission -
Last PDS Update 19 Nov 2021

Loan 4145-PHI

Financing Plan Loan Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 600.00 Cumulative Contract Awards
ADB 600.00 - 0.00 0.00 %
Counterpart 0.00 Cumulative Disbursements
Cofinancing 0.00 - 0.00 0.00 %

TA 6832-PHI

Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
0.00 2,000,000.00 0.00 0.00 0.00 0.00 2,000,000.00 - 0.00

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Safeguard Documents See also: Safeguards
Safeguard documents provided at the time of project/facility approval may also be found in the list of linked documents provided with the Report and Recommendation of the President.

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Evaluation Documents See also: Independent Evaluation

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Related Publications

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Tenders

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Contracts Awarded

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Procurement Plan

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