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    NHSM Presentation PITAHC - CDC

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    Chai Castro-Santos
    The document discusses the Philippine Institute of Traditional and Alternative Health Care's (PITAHC) efforts to mainstream traditional and complementary medicine (T&CM) into the universal health care system. It outlines PITAHC's vision, mission, and functions. It also describes initiatives taken to integrate T&CM, challenges faced due to a lack of regulatory power, and proposed policy options to strengthen regulation of T&CM practices and practitioners over time. The ultimate goal is to establish a parallel regulatory system for T&CM by 2023.

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    NHSM Presentation PITAHC - CDC

    Uploaded by

    Chai Castro-Santos
    260 views18 pages
    The document discusses the Philippine Institute of Traditional and Alternative Health Care's (PITAHC) efforts to mainstream traditional and complementary medicine (T&CM) into the universal health care system. It outlines PITAHC's vision, mission, and functions. It also describes initiatives taken to integrate T&CM, challenges faced due to a lack of regulatory power, and proposed policy options to strengthen regulation of T&CM practices and practitioners over time. The ultimate goal is to establish a parallel regulatory system for T&CM by 2023.

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    The document discusses the Philippine Institute of Traditional and Alternative Health Care's (PITAHC) efforts to mainstream traditional and complementary medicine (T&CM) into the universal health care system. It outlines PITAHC's vision, mission, and functions. It also describes initiatives taken to integrate T&CM, challenges faced due to a lack of regulatory power, and proposed policy options to strengthen regulation of T&CM practices and practitioners over time. The ultimate goal is to establish a parallel regulatory system for T&CM by 2023.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    260 views18 pages

    NHSM Presentation PITAHC - CDC

    Uploaded by

    Chai Castro-Santos
    The document discusses the Philippine Institute of Traditional and Alternative Health Care's (PITAHC) efforts to mainstream traditional and complementary medicine (T&CM) into the universal health care system. It outlines PITAHC's vision, mission, and functions. It also describes initiatives taken to integrate T&CM, challenges faced due to a lack of regulatory power, and proposed policy options to strengthen regulation of T&CM practices and practitioners over time. The ultimate goal is to establish a parallel regulatory system for T&CM by 2023.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 18

    Philippine Institute of Traditional and

    Alternative Health Care (PITAHC)

    “Mainstreaming of T&CM in the Universal Health Care”

    DR. ANNABELLE P. DE GUZMAN, FPAFP, MHA, MA Med (UK), CESE


    Director General
    March 26-28, 2019

    Department of Health, Philippines


    • People’s health through traditional and
    alternative health care.
    Vision

    • We lead in the research and development,


    promotion, and advocacy and
    development of standards on traditional
    and complementary medicine (T&CM);
    and we ensure its accessibility, availability,
    Mission sustainability, and integration into the
    national health care system.

    Department of Health, Philippines


    • Conduct, coordinate and manage research studies
    on T&CM policies, products, services and
    technologies.
    Thrusts • Develop standards for specific T&CM practices.
    • Manage knowledge and information for the
    promotion and utilization of T&CM products,
    services and technologies.

    • MFO1 Research and Development Services


    MFOs • MFO2 Technical Advisory and Advocacy Services
    • MFO3 Regulation of Traditional and Alternative
    Medicine Practice

    Department of Health, Philippines


    Proper regulation is essential to the provision of quality, safe and effective
    T&CM services. This is particularly important in rural areas where T&CM is
    sometime the only affordable and available source of health care. Not all
    practitioners are qualified to practice T&CM and the lack of regulatory
    framework hinders PITAHC from weeding out such unqualified practitioners.
    Units Types Numbers Certified/ Accredited (2018)
    Practitioners Acupuncturist 959
    Chiropractor 47
    Homeopaths 32
    Naturopaths 22

    TOTAL 1,052
    Training Institutions Acupuncture, Homeopathy & 14
    Naturopathy
    Facilities/Clinics -do- 41
    Organizations -do- 10

    Department of Health, Philippines


    • T&CM services integrated in 2 DOH-retained Hospitals: Amang Rodriguez
    Memorial and Medical Center , Region 2 Trauma and Medical Center

    • Acupuncture trainings conducted in DOH –retained Hospitals and LGU


    facilities (9 trainings)

    • Development of standards (competency standards, code of ethics) for T&CM


    modalities : Acupuncture, Chiropractic, Homeopathy/Homotoxicology,
    Naturopathy, Tuina Massage, and Hilot

    • Clinical research on safety and efficacy/benefits of T&CM modalities

    • 5 Herbal Medicines (sambong, lagundi, tsaang gubat, akapulko and yerba


    buena) included in the Philippine National Drug Formulary (PNDF)

    Department of Health, Philippines


    Pain Points/Gaps:
    • Lack of Regulatory power/enforcement to regulate the practice of T&CM

    • Non-inclusion of T&CM in the National Objectives for Health (NOH)

    • Non-inclusion of T&CM in Philhealth’s Benefit Package; No reimbursement


    for TAHC services from Philhealth

    . Non-inclusion of T&CM programs in the DOH Regional Office Programs

    • Weak linkages with other Government regulatory agencies

    • Sustainability of T&CM implementation in DOH-retained Hospitals

    • Lack of expertise to conduct research on T&CM modalities

    Department of Health, Philippines


    Results of the Round Table Discussion
    A. Integration of T&CM in Service Delivery Units

