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Private Sector Promotion (SMEDSEP) Program




Guide for Assessing LGU Potential and
Enhancing Local Competitiveness in Tourism
Draft for Discussion | February 2009
Authors
Eric Alvia ericalvia@gmail.com
Carlos Libosada Jr. caloylibosada@gmail.com

Responsible
Vickie Antonio victoria.antonio@gtz.de

Publisher
The Private Sector Promotion Program
SMEDSEP
smedsep.ph

10F German Development Center
PDCP Bank Center Building
V A Rufino St cor L P Leviste St
Salcedo Village, Makati City 1227
PHILIPPINES

Volker Steigerwald, Program Manager
volker.steigerwald@gtz.de

February 2009
Private Sector Promotion (SMEDSEP) Program




Guide for Assessing LGU Potential and
Enhancing Local Competitiveness in Tourism
Draft for Discussion | February 2009
 


Contents 
Acronyms ...................................................................................................................................................... 4 
Introduction .................................................................................................................................................. 5 
Objectives ..................................................................................................................................................... 5 
Background on Philippine Tourism ............................................................................................................... 6 
    Relevance, Potential, and Prospects ......................................................................................................... 6 
    Benefits of Tourism ................................................................................................................................... 7 
       Economic ............................................................................................................................................... 7 
       Social ..................................................................................................................................................... 7 
       Environment.......................................................................................................................................... 8 
Guide for Assessing LGU Potential and Enhancing Local Competitiveness in Tourism ................................ 8 
    LRED Implementation Process ................................................................................................................ 10 
    Implementation Steps ............................................................................................................................. 10 
Tourism Subsectors ..................................................................................................................................... 13 
    Ecotourism .............................................................................................................................................. 13 
       Definition ............................................................................................................................................ 13 
       Characteristics of Ecotourism ............................................................................................................. 13 
       Components of Ecotourism ................................................................................................................ 14 
       Ecotourism Development Requirements ............................................................................................ 17 
    Medical, Health & Wellness, and Retirement Subsector ........................................................................ 22 
       Definition ............................................................................................................................................ 22 
       Characteristics of Medical Tourism  .................................................................................................... 23 
                                         .
       Medical Tourism Requirements .......................................................................................................... 23 
       Components of Health and Medical Tourism ..................................................................................... 24 
       Medical Tourism Development Requirements ................................................................................... 26 
    Meeting, Incentives, Conventions & Exhibitions (MICE) Subsector ....................................................... 31 
       Definition ............................................................................................................................................ 31 
       Characteristics of MICE Tourism ......................................................................................................... 31 
       MICE Tourism requirements ............................................................................................................... 31 
       Components of MICE tourism ............................................................................................................. 32 
       MICE Development Requirements ..................................................................................................... 33 
                                                   

                                                                                                                                                                   2 
 
 


    Adventure, Outdoor, and Sport Tourism ................................................................................................ 36 
          Definition ............................................................................................................................................ 36 
          Characteristics of Adventure & Sport Tourism ................................................................................... 36 
          Adventure & Sport Tourism requirements ......................................................................................... 37 
          Components of Adventure Tourism.................................................................................................... 38 
          Adventure, Outdoor and Sport Development Requirements  ............................................................ 39 
                                                               .
    Amusement, Entertainment & Leisure (sun, sea, and sand) tourism ..................................................... 43 
          Definition ............................................................................................................................................ 43 
          Requirements of Amusement, Entertainment & Leisure (sun, sea and sand) tourism ...................... 43 
          Components of Leisure Tourism ......................................................................................................... 43 
          Amusement, Entertainment and Leisure (sun, sea, and sand) Development Requirements ............ 45 
    Cultural and Heritage tourism ................................................................................................................ 49 
          Definition ............................................................................................................................................ 49 
          Characteristics of Cultural and Heritage Tourism ............................................................................... 49 
          Requirements of Cultural and Heritage Tourism ................................................................................ 49 
          Components of Culture and Heritage Tourism ................................................................................... 50 
          Cultural Heritage Tourism Development Requirements .................................................................... 51 
Annex .......................................................................................................................................................... 53 
    1.       Visitor Receipts 2004 ‐ 2008 ........................................................................................................... 53 
    2.       International Tourist Arrivals by Main Source Markets, 2007 ........................................................ 53 
    3.       Visitor Arrivals 2004 ‐ 2008 ............................................................................................................. 53 
    4.       Central Philippines Tourism Strategy Coverage .............................................................................. 54 
    5.       WEF Travel & Tourism Competitiveness Index ............................................................................... 54 
    6.       Average Hotel Occupancy 2007 ...................................................................................................... 55 
    7.       PhilBiz5 Tourism Value‐Chain Approach ......................................................................................... 55 
References and Sources .............................................................................................................................. 56 
 

                                                     




                                                                                                                                                                  3 
 
 


Acronyms 
DA‐BFAR     Department of Agriculture – Bureau of Fisheries and Aquatic Resources 
DENR        Department of Environment and Natural Resources 
DFA         Department of Foreign Affairs 
DOH         Department of Health 
DOT         Department of Tourism 
DTI         Department of Trade and Industry 
ESQH        European Society for Quality in Healthcare 
GFI         Government Financial Institutions 
GOCC        Government Owned and Controlled Corporation 
GREET       Grassroots Entrepreneurship and Employment in Tourism Program 
HCS         Heritage Conservation Society 
HMO         Health Maintenance Organization 
IAPCO       International Association of Congress Organizers 
ICCA        International Congress and Convention Association 
IMD         Institute for Management Development 
ISO         International Standardization Organization 
ISQua       International Society for Quality in Health Care  
JCI         Joint Commission International (US) 
LGU         Local Government Unit 
MICE        Meeting, Incentives, Conventions, and Exhibitions subsector 
MSME        micro, small, and medium enterprises 
NAIA        Ninoy Aquino International Airport 
NCC         National Competitiveness Council 
NCQA        National Committee for Quality Assurance 
NHI         National Historical Institute 
PCCI        Philippine Chamber of Commerce and Industry 
PEZA        Philippine Economic Zone Authority 
PHTP        Philippine Health Tourism Program 
PMTP        Philippine Medical Tourism Program 
PNP         Philippine National Police 
PPP         public‐private partnership 
TEZ         Tourism Economic Zones 
TIES        The International Ecotourism Society 
TSA         Tourism Satellite Accounting 
WEF         World Economic Forum 
WTO         World Tourism Organization 
WTTC        World Travel and Tourism Council 
                              




                                                                                     4 
 
 


Introduction 
The National Competitiveness Council (NCC) is a public‐private partnership created with the primary 
objective of improving the Philippine standing in international ranking projects (i.e. Institute for 
Management Development, World Economic Forum) from the bottom third to the upper third by 2010. 

As part of its activities under the Efficient Public and Private Sector Management Working Group, the 
NCC organized the “Local Government Unit (LGU) Conference” on October 8, 2008. With the theme 
“LGUs for Sustained Philippine Competitiveness Best Practice Models”, the objectives of the event were 
to: (a) Work towards a common acceptance of the concept of competitiveness as applied to LGUs; (b) 
Showcase best practices in attaining competitiveness; and (c)  Forge a commitment to action by the 
government, both national and local, and the private sector to vigorously pursue the objective of 
improving the competitiveness of the country in order to promote economic growth in general and local 
economic development in particular. 


Objectives 
The GTZ Private Sector Promotion Program (SMEDSEP) provided support to the NCC in carrying out the 
LGU Conference, specifically in the development of a guide for assessing LGU competitiveness in 
Tourism. 

