HEALTH CARE DELIVERY

DOH Vision

Filipinos among the healthiest in Asia by 2040

better healthcare outcomes

stronger health systems

access to all levels of care

DOH mission

Devolution

refers to process by which national government confers power and authority upon various LGUs

Provincial Governor/Mayor

chairman of board

Provincial City and Municipal Health Officer

vice chairperson

RHU Physician

20,000 population ratio

RHU Nurse

10,000 population ratio

Public Midwife

5,000 population ratio

Dentist

50,000 population ratio

RHU

20,000 population

BHS

5,000 population

Barangay Health Station

first contact healthcare facility

1 midwife, 1 CHN

United Nations Millennium Declaration

The result of the summit was a resolution entitled _________________-

In this declaration, the world leaders recognized their collective responsibility to uphold the principles of human dignity, equality and equity at the global level.

• The declaration expressed the commitment of the 191 member states, including the Philippines, to reduce extreme poverty and achieve seven other targets - now called the Millennium Development Goals (MDG’s) by the year 2015.

National Insurance Act of 1995 (R.A. 7875)

➢ Created by the Philippine Health Insurance Corporation (PhilHealth).

➢ It is tax-exempt government corporation attached to the DOH for policy coordination and guidance and aims for universal health coverage of all Filipino citizens.

PRIMARY CARE FACILTY

LEVEL 1

CUSTIODIAL FACILITY

LEVEL 2

DIAGNOSTIC/THERAPEUTIC FACILITY

LEVEL 3

SPECIALIZED OUTPATIENT FACILITY

SPECIALTY

CATEGORY A: PRIMARY HEALTH CARE FACILITY

• A first contact health care facility that offers basic service including emergency services and provision for normal deliveries

health centers, out-patient clinics, and dental clinics

Without in-patient beds

With in-patient beds

– a short-stay facility where the patient spends on the average of one to two days before discharge.

Ex: Infirmaries and birthing (Lying-in) facilities.

CATEGORY B: CUSTODIAL CARE FACILITY

• A health facility that provides long-term care, including basic services like food and shelter, to patients with chronic conditions requiring ongoing health and nursing care due to impairment and a reduced degree of independence in activities of daily living, and patients in need of rehabilitation.

• Ex: Custodial health care facilities, substance/drug abuse treatment and rehabilitation centers, sanitaria, leprosaria, and nursing homes.

CATEGORY C: DIAGNOSTIC/THERAPEUTIC FACILITY

• A facility for the examination of the human body, specimens from the human body for the diagnosis, sometimes treatment of disease or water for drinking analysis. The test covers the preanalytical, analytical and post analytical phases of examination.

CATEGORY D: SPECIALIZED OUTPATIENT FACILITY

• A facility that performs highly specialized procedures on a outpatient basis.

• Ex: Dialysis clinic, ambulatory surgical clinic, cancer chemotherapeutic center/clinic, cancer radiation facility, and physical medicine and rehabilitation center/clinic.

RURAL HEALTH UNIT (RHU)

(commonly known as health center)

➢ is a primary level health facility in the municipality.
Recommended ratio of RHU to catchment population is 1 RHU: 20,000 populations. 1 MIDWIFE: 5000 People.

The Municipal Health Officer (MHO) or Rural Health Physician

heads the health services at the municipal level

Administrator of the RHU

a) Prepares the municipal health plan and budget

b) Monitors the implementation of basic health services

c) Management of the RHU staff

Community physician

a) Conducts epidemiological studies

b) Formulates health education campaigns on disease prevention

c) Prepares and implements control measures or rehabilitation plan

Medico-legal officer of the municipality.

• The revised implementing rules and regulations (IRRSs) of R.A. 7305 or the Magna Carta of Public Health Workers

R.A. 7305 or the Magna Carta of Public Health Workers

➢ stipulate that there be one rural health physician to a population of 20,000.

referral

is a set of activities undertaken by a health care provider or facility in response to its inability to provide the necessary health intervention to satisfy a patient’s need.

Functional Referral System

➢ one that ensures the continuity and complementation of health and medical services.

it usually involves movement of a patient from the health center of first contact and the hospital at first referral level.

two-way referral system

When hospital intervention has been completed, the patient is referred back to the health center. This accounts for the term ____________—

✓ Internal referrals

• Occur within the health facility.

• May be made to request for an opinion or suggestion, co-management, or further management or specialty care.

✓ External referral

• A movement of a patient from one health facility to another.

• It may be vertical, where the patient referral may be from a lower to a higher level of health facility or the other way round.

HEALTH SECTOR REFORM: UNIVERSAL HEALTH CARE

• Also called the Aquino Health Agenda

• It is the latest in a series of continuing efforts of the government to bring about health sector reforms.

Reproductive and Maternal Health

➢ Pre-pregnancy services and care during pregnancy, delivery, and postpartum period

Expanded Garantisadong Pambata (child health)

➢ Advocacy for exclusive breastfeeding in the first 6 months of life, newborn screening program, immunization, nutrition services, and integrated management of childhood illness.

Control of communicable disease

➢ Tuberculosis, mosquito-borne diseases, rabies, schistosomiasis, and sexually transmitted infections