     Establish Traditional and Complementary (T&CM) Units in all DOH-retained


    hospitals thru an MOU between PITAHC and DOH retained-Hospitals

     Pilot site implementation in receptive DOH and LGU facilities:


    Luzon – Batangas Medical Center
    Visayas – Vicente Sotto Memorial and Medical Center
    Mindanao - Southern Philippines Medical Center

    Department of Health, Philippines


    Results of the Round Table Discussion
    B. Areas for Integration of T&CM

     Integration of T&CM modalities in the SDN framework for inclusion in the


    Philhealth benefit package

     Inclusion of T&CM indicators in the National Objectives for Health (NOH) and
    other DOH Goals and targets

     Provision of human resources and budget for T&CM integration at National


    and Regional DOH budgets

     Integration of T&CM in medical and allied health curriculum and offering of


    short courses in autonomous colleges/universities

    Department of Health, Philippines


    Results of the Round Table Discussion
    C. Regulation of T&CM

     Option 1 : PITAHC to license T&CM practitioners and facilities


    - Amend TAMA Law/IRR
    - Revisit existing certification and accreditation
    standards/guidelines

     Option 2 : Explore the possibility for PRC and DOH-HFSRB to regulate


    T&CM practitioners and facilities
    - Co-develop licensing standards for practitioners with PRC
    and facilities with HFSRB

     Coordination with LGUs (Business Permit Licensing Office, MHO/CHO) on


    PITAHC certification and accreditation for T&CM modalities

    Department of Health, Philippines


    Results of the Round Table Discussion

     Strengthen linkages with concerned government regulatory


    agencies (i.e. DOLE, BI, DOJ, DILG, PRC)

     Majority of the stakeholders present during the RTD are in


    consensus that PITAHC in terms of integration of T&CM in national
    health care is moving forward on a framework of a semi-
    integrated to full integrated health system (medium-term) and
    eventually to a parallel health system (long- term)

    Department of Health, Philippines


    Results of the Round Table Discussion
    D. Inclusion of T&CM in Philhealth Benefit Package

     Develop evidence for Health Technology Assessment (HTA) of T&CM


    modalities

     Develop Clinical Practice Guidelines (CPGs) for T&CM modalities

     Contract out or Commission research institutions to co-develop Philhealth


    benefit package for T&CM modalities

    Department of Health, Philippines


    Policy Option 1
    Amendment of the TAMA Law (R.A. 8423), to grant PITAHC full
    regulatory power/functions on the practice of T&CM Modalities specifically
    on the licensure of T&CM practitioners and facilities.

    T&CM Regulatory Practices in other Countries


    WHO has identified four (4) types of health system structures in relation to
    T&CM

    1. TOLERANT Health System – Health Care is based entirely on


    conventional medicine and T&CM are not officially recognized (Canada, UK,
    other African countries)

    Department of Health, Philippines


    Policy Option 1
    2. INCLUSIVE Health System – recognizes T&CM but has not
    incorporated into all aspects of health care (Philippines, and other
    Southeast Asian countries)
    3. INTEGRATIVE Health System – T&CM is officially recognized and
    incorporated into all areas of health care provision (China, Korea and
    Vietnam)
    4. PARALLEL Health System – T&CM are widely used, more than 50% of
    the population access these services and regulation are totally separate
    for allopathic medicine and T&CM modalities (India)

    Department of Health, Philippines


    Policy Option 2
    Transition Phase : In the meantime that the TAMA Law has not been
    amended to include regulatory functions, strategies will focus on the
    following:
     Mainstreaming of T&CM in academic institutions
     Integration of T&CM trainings in DOH-retained Hospitals, DOH Regional Offices and
    LGU Facilities
     Establish Traditional and Complementary (T&CM) Units in all DOH-retained hospitals
    * Pilot site implementation in receptive DOH and LGU facilities:
    Luzon – Batangas Medical Center
    Visayas – Vicente Sotto Memorial and Medical Center
    Mindanao - Southern Philippines Medical Center
     Sustainability through creation of regular plantilla position for Acupuncturist

    Department of Health, Philippines


    Policy Option 2
     FDA to license the products but using the PITAHC standards and guidelines
    developed

     PRC and DOH-HFSRB license the practitioners and facilities using the PITAHC
    standards and guidelines developed. However, DOH-HFSRB may deputize
    PITAHC to license T&CM facilties

    Department of Health, Philippines


    Expected Outputs

    Revised RA 8423 and its IRR


    DOH Administrative Order
    DOH Department Order
    MOA, MOU

    Department of Health, Philippines


    Timeline of the Reform

    PITAHC
    Reorganizational
    Structure

    2019 2021 2023

    - Amended RA
    • Proposed
    amendment of
    8423 and its IRR
    - Commission 2022 Parallel Regulatory
    RA 8423; research System
    • UHC IRR;
    • Inclusion in the
    2020 institutions to co-
    develop
    NOH; and Philhealth benefit
    • Integration into package for
    the SDN T&CM modalities
    •

    Department of Health, Philippines


    Maraming salamat po!

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