The Guide is intended for use by local government units in assessing their potential advantages for 
tourism development in their locality. It is by no means an exhaustive study, rather, it is a practical guide 
for local government units to identify what constitutes the tourism industry as a whole, to understand 
the range of tourism activities that are available in the domestic market, and finally to determine the 
competitive advantage of the locality within the tourism value chain. 

                                  




                                                                                                            5 
 
 


Background on Philippine Tourism 
Relevance, Potential, and Prospects 
Tourism is acknowledged as one of the world’s largest and fastest growing industries today. In 2007 
alone, the industry and linked sectors such as the airline & hotel industry raked in about USD 7 trillion in 
revenues. 1 

Currently, it employs nearly 240 million people (8% of total new jobs), creates 10% of world GDP 
annually & brings in about 12% of global investments. 2  Recent years have seen rapid growth in global 
tourism with expansion to continue despite dire global economic concerns.  

In 2007, there were over 903 million international tourist arrivals worldwide, a 6.6% increase as 
compared to 2006, while tourist receipts topped USD 856 billion. 3  Philippine tourism growth mirrors this 
trend as arrivals grew at around 6.1% during the first seven months of 2008. 4   

As a product and service oriented industry, tourism generates income that has widespread economic 
impact and benefits. Apart from contributing to the national economy by raising revenues through 
tourism receipts, the industry also serves as a potent catalyst for employment generation. 

Owing to its climate and natural endowments – beaches, surfing sites, and abundant natural attractions, 
the Philippines is an ideal tropical tourist destination. Over the past years, global trends point toward an 
increasing interest in ecotourism and adventure‐sport tourism, niches in which the Philippines has 
strong potential. 

In 2007, tourism visitor earnings reached USD 4.88 billion while generating 3.8 million jobs from 3.1 
million tourists (Annex 1 Table 1). Most foreign tourist come from mature markets such as Korea, US, 
Japan, China and Southeast Asian nations joined by recent Scandinavian, Central & West European 
visitors (Annex 1 Table 2). Each visitor spends an average of USD 83 to USD 110 over a five to 15‐day 
period. 5 

                                                           




                                                            
1
  World Travel and Tourism Council (WTTC)
2
  United Nations World Tourism Organization (UNWTO) World Tourism Barometer June 2008
3
  UNWTO
4
  Philippine Department of Tourism
5
  Japanese and Russian tourists are the top daily spenders with longer average stays – JCB Card Co., DOT

                                                                                                           6 
 
 


Benefits of Tourism  
Economic  
Aside from clear economic benefits such as job creation, direct investments, and revenue generation, 
there are other significant contributions that the tourism can bring into the local economies of host 
communities. These are: 

        Tourism is a catalyst for change and development 
        Aside from direct investment, a robust tourism industry opens the door to other sectors like 
        food, souvenir items, transport, banking, communication, and others. 

        Tourism is a service industry 
        This sector does not require corresponding amount of space or resource in order to provide jobs 
        or businesses to the host community. A small resort facility would have an average of six 
        employees while a hotel would have a high employee‐to‐room ratio (usually 3 employees per 1 
        room). 

The tourism industry presents strong opportunities for promoting local economic development owing to 
the multiplier effect generated through the tourism supply chain. The direct, upstream, and 
downstream industries that contribute to tourism activities have the potential for increasing 
employment opportunities in the localities. 

Social 
Tourism provides windows of opportunities for more sectors of the society such as women, indigenous 
folks, and even persons with disabilities through direct (tourism service providers) and indirect (souvenir 
makers) involvement. 

Indigenous and cultural products are given the opportunity to perpetuate and thrive in tourist 
destinations. 

Tourism can help increase the pride and social morale of the host communities through the 
national/international attention gained by local and cultural attractions that would otherwise have not 
been discovered. 

Improvement of the community’s overall ambience and standard of living of its residents is also a by‐
product of tourism activities. A developed tourism industry sets the impetus for creating a cleaner, and 
better environment for the locality, which eventually makes the area more conducive to more 
investments and visitors to the area. 

                                  




                                                                                                           7 
 
 


Environment 
Through ecotourism activities, the industry has become a potent tool for environmental conservation. 
With the concern for sustainable tourism, the following natural resources are provided with tangible 
reasons to be preserved and protected: 

    •   Beach areas 
    •   Forests 
    •   Flora and Fauna 
    •   Mangroves 
    •   Corals 
    •   Rivers and lakes 

 


Guide for Assessing LGU Potential and Enhancing 
Local Competitiveness in Tourism  
This serves a guide to evaluate local advantages for tourism development. It is an aid for local chief 
executives to recognize what comprises the domestic tourism industry; be acquainted with a range of 
domestic tourism activities; determine areas with tourism potential; and verify the competitive 
advantage of a province, city or municipality within the tourism value chain. 

It is divided into six major sub‐sectors prevalent in Philippine tourism ‐ a) ecotourism; b) medical, health 
and wellness and retirement; c) meetings, incentives, conventions and exhibitions (MICE); d) adventure, 
outdoor and sports; e) Amusement, Entertainment & Leisure (sun, sea, and sand); and, f) cultural and 
heritage tourism. The guide is intended for use after the local government unit undertakes an 
assessment of their local and regional economic development (LRED) conditions. 

The Guide is derived from the Philippine Chamber of Commerce and Industry’s (PCCI) tourism program 
called Biztour5 in 2006. It was meant to augment the government’s efforts in promoting tourism 
development, which has a low impact to the environment and local culture at the same time helping to 
generate income and employment. The concept was formulated to answer the need for a program for a 
private sector driven tourism effort.  

The Biztour5 Program aims to achieve “Five 5s” through the development of business and investment 
opportunities along the 5As. These five goals are: to develop Philippine tourism by bringing in 5 million 
foreign tourists to generate USD 5 billion tourism receipts and create 5 million jobs through USD 5 
billion investments by the 5th year. 

Biztour5 has the following objectives:  

    1) Identify five international gateways to the Philippines;  
    2) Link each gateway to clusters of world‐class tourist attractions;  
    3) Develop various tour packages within the clusters;  

                                                                                                            8 
 
 


    4) Create various investment & business opportunities through the Five As:  Arrival, Access, 
       Accommodations, Attractions, and Activities; and  
    5) Align regional tourism master plans and road maps. 

The 5As refer to: Arrival (pre‐arrival marketing, air/sea/land transport, air/sea ports); Access (roads, 
terminals, & related infrastructure); Accommodation (hotels, lodging, & restaurants); Attractions 
(natural & man‐made), and Activities (rest, recreation, & education) form the tourism supply chain. The 
scheme allows LGUs to work in cooperation with their neighboring areas to cover whichever 
component, or “A”, a particular place is lacking. (Annex 1 Figure 1) 

Each section of the guide provides a definition, characteristic & attributes, and a component checklist 
(5As) to assess the potential of a locality in each of the tourism sub‐sectors.  

To complement the Biztour5 approach, the guide also lists down requirements for each tourism sub‐
sector to highlight the unique conditions needed for specific activities to thrive.  These include the 
following:  

    •   Institutional Development 
    •   Product Mapping and Prioritization 
    •   Product Development 
    •   Community and Stakeholder Organizing 
    •   Skills Development 
    •   Business Planning Development 
    •   Market Planning and Marketing 
    •   Product Management 

It is expected that going through the checklist will suggest activities to be undertaken by tourism 
stakeholders in enhancing tourism development at the local level. 

                                  




                                                                                                           9 
 
 




        Implementation Steps 
        Prior to the LGUs initiating a tourism subsector assessment, it is recommended that they undertake a Local and 
        Regional Economic Development (LRED) process. LRED is a tool for participatory planning and implementation 
        process wherein public and private stakeholders in a locality dialogue and work together to improve conditions for 
        economic growth and employment generation.  

