CY 2023 NEP Budget Briefer
CY 2023 NEP Budget Briefer
CY 2023 NEP Budget Briefer
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EDITORIAL TEAM
Undersecretary Kenneth G. Ronquillo, MD, MPHM, CESO III
Director Frances Rose Elgo-Mamaril, MPH
Ilona Valerie R. Vidamo, PTRP, MOH
Jerome E. Villacorta, MD, MPM
TECHNICAL WRITERS
Eileen Diane S. Cheng-Fernandez, RN, MPH
May Ann L. Liwanag
Lea Samantha M. Leyva
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Contents
List of Acronyms 4
Background 6
Health Sector Strategy 2023-2028 7
Estimated Fiscal Space and CY 2023 Sources of Funds for Health 8
CY 2023 NEP Budget Discussion 10
Salient Changes the 2023 DOH NEP Budget Structure 10
Overview of the CY 2022 DOH-OSEC NEP Budget 11
Budget Attribution of the Health Sector Strategy in the DOH-wide 2023 NEP 15
Major Thrusts of the DOH-OSEC 2023 NEP 18
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List of Tables
List of Figures
Figure 1. DOH-wide Budget Trend, 2018 GAA to 203 NEP, Inclusive of RLIP and
SAGF
Figure 2. Budget Distribution per DOH Implementing Unit, 2023 NEP
Figure 3. DOH-OSEC Budget by Expense Class, 2023 NEP
Figure 4. DOH-OSEC Budget by Organizational Outcome, 2023 NEP
Figure 5. Budget Attribution, 2023 NEP based on the Health Sector Strategy
2023-2028
Figure 6. Top 10 Major Cost Drivers in the DOH-OSEC 2023 NEP
List of Annexes
Annex A. List of Budget Line Items based on the Health Sector Strategy in the 2023
NEP
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List of Acronyms
BOQ Bureau of Quarantine
CO Capital Outlay
DBM Department of Budget and Management
DOH Department of Health
FDA Food and Drug Administration
GAA General Appropriations Act
HFEP Health Facilities Enhancement Program
HRH Human Resources for Health
LCP Lung Center of the Philippines
LGU Local Government Unit
MOOE Maintenance and Other Operating Expenses
MYCA Multi-Year Contractual Authorities
MYOA Multi-Year Obligational Authority
NEP National Expenditure Plan
NHWSS National Health Workforce Support System
NKTI National Kidney and Transplant Institute
NNC National Nutrition Council
OSEC Office of the Secretary
PAGCOR Philippine Amusement and Gaming Corporation
P/A/Ps Programs / Activities / Projects
PCSO Philippine Charity Sweepstakes Office
PCMC Philippine Children’s Medical Center
P/CWHS Province- and City-Wide Health Systems
PHC Philippine Heart Center
PITAHC Philippine Institute for Traditional and Alternative Health Care
PNAC Philippine National AIDS Council
PS Personnel Services
RA Republic Act
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RLIP Retirement and Life Insurance Premiums
SAGF Special Account in General Fund
TB Tuberculosis
UHC Universal Health Care
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Background
2023 marks the fourth year of the Department’s implementation of the Universal
Health Care (UHC) Act and the third year of continuously responding to the
challenges of the COVID-19 pandemic, on the road to national recovery. This year
will also be an opportune time to continue streamlining health financing mechanisms,
minimize duplication of functions and overlaps in financing schemes, as we continue
the implementation of the Devolution Transition Plan and strengthen local
government unit (LGU) capacity to deliver basic health care services based on
Executive Order No. 1381.
The recent years have been laden with accomplishments and barriers in the delivery
of healthcare to the Filipino people, but despite the challenges in the health sector,
the Department of Health (DOH) ceaselessly works to make the allocation of health
resources much more efficient, while building a resilient health system, through the
budget allocation in the CY 2023 DOH National Expenditure Plan (NEP).
The National Budget Memorandum No. 143 or the National Budget Priorities
Framework issued by the Department of Budget and Management (DBM) include,
but are not limited to, the following expenditure directions for CY 2023 related to
health:
1. Continue to support for reforms in nutrition and health-related interventions
and services consistent with landmark legislations such as the Universal
Health Care Act (Republic Act No. 11223) and the Kalusugan at Nutrisyon ng
Mag-Nanay Act (RA No. 11148);
2. Strengthen health systems through enhancement of primary health care
facilities and improvement of collective capacity of the health system to
provide health services;
3. Accelerate and expand the COVID-19 Vaccination Program, a priority
identified in the Ten-Point Policy Agenda, and routine vaccination for infants
and children;
4. Implement the Family Planning Program focusing on sexual and reproductive
health services for women of reproductive age; and,
5. Adapt to climate change and build resilience to disasters, among others.
The President, in his message published in the CY 2023 NEP highlighted that quality
and affordable healthcare is a commitment of this Administration; the Philippine
government aspires to bring medical services to the people, bring proper healthcare
to the regions and rural areas, invest in a new generation of healthcare workers, and
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Full Devolution of Certain Functions of The Executive Branch To Local Governments, Creation of a Committee
on Devolution, and for Other Purposes
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provide scholarships to aspiring medical and allied health professionals, among the
thrusts for better health care service delivery in the country.
