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Health Indicators

Importance of measuring

key health indicators

Data and evidence are important in understanding and addressing key global health issues in a particular country (Skolnik, 2016, p.22).  Health data gives us information about the health status of people and communities, availability of healthcare services, and financial expenditures in regards to healthcare for a particular country.  Health data can indicate what health conditions people suffer from and the extent of in which these conditions cause people to be sick, disabled, or die (Skolnik, 2016).  In addition, it provides information for disease surveillance in order to understand what health problems are occurring, where diseases are occurring, and what part of the population is getting infected, which can then be used to develop plans to address these conditions (Skolnik, 2016).  Overall, indicators give data added value by shedding light on a problem and providing information to decision makers (Schirnding, 2002).  A consistent set of indicators is used to measure health status in order to make comparisons of people in the same country or in different countries (Skolnik, 2016). 

Comparison of key health status indicators

Leading cause of death in the Philippines: Ischemic heart disease

The leading cause of death in the Philippines is ischemic heart disease, which killed approximately 87,900 people in 2012 and 50,500 people in 2017 (Sanchez, 2020; World Health Organization, 2012).  Ischemic heart disease, also called coronary artery disease and coronary heart disease, is a term given to conditions of the heart that are a result of narrowed heart arteries, resulting in less blood and oxygen reaching the heart muscle, which can lead to myocardial infarctions (American Heart Association, 2020).  There are many risk factors for the development of ischemic heart disease, which include, non-modifiable risk factors such as age, gender, and family history, and modifiable risk factors such as smoking, unhealthy diet, obesity, physical activity, and high blood pressure and cholesterol levels (Mayo Clinic, n.d.).

 

One reason why ischemic heart disease is so prevalent in the Philippines, is due to the diets of the Filipinos.  Filipinos consume a high amount of meat products, with pork being a fairly common choice (Sanchez, 2020).  A recent survey in the Philippines found that pork consumption in the Philippines was approximately 15.6 kilograms per capita in 2018 (Sanchez, 2020).  In addition, the survey found that only 7.4 percent of females and 7.9 percent of males consumed plant-based food and 16 percent do not consume any plant-based alternatives to animal food products (Sanchez, 2020).  According to CNN (Pineda & Lopez-Quimpo, 2016), the top four Filipino dishes that define the Philippines are adobo, lechon, sisig, and crispy pata, which are all traditional Filipino dishes that are made with pork. 

 

Another reason why ischemic heart disease is so prevalent in the Philippines, is due to the high usage of tobacco products in the country.  The tobacco industry in the Philippines has been described as “the strongest tobacco lobby in Asia”, with the Philippines being one of the highest per capital levels of cigarette consumption among the Association of South-East Asian Nations countries (Bellew et al., 2013).  According to a study, 28.3% (17.3 million Filipinos) of the adult population of the Philippines currently smoke tobacco products, with 47% being male and 9% being female (Bellew et al., 2013).  In addition, 48.8% (29.8 million) of people allowed smoking in their homes and 36.9% of adult workers reported exposure to second hand smoke in enclosed workplaces (Bellew et al., 2013).  Tobacco users in the Philippines is not limited to adults.  It is not uncommon to see young children and teenagers smoking in the Philippines.  An estimated 94,000 Filipino children between the ages of 10 and 14 years old, use tobacco products on a daily basis (American Cancer Society, 2020).  Tobacco-related diseases kills approximately 87,600 Filipinos in the Philippines every year, or approximately 10 every hour (Bellew et al., 2013). 

Ischemic heart disease is the leading cause of death in the Philippines.

Sisig is a popular traditional Filipino pork dish, served in restaurants and street markets in the Philippines.

Risk factors affecting health in the Philippines

Slums in the Philippines.

Poverty: Approximately 40%, or about 100 million, of the urban population of the Philippines lives in slums, and more than 40% of Filipinos live on less than $2 a day (Asian Century Institute, 2014).  Slum dwellers live in unsanitary conditions, debilitated and over-occupied buildings, and without proper water sanitation.  The homeless and slum dwellers often have to search garbage piles and landfills for needed items, posing greater risks of injury and infection.  In addition, the poor often go throughout their lives without necessary immunizations (Asian Century Institute, 2014).  In addition to being unvaccinated, the poor is susceptible to tropical diseases transmitted through mosquitos, such as dengue fever and yellow fever (Asian Century Institute, 2014). 

