Evolution of Public Health Nursing

Franciscan Friar Juan Clemente

opened a medical dispensary in Intramuros for the indigent.

Traditional Health Care

- use of herbs and rituals for healing

- Health as harmonious relationship with environment

Anonas Leaves

- used for indgestion

Betel Nut

- spat in afflicted portion of body

Sambong

For urinary stones

Pandakaki

- Puti eczema

Hospital Real

- Hospital For spanish and mestizos

Hospital de la Misericordia

- Hospital for slaves

Hospital de San Pedro Martir

- Hospital for Chinese

Hospital de san Gabriel

- Hospital for the Chinese/Sangley in binondo

Hospital of San Jose

- in Cavite, 1591 for sailors

Dominican Father Juan de Pergero

- worked toward installing a water system in San Juan del Monte and Manila

Francisco de Balmis

- Introduced smallpox vaccination in 1805.

1876

date of first medicos titulares appointed by Spanish government

Medical and Dental Subjects

- Forst 2 yr courses offered in UST that serves as male nurses and sanitation inspectors

Cirujanos Ministrantes

- Graduates in the two year course of UST

United States Philippines Commission

- Created Act 157 Board of Health of Philippine Islands

Fajardo Act of 1912

- created sanitary divisions made up of one to four municipalities. Each sanitary division had a president who had to be a physician

Philippine General Hospital

- extended public health nursing services in homes

- organizes the unit called SOCIAL AND HOME CARE SERVICES

La Gota de Leche

- Created by Asociacion Feminista Filipina

- The 1st center dedicated to service of mother and babies

Commonwealth Act No. 430

- Created the Department of Public Health and Welfare

Executive Order No. 317

- full implementation of commonwealth act no. 430

Dr. Jose Fabella

- 1st Department Secretary of Health and Public Welfare

Bureau of Hospitals

- curative services

Bureau of Health

- Preventatice care services
- With sanitary divisions

Bureau of Public Welfare

- Became social welfare commission and placed under the office of the president

Rural Health Unit

- Sanitary distric was converted into?

- ❖w/ 7 Basic Health Services: Maternal & Child
Health, Environmental Health, Communicable
Disease Control, Vital Statistics, Medical Care,
Health Education & Public Health Nursing

RA 1082

- Rural Health Act
- Creation of RHU in every municipality
- Created post for Municipal Health Officer

Primary (First Contact)

- Municipal Health Office
- Rural Health Units
- Health Centers
- Baranggay Health Stations

Secondary (referral)

- Provincial Health Office
- District Hospitals
- Emergency Hospitals
- Provincial Hospitals

Tertiary (Specialists)

- National Hospitals
- NAtional Medical Centers
- National Specialized Hospitals
- Regional Hospitals
- Teaching and Training Hospitals

RA 1891

- enacted in 1957 amend certain provisions in the Rural Health Act Created 8 categories of rural health units corresponding to the population size of the municipalities

RA 7160 (Local Government Code)

- DECENTRALIZATION of entire government
All structures, personnel & budgetary allocations from the provincial
health level down to the barangays were DEVOLVED to the LOCAL
GOVERNMENT UNIT (LGU) to facilitate health service delivery.

Millennium Development Goals

- Eight international development goals that all members of the United Nations have agreed to achieve by 2015

FOURmula One (F1) for Health (2005)

- Adoption of operational framework to undertake reforms with speed, precision, and effective coordination

Health Financing (F1)

The National Health Insurance Act of
1995 created the Philippine Health
Insurance Corporation (PhilHealth) to
provide health insurance coverage for
all Filipinos

Health Governance and Regulation (F1)

- The enactment of LGC in 1991 led
to dual governance in health, with the
DOH governing at the national level
and the LGUs at the subnational level.

Health Service Delivery

- Both the
national government and LGUs
manage the delivery of
promotive, preventive, curative and
rehabilitative health services.

Universal Health Care

- aims to achieve the health system goals of better health outcomes, sustained health financing, and responsive health system that will provide equitable access to health care

Universal Health Care Act Kalusigan Pangkalahatan

(RA 112233)

- automatically enrolls all Filipino citizens in the National
Health Insurance Program