Validation of the selection process of PhilHealth sponsored members in 4 barangays in a municipality in Batangas using the participatory action research
- Author:
Salvador Vincent Bryan DG
;
Paterno Ramon P
;
Regalado-Paterno Elizabeth C
;
San Juan Michael D
;
Sabalo Ma. Angeli B
;
Saceda Sylvette A
;
Pineda Carminda J
;
Unson Enrique Miguel S
;
Taveros Mel Clark R
;
Sales Cecille Marie C
;
Puzon Gretel B
;
Rafael Tonilene E
;
Permites Abel Santini G
- Publication Type:Journal Article
- MeSH:
Human;
Male;
Female;
PUBLIC-PRIVATE SECTOR PARTNERSHIPS;
HEALTH SERVICES;
INSURANCE, HEALTH;
HEALTH CARE ECONOMICS AND ORGANIZATIONS;
ECONOMICS;
FINANCING, ORGANIZED;
INSURANCE
- From:
Acta Medica Philippina
2012;46(1):4-13
- CountryPhilippines
- Language:English
-
Abstract:
Objective. The present study aims to correlate the LGU list of PhilHealth Sponsored Members in a municipality of Batangas with the list of poor residents as identified by the Participatory Action Research (PAR) methodology.
Method. Interview of key informants documented the processes utilized by the LGU in determining PhilHealth beneficiaries for the Sponsored Program and the Participatory Action Research (PAR) survey in the classification of households into poor, middle and rich in four barangays of the municipality. The list of LGU Sponsored members was then cross matched with the PAR household classification.
Results. The comparison of the LGU list of Sponsored members and the household classification by the PAR survey showed a wide discrepancy: (1) 464 "Not Found" Sponsored households or 70% of the LGU's Sponsored list; (2) inclusion of the non-poor: 140 middle class families as classified by the PAR survey or 21.1% of the LGU's Sponsored list; and (3) exclusion of 413 or 87.5% of true poor families identified by the PAR Survey. Only 59 families or 8.9% of the LGU Sponsored list were classified as poor families by PAR.
Conclusion. PAR offers communities, LGUs and the National Health Insurance Program a tool to validate the coverage of the Sponsored program. LGUs and the PhilHealth should consider such tool or similar tools to validate their identification, selection and enrollment of the poor, which is extremely vital in achieving universal coverage. Given the right tool, communities are in the best position to identify the poor for the Sponsored program. By way of collaboration with the underprivileged themselves, the academe has a role in assisting communities in acquiring collective awareness of their own situation and developing capacity for improving their lives. The academe also has a role in assisting LGUs in improving their health systems and national health programs in validating and improving their implementation. Further studies should be done to investigate the following: the identity of the "not found" SP members; the utilization of PhilHealth benefits by the poor; and the prospect of utilizing the PAR method by other non-academic institutions in monitoring the progress of community programs.
