Many sudden conditions require urgent pre-hospital care, and delay in starting these interventions directly contribute to the rise of morbidity and mortality. Inequity is extremely apparent in certain remote areas (Philippines or otherwise) where hospitals are extremely far from each other - and the mere time it takes to get from where you are to the hospital is simply too much, and so it is not unusual for patients to reach the hospital alive.
In the documentary Ambulansya de Paa, not only were the institutions extremely far, there was also a lack of roads that allow them to bring him there easily. While in other areas in the philippines, the standard is a speeding ambulance (although traffic is also an issue), in the documentary they have portrayed people carrying their sick loved ones. It is clear that improving pre-hospital care to improve outcomes to save the lives of these patients are extremely important to reduce the morbidity and mortality from these live threatening conditions.
Aside from the distance between hospitals, funding and proper training is also a significant issue. There was a lack of trained professionals in the area that can administer emergency pre-hospital care. It was shown in the video that there was only one midwife who had to travel as far as five mountains just to reach her patients, a blatant proof of disregard from the government for the health of the citizens in the area.