1 Social Protection for Women Micro-Entrepreneurs (WMEs) Social Protection for Women Social Protection for Women Micro Micro- Entrepreneurs ( Entrepreneurs ( WMEs WMEs) 2 Conduct of FGDs and Survey for the Development of Enrollment Scheme for WMEs Conduct of Conduct of FGDs FGDs and Survey for the Development of and Survey for the Development of Enrollment Scheme for Enrollment Scheme for WMEs WMEs Background 1. Objectives To identify possible problems in the implementation of the proposed partial subsidy scheme through consultation with the target beneficiaries and come up with recommendations to address those problems. 2. Schedules November 18-19, 2010 – Province of Quezon (Real, Infanta, Gen. Nakar) November 23-24, 2010 – Province of Davao del Sur (Sta. Cruz, Bansalan, Matanao) December 1-2, 2010 – Province of Leyte (Barugo, Baybay, Capoocan)
Transcript
Regional Partners’ Forum, August 16-17, 2011Davao City
Philhealth Presentation
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Social Protection for Women Micro-Entrepreneurs (WMEs)Social Protection for Women Social Protection for Women MicroMicro--Entrepreneurs (Entrepreneurs (WMEsWMEs))
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Conduct of FGDs and Survey for the Development of Enrollment Scheme for WMEs
Conduct of Conduct of FGDsFGDs and Survey for the Development of and Survey for the Development of Enrollment Scheme for Enrollment Scheme for WMEsWMEs
Background
1. Objectives
To identify possible problems in the implementation of the proposed partial subsidy schemethrough consultation with the target beneficiaries and come up with recommendations to address those problems.
2. Schedules
November 18-19, 2010 – Province of Quezon (Real, Infanta, Gen. Nakar)
November 23-24, 2010 – Province of Davao del Sur (Sta. Cruz, Bansalan, Matanao)
December 1-2, 2010 – Province of Leyte (Barugo, Baybay, Capoocan)
Regional Partners’ Forum, August 16-17, 2011Davao City
Philhealth Presentation
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Conduct of FGDs and Survey for the Development of Enrollment Scheme for WMEs
Conduct of Conduct of FGDsFGDs and Survey for the Development of and Survey for the Development of Enrollment Scheme for Enrollment Scheme for WMEsWMEs
Background
3. Participants/ Respondents
3.1 Total of 151 participants/ respondents
3.2 Majority of the participants/ respondents:
3.2.1 Aged 41-45;
3.2.2 Married;
3.2.3 Have reached high school level;
3.2.4 Have approximately 2,000 – 5,000 monthly earnings.
3.2.5 Farming was the primary source of income
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Findings on the Social Protection Coverage of Women Micro-Entrepreneurs (WMEs)
Findings on the Social Protection Coverage of Women Findings on the Social Protection Coverage of Women MicroMicro--Entrepreneurs (Entrepreneurs (WMEsWMEs) )
ON SOCIAL HEALTH INSURANCE
60% of the respondents are covered by PhilHealth;
78% of which are primary members;
65% of primary members are widow;
45% are not legally married.
Regional Partners’ Forum, August 16-17, 2011Davao City
Philhealth Presentation
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Findings on the Social Protection Coverage of Women Micro-Entrepreneurs (WMEs)
Findings on the Social Protection Coverage of Women Findings on the Social Protection Coverage of Women MicroMicro--Entrepreneurs (Entrepreneurs (WMEsWMEs) )
ON SOCIAL HEALTH INSURANCE
89% of those who have availed of PhilHealth benefits are satisfied;
Reasons of those who are not satisfied with PhilHealth benefits and services:
65% Do not know how to use PhilHealth;
22% have mentioned that PhilHealth services are not yet available in their community
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Findings on the Social Protection Coverage of Women Micro-Entrepreneurs (WMEs)
Findings on the Social Protection Coverage of Women Findings on the Social Protection Coverage of Women MicroMicro--Entrepreneurs (Entrepreneurs (WMEsWMEs) )
ON SOCIAL HEALTH INSURANCE
98% of those that are not enrolled to PhilHealth would like to become members;
90% of which are willing to pay a portion of the premium contributions;
78% can only afford to pay P 300 out of P 1,200 annual premium contribution.