        The initial step of the LRED processes is a Rapid Economic Appraisal (REA). It is ideally conducted in cooperation 
        with private sector organizations and the local government to provide an overview of the local economy and 
        identify economic strengths and constraints of an area.  The political, legal and regulatory environment, situation 
        and structure of the local business community, institutional environment, human and natural resources and 
        infrastructure would be assessed. Following this, a local stakeholders’ workshop would be held to validate the rapid 
        appraisal results and identify interventions to improve the local business environment. Interventions must be 
        implemented within a year to achieve “quick‐wins” and build trust with local stakeholders 

        Subsequently steps in this approach would be undertaken to create, implement, and evaluate a local tourism plan 
        and strategy. 



 

LRED Implementation Process 6 
 



                                                  2
                                             conduct the 
           1                                                         3                    4                          5
                                                local 
      organize and                                             develop the         implement the               monitor the 
                                             assessment  
      mobilize the                                             Action Plan/         Action Plan /              Action Plan / 
                                               (Rapid 
      stakeholders                                               Strategy             Strategy                   Strategy
                                              Economic 
                                              Appraisal)




                                                            
6
    Source: Rolf Speit’s Rapid Economic Appraisal Manual, 2007

                                                                                                                                10 
 
 


No   Key Steps      Activities         Outputs            Timeline     Resources          Responsible
.                                                                      Required           Persons
1    organize       •   internal       •   LGU set up     Minimum      meeting venue,     Planning
     and                meetings,          and ready to   one day up   info materials     Coordinator,
     mobilize the       orientation        undertake      to one       re economic        Focal Person
     stakeholder        within the         the project    week         profile            (LGU)
     s                  LGU            •   local
                        regarding          mandate to
                        objectives,        proceed
                        resources      •   list of
                        required,          interviewees
                        concept,       •   itinerary,
                        logistics          detailed
                    •   identify           schedule
                        relevant
                        stakeholder
                        s (public
                        and
                        private) for
                        conduct of
                        REA
                    •   finalize
                        schedule

2    conduct the    •   preparatory    matrix of data:    one to       workshop           key LRED Focal
     local              meeting        strengths and      three days   costs,             Person
     assessment     •   kickoff        weaknesses;        (depends     facilitation       identified,
     (Rapid             workshop       overview of        on size of   costs, logistics   external
     Economic       •   field          local economy      location)    costs              Facilitator
     Appraisal)         interviews     based on 5         workshop
     and            •   gathering      Fields of          takes one
     validation         of data        Analysis           half day
     of findings    •   analysis of    • SMEs
     in a               information    • Infrastructur
     stakeholder    •   preparing          e
     workshop           the            • Enabling
                        presentatio        environment
                        n of results   • Support
                    •   presentatio        institutions
                        n and          • Human and
                        validation         natural
                        of                 resources
                        appraisal
                        results




                                                                                                         11 
 
 


No   Key Steps     Activities         Outputs           Timeline     Resources         Responsible
.                                                                    Required          Persons
3    develop the   •   identify       •   LRED Action   half day;    workshop          overall - LRED
     Action Plan       proposed           Plan,         best in      costs,            Focal Person;
     / Strategy        intervention       Strategy      combinatio   materials,        Mayor / LCE,
                       s              •   activities    n with the   facilitation      LRED team
                   •   identify           identified    validation   costs
                       champion(s     •   milestones    workshop
                       ) per              agreed
                       intervention
                       s
                   •   action
                       planning

4    implement     •   finetune,      stakeholders,     one year     budget for        LRED team
     the Action        finalize the   facilitators                   activities        (LGU,
     Plan /            Plan           trained and                    identified        collaborating
     Strategy      •   implement      coached,                       (trainings,       agencies,
                       agreed         concrete                       workshops,        private sector
                       steps          activities                     outward           representatives
                   •   onsite         implemented                    investment        )
                       coaching                                      missions, etc)
5    monitor the   •   Monthly        •   Progress      one year     workshop          Focal person
     Action            Progress           Report                     costs, field      and External
     Plan/             Meeting        •   Evaluation,                visits,           Facilitator
     Strategy      •   Annual             Assessment                 transportation,
                       Evaluation,        Results                    accommodation
                   •   Assessment                                    , data
                                                                     gathering costs



For more information, please refer to the SMEDSEP‐PSP LRED Reference Manual 

                                 




                                                                                                      12 
 
 


Tourism Subsectors  
Ecotourism  
Definition 
With the natural areas as the main component of ecotourism, many of the provinces, cities and 
municipalities in the Philippines can position themselves into this sub‐sector. This can also help in the 
protection of the natural resources by providing a tangible sustainable alternative use for the local 
communities. 

Ecotourism is a form of sustainable tourism within a natural and cultural heritage area where 
community participation, protection and management of natural resources, culture and indigenous 
knowledge and practices, environmental education and ethics as well as economic benefits are fostered 
and pursued for the enrichment of host communities and satisfaction of visitors. 

It is often times used inter‐changeably with Sustainable Tourism, Responsible Tourism, and Green 
Tourism. Sustainable Tourism is a form of tourism that does not reduce the availability of resources and 
does not inhibit future travelers from enjoying the same experience. Responsible Tourism operates to 
minimize negative impacts on the environment while stakeholders take responsibility for and the impact 
of their actions. Green Tourism describes "any activity or facility operating in an environmentally friendly 
fashion". 

Characteristics of Ecotourism 
In order to fully appreciate the concept of ecotourism the following premises must be recognized by 
stakeholders going into the development of ecotourism products 

    •   Nature‐based – All ecotourism products must be nature‐based or located in natural areas, with 
        zero or minimum development similar to those in urban areas.  With the natural environment as 
        the main selling point of ecotourism, it is most practical that said environment must be kept in 
        their most natural form. 
    •   Responsible and Sustainable – The moral ground of ecotourism is that it promotes responsible 
        and sustainable form of tourism that puts value first to environmental protection before profits. 
        It respects the carrying capacity or limits of the site in terms of development and volumes of 
        visitors in order to ensure that the quality of the natural resources or ecotourism products are 
        maintained for the succeeding generations of host communities and visitors. 
    •   Ethical – Ecotourism puts much weight towards respecting the cultures of host communities as 
        well as the visitors. Local folks and their traditions are not exploited, rather the tour programs 
        are formulated with their participation or inputs and with respect to their social fibers (e.g. 
        tribal communities shall not be forced to conduct ceremonies for every tour group, rather, tour 
        groups will visit the community in time for the traditional date of ceremony and with the 
        approval of the community). 
    •   Community‐based – Ecotourism always seeks to involve the host communities in the 
        identification, development and operation of products for this sector of the travel industry. This 


                                                                                                             13 
 
 


        is to promote economic equity wherein the gains generated by ecotourism would adequately 
        benefit the local communities. 

Components of Ecotourism  

Arrivals 
It must be understood that although ecotourism sites might allow limited number of visitors at a given 
time, three ecotourism market segments may be attracted to the sites. 

