Securing a Continuum of Care: The Challenges of a Fragmented Health Sector offers a timely analysis of how the devolution of health service delivery to local government units (LGUs) has reduced the effectiveness of the health care system in providing a continuum of care for poor Filipinos. The book describes the progress in improving health outcomes during the last twenty-five years, and how national-to-local fragmentation and social determinants have affected the health of Filipinos. The book discusses three structural weaknesses that have prevented earlier reforms from effectively addressing these challenges and thus improving health outcomes. Lastly, the book examines how these structural weaknesses have prevented improvements in health outcomes in the case of eight specific health problems.
With the benefit of long-term hindsight, Securing a Continuum of Care hopes to contribute to the development of new policies and strategies that will address the structural weaknesses of a devolved health sector and, ultimately, improve the health of Filipinos.
The book provides interesting insights into the causes of problems and possible policy interventions in the Philippine health sector. I wish the authors provide more step-by-step interventions with short-, medium, and long-term objectives to create implementable policy actions.
Overall, the book provides a balanced view of the Philippine healthcare sector. I recommend this book to people interested in health policy. Lots of good insights!