TY  - GEN
AU  - Hermosura, Lorraine P.
AU  - Cuyco, Ethel C. (Chairperson).
AU  - Reyes, Juan M. (Defense Panel Member).
AU  - Raagas, Quennie Dyan C. (Defense Panel Member).
TI  - Results-based monitoring and review framework in the utilization of Philhealth's Primary Care Benefit (PCB) 1 package in Mahatao, Batanes
KW  - Medical economics
KW  - Public health service
N1  - Graduate School of Public and Development Management
N2  - The Philippines being a member state of the World Health Organization, committed in 2005 to develop a health financing system responsive to this call of Universal Health Coverage. The Philippine Health Insurance Corporation (PhilHealth) addressed this be doing reforms in its policies and repackaging the Out-Patient Benefit Package in to the Primary Care Benefit (PCB) 1 Package, one of its goals is to increase utilization of services provided.  This study is limited to the implementation of the PCB1 in Mahatao, Batanes. The coverage of the sponsored members in Mahatao, an assessment of whether an increase in utilization is achieved, what gaps are identified in the non-utilization and production of results-based framework are the aims of this study. Document reviews, key informant interviews and observation were done to be able to answer achieve the objectives. The study has identified the level of coverage of the entitled sponsored members in Mahatao, Batanes to be 40%, and of these, 28.98% are among the poor and near-poor. Utilization of these entitled members average to only 32% during the 10-month study period. Communication and information gaps as well as geographic accessibility, affordability, availability and acceptability are some of  the barriers identified. The Results-Based Monitoring Review and Framework shall to serve as a guide in order to refine activities in the implementation of the PCB1
ER  -