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Program on
Health Systems Development (PHSD)

  • Source/Credit: Josephine T. Sanchez
    PHSD Convenor Dr. Antonio Dans, in coordination with the UP CIDS Decolonial Studies Program and UP Center for Women’s and Gender Studies, gave a lecture on how COVID-19 can be transmitted. He shared important guidelines to follow to avoid contracting and tips to avoid spreading COVID-19 to one’s household and community. Emphasis was placed on the basic rule “APAT DAPAT” which are the following: (1) proper air circulation; (2) physical distancing; (3) always wearing masks and face shields; and (4) 30 minutes of interaction or less. The webinar was attended by the UP CIDS personnel and program staff.
  • Source/Credit: Josephine T. Sanchez
    PHSD Convenor Dr. Antonio Dans discussed the proper sanitation guidelines for the prevention of COVID-19. He emphasized the need to follow “APAT DAPAT,” air circulation and ventilation, physical distancing and avoid crowding, always use face mask and time of interaction should be less as much as possible.
  • Source/Credit: Josephine T. Sanchez
    PHSD Convenor Dr. Antonio Dans discussed the proper sanitation guidelines for the prevention of COVID-19. He emphasized the need to follow “APAT DAPAT,” air circulation and ventilation, physical distancing and avoid crowding, always use face mask and time of interaction should be less as much as possible.
  • Source/Credit: Josephine T. Sanchez
    The strategy-calibration series was facilitated by Dr. Lei Camiling Alfonso. She discussed why PHSD needs to calibrate; the previous year was hard for everyone and many planned events were postponed. Thus, for PPCS, the Program’s goals may be outdated or ineffective. The activity was held to help the Program organize its PPCS plans and goals for the coming year. PHSD discussed its intended impact for PPCS and the necessary actions to support such. Assessment of the Program’s objectives and action planning were also done so that at the end of the day all that is done in this project is for the good of all Filipinos.
  • Source/Credit: Josephine T. Sanchez
    In “Reexamining Health Systems Towards a New Normal,” a virtual forum hosted by both the Department of Science and Technology and PhilHealth (DOST–PHIC), Dr. Antonio Dans discussed transforming primary healthcare and identifying the imperative steps for addressing inequities in health care access.
  • Source/Credit: Josephine T. Sanchez
    A picture from the bi-weekly learning series “UpToDate Club” with healthcare workers from Samal.
  • Source/Credit: Josephine T. Sanchez
    A picture from the bi-weekly learning series “UpToDate Club” with healthcare workers from Samal.
  • Source/Credit: Josephine T. Sanchez
    Photo op with Samal doctors and PPCS staff
  • Source/Credit: Josephine T. Sanchez
    Year 2 results of PPCS were presented to the governing council of the Philippine Council of Health Research & Development (PCHRD). Dr. Antonio Dans highlighted the importance of connecting all the barangays to be able to access health care. He cited as an example the utilization of consults in Samal, Bataan, which tripled since PPCS started. Even when the pandemic hit, they were able to recover because they have an internet connection. Because of connectivity, we were able to set up telemedicine within 4–8 weeks, which has proven useful during the pandemic. Year 3 plans were also presented for approval of the funding.

    The Program on Health Systems Development (PHSD) investigates problems of and innovates solutions for health systems and hopes to bridge some of the persistent divides that have hampered health systems in the Philippines. These include, among others, barriers between public health and clinical-surgical medicine; among levels and types of health professionals; among the differing perspectives and sometimes opposing interests of patients, health professionals, health policymakers, and other stakeholders; and between the public and private sector.

    Although this mission inevitably applies scientific rigor to the parts of health systems, the goal is to improve the whole in terms of overall performance and outcomes.

    Adopting a systems-thinking perspective, PHSD facilitates and promotes dialogue between medical and non-medical fields to produce insights, methods, networks, and opportunities related to the improvement of the health of individuals and populations and the development of the Philippine health landscape.

    Current Projects 2026


    AI-Ready Healthcare: Building Capacity and Equity in the Philippines

    The development of artificial intelligence (AI) for health care has created both opportunities and challenges worldwide. In the Philippines, where healthcare resources are often constrained and digital infrastructure varies significantly between urban and rural settings, the introduction of AI raises critical questions about professional identity, job security, clinical autonomy, and patient safety.

