P1 HEALTH CARE DELIVERY SYSTEM

Health System

consists of all organizations, people and actions whose primary intent is to promote, restore or maintain health

1. service delivery

2. Health workforce/ Human Resources

3. Medical products, medicines, vaccines & technologies

4. Leadership & governance or stewardship

5. Information

6. Financing

6 Building Blocks/ components of Health care delivery system

• WHO 2007

WHO

• Provides the environment that facilitates cooperation and sharing of resources to promote and protect health and to resolve health problems and alleviate their effects

April 7 1948, Geneva Switzerland

WHo came into force ___________ in _________

147 countries 6 world regional offices

how many are involved in WHO

1. Provide leadership and engage in partnerships on matters of health

2. Shape research agenda and promote knowledge

   5 goals: Capacity, Priorities, Standards, Translation & Organization

3. Set and monitor standards

4. Provide technical support, catalyze change and build sustainable capacity

Core functions of WHO

• Objective: the attainment by all people of the highest possible level of health (WHO, 2006)

capacity

standards

priorities

organization

Translation

what are the 5 goals ( research agenda And promote knowledge)

Millenium summmit Sept 6-8, 2000

Millenium development goals resulted from ____________

Millennium Development Goals

• Collective responsibility to uphold the principles of human dignity, equality and equity at the global level

• Reduce extreme poverty and achieve seven other targets by 2015

1. Eradicate extreme poverty and hunger.

2. Achieve universal primary education.

3. Promote gender equality and empower women.

4. Reduce child mortality

5. Improve mental health

6. Combat HIV/AID, malaria and other diseases

7. Ensure environmental sustainability.

8. Develop a global partnership for development.

enumerate the 8 MDGs

Sustainable development goals

Urgent call for action by all countries ( developed and developing) in a global partnership

United Nations 2015

The 2030 Agenda for Sustainable Development, adopted by all __________Member States in ______, provides a shared blueprint for peace and prosperity for people and the planet, now and into the future

1. No poverty 

2. Zero Hunger 

3. Good Health and Well-Being 

4. Quality Education 

5. Gender Equality 

6. Clean water and Sanitation 

7. Affordable and clean energy 

8. Decent work and economic growth 

9. Industry, innovation and infrastructure 

10. Reduced inequalities 

11. Sustainable cities and communities 

12. Responsible consumption and production 

13. Climate action 

14. Life below water 

15. Life on land 

16. Peace, justice, and strong institution 

17. Partnerships for the goals 

enumerate the 17 SDG

Government and Private

Philippine Health Care delivery system is divided into:

Local Government Code RA 7160

Devolution: LGUs should meet the priority needs of

their communities by providing basic health services

DOH and LGU

Government includes:

Private

for-profit and non-profit agencies

• provides all levels of services and accounts for a large segment of health service providers in the country

Government ( national and local)

Private Sources

Social health insurance

Financing is provided by 3 major groups:

National Health Insurance Act of 1995 R.A. 7875

created the Philippine Health Insurance Corporation (PhilHealth) aims for universal health coverage of all Filipino citizens (Congress of the Philippines, 1995a)

DOH

the principal health agency in the Philippines. It is responsible in ensuring access to basic public health services to all Filipinos through the provision of quality health care and regulation of providers of health and services 

Teodoro J. herbosa , MD

Secretary of Health

1987 constitution

The DOH mandates:

• The stage of endeavor who made health services available for all people at affordable cost

Administrative code of 1987

The DOH mandates:

• DOH shall be primarily responsible for the provision and delivery of health services and regulation of providers of health goods and services  

Local Government code of 1991

The DOH mandates:

•  devolution of power, functions, and responsibilities on direct service of the DOH to local government units 

Executive order 102

The DOH mandates:

• Redirecting the functions and operations of the Department of Health thru re-engineering as a result of devolution

Leader in Health

Enabler & Capacity builder

Administrator of specific services

3 major roles of DOH

DOH VISION

The Department Of Health(DOH) envisions Filipinos are among the healthiest people in Southeast Asia by 2022, Asia by 2040

DOH MISSION

People-centered, Resilient and Equitable

The Department of Health(DOH) shall lead the country in the development of a __________ Health System

DOH Core Values 

The Department of Health(DOH) shall embody at all times integrity, excellence, and compassion in carrying out its tasks and responsibilities

• Commitment 

• Professionalism 

• Teamwork

• Stewardship of health and the peop

1. commitment

2. professionalism

3. teamwork

4. stewardship of health and the people

Core values of DOH

Administrative Order 2012-0012

DOH issue on Levels ofHealth care Delivery

• General

• Specialty

Broad Classification of Hospital

Category A: Primary Care facility

Category B: Custodial Care facility

Category C: Diagnostic/ therapeutic

Category D: Specialized out pateitns

Classification of Health Facilities

Category A: Primary Care facility

• first-contact health care facility

• Basic and emergency services

Category B: Custodial Care facility

Long-term care; for chronic conditions

Category C: Diagnostic/ therapeutic

• For examination of body and specimen/ samples

• Laboratories, radiologic facilities

Category D: Specialized out patients

• For highly-specialized procedures

• Examples: dialysis clinics, chemo clinics

Rural health unit

‘Health Center’, primary level health facility

Focus: Preventive and Promotive

_______ to catchment population ratio

• 1 ______: 20,000 Population (DOH, 2009)

Barangay health station

• First-contact facility that offers basic services at barangay level 

• Satellite station of RHU and manned by Barangay Health Workers (BHW) under Rural Health Midwife

• Municipal Health Officer (MHO)

• Public Health Nurse (PHN)

• Rural Health Midwife

• Rural Sanitation Inspector

• Barangay Health Workers

Rural Health Unit Personnels

R.A. 7883 Barangay Health Workers' Benefit and Incentives Act

• entitles them to hazard and subsistence allowances and other benefits

• 1 BHW: 20 households

Chairman: Provincial governor/ mayor
Vice Chairman :: Provincial/City/Municipal Health Officer

Members: Chairman of the Committee on Health of the Sanggunian, a representative from the private sector or NGO, & the DOH

Local Health boards

• Propose to the Sanggunian annual budgetary allocations for the operation and maintenance of health facilities and services

• Serve as an advisory committee on health matters

• Create committees which shall advise local health agencies

Function of Local Health Boards