    •   Ecotourists – These are the travelers who have high social and environmental knowledge and 
        that they already know how to behave in the destination in order to minimize their potential 
        impacts to the people and the environment. Ecotourists are usually individuals or few members 
        in each group. They are willing to stay in local facilities, no matter how simple or rustic. 
    •   Novice Ecotourists – These are usually students or people who are willing to learn and 
        appreciate what the destination or ecotourism product offers. This market travels in groups that 
        range from low to high volume. 
    •   Mass (non‐ecotourist) market – The very high profile created by ecotourism products would 
        sometimes be noticed by the mass market and they potentially come in droves to the 
        ecotourism sites. The mass tourist market could ultimately destroy unprepared areas if no 
        mitigating measures are in place to manage the potential high volume of visitors. Some 
        examples of ecotourism products availed by the mass tourists are dolphin watching, river 
        cruising, trekking in easy trails, or snorkeling in shallow coral reefs. On the other hand, 
        effectively managing the mass market in ecotourism products offer an opportunity for 
        information and educational campaigns to inculcate the value of environmental protection (e.g. 
        the value of protecting mangroves instead of cutting them down) 

 

 




                                                                                                      14 
 
 




                                              Novice 
                                            Ecotourists
                                                                        Mass 
           Ecotourists
                                                                        Market


                                              Ecotourism 
                                              Destination

                                                                                  
Figure 1 Indicative market sizes of three ecotourism market segments 

 

                                      




                                                                                     15 
 
 


Access 
Depending on the potential market demand or the target market for an ecotourism product, 
development of access must conform to the projected volume of visitors to the site. Access 
development must also conform to the desired level of protection of the natural features in a 
destination. Access to areas that cannot absorb large numbers of visitors (e.g. mangroves, caves, and 
rainforests) must be very limited, allowing only trails, boardwalks, or dirt roads leading to the sites. On 
the other hand, products that can accommodate large numbers of visitors (e.g. beach areas that can 
accommodate high density development) should allow the setting up of high volume access facilities 
and infrastructure such as paved roads and visitor centers. 

Access facilities such as boardwalks are also effective ways to properly control the movement of visitors 
and minimize potential impacts resulting from uncontrolled movement of people in the ecotourism 
sites, such as in mangrove areas, habitats of rare flora or fauna and the like. 

Accommodation 
Ecotourism does not require massive investments in accommodation facilities. Simple facilities ranging 
from homestay to inns would be enough to provide for visitors in ecotourism destinations. The highest 
type of hotel development would be the standard class. 

In case of exceptional products that attract large volumes and different segments of the tourist market, 
development of high density accommodation such as hotels should be limited to identified development 
zones or the town/city centers. This is done to prevent the erosion of the quality or pristine condition of 
the ecotourism product. 

Applying “green technology” and indigenous use of local resources in the design, building, and operation 
of board and lodging facility is also highly desired in the so‐called ecolodges. Their operations must be 
energy efficient and strive to reduce or minimize carbon emissions & pollutants using renewable sources 
of energy (ie. solar, biomass, wind), observing the 3Rs (reuse, reduce, recycle) and abiding by or 
exceeding environmental standards in water and solid waste management.    

Establishments should also source their supplies from local MSMEs to the maximum in order to benefit 
the local community, and to keep the transport costs and the carbon footprint as small as possible. 

Attractions 
Typical ecotourism attractions include pristine natural environments such as primary growth forest and 
jungles, caves and other rock formations, beach and coastlines, mountains and volcanoes, waterfalls and 
lakes or water reservoir. Most of these sites may be situated in protected areas, sanctuaries and 
national parks.  

Although most ecotourism products would be ecosystems‐based (such as forests, volcanoes, rivers and 
coral reefs), some would be focused on a specific animal (whale shark, dolphin, turtle) or natural feature 
(waterfalls). 

Indigenous communities living amidst and depending on the natural environment are often part of the 
total ecotourism makeup of a destination.  

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It has to be recognized by the stakeholders that due to the fragility of the natural environment, most 
ecotourism sites can only accommodate low volumes of visitors. Thus, control measures to limit the 
number of tourists to such sites will have to be implemented. Some of the control measures are: 

    •   Low guests to guide ratio 
    •   Establishing maximum daily visitor quotas 
    •   Queuing or ticketing system 
    •   Limited parking space 
    •   Limited road or trail system 

Activities 
Ecotourism activities should lead to awareness creation for environmental and social conservation. Also, 
the activities must not create irreversible social and environmental impacts in the destinations. Common 
activities consist of animal observation (bird/whale/dolphin/shark watching); non‐motorized water 
sports (ie. kayaking, rafting, sailing); and nature and rainforest exploration using pre‐designated trails for 
hiking & trekking, canopy walks, zip‐lines (cable pulley slides); mountaineering; wilderness camping 
observing a “leave no trace” ethic; and wildlife & outdoor photography. 

Other purely adventure or nature activities such as surfing and wakeboarding are not considered as 
ecotourism activities. 

Ecotourism Development Requirements 

Institutional Development 
Local Government – local laws and ordinances should be formulated to help support the development 
of ecotourism in the area. These include but not limited to the following: 

    •   Establishment of Protected areas or species or conservation and sustainable utilization 
    •   Strengthen the enforcement of relevant environmental laws and local ordinances for the 
        protection of natural resources from unsustainable use 
    •   Active collaboration with other concerned agencies (i.e., DENR, DOT, DA‐BFAR with regard to 
        the protection and promotion of ecotourism products 
    •   Establishment of a Provincial or Municipal/City tourism office and the allocation of appropriate 
        number of tourism officers 
    •   Establishment of ecotourism development standards and guidelines designed to control the 
        growth of development in an ecotourism destination (areas that are undergoing the 
        development of ecotourism guidelines include the Provinces of Palawan and Sorsogon) 
    •   Implement training programs for ecotourism frontliners and operators, such as trail guides, 
        divers, banca operators, etc. 

Private Sector – the private sector has major roles in the development and sustainability of the tourism 
industry in the destination. 




                                                                                                           17 
 
 


    •   Organize and/or strengthen local tourism councils to be pro‐active body for tourism 
        development 
    •   Organize trade groups (e.g. resort associations, tour operators) to help strengthen the local 
        ecotourism industry as well as provide self‐regulation for the private sector.  Where available, 
        local organizations should align themselves with national groups in order to benefit from access 
        to wider markets, information, best practices and other benefits. 

Local Communities – with collaboration from the government or private sector, the host communities 
must also strive to be active partners in the development of ecotourism products. Cooperatives and 
people’s organizations can be organized for the local communities. 

Product Mapping and Prioritization 
All stakeholders must come together and contribute in the identification and mapping of ecotourism 
products in the destinations. 

Identified ecotourism products should then be prioritized in order to optimize the resources that will be 
utilized for the province or municipality/city. 

In the identification of ecotourism products, ensure that the following will be observed or noted: 

    •   That waterfalls are year‐round and will not dry up during the summer months. The headwater 
        must not come from farm lands (or swimming should not be allowed in such kind of waterfalls) 
    •   Beaches are free from structures or large volume of informal settlers 
    •   Protect shorelines by establishing at least a 15‐20 meter setback from the high water line, which 
        should be designated as a “no‐build” zone 
    •   Marine sanctuaries are fairly protected and ecotourism activities such as scuba diving and 
        snorkeling are explicitly allowed by the stakeholders (to prevent social resentment and resource 
        use conflict) 
    •   Affected Indigenous communities must be involved in the development of ecotourism products 
        in their area to ensure that the activities do not compromise/offend their culture and they can 
        participate and benefit from the operation of the ecotourism product 

Product Development 
The development of ecotourism products usually requires minimal capital investments on the part of 
the local government. The primary focus would rather be on the development of programs and capacity 
building of the community to create an impressive product. 

Site Development – very minimal development of the site; usually limited to visitor centers, restrooms, 
and trails. Sites that can accommodate high visitor volumes would require other facilities and 
infrastructure such as restaurants, roads and parking lots. 

Ecotourism Activity Development – appropriate gear and equipment must be made available to the 
visitors coming into the area for specific ecotourism activities such a binoculars for bird watching, and 
tents for camping 


                                                                                                         18 
 
 


Community and Stakeholder Organizing 
Stakeholder participation is crucial in the development of ecotourism products and destinations. Proper 
consultation should also be incorporated in order to make them actively buy into the ecotourism 
program and be active partners instead of potential opponents. 

