HomeInternational Journal of Multidisciplinary: Applied Business and Education Researchvol. 7 no. 1 (2026)

Awareness and Utilization of PhilHealth’s Primary Care Benefit and KonSulTa (YaKap) Program Among Barangay Health Workers in Rural Kalinga, Philippines

Hideko A. Apilado

Discipline: Education

 

Abstract:

This study looked at how aware Barangay Health Workers (BHWs) and their dependents are of PhilHealth’s Primary Care Bene-fit (PCB) and KonSulTa (YaKap) Program, and how often they use these services and change their health seeking behavior for health services such as proactive enrollment, routine consultations, and early intervention. This study was conducted in the selected rural mu-nicipalities of Kalinga, Philippines. Although the program was created to strengthen primary health care under the Universal Health Care Act, the findings suggest that many frontline health workers are not fully informed about the program or are not able to access its services easily. The study aimed to find out how familiar BHWs are with the dif-ferent parts of the program and how often they use services such as enrollment, First Patient Encounter, medical consultations, diagnostic tests, and medicines. It also identified the common problems that pre-vent them from using these services. A total of 115 Barangay Health Workers (BHWs) were included in the study, which included struc-tured questions and semi-structured interviews. Data were further subjected using cross-sectional descriptive research. Results revealed that awareness of the PCB/YaKap Program with 34.88% low aware-ness among respondents, limited utilization of 22.95%, and 76.18% have identified challenges, which includes inadequate information dissemination, procedural complexity, logistical challenges, incon-sistent service availability, long waiting times and staffing limitations. The study also found that awareness and usage did not significantly differ based on age, sex, civil status, years of service, or educational background. Overall, the findings show that problems in the health system and daily operations prevent BHWs from fully benefiting from the PCB/YaKap Program. To improve access and participation, the study recommends increasing health education, improving the capacity of Rural Health Units, and providing regular training for BHWs. These steps are important to ensure fair access to primary health care and to help achieve the goals of the Universal Health Care Act.



References:

  1. Department of Health (2019). Implementing Rules and Regulations of Republic Act No. 11223: Universal Health Care Act. Manila: DOH.
  2. PhilHealth CAR Accreditation Section (2025). Regional KonSulTa Enrollment and Utili-zation Data for Kalinga Province. Baguio City: PRO-CAR.
  3. Philippine Health Insurance Corporation (2018). PhilHealth Circular No. 2018-0017: Expansion of the Primary Care Ben-e fit (EPCB).
  4. Philippine Health Insurance Corporation (2020). PhilHealth Circular No. 2020-0021: Governing Policies of the Konsulta Package.
  5. Philippine Health Insurance Corporation (2023). PhilHealth Circular No. 2023-0013: Implementing Guidelines for Kon-sulta (Revision 2).
  6. Philippine Health Insurance Corporation (2023). PhilHealth Circular No. 2023-0019: Konsulta+ Integration and Network Implementation.