Building an Archipelago’s Capability
By Jo Ann Soliven, MD
The Philippines consists of more than
7,000 islands with a current population of
about 104 million living mainly in 10-11
islands. Geography, location and growing
population challenge both healthcare and
Healthcare expenditure is heaviest on a
self-pay system. The fragmented healthcare
delivery consists of the national government, local government
units relying on revenue shares from the national government and
the private sector.
(Source: The Philippine health system at a glance, Department of Health)
Health workforce consist of doctors concentrated on the National
Capital Region and other urban cities; nurses and midwives
deliver the bulk of public healthcare in the country’s periphery. No
updated and complete data exists as to capabilities of hospitals for
neurologic emergency and critical care. National, local, public and
private health information systems are likewise poorly integrated.
With such profile in mind, the Brain RESCUE Organization
of the Philippines (BRP) collaborating with The Medical City
(TMC) hospital, targeted nationwide participation for the
December 2018 ENLS Live Course conducted in Metro Manila.
The TMC-ENLS team reached out to government and private
institutions, its specialty training graduates, friends, families and
allies across the country, stating the ideals and offerings of the
course and the group. This resulted to an overwhelming support
from 320 participants coming from different regions, practically
the entire archipelago.
This effort is consistent with the presence of TMC network
hospitals in five strategic areas across the country to offer itself as
the provider for global standard services. Such makes it an ideal
partner in advancing neuro-emergency and neurocritical care in
NCS officials/trainers were present to support and witness
the event. Vice President Dr. Jose Suarez and Past President
Dr. Romergryko Geocadin were with us as we welcomed the
overflowing attendees and audience enthusiasm.
It started by dreaming and organizing ourselves, now the ground
laying work to educate. ENLS is serving to spark the fire! We
will soon be rolling out other educational, developmental and
engagement activities to advance care for our neurologically
BRP commits to pursue its objectives to help shape Philippine
neurocritical care services through its partnership with NCS and
other equally dynamic local groups.
Jo Ann R. Soliven, MD
NCS Membership Committee
Consultant Staff, Department of Neurology,
The Medical City, Philippines
Founder - Brain R.E.S.C.U.E. Philippines