Identify the on‐site and off‐site (government agencies, tour operators) ecotourism stakeholders and 
invite them in the ecotourism product identification and development. 

Identify the benefits and possible roles of the stakeholders and seek their commitment to fulfill their 
roles. 

Identify skills and training needs for the stakeholders, especially the local communities. Encourage or 
assist the stakeholders to organize themselves (e.g. boatmen, guides, drivers, etc.). Conduct training 
with the assistance of appropriate government agencies such as the Department of Tourism or 
concerned organizations. 

Skills Development 
The success of ecotourism products rests largely on the skills of guides or service providers. The 
following skills must be developed for the destinations: 

    •   Mountain Guide  
    •   Cave Guide  
    •   Birdwatching Guide  
    •   Dive Guide and Dive Master   
    •   Ecotourism Guide  

The DOT’s accreditation office already implements training modules for mountain and cave guiding. It is 
also in the process of developing training modules for birdwatching and ecotourism (nature) guiding. 
Scuba diving is a fairly developed industry wherein international certifying bodies such as PADI and NAUI 
provide training modules for dive guides and instructors. 

Business Planning Development 
Ecotourism is a business undertaking. No matter what the objective may be in developing ecotourism 
products (for revenue or for conservation), sound business models should be ensured in order to sustain 
the ecotourism program. Included in the business planning process would be the identification of 
priority ecotourism products, the business models that can be developed, marketing strategies, and how 
the business shall be conducted. 

Market Planning and Marketing 
It should be recognized that tourism is a market‐based industry. Meaning, for every tourism product, 
there is a corresponding market segment that will avail of that product. This is very important as 
effective marketing usually spells the success or failure of a new tourism product. The best way to 
effectively address this is to conduct a product‐market matching in order to determine whether there is 



                                                                                                           19 
 
 


a chance for the ecotourism product to attract an ideal amount of visitors. Table 1 is an example of a 
product‐market match 

Table 1 Example of Product‐Market Matching 

Ecotourism Product  Market 
Seagrass                 Domestic Tourists
                         Students 
Waterfall                Domestic Tourists
(indicate name)          Students 
                         Small Groups 
                         Age 12 – 50 
                          
                         Foreign Tourists 
                         Group 
                         Backpackers 
                         Age 12 ‐ 50 
 

Marketing is a very expensive, but usually necessary component of tourism development. However, 
most sites that offer ecotourism would have zero or very limited amount available for marketing. Thus 
market exposures must be optimized while costs are brought to the minimum. Some of the marketing 
strategies for ecotourism products are: 

    •    Publicity (write and submit articles, with photos to publications; invite writers to the site) 
    •    Conduct of familiarization trips for possible tour operators, the media and other suppliers of 
         visitors (would require resources, best to partner with the private sector, or seek sponsorship) 

Marketing must already be done even while the product is undergoing development. Gestation is a 
major concern in tourism development wherein products that are developed first without any market 
exposure, would find it hard to take off since it usually takes time for the market to start visiting a 
destination. 

To optimize the limited resources and maximize exposure, the local government units should also 
explore the possibility of linking their tourism products with the neighboring destinations. This strategy 
helps create more attractive tour programs.  

The DOT has also been actively promoting the Philippines both to domestic and international markets 
through media exposures and local and international travel trade events. The LGUs can seek DOT’s 
assistance in helping market their tourism products. 

                                     




                                                                                                          20 
 
 


Product Management 
Sustaining an ecotourism product requires professionalism and high private sector involvement. Local 
government units must ensure that the concepts and limitations of ecotourism are adhered to by the 
tourism service providers. These should be supported by the appropriate budgets (where relevant) and 
ordinances as needed.  Local communities should also be continually involved in the operation of the 
ecotourism products and ensure that they adequately benefit from the operation of the ecotourism 
product. 

Table 2 Checklist for Ecotourism Requirements 

1.   Institutional           •   Establish Protected Areas or Species for conservation and ecotourism utilization 
     Development             •   Environmental laws and local ordinances formulated and enforced 
                             •   Active collaboration with other government agencies such as DOT, DENR, DA‐BFAR 
                             •   Establish provincial or city/municipal tourism office, with staff and budget 
                             •   Establish Ecotourism Standards and Guidelines (or Ecotourism Code) 
                             •   Training Programs for ecotourism frontliners 
                             •   Organize or strengthen tourism council 
                             •   Organize trade groups (accommodation, transport, tour operators) 
2.   Product Mapping         •   All stakeholders to identify and map out existing and potential ecotourism sites 
     and Prioritization      •   Prioritize the ecotourism sites into major and potential sites 
3.   Product                 •   Site Development: 
     Development                  o Identify if site can accommodate low or high visitor volume 
                                  o Build appropriate facilities 
                             • Activity development: 
                                  o Identify appropriate activities per site 
                                  o Identify development needs (e.g. trail, water source) 
                                  o Procure needed gears and equipment (e.g. kayaks, life vests, binoculars, etc.) 
4.   Community and           • Identify stakeholders and community members who will be affected and involved 
     Stakeholder                 in ecotourism development 
     Organizing              • Conduct training needs assessment for the local community members 
                             • Organize Community members into people’s organizations, cooperatives, groups 
                                 of service providers (e.g. boatmen association, eco‐guides group) 
5.   Skills Development      Implement skills training for the community members to be involved in ecotourism 
                             development 
6.   Business Planning       Formulate business plan for the destination and each activity developed for the area.
     Development 
7.   Market Planning         •   Identify market sources and characteristics (e.g. demographics, preferences – 
     and Marketing               national and regional figures available at DOT’s statistics office and website – 
                                 www.wowphilippines.com.ph, www.visitmyphilippines.com) 
                             •   Conduct Product‐market matching 
                             •   Develop materials for publicity (target free) 
                             •   Submit publicity materials 
                             •   Develop brochures 
                             •   Conduct familiarization trips for media and tour operators and other suppliers 
8.   Product                 •   Ensure that the limitations of ecotourism sites and activities are implemented 
     Management              •   Ensure that the quality of ecotourism product and destinationis maintained 
                             •   Ecotourism‐related ordinances are formulated and implemented 
                             •   Local community involvement is maintained 
                                      

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Medical, Health & Wellness, and Retirement Subsector 
Definition 
Medical Tourism also known as medical travel, health tourism or global healthcare is a trend in which 
individuals receive healthcare outside of their home country in order to take advantage of lower prices 
and greater accessibility to treatment or better facilities, and even enjoy a vacation 7 . 

Medical tourism is divided into three main categories:  

       1. health & wellness;  
       2. medical treatment; and  
       3. retirement 

Health tourism, as defined by the World Tourism Organization, is associated with travel to health spas or 
resort destinations where the primary purpose is to improve the traveler’s physical well‐being through 
physical exercise and therapy, dietary control, medical services relative to health maintenance. 

The spa industry in the health and wellness market; is associated a range of alternative/indigenous 
treatments to include various forms of massage, water‐mineral treatment, chiropractic & related 
physical therapy, aromatherapy, herbal treatment and cleansing diets.   

Indigenous treatments such as Hilot and Dagdagay (form of foot massage in the Cordillera Region) have 
been incorporated into the mainstream of spa and health services in the Philippines. 

The growth of spa and wellness in the tourism industry has provided windows of opportunities for many 
destinations in the Philippines in terms of business development and employment for greater sectors of 
the society, including the disabled (e.g. blind masseurs). 