 

Unemployment: It is estimated that approximately 3 million Filipinos are unemployed and the unemployment rate in Manila was 17.8% (Nations Encyclopedia, 2020).  Without income, people are forced to live in the slums, where living conditions are unsanitary.  In addition, people without jobs are at risk for malnutrition or starvation, thus affecting their health.

 

Lack of healthcare: Less than 4% of the gross domestic product of the Philippines is spent on healthcare for the citizens of the country (Asian Century Institute, 2014).  Because of the high prevalence of poverty in the Philippines, sick people from poor families do not visit the hospital.  The Philippines has 5 hospital beds for every 10,000 citizens, which is less than Malaysia, Thailand, and Vietnam (Asian Century Institute, 2014). The lack of hospital beds available to citizens, leads to overcrowding in hospitals.

 

Poor working conditions: According to the International Labor Organization, the Philippines has a high incidence of “occupational diseases”, related to contact with certain chemicals, inhalation of coal dust, or carrying out repetitive movements (Asian Century Institute, 2014).  The International Labor Organization (2020), found that 17 of 18 people in the Philippines, or approximately 38.8 million, work in poor working conditions.

 

Lack of efficient law and regulation enforcement: Prostitution is a serious and growing crime in the Philippines and is hard to combat due to the lack of law enforcement in the country (Asian Century Institute, 2014).  Sexually transmitted diseases such as hepatitis A and hepatitis E, which can cause liver failure, combined with a cultural reluctance to the use of condoms, poses a great health risk for Filipinos.  In addition to prostitution, crime rates are high due to the high prevalence of poverty in the Philippines (Asian Century Institute, 2014). 

References

American Cancer Society. (2020). Country: Philippines. Retrieved from https://tobaccoatlas.org/country/philippines/

 

American Heart Association. (2020). Silent ischemia and ischemic heart disease. Retrieved from https://www.heart.org/en/health-topics/heart-attack/about-heart-attacks/silent-ischemia-and-ischemic-heart-disease

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Asian Century Institute. (2014). Impact of disease on the Philippines’ development. Retrieved from https://asiancenturyinstitute.com/development/390-impact-of-disease-on-the-philippines-development

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Bellew, B., Antonio, M., Limpin, M., Alzona, L., Trinidad, F., Dorotheo, U., … Alday, J. (2013). Addressing the tobacco epidemic in the Philippines: Progress since ratification of the WHO FCTC. Public Health Action, 3(2), 103-108. doi: 10.5588/pha.13.0006

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International Labor Organization. (2020). Safety and health at work in the Philippines. Retrieved from https://www.ilo.org/manila/areasofwork/safety-and-health-at-work/lang--en/index.htm

 

Macrotrends. (2020). Philippines infant mortality rate 1950-2020. Retrieved from https://www.macrotrends.net/countries/PHL/philippines/infant-mortality-rate

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Macrotrends. (2020). U.S. infant mortality rate 1950-2020. Retrieved from https://www.macrotrends.net/countries/USA/united-states/infant-mortality-rate#:~:text=The%20current%20infant%20mortality%20rate,a%201.15%25%20decline%20from%202018.

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Mayo Clinic. (n.d.). Coronary artery disease. Retrieved from https://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/symptoms-causes/syc-20350613

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Nations Encyclopedia. (2020). Philippines: Working conditions. Retrieved from https://www.nationsencyclopedia.com/economies/Asia-and-the-Pacific/Philippines-WORKING-CONDITIONS.html

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Pineda, M., Lopez-Quimpo, C. (2016). 50 dishes that define the Philippines. Retrieved from https://www.cnn.com/travel/article/50-delicious-philippines-dishes/index.html

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Sanchez, M.J. (2020). Leading causes of mortality Philippines 2017 by disease. Retrieved from https://www.statista.com/statistics/1120528/philippines-leading-causes-mortality-by-disease/

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Schirnding, Y. (2002). Health in sustainable development planning: The role of indicators. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/67391/WHO_HDE_HID_02.11.pdf

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Skolnik, R. (2016). Global health 101 (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

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World Health Organization. (2020). Key country indicators: Philippines key indicators. Retrieved from https://apps.who.int/gho/data/node.cco.ki-PHL?lang=en

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World Health Organization. (2020). Key country indicators: United States of America key indicators. Retrieved from https://apps.who.int/gho/data/node.cco.ki-USA?lang=en

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World Health Organization. (2012). Philippines: WHO statistical profile. Retrieved from https://www.who.int/gho/countries/phl.pdf?ua=1

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