Strategic Thrusts
Enable Filipinos to be healthy. Improving health and achieving health equity will
require broader approaches that address social, economic, and environmental
factors that influence health;
Protect Filipinos from health risks. Our health systems will be prepared and will
have the capacity for recovery and adaptation to future disasters and pandemic; and,
Care for Filipinos’ health and wellness. Greater attention will be given to health
system design, financing mechanisms, and the process of care in accordance to the
reforms espoused by the UHC Act to deliver people-centered care for health and
wellness.
Strengthen Health Institutions and Workforce. This thrust reinforces the other
three, wherein all public institutions in charge of health are “right-sized” and are
efficient and its workforce are adequate and engaged.
Strategic Objectives
Each strategic thrust embodies the following strategic objectives:
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To care for Filipinos’ health and wellness:
3.1 Networks of primary care and specialist care providers must be
well-distributed; and,
3.2. Quality health services are appropriately and fairly financed.
A separate section will discuss the budget attributed in the 2023 NEP based on the
Health Sector Strategy.
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Table 1. CY 2023 Sources of Funds for Health
Amount
Funding Source Remarks
(in Billions)
13.31
PAGCOR For benefit package improvement
(Projected)
1.32
PCSO For benefit package improvement
(Projected)
TOTAL 305.66
Note: Fiscal Space Estimation is exclusive of income generated from Food and Drug Administration
(FDA), Bureau of Quarantine (BOQ), Health Facilities and Services Regulatory Bureau (HFSRB),
DOH Hospitals, and PhilHealth premiums from direct contributors. The estimates also do not reflect
the revenues for UHC and HFEP from offshore gaming revenues per RA no. 11590, LGU share for
health, and the non-budgetary support from official development assistance (ODA).
The estimated fiscal space for health for the DOH-OSEC and PhilHealth share in CY
2023 amounts to a total of PhP 305.66 billion derived by addingfrom its baseline
budget prior to the implementation for the Sin Tax Law of 2012,; the projected sin tax
collections in FY 2021 based on the new sin tax laws - RA Nos. 11346 and 11467,;
the DOH-OSEC and PhilHealth natural increase,; and, PAGCOR and PCSO for
PhilHealth benefit package improvement.
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CY 2023 NEP Budget Discussion
This section provides an overview of the salient changes in the NEP budget
structure, overview of the NEP budget, budget line item attribution based on the
Health Sector Strategy, and major cost drivers.
3. Six budget line items for new DOH hospitals were created:
○ Ilocos Sur Medical Center (MOOE);
○ Northwestern Cagayan General Hospital (Capital Outlay);
○ Joni Villanueva General Hospital (MOOE);
○ Southern Luzon Multi-Specialty Medical Center (MOOE and Capital
Outlay);
○ Samar Island Medical Center (Capital Outlay); and,
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○ Northeastern Misamis General Hospital (Capital Outlay).
Meanwhile, Figure 2 shows that out of the PhP 301 billion for the DOH-wide budget,
majority or 65 percent is allocated to the DOH-OSEC amounting to PhP 196 billion.
The rest of the budget is allocated to the DOH attached agencies and corporations,
which comprise 35 percent of the DOH-wide budget. Of this amount, PhP 100 billion
or 33 percent is allocated for the PhilHealth premium subsidies for indirect
contributors (PhP 79 billion) and benefit package improvement (PhP 21 billion).
2
National Nutrition Council, Philippine National AIDS Council, PhilHealth, Lung Center of the Philippines,
National Kidney and Transplant Institute, Philippine Children's and Medical Center, Philippine Heart Center,
Philippine Institute for Traditional & Alternative Health Care
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Most of the attached agencies and corporations have decreased budget levels in the
2023 NEP, with breakdown as follows:
● PhP 1.77 billion was allocated to the Philippine Heart Center (PHC);
● PhP 1.27 billion for the National Kidney and Transplant Institute (NKTI);
● PhP 1.16 billion for the Philippine Children’s Medical Center (PCMC);
● PhP 630 million for the Lung Center of the Philippines (LCP);
● PhP 156 million for the Philippine Institute for Traditional and Alternative
Health Care (PITAHC);
● PhP 401 million for the National Nutrition Council (NNC); and,
● PhP 43 million for the Philippine National AIDS Council (PNAC).
