ANNUAL PHYSICAL EXAMINATION FOR NCDs.pptx

Presentation on Implementation of Annual Physical Examination for Non communicable diseases

1. Cardiovascular diseases (CVD) Major cause of death worldwide 17. 9 million people death in 2019 Most affected are Low and Middle- Income countries 17.3% total deaths in the Philippines Remained to be the leading cause of death

2. WHAT IS CARDIOVASCULAR DISEASES?

3. OFFICE WORKERS Less physical activity →Sedentary lifestyle 26 hours to 38 hours per week in the USA: ‘65-’09 Changed the usual setup of going to workplaces Food delivery services Who is the target population???

4. DIAGNOSTIC TREE Unhealthy practices of office workers Lack of exercise Unhealthy food choices Undiagnosed pre-existing conditions Increased risk of cardiovascular diseases (CVDs) and other NCDS Development of CVD among employees Lack of awareness Lack of Health-seeking behavior Lack of health programs and services that aims to prevent and monitor chronic conditions among office workers Alcohol and tobacco use

5. Clear definition of the annual medical check-up for employees

6. payment Provider payment mechanism shall be a Case-based payment wherein packages for the employee on the coverage of annual medical check-up is fixed and paid by PhilHealth to the provider

7. organization Incorporation of annual medical check-ups to the occupational safety and health program of each institution, government or private The OSH Committee shall oversee the monitoring of compliance of their agency or company in the conduct of Annual medical check-up, along with the compliance of employees

8. regulation DOLE shall monitor compliance with the conduct of the annual medical check-up among office workers. Services shall be provided by a primary care provider included in the Primary care provider Network recognized by DOH and PhilHealth

9. fINANCING Aligning it to the Republic Act 11223 whereby all Filipinos are enrolled in the National Health Insurance Program There should be benefit package covering the annual medical check-up of employees Additional services outside of the benefit package of annual check-up shall be complemented with private insurance, if available, or paid by the employee

10. Services for office workers Medical consultation including medical history and working condition, Assessment of subjective and objective symptoms Height, weight, abdominal circumference, vision, hearing, Chest X-ray, sputum test, Blood pressure, Anaemia test (red blood cell, haemoglobin ), Liver function (GOT, GPT, γ- GTP), Blood lipid (HDL cholesterol, LDL cholesterol, blood serum triglyceride), Glucose, Urinary sugar, urine protein, and Electrocardiogram Health check-ups based on occupational health and safety act ) from Japan

11. Political aspect of the intervention

12. Transition towards Universal Health Care with the UHC Act Promote , protect the right to health of Filipinos and instill consciousness Emphasis on preventive interventions Congress Senate Bill 2297: Act Providing for Free Annual Medical Check-up for Filipinos Senator Bong Go and Senator Angara initiative pushing forward the above act OSH Law , RA 11058 A programs shall maintain a general safety and health, including a drug free workplace

13. -end- thank you!