Medical treatment covers consultations or second‐opinion diagnosis with specialists as well as 
procedures ranging from simple cosmetic, dental or eye surgery to complicated and invasive surgeries. 

Retirement tourism has emerged as a viable relocation option to the aging population in many 
developed countries like the US, Europe and Japan. Higher cost of living in these countries is driving 
retirees to move to developing nations where cost of living and health care is less expensive. Medical 
tourism is an estimated USD 40 billion US dollar industry worldwide. Forecasts by Deloitte indicate that 
the industry will grow to USD 188 billion in 2013. 

Health Tourism International estimates that in 2008, up to 1 million Americans will seek medical care 
abroad. This trend will continue as US health care costs increases at 8% per year, eating into corporate 
profits and household disposable income. Furthermore, Japan now has 22 million elderly nationals 
costing them USD 36.5 billion annually in elderly care. The sector may well be in a position to take up 
the slack from other traditional & mature tourism subsectors adversely affected by a global economic 
slump. 

                                                            
7
    Health Tourism International

                                                                                                        22 
 
 


In the Philippines, revenues from the Medical, Health & Wellness and Retirement sub‐sector have been 
growing at a fast rate. Revenues in 2007 reached USD 700 million and are expected to reach USD 3 
billion and USD 8 billion in 2010 and 2015, respectively. 8  In spite of the sub‐sector’s rapid growth in the 
Philippines, the country is only earning a fifth of what Thailand, India, and Malaysia earn annually. 

Potential and prospects remain optimistic as the prices of medical and surgical procedures in the 
Philippines are 30% to 50 % cheaper than elsewhere (DOH); has a competitive edge since the country 
has and supplies some of the world’s best doctors, nurses, and health‐care providers; and affordable 
healthcare.  

Another positive outcome of the growth of medical tourism is that the opportunities for the increase of 
paying clients also affords the growth resources allocated for other sectors of the local society such as 
increased subsidy for ward patients and other social programs of the medical facility. 

Characteristics of Medical Tourism 
The main reason for a tourist trip is to seek an alternative quality and cost efficient medical service 
elsewhere due to expensive healthcare costs in a traveler’s home country. A destination must have a 
significant price, quality, and regulatory difference to take advantage of this trend. Existing safe and 
quality healthcare available in the destinations health facilities should be comparable or exceed those 
offered by other leading nations. Besides seeking a safe and less costly substitute treatment, travelers 
often opt to enhance their stay with a vacation for rest and recuperation. These activities should create 
economic opportunities for the local medical and health care communities.  

Medical Tourism Requirements 
Quality and affordability are key requisites in order to flourish as a desired medical tourism destination. 
A destination must have world class medical facilities staffed by qualified and experienced medical & 
health care personnel. These facilities should have a proven system of maintaining the quality of 
services; human resources management and training; a careful selection system of health care 
professionals; constant professional development; and regular improvement of technology & 
procedures. Moreover, facilities should have access to financing for constant upgrade and maintenance. 

Affordability is measured by the presence of a significant price difference between source and 
destination countries. Options should be made available for similar medical treatment, affordable 
financing from rising insurance costs and private medical care, and relief from cumbersome & time‐
consuming requirements. A less restrictive healthcare regulatory environment without compromising 
quality care is beneficial in attracting medical tourists.   

Services must cater to individual needs by allowing consumers to select a provider based on 
maintenance of certain standards, medical ethics and quality, and ease of travel to and from the medical 
facility and nearby tourist sites. Providers must also observe cultural sensitivity and understanding of 
international diversity in providing their service. This is an important consideration since differences in 

                                                            
8
 Philippines at the Crossroads of Competitiveness, Amb. Cesar B. Bautista presentation at the 2008 State of Philippine
Competitiveness National Conference, SMX July 15, 2008

                                                                                                                    23 
 
 


nutritional habits, religious practices, family interactions and other customs must be recognized, 
understood and addressed. 

Components of Health and Medical Tourism 

Arrivals 
Medical Tourism 
Promoting and marketing the country and its facilities should capitalize on its reputation for affordable 
prices, English language fluency, an abundance of well‐trained doctors and nurses, and unique 
hospitality and convalescent care. 

To spur more visits medical service providers are encouraged to establish links with foreign Health 
Maintenance Organizations (HMOs), national health care service, insurance companies, non‐profits, and 
partner foreign medical institutions to facilitate matching of potential patients. Furthermore, facilities 
could invest in advance information systems and use clinical information technologies to improve 
patient‐health care provider matching. Links with top foreign medical institutions could yield further 
advance training and collaborative procedures. 

Spa 
On the side of spa sector, it thrives both on domestic and foreign tourists. Foreign tourists will be 
attracted to visit the Philippines for the unique (hilot) and quality services, ambience and facilities; while 
the domestic market are lured to avail of the spa services in destinations more for wellness needs. Some 
of the major spa destinations in the Philippines include The Farm at San Benito in Batangas Province, 
Mandala Spa in Boracay Island, and Nurture Spa in Cavite Province. 

On the other hand, most of the major hotels and resorts have incorporated spa as one of their major 
services. 

Retirement 
The retirement market consists both of Filipino ancestry and foreign individuals. What attracts this 
market would be the climate, the sceneries and the ease of living in their new community. A 
government agency, the Philippine Retirement Authority, has been at the forefront in attracting this 
market and working closely with local government units and the private sector in establishing 
retirement destinations. One retirement village that is currently undergoing development is Silvertown 
Retirement Village in Batangas Province. 

Access 
A most basic requirement is to establish networks with international & local transport operators to 
provide customized service to and from the facility. The establishment of more tourist healthcare 
assistance providers could be valuable by offering facilitation services (i.e. patient records transfer & 
authentication, legal and insurance documentation, special transport needs, travel bookings, vetting of 
physicians etc.) to visitors. Moreover, this minimizes the dangers of providers and customer’s common 
use of informal channels of communication‐connection‐contract, and which in some cases tend to mean 
less regulatory or legal oversight to assure quality and less formal recourse to reimbursement or redress. 


                                                                                                            24 
 
 


Accommodation 
The main draw for any medical tourism destination is the presence of robust facilities to handle quality 
yet affordable inpatient and outpatient care and provide excellent delivery & coordination of pre and 
post discharge care. To enhance the patients’ positive experience, these facilities should provide a stress 
free and vacation atmosphere.  Several major hospitals (e.g. St. Lukes, Asian Hospital) have already 
created wings that cater specifically to medical tourists. 

Among the attributes that make facilities stand out are: acceptable medical ratios‐ patient to various 
medical staff, medical staff having required training along with qualified certification exams, preferably 
medical institutions should have affiliates with top‐tier and reputable foreign provider organizations, 
presence of foreign trained physicians and care teams, adopts evidence‐based clinical guidelines, and 
facilities should have coordination capabilities with various agencies (i.e. insurance, government, and 
other facilitators).  

To assure the highest quality clinical care and medical facility standards, the government must require 
all participating medical institutions in the Philippine Medical Tourism Program (PMTP) certification 
from providers of international healthcare accreditation. These accreditation standards are designed to 
improve healthcare quality at national and international levels. Among such organizations are the Joint 
Commission International (JCI), Trent Accreditation Scheme (Trent), International Society for Quality in 
Healthcare (ISQua), National Committee for Quality Assurance (NCQA), and the European Society for 
Quality in Healthcare (ESQH). 

Hospitals must also have access and provide provisions for adverse events requiring services unavailable 
in their medical facilities (i.e. air transport, 24/7 link & matching to organ donor & blood banks, 
mortuary & funeral). 