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Figure 3. DOH-OSEC Budget by Expense Class, 2023 NEP
Specifically, 45 percent of the said allocation for its operations will be utilized to
improve access to promotive and preventive health care service amounting to PhP
88.70 billion in the 2023 NEP; 33 percent or PhP 63.74 billion to improve access to
curative and rehabilitative health care service; 0.5 percent or PhP 1 billion to ensure
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access to safe and quality health commodities, devices and facilities; and, 11 percent
or PhP 22 billion to assure people access to social health protection.
To implement the health sector strategy (Figure 5) mentioned in the previous section,
the budget line items in the 2023 NEP were attributed based on the strategy it
contributes to (refer to Annex A for the list of P/A/Ps categorized by Health Sector
Strategy).
Seventy-one percent (71%) of the DOH-wide budget of PhP 301 billion in the 2023
NEP is allocated for the “Care for Filipinos’ health and wellness” amounting to PhP
213 billion. This includes the budget for the commodities of public health programs,
the operations of DOH hospitals and health facilities, medical assistance to indigent
and financially-incapacitated patients, PNAC, and attached corporations. 18 percent
or PhP 56 billion is allocated to strengthening health institutions and workforce.
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Meanwhile the “Protection of population from health risks” comprise 10 percent of
the DOH budget amounting to PhP 30 billion which includes budget for the Health
Facilities Enhancement Program, regulations sectors, epidemiology and
surveillance, and health emergency preparedness and response. Lastly, 1 percent or
PhP 3 billion is dedicated for “Enabling Filipinos to be healthy” which comprise the
budget for health promotion, environmental and occupational health, and the
National Nutrition Council.
Each budget line item and its major activities will be discussed briefly in the
succeeding pages.
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Figure 6. Top 10 Major Cost Drivers in the DOH-OSEC 2023 NEP
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688 rural health units; PhP 2.7 billion is for 154 LGU Hospitals; PhP 11.2 billion
is for 82 DOH Hospitals, of which 10 are specialty centers; PhP 1.3 billion is for
55 other health facilities such as Treatment and Rehabilitation Centers, blood
services facilities, warehouses, quarantine stations, military / Philippine National
Police hospitals, among others.
4. LFP: Public Health Emergency Benefits and Allowances for Health Care &
Non-Health Care Workers
The programmed funds for the Locally Funded Project: Public Health
Emergency Benefits and Allowances for Health Care Workers and Non-Health
Care Workers in the 2023 NEP amounts to PhP 20 billion; with an additional
PhP 19 billion under the Unprogrammed Appropriations.
The DOH has PhP 1 Billion each from programmed and unprogrammed funds
for the COVID-19 compensation for sickness and death benefits to an estimated
60,000 personnel. On the other hand, the remaining PhP 37 billion total budget
for health emergency allowance consists of PhP 19 billion programmed funds
and PhP 18 billion from unprogrammed funds to cover only around 6 months of
services rendered by 805,863 health care workers and non-health care workers.
However, this available PhP 39 billion appropriations in the 2023 NEP is
inadequate; the DOH will be needing a total of PhP 76 billion for the entire year.
Likewise, an additional PhP 65 billion is unfunded in the 2023 NEP for the
payment of arrears for 2021 to 2022, for retrospective allowances.
For those with low risk exposure, the monthly allowance is PhP 3,000; PhP
6,000 for medium risk; and PhP 9,000 for high risk.
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303 pharmacists; 601 medical technologists; 200 nutritionists; and, 81 physical
therapists.
9. Health Promotion
For Health Promotion, a total of PhP 2.14 billion is allocated. This is 1 percent of
the total DOH budget pursuant to the provisions of the UHC Act. Major activities
include the development at least 10 healthy public policies; implementation of
Health Impact Assessment and Participatory Action Research; and,
implementation of Healthy Settings namely 52 P/CWHS in Healthy
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Communities, 26 P/CWHS in Healthy Learning Institutions, 100 hospitals in
Healthy Workplaces, and implementation of Social and Behavioral Change
Communication Campaigns.
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ANNEX A
List of Budget Line Items based on the Health Sector Strategy in the 2023 NEP
STRATEGY PRIORITY PROGRAM/S
Health Promotion
Pharmaceutical Management
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STRATEGY PRIORITY PROGRAM/S
PhilHealth
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STRATEGY PRIORITY PROGRAM/S
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HEALTH POLICY DEVELOPMENT AND PLANNING BUREAU
2022
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