“He was an honest man; a good man; a great man” – Sen. Miriam Defensor-Santiago
Only four months have passed since the country was rattled by the death of one of its greats. Senator Juan Martin Flavier was one of the prime health advocates of the country. He was the man behind the famous slogan, “Let’s DOH it!” as well as some of the most memorable programs for health (i.e. Doctor to the Barrios, Oplan Alis Disease, Yosi Kadiri, etc.) But this man wasn’t always high-rolling.
He had his humble beginnings in the slums of Tondo, Manila where he was born on June 23, 1935. He spent most of his childhood in Baguio City where his father worked as a mechanic for the Balatoc Mining Company and his mother an ukay-ukay vendor. He finished his secondary education in Baguio City National High School. He worked to pay for his education until he finally acquired a degree in medicine from the University of the Philippines, Manila in 1960. (Wikipedia 2014)
After a year of teaching and practicing medicine, he made the decision to be a doctor to the rural barangays in Nueva Ecija and Cavite. He also joined the Philippine Rural Reconstruction Movement (PRRM). This non-government organization makes it their mission “to enhance the capacity of rural communities in the planning, advocacy and implementation of sustainable development, through an integrated program of education, livelihood, health, habitat, environment, and self-governance.” (Philippine Rural Reconstruction Movement 2009) At PRRM, members lived by the slogan, “Go to the people. Live among them. Learn from them.” Juan Flavier took this to heart and practiced it faithfully. He went to the barrios, and learned what he could from them. In one of his books titled Doctor to the Barrios, he recounts practical lessons learned from the town folk, his experience with introducing health reforms to them, and the challenges to being a doctor to the barrios.
“Far from the city and without modern amenities, Iohnny was taught by the locals to use a banana trunk in the absence of ice packs to cool down a patient’s fever. He learned, along with other PRRM staff, that bamboo scalpels could be used to cut babies’ umbilical cords, but, to reduce the high incidence of neonatal tetanus, they convinced the albularyos (with whom they consulted to learn their health secrets) to sterilize them in boiling water. He and the men created an “ambulance” out of bamboo sleds pulled by a carabao.” (Torrevillas 2009)
With a deeper understanding of the community dynamics, he was able to use his medical background to spearhead community health projects, which eventually led to him becoming the chief of PRRM’s division on health, as well as acting president in 1967. In that same year, he was recognized by the Philippine Jaycees as one of the “Ten Outstanding Young Men” and by the UP Alumni Association as the “Most Distinguished Alumnus.” (Rappler 2014)
In 1969, he earned a Master’s in Public Health from John Hopkins University. Upon his return, he assumed the vice presidency in the International Institute of Rural Reconstruction, an organization similar to PRRM. He then succeeded Y.C. James Yen for the presidency of IIR in 1978.
In 1992, President Fidel V. Ramos appointed him as the secretary of the Department of Health. His brief three-year stint in the department went by like a whirlwind of health reforms. He institutionalized the Doctors to the Barrios Program, where doctors are hired to serve in rural barangays for two years. This program aims to redistribute doctors in order to increase the physicians to patients in poor, underserved communities. Until today, DOH still hires an average of 300 doctors to the barrios every year. Participants of the program often feel that they realized a passion for service through this program and it urged them to continue practicing in the country even after their two-year term.
Another popular program is the Olpan Alis Disease Program. The rationale for this program is the high child mortality rate from diseases such as measles, tetanus, diphtheria, pertussis, and polio. All of which can be easily prevented through immunizations. (Wikipilipinas 2010) This program promotes the multi-vaccine mass immunization of children aged 0-6 and mothers in all DOH centers. It has proven to be effective as child mortality has these diseases have decreased significantly, and the Philippines has already been declared by the World Health Organization as polio-free. (Interaksyon.com 2014)
Yosi Kadiri, the DOH smoking education and cessation campaign, has been one of the more memorable programs launched by the department. It aims to spread awareness on the negative effects of smoking to our health. It particularly tried to target the youth aged 7 to 19 as the rates of smokers in this demographic are alarmingly high. They designed a mascot to be unappealing to the target demographic and they used different media to perpetuate the message. Some of these media include outdoor signs, commercial center signages, television commercials, radio broadcasts, newspaper articles, magazine features, school programs, comic books, and the like.
These are just some of the programs Juan Flavier launched in his time as the secretary of the Department of Health. Some of these programs are actually still alive today but that does not discount the fact that these programs came out two decades ago and there have barely been any programs on health as effective or as well-received as Juan Flavier’s. The question I posed earlier now becomes even more relevant. Can DOH still do it? With diseases emerging left and right, social determinants reaching new heights, and risk factors evolving at astounding rates, we need a strong health sector that will push.