While accommodation requirement for medical tourists would include de luxe hotel facilities, the ones 
for the spa and wellness would be more suited for themed units that can be located in mountain or 
beach resorts.  

Spa and wellness facilities must continue to innovate services and facility ambience to make them more 
unique and attractive. Indigenous methods must also be researched and effectively applied as part of 
the menu of services where they are applicable. 

Attractions 
The hubs of medical tourism are in urban centers in Metro Manila and Cebu owing to existing health or 
medical facilities. Among the hospitals in Metro Manila that currently provide services to foreigners are: 
St. Luke’s Medical Center, Asian Hospital, Medical City, Makati Medical Center, Capitol Medical Center, 
Lung Center, Philippine Heart Center, National Kidney and Transplant Institute and the Philippine 
Children’s Medical Center. Other specialized ones are the Research Institute for Tropical Medicine, Asian 
Eye Institute, and various accredited cosmetic surgery facilities. Three hospitals in Cebu include: Cebu 
Doctors, Chong Hua and Perpetual Succour. 




                                                                                                         25 
 
 


Health and Wellness establishments are dispersed all over the country with the best ones located in 
pristine and rural locations. Most are promoted as part of ecotourism packages or value services offered 
by resorts.  

Spas can become attractions by themselves (some are classified as destination spas) while others 
become important components of the whole range of tourism offerings in the area.  

Retirement villages are usually located in areas that offer both rural ambience and nearby service 
centers. While the climate could be the primary lure for this market, the availability of services and 
facilities make them firm up their decision to choose a retirement destination. 

Activities 
Medical 
Services offered cover a broad range which typically include selected medical procedures as well as 
complex specialized surgeries such as joint replacement (knee/hip), cardiac, dental, 
cosmetic/reconstructive, angioplasty, prostate resection, hernia repair, tonsillectomy‐tonsil removal, 
hysterectomy‐uterus removal, eye related, reproductive treatment and other assisted reproductive 
technology treatments. Other non‐surgical procedures and services cover every type of health care to 
include psychiatry, alternative treatments, convalescent care and even mortuary services.   

The presence of other complementary activities, like beaches, golf, and shopping enhance the attraction 
of a medical tourism destination. 

Spa 
Spa services typically include the usual massage and other wellness services, which may include 
traditional practices (i.e., hilot). Others include detoxification while some would have exercises (and 
yoga) as part of the activities offered. For resort‐based spa facilities, the opportunity to do other 
activities such as swimming or exploration would usually be offered to the guests. 

Retirement 
The retirement market requires a wide variety of activities to keep the clients occupied and interested. 
Golf is one of the major motivators for this market. Other low‐impact and non‐strenuous sports 
activities, such as tennis, gym, and badminton are also offered to the retirees. Visits to nearby 
attractions such as beaches and local communities can also be made part of the range of activities 
offered to this market 

Medical Tourism Development Requirements 

Institutional Development 
Hospitals should establish facilities and develop the appropriate complement of services and staff for 
the medical tourists. 

Provide opportunities for clinics (for non‐invasive procedures) and dental facilities to be part of the 
medical tourism industry. 



                                                                                                           26 
 
 


Work with HMOs to allow the entry of more medical tourists. 

Coordinate closely with the Department of Health on the ethics and allowed procedures for medical 
tourism. 

Establish guidelines for medical and wellness services with regard to providing ethical and wholesome 
services. 

Encourage the medical sector and the tourism industry to organize themselves into a body that 
promotes and self‐regulates the medical tourism sector, and spa and wellness tourism sector. 

For the retirement sector, work closely with the Philippine Retirement Authority in the identification of 
possible retirement villages or projects. 

Product Mapping and Prioritization 
Product mapping for medical tourism involves identifying hospitals that already offer or are planning to 
develop facilities and services for foreign or transient patients. 

It is also important to map out the types of medical services or procedures that are offered in each 
hospital to effective market the product. 

The mapping of spa services and facilities would include the identification of the type of facility and the 
services offered. 

On the other hand, the involvement of local communities for wellness tourism might involve the 
mapping or identification of communities to be trained and made part of the range of service providers. 

Retirement villages must be properly identified as it will involve medium to large‐scale development. 
Said villages should be conveniently sited near or adjacent to the major tourist attraction, as well as 
within easy distance from a local community that will provide the basic services to the retirement 
village.  They should also be within close proximity to medical facilities to cater to emergency and 
maintenance healthcare needs of the retirees. 

Product Development 
Aside from the medical procedures, tourism packages should also be developed in order to increase the 
length of stay of the medical tourists and their companions and contribute to the total tourism receipt 
of the area. 

For spa tourism, indigenous knowledge on wellness must also be developed in order to make the 
destination more attractive to foreign visitors. 

Retirement tourism facilities should also offer tourism products within their complexes as well as within 
the municipalities/cities and provinces they are located. 




                                                                                                           27 
 
 


Community and Stakeholder Organizing 
For the medical tourism and spa services, it would be best if the stakeholders—medical, spa, and 
retirement organizations and the local tourism industry‐‐organize themselves into a cohesive trade unit 
that is able to promote their industries, as well as regulate their members. Government involvement 
would be very minimal and would largely be concentrated on coordination or minimal staff work to help 
in the setting up of the trade organization. 

As for the promotion of indigenous wellness knowledge and the involvement of local communities, 
proper organizing must be undertaken. This would involve the identification of possible community 
members who can be trained for the spa and wellness industry, if there is a need – help set up a 
cooperative or organization of service providers.  

The role of the local communities could be very significant for the retirement sub‐sector as this will be 
dependent on house care needs.  

Skills Development 
The skills requirement for medical tourism shall be within the domain of the health sector. On the other 
hand, the travel sector must learn to appreciate the nuances of the medical field in order to create 
appropriate tourism packages both for the patients and their companions. 

Spa services must be learned by the service providers and community partners. Proper training on 
massage and related services must be provided in order for the community members to deliver the 
required services for the spa and wellness industry. 

For the retirement sub‐sector, skills needed would involve ambulant patient care and related services, 
and activity coordination. 

Business Planning Development 
Business plans shall be undertaken by individual medical and spa facilities. Whereas, projects that 
involve the local communities would have business plans that include social growth (deepening the 
value chain of tourism to the community). This includes: 

    •   Identification of community members who can be trained for the program both for frontliner 
        (masseurs) and business management. 
    •   Identification of the needs of the spa facilities that can be supplied by the local community 
    •   Ensuring the linkages for the supplies and markets for the spa or wellness facility 

Market Planning and Marketing  
The primary markets for the medical tourism industry are the foreigners and balikbayans or Filipinos 
residing overseas.  The spa sector attracts both the international and domestic markets. Marketing for 
medical tourism employs either an expensive participation into international trade fairs or through 
effective use of the internet and websites.   

The DOT has been actively promoting the Philippines as a medical tourism destination. The LGUS can 
coordinate with the DOT for their areas and services to be marketed to the foreign markets. 

                                                                                                         28 
 
 


Aside from the marketing efforts already being implemented by the Philippine Retirement Authority, 
local destinations can produce printed collaterals or good web designs highlighting the advantages of 
retiring in their localities. 

Product Management 
Medical tourism is a huge undertaking requiring the cooperation of large stakeholders such as major 
hospitals. The quality and the cost of the services must be kept at their highest standard and value for 
money of the clients. For destinations that promote medical tourism there must be explicit 
understanding that it will help subsidize their social programs. Medical ethics is always a valid concern in 
medical tourism, local government units must work hand in hand with the Department of Health 
regarding unethical practices and create local laws and ordinances to help control the industry. Further, 
the LGUs can enforce control mechanisms to clinics and spa facilities that are unauthorized to perform 
certain medical procedures. 

