Mental health in the Philippines is not a series of separate episodes. It is one trajectory, one long path.
Read separately, we have a life-course epidemiology paper, a school consultation, and an occupational health study. Read together, they are one person... Sisa. Three papers, one trajectory, and at no point along it does the system reliably meet her.
What can the health system deliver?Whatever we recommend today has to be delivered by six workers for every hundred thousand Filipinos, on three and a half pesos a month.The inequity of exposure: The inequality may not be in who gets sick. It is in who gets better—and that is the question these surveys were not built to answer.
In Photo: (Left to right) Dr. Leizel Lagrada, Ms. Lucy Barass, Dr. Crystal Estrada, and Dr. Jun Gregorio at the Mental Health in Focus: Research, Policy, and Practice Learning Session
The Philippines has not achieved universal health care until we can demonstrate health equity—in access, financial protection, and health outcomes. We need to see this not only in national figures, but in the experience of Filipino families.
What evidence do we have?First, on money. Second, on access. Third, the people we most need to reach are often the least visible in the data. If we cannot identify where the need is, it becomes harder to direct resources to where they are most needed.
In Photo: Excerpt of Dr. Panelo's lecture entitled "From Coverage to Care: Reimagining Universal Health Care" at the 4th Stephen Zuellig Annual Public Health Lecture