CHN Phil Healthcare Delivery System
CHN Phil Healthcare Delivery System
CHN Phil Healthcare Delivery System
DEFINITIONS:
Health Care System – an organized plan of health services (Miller-Keane, 1987)
Health Care Delivery – rendering health care services to the people (Williams-
Tungpalan, 1981)
Health Care Delivery System – the network of health facilities & personnel which
carries out task of rendering health care to the people
Philippine Health Care System – is a complex set of organizations interacting to
provide an array of health services to the Filipino people (Dizon, 1977)
MAJOR PLAYERS:
1. PRIVATE SECTOR
a. Largely market oriented
b. Health care is paid through user fees at the point of service
c. Includes profit and non-profit health providers
d. Includes providing health services in
i. Clinics
ii. Hospitals
iii. Health insurance
e. Manufacture of
i. Medicines
ii. Vaccines
iii. Medical supplies
iv. Medical equipment
v. Other health and nutrition products
vi. Research and development
vii. Human resource development
2. PUBLIC SECTOR
a. Largely financed through a tax-based budgeting system at both national
and local levels
b. Health care is generally given free at the point of service
c. Consist of the national and local government agencies
NATIONAL AGENCIES
DEPARTMENT OF HEALTH
Mandated as the lead agency in health
Maintains specialty hospitals, regional hospitals and medical centers
Maintains provincial health teams made up of DOH representatives to the
local health boards and personnel involved in CDC, specifically for malaria
and schistosomiasis
Through Executive Order No. 119, Sec. 3
DOH is primarily responsible for the promotion, protection, preservation of
the health of the people through the provision & delivery of health services
& through the regulation & encouragement of providers of health goods &
services
DOH is responsible for the formulation, planning, implementation &
coordination of policies & programs in the field of health
The mission of DOH in partnership with the people is to ensure equity,
quality & access to healthcare by:
Making services available
Arousing community awareness
Mobilizing resources
Promoting the means for better health
PROVINCIAL GOVERNMENT
Provincial and District hospitals
CITY/MUNICIPAL GOVERNMENT
Health centers/RHU
Barangay health stations
LOCAL CHIEF EXECUTIVE
Chairs the local health board
Function is mainly to serve as advisory body to the local executive and the
sanggunian or local legislative council on health-related matters
QUESTION: You are a new B.S.N. graduate. You want to become a Public Health
Nurse. Where will you apply?
A. Department of Health
B. Provincial Health Office
C. Regional Health Office
D. Rural Health Unit
OVERVIEW:
CONCEPTUAL FRAMEWORK:
Legal Basis of PHC in the Phil.: PD 949 issued by Pres. Ferdinand Marcos on
October 19,1979
Vision:
Health for all Filipinos by the year 2000 & health in the hands of the people by
the year 2020
Mission:
To strengthen the health care system by increasing opportunities & supporting
conditions wherein the people will manage their own health care
7 PRINCIPLES/STRATEGIES OF PHC
Accessibility, availability of health services
Delivery of health services where the people are
Use of indigenous volunteer workers as health providers (1:10-20 ratio)
Use of traditional (herbal) medicines together with essential drugs
Provision of quality basic & essential health services
Competency-based training design & curriculum based on community needs &
priorities, task analysis of Community Health Workers (CHW)
Attitudes, knowledge & skills developed on promotive, preventive, curative &
rehabilitative health care
Regular monitoring & periodic evaluation of CHW performances by community
& health staff
Community participation
Awareness building & consciousness raising on health & health related issues
Planning, implementation, monitoring, evaluation done through small group
meetings (10-12 households)
Selection of CHW by the community
Community building & organizing
Self-reliance
Community generates support for the health program
Use of local resources
Training of community in leadership & management
Incorporation of income-generating projects, cooperatives & business
Recognition of interrelationship between health & government
Convergence of health, food, nutrition, water, sanitation & population services
Integration of PHC into national, regional, provincial, municipal, barangay
development plans
Coordination of activities with economic planning, education, agriculture,
industry, housing, public works, communication & social services
Social mobilization
Establishment of an effective health referral system
Multi-sectoral & interdisciplinary linkages
Information, education, communication support using multimedia
Collaboration between government & non-government organization
Decentralization
Reallocation of budgetary resources
Re-orientation of health professionals on PHC
Advocacy for political will & support from national leadership down to the
barangay level
ELEMENTS OF PHC
Education for Health
A potent methodology that enriches partnership with people
Locally Endemic Disease Control
Prevention & control of the occurrence of disease
Expanded Program on Immunization
Controls preventable disease by immunization
Maternal & Child Health
Ensure health of mother & child as most delicate members of the family
Essential Drugs
Information campaign on proper utilization & acquisition of drugs
Nutrition
Focus on the basic needs for food, its preparation & choices
Treatment of Communicable Diseases
Prevention & treatment of CDs
Safe Water & Sanitation
For water & sanitation as requisites for health promotion
QUESTION: “Public health services are given free of charge.” Is this statement true or
false? false
The statement is false; people pay indirectly for public health services.
Community health services, including public health services, are pre-paid services,
though taxation, for example.