There is also a need to effectively manage the spa industry to keep the quality of service and facilities 
ideal for the tourist market. The spa industry has already gained a high level of credibility and the local 
government units must do their share to maintain it by ensuring the strict enforcement of health and 
sanitation standards. Unethical and illegal services (e.g. front for prostitution) must be identified and 
corresponding ordinances formulated to prevent such practices from occurring in the destination. 

Product management for the retirement industry would involve ensuring that the quality of living is 
maintained in the area to keep the destination attractive to the market. Social services and 
infrastructure, as well as peace and order must be kept at an ideal level.  

Table 3 Checklist Medical, Spa and Retirement Tourism Requirements 

1. Institutional Development            •   Hospitals to establish facilities and create services that will 
                                            cater to medical tourism market 
                                        •   Provide opportunities clinics and dental services to be part of 
                                            the medical tourism industry 
                                        •   Work with foreign HMOs to allow entry of medical tourists 
                                        •   Coordinate closely with DOH on medical ethics and allowed 
                                            procedures 
                                        •   Organize stakeholders for medical tourism and the spa sector 
                                        •   Coordinate closely with the Philippine Retirement Authority 
2. Product Mapping and                  •   Identify hospitals and their facilities and services that they 
   Prioritization                           offer to medical tourists 
                                        •   Identify spa facilities and services they offer 
                                        •   Identify possible sites for retirement villages 
3. Product Development                  •   Develop tour packages to complement the medical services 
                                        •   Identify, train on, and offer indigenous forms of spa services 
                                            to offer to visitors 
                                        •   Develop tour programs within and near the retirement 
                                            villages 




                                                                                                           29 
 
 


4. Community and                 •   Organize the industry players for medical and spa sectors for 
   Stakeholder Organizing            promotion and self‐regulation. 
                                 •   Organize local community members for possible involvement 
                                     in home care 
5. Skills Development            •   Travel sector to learn the nuances of medical service to be 
                                     able to develop most appropriate tour packages 
                                 •   Proper trainings for high standard spa services 
                                 •   Home care training for retirement sector 
6. Business Planning             •   Business plan for individual medical and spa facility 
   Development                   •   Identify community members who can be trained for frontline 
                                     (masseurs) and business management 
                                 •   Identify the needs of facilities that can be supplied by the local 
                                     community 
                                 •   Ensure linkages for the supplies and markets for Spa facilities 
                                 •   Where local communities are involved business plans that 
                                     include social growth and deep value chain. 
7. Market Planning and           •   Work closely with the DOT for the promotion of medical and 
   Marketing                         spa tourism 
                                 •   Work closely with PRA for the establishment of retirement 
                                     villages 
8. Product Management            •   Encourage for medical tourism to subsidize the medical needs 
                                     of the poor sectors of the society 
                                 •   Enforce control mechanisms for the ethical practice of medical 
                                     and spa tourism 
 

                              




                                                                                                     30 
 
 


Meeting, Incentives, Conventions & Exhibitions (MICE) Subsector 
Definition 
MICE or “Meetings Industry” refer to a type of tourism in which groups or individuals  are brought 
together for some particular purpose (ICCA 2007). Unlike the other types of MICE tourism, (i.e. 
meetings, conventions and exhibitions), incentive tourism is usually conducted purely for entertainment 
rather than professional or educational purposes. 

Bids for MICE events are normally placed by specialized convention bureaus located in particular 
countries and cities. Theses groups are established for the purpose of bidding on MICE activities. The 
subsector is known for its extensive planning processes and demanding clientele. 

Characteristics of MICE Tourism 
MICE tourism often caters to groups or individuals who gather for a particular event or purpose. This 
requires a suitable venue and are bided and planned in advance.  

MICE gatherings vary in purpose. Meetings and conferences or conventions, are usually conducted for 
professional or educational purposes. It is also organized to discuss issues of concern and advancements 
to a profession such as recent developments and sub‐specialization conferences of lawyers, doctors, 
engineers, and accountants. Examples would include a gathering of doctors to discuss specific practices 
and mayors to discuss issues that may affect local areas (e.g. coastal management). 

Exhibitions and trade shows typically focus on a particular industry segment and feature keynote 
speakers, vendor displays, and other information and activities of interest to the event organizers and 
attendees. On the other hand, incentive travel is a leisure trip undertaken as a reward for expectations 
met or exceeded. These would include events such as computer shows (Worldbex), furniture fairs 
(FAME), and travel marts (Philippine Travel Mart). . 

MICE Tourism requirements 
To engage in MICE tourism, the destination must have venues of suitable capacity with adequate staff & 
equipment and accessible by any local transport. These venues should have the capability & capacity to 
service various food & beverage requirements. In addition, the venue must provide access to utilities 
and support services such as electricity, water, communications/ICT, trucking and transport, 
health/safety/security, sanitation/rest rooms, PR/AVR/ advertising/marketing, supply & logistics, 
chairs/tables/deco etc. Proximity to numerous retail/health/financial/entertainment establishments & 
house of worship within the vicinity of the venue is a plus.  

The MICE market varies in sizes and interests. While large groups that can reach several thousand 
delegates are often the high profile arrivals, there are also smaller, but numerous groups that can 
number less then ten individuals to several hundreds. 

The destination is usually promoted by offering an array of capabilities to provide full service 
management for MICE including, but not limited to conference design, registration, site and venue 
selection and booking, audiovisuals, IT support, logistics, leisure management, security services, 


                                                                                                          31 
 
 


marketing, printing and web services, sourcing speakers, funding and sponsorship, financial 
management and budget control. 

MICE events require extensive and detailed planning, management & coordination. Hence, professional 
meeting and convention planners; event management groups from the convention's hosting company; 
city tourism office; or by outside specialists are needed to handle international or local MICE activities. 
Most large cities will have a convention center dedicated to hosting such events.  

Components of MICE tourism 

Arrival 
A high volume strategy (conventions) or niche marketing (small functions) is usually adopted to promote 
and market the destination internationally & locally as a safe, secure, clean, versatile and 
environmentally friendly venue.  

Access to the destination necessitates seamless connections and arrival processes. More often 
assistance teams are available to facilitate the transit of tourist & baggage from the transport terminal 
to their accommodations and MICE venue. 

To facilitate the influx of MICE participants, the venues infrastructure and facilities should conform to 
international standards & regulations. Despite being resource intensive, MICE destination planning and 
development must adhere to environmental standards and observe local cultural norms and practices.  

International MICE tourism is sensitive to developments and global trends. To keep pace, improved 
capability of the national (i.e., Philippine Convention and Visitors Corporation) & local trade convention 
or visitors bureau (Provincial/City/Municipal Tourism office) must be emphasized and encouraged. This 
would result in gains to the quality of MICE promotions & marketing, planning, and management. 

The domestic MICE market is more resilient than the foreign market. It has also proven to be a reliable 
and major market for destinations that offer appropriate facilities. In some destinations, the main 
market that supports the tourism industry would be the domestic MICE market.  The Philippine 
Advertising Congress, which is held every two years, has generated much interest in the domestic MICE 
market owing to the large numbers of participants they attract. 

Access 
Efficiency of operations is foremost among MICE tourist since most are business travelers who are 
usually pressed for time while in the destination. Thus, an ideal MICE destination must have an efficient 
local transport network and accessible to nearby tourist destinations.  Proximity of MICE facilities to an 
airport & other affordable clean, safe & secure public transport facilities is a desirable feature. In some 
international conventions where the convention facility is located in an area that is inaccessible, the 
organizers establish transport routes that have designated drop‐off/pick‐up points for participants for 
the duration of the activity. 




                                                                                                         32 
 
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