UD Philippine Health Care Delivery System
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a fundamental human right
Health
is a most important world-wide social goal that requires the action of many other social and economic sectors in addition to the health sector
Attainment of the highest possible level of health
the current situation of the health care system of Philippines
gross inequality in the health status
essential health care based on scientifically sound and socially acceptable methods
Primary Health Care
universally accessible to individuals and families with their full participation at a cost that the community and country can afford in a spirit of self-reliance and self-determination
Primary Health Care
An organized plan of health services
Health Care System (Miller-Keane, 1987)
Rendering health care services to people
Health Care Delivery (Williams-Tungpalan, 1981)
The network of health facilities and personnel which carries out the task of rendering health care to the people
Health Care Delivery System (Williams-Tungpalan, 1981)
It is a complex set of organizations interacting to provide an array of health services (Dizon, 1977)
Philippine Health Care System
Philippine Health Care System: Health service delivery was devolved to___________ it has not completely surmounted the fragmentation issue
Local Government Units (LGUs) in 1991
Philippine Health Care System: Health human resource struggles with the problems of
underemployment, scarcity and skewed distribution
Philippine Health Care System: Strong involvement of the private sector comprising how many percent of the health system but regulatory functions of the government have yet to be fully maximized
50%
Essential Elements of Primary Health Care (Philippines)
• Education concerning prevailing health problems and the methods of identifying, preventing and controlling them • Locally endemic disease prevention and control • Expanded program of immunization against major infectious diseases • Maternal and child health care including family planning • Essential drugs arrangement • Nutritional food supplement, an adequate supply of safe and basic nutrition • Treatment of communicable and noncommunicable disease and promotion of mental health • Safe water and sanitation
Essential Elements of Primary Health Care (5)
• universal coverage to reduce exclusion and social disparities in health • service delivery organized around people’s needs and expectations • public policy that integrates health into all sectors • leadership that enhances collaborative models of policy dialogue • Increased stakeholder participation
Other elements of primary health care (6)
• Expanded options of immunizations • Reproductive health needs • Provision of essential technologies for health • Health promotion • Prevention and control of non-communicable diseases • Food safety and provision of selected food supplements
Principle of PHC: (5)
• Built on Alma-Ata principles • Take account broader population health issues, reflecting and reinforcing public health functions • Create the conditions for effective provision of services to poor and excluded groups • Organize integrated and seamless care, linking prevention, acute care and chronic care across all components of the health system • Continuously evaluate and strive to improve performance
Alma-Ata principles (4)
equity, universal access, community participation, intersectoral approach
Basic Objectives of Philippine Health care (8)
• Improvement in the level of health care of the community • Favorable population growth structure • Reduction in the prevalence of preventable, communicable and other disease • Reduction in morbidity and mortality rates especially among infants and children • Extension of essential health services with priority given to the undeserved sectors • Improvement in basic sanitation • Development of the capability of the community aimed at self-reliance • Maximizing the contribution of the other sectors for the social and economic development of the community
primary care and other services to meet the main health problems in a community must be provided equally to all individuals irrespective of their gender, age, and caste, urban/rural and social class
Equitable distribution of health care
adequate number and distribution of trained physicians, nurses, allied health professions, community health workers and others working as a health team and supported at the local and referral levels
Community participation
recognition that health cannot be improved by intervention within just the formal health sector; other sectors are equally important in promoting the health and self- reliance of communities
Multi-sectoral approach
accessible, affordable, feasible and culturally acceptable to the community
Use of appropriate technology
Management of Primary Health Care (5)
• Planning • Organizing • Staffing • Controlling • Directing
Sets direction and determines what needs to be accomplished - Setting priorities and determining performance targets
Planning