Regional Partners’ Forum, August 16-17, 2011Davao City
Philhealth Presentation
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On the Importance of Social Health Insurance
Participants recognized the following:
1.With SHI, one’s need not have to worry on where to get the money to cover for their hospitalization and other medical expenses in case a family member or one’s self suddenly gets ill;
2.It is a protection against loss of income because the funds collected can be used for needed health services. A member confronted by unexpected circumstances of the sort can keep the personal savings and income intact;
3. It makes quality health care affordable especially for those who have very limited income.
FGD Findings on the Social Protection Coverage of Women Micro-Entrepreneurs (WMEs)
FGD Findings on the Social Protection Coverage of Women FGD Findings on the Social Protection Coverage of Women MicroMicro--Entrepreneurs (Entrepreneurs (WMEsWMEs) )
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Despite recognition of the importance of SHI, it only ranks secondary to basic necessities
in terms of spending priorities
Findings on the Social Protection Coverage of Women Micro-Entrepreneurs (WMEs)
Findings on the Social Protection Coverage of Women Findings on the Social Protection Coverage of Women MicroMicro--Entrepreneurs (Entrepreneurs (WMEsWMEs) )
Regional Partners’ Forum, August 16-17, 2011Davao City
Philhealth Presentation
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On the Proposed Enrollment Scheme for WMEs under the NHIP
1. Issues and Concerns
1.1 Sustainability of coverage of WMEs, who are existing PhilHealthmembers under the Sponsored Program but are not included in the NHTS-PR list;
1.2 Limited knowledge about PhilHealth, specifically on how and where to register, benefits and availment process, and whom to approach in the area on other related concerns;
1.3 Difficulty in the registration due to lack of documentary requirements.
Findings on the Social Protection Coverage of Women Micro-Entrepreneurs (WMEs)
Findings on the Social Protection Coverage of Women Findings on the Social Protection Coverage of Women MicroMicro--Entrepreneurs (Entrepreneurs (WMEsWMEs) )
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On the Proposed Enrollment Scheme for WMEs under the NHIP
1.4 Due to irregular and limited income, most of the participants would not be able to afford to pay P 1,200 annual premium contribution;
1.5 While those who have the capability to pay, can only do so in a staggered monthly or quarterly basis;
1.6 Difficulty paying for the excess fee during confinement;
1.7 The processing of claims reimbursement was very slow. Checks were released more than 60 days or the prescribed period
Findings on the Social Protection Coverage of Women Micro-Entrepreneurs (WMEs)
Findings on the Social Protection Coverage of Women Findings on the Social Protection Coverage of Women MicroMicro--Entrepreneurs (Entrepreneurs (WMEsWMEs) )
Regional Partners’ Forum, August 16-17, 2011Davao City
Philhealth Presentation
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On the Proposed Enrollment Scheme for WMEs under the NHIP
2. Recommendations
2.1 Existing members under the Sponsored Program that are not included in the NHTS-PR list may still be renewed until Dec. 2011 (LGU counterpart only);
2.2 The Partial Subsidy Scheme may serve as an option for the enrollment of those WMEs who are not yet existing members under the NHIP and those current members who shall no longer be renewed for the succeeding years under the full subsidy scheme of the Sponsored Program due to non inclusion in the NHTS-PR;
2.3 Intensify the information dissemination among members through the implementation of the PhilHealth “AKO”.
Findings on the Social Protection Coverage of Women Micro-Entrepreneurs (WMEs)
Findings on the Social Protection Coverage of Women Findings on the Social Protection Coverage of Women MicroMicro--Entrepreneurs (Entrepreneurs (WMEsWMEs) )
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Efforts Undertaken for the Approval of the Partial Subsidy Scheme Efforts Undertaken for the Approval of the Partial Subsidy SchemEfforts Undertaken for the Approval of the Partial Subsidy Scheme e
Approval of the Implementing Guidelines
On June 25, 2011, Office Order No. 51, series of 2011 or the Implementing Guidelines of the Partial Subsidy Scheme has beenapproved by the Executive Committee , headed by Dr. Rey B. Aquino, President and CEO of PhilHealth
Regional Partners’ Forum, August 16-17, 2011Davao City
