
Nasa dugo (‘It’s in the blood’): lay conceptions of hypertension in the Philippines
Abstract
Introduction: Understanding explanatory models is important for hypertension, a leading risk factor for cardiovascular disease and stroke. This article aims to determine what adult patients with hypertension in the Philippines attribute their condition to, how these views might be explained and what the implications are for hypertension management.
Methods: This is a qualitative study drawing on 71 semi-structured interviews (40 initial and 31 follow-up) and four focus group discussions with patients diagnosed with hypertension. The setting was urban and rural low-income communities in the Philippines.
Results: Four prominent perceived causes were identified—genetics, heat, stress and diet—for what patients refer to as ‘high blood’. We propose a ‘folk physiology’ that rests on local understandings of blood and blood flow, draws from broader cultural notions of illness causation and accounts for a dynamic, non-chronic view of hypertension that in turn informs the health behaviours of those affected.
Conclusions: By understanding that hypertension is frequently seen not as a chronic constant condition but rather as an episodic one triggered by external influences, although in those genetically predisposed to it, it may be possible to address patient’s beliefs and thus adherence to treatment.
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Health workforce issues and recommended practices in the implementation of Universal Health Coverage in the Philippines: a qualitative study.
The Philippines' Universal Health Coverage program faces a critical workforce crisis that threatens its very foundation. A new Ateneo de Manila University study reveals that while the country exports healthcare workers globally, it struggles to retain the professionals needed for its own ambitious health reforms. With only 7.92 physicians per 10,000 population and a shortage of 127,000 nurses, systemic barriers—from restrictive hiring policies to uncompetitive salaries—are driving away the very people meant to deliver healthcare for all Filipinos. The research identifies promising solutions, including scholarship programs and comprehensive benefits, but warns that without addressing these fundamental workforce issues, universal healthcare remains at risk.
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Measuring and Understanding Geographic Inequities in Physician Distribution in the Philippines
Access to quality health care in the Philippines is shaped not only by the availability of physicians, but also by how equitably they are distributed across regions. Many communities, particularly in rural and geographically isolated areas, continue to face limited access to medical professionals, while urban centers often see a concentration of physicians and specialists. The project Measuring and Understanding Geographic Inequities in Physician Distribution in the Philippines seeks to address this challenge by providing a clear, evidence-based picture of physician maldistribution nationwide.