    Existing international literature suggests that healthcare professionals’ attitudes toward AI range from enthusiastic acceptance to strong resistance, influenced by factors including technological literacy, professional experience, organizational support, and cultural values. However, limited research exists on how Filipino healthcare workers perceive and respond to AI integration.

    This research addresses the urgent need to understand these perceptions before large-scale AI implementation proceeds. Without such understanding, healthcare institutions risk poor adoption rates, workflow disruptions, and potential harm to patient care quality. By identifying specific concerns, knowledge gaps, and acceptance factors among Filipino healthcare professionals, this study will enable evidence-based policy interventions that facilitate smoother, more equitable AI integration.

    Upscaling of the Philippine Primary Care Studies Model to a Provincial Level

    The Philippines’ Universal Health Care (UHC) Act (RA 11223) mandates a transition toward a primary care-led, integrated health system. As one of the pilot provinces for the integration of local health systems, Bataan is at the forefront of implementing the Province-wide Health System (PWHS).

    While access to care is expanding through the PhilHealth Konsulta package, the quality of care—defined by effectiveness, safety, and patient-centeredness—remains heterogeneous across different municipalities. There is an urgent need to establish a standardized protocol to measure these metrics to ensure that the “primary care provider network” (PCPN) actually improves health outcomes rather than just increasing consultation volume.

    General Objective: To determine the impact of an outpatient primary care strengthening system on health care delivery in a devolved setting, through pilot studies in Bataan.

    Specific objectives

    To measure the impact of a primary care strengthening   system in Bataan on

    1.     Utilization of benefits

    2.     Knowledge of primary care providers

    3.     Quality of care

    4.  Administration and governance

    Scientific Papers from The PPCS Research Results

    The flagship project of the Program on Health System Development is the Philippine Primary Care Studies (PPCS), a series of quasi-experimental pilot studies in representative settings in the Philippines: corporate, rural, and geographically isolated disadvantaged areas or GIDA. The main intervention is a set of primary care health system enhancements in the areas of primary care financing, medical and financial information systems, health human resource capacity building, public and private health care provider network formation, and community engagement. The interventions were implemented in the urban, rural and remote sites.

    Past Activities and Projects


    Philippine Primary Care Studies

    The flagship project of the PHSD is the Philippine Primary Care Studies (PPCS) with three sites: UP Health Service, the Rural Health Unit (RHU) in Samal, Bataan, and the Rural Health Unit (RHU) in Bulusan, Sorsogon.

    The PPCS is a series of quasi-experimental pilot studies in representative settings in the Philippines: corporate, rural, and geographically isolated disadvantaged areas (GIDAs). 

    PHSD will also conduct studies, surveys, and data mining on health systems enhancements and outcome measures such as patient satisfaction, knowledge and quality of primary care, financial risk protection, and administrative efficiency.

    The PPCS evaluates the shift toward comprehensive universal social health insurance-funded primary care system across eight main outcome areas:

      • Utilization of benefits;
      • Patient satisfaction;
      • Health care provider satisfaction;
      • Health care worker knowledge;
      • Quality of care;
      • Health outcomes;
      • Financial risk protection; and
      • Administration and governance.

    The studies also focus on six workstreams in strengthening primary care:

      • Workforce development;
      • Public–private partnerships;
      • Financing;
      • Community engagement;
      • Health information systems; and
      • Monitoring and evaluation.
    Others

    View the Term Reports from 2018 to 2022 for a list of PHSD programs and activities, which include meetings, webinars, and/or publications (forthcoming or already published). 

    The Team
    as of January 2026


    Iris Thiele Isip-Tan

    Convenor

    Professor
    University of the Philippines Manila

    Leonila F. Dans, MD, MSc

    Co-Convenor

    Professor
    University of the Philippines Manila

    Project Leaders

    Project 1: John Robert Medina, MD

    Project 2: Mia P. Rey, PhD

    Project 3: Carol Stephanie Tan-Lim, MD

    Program on Health Systems Development

    Michael Fong

    Junior Research Associate

    Program on Health Systems Development

    Angeline Viel Castillo

    Junior Office Assistant

    Program on Health Systems Development