Module 6-7

Health service delivery

Building blocks of health system 1

health workforce

Building blocks of health system 2

health regulations

Building blocks of health system 3

social determinants of health

Building blocks of health system 4

health finance

Building blocks of health system 5

leadership/governance/information system

Building blocks of health system 6

Self management

Self-care 1

self-testing

Self-care 2

self-awareness

Self-care 3

Declaration of Alma-Ata

International Conference on Primary Health Care, Alma-Ata, USSR, 6-12 September 1978

October 19, 1979 – Letter of Instruction (LOI) 949

the legal basis of PHC was signed by Pres. Ferdinand E. Marcos, which adopted PHC as an approach towards the design, development and implementation of programs focusing on health development at community level

Pres. Corazon C. Aquino

recognition of nongovernment organizations as partners in national development is highlighted

Pres. Joseph Estrada

increased liberalization, deregulation and privatization as it opened wide the Philippine economy to the “free market” policies of GATTWTO-APEC and complied to the IMF-WB’s Structural Adjustment Programs (SAPs)

President Ramos

was noted for his Medium-Term Philippine Development Plan which is more known as popularly "Philippines 2000." It aimed to transform the country from being "sick man of Asia" to a "TIGER-ECONOMY."

Universal Health Care for All Filipinos

• Financial risk protection through expansion in NHIP enrolment an benefit delivery;

• Improved access to quality hospitals and health care facilities;

• Attainment of health related MDGs

Aquino Health Agenda

Universal Health Care for All Filipinos (Kalusugan Pangkalahatan)

Philippine Health Agenda 2016-2022 duterte

• ALL FOR HEALTH TOWARDS HEALTH FOR ALL (Lahat Para sa Kalusugan! Tungo sa Kalusugan Para sa Lahat)

• Investing in People

• Protection Against Instability

• UNIVERSAL HEALTH COVERAGE UHC

• STRENGTHEN IMPLEMENTATION OF RPRH LAW (RA 10354)

• WAR AGAINST DRUGS

• ADDITIONAL FUNDS FROM PAGCOR

Advance quality, health promotion and primary care

STRATEGY ACHIEVE

Cover all Filipinos against health-related financial risk

STRATEGY ACHIEVE

Harness the power of strategic HRH development

STRATEGY ACHIEVE

Invest in eHealth and data for decision-making

STRATEGY ACHIEVE

Enforce standards, accountability and transparency

STRATEGY ACHIEVE

Value all clients and patients, especially the poor, marginalized, and vulnerable

STRATEGY ACHIEVE

Elicit multi-sectoral and multi-stakeholder support for health

STRATEGY ACHIEVE

Social service

4 ways to approach community problems (1)

advocacy

4 ways to approach community problems (2)

Community development

4 ways to approach community problems (3)

Community Organizing

4 ways to approach community problems (4)

COMMUNITY ORGANIZING

Efforts by which groups sharing common interests are assisted in identifying their needs and goals, mobilizing resources within their communities and in other ways taking actions leading to the achievement of the goals they have set collectively

NEEDS/PROBLEMS/ISSUES

PRINCIPLES OF COMMUNITY ORGANIZING 1

LEADERSHIP

PRINCIPLES OF COMMUNITY ORGANIZING 2

COMMUNICATION

PRINCIPLES OF COMMUNITY ORGANIZING 3

STRUCTURE

PRINCIPLES OF COMMUNITY ORGANIZING 4

EVALUATION

PRINCIPLES OF COMMUNITY ORGANIZING 5

PARTICIPATION

PRINCIPLES OF COMMUNITY ORGANIZING 6

Community Analysis

FIVE STAGES OF ORGANIZING (1)

Design and Initiation

FIVE STAGES OF ORGANIZING (2)

Implementation

FIVE STAGES OF ORGANIZING (3)

Program Maintenance – Consolidation

FIVE STAGES OF ORGANIZING (4)

Dissemination -Reassessment

FIVE STAGES OF ORGANIZING (5)

Equity of distribution

Principles (Pillars) of Primary Health Care 1

Community participation

Principles (Pillars) of Primary Health Care 2

Intersectoral coordination

Principles (Pillars) of Primary Health Care 3

Appropriate technology

Principles (Pillars) of Primary Health Care 4

• Services shared by all people

• Provide access to all people

Equity of distribution

Promotion of their own health

Community participation

Education, housing, agriculture

Intersectoral coordination

According to need not on demand

Appropriate technology

Engaging and empowering people

WHO recommends five interwoven strategies 1

Strengthening governance & accountability

WHO recommends five interwoven strategies 2

Reorienting the model of care

WHO recommends five interwoven strategies 3

Coordinating services

WHO recommends five interwoven strategies 4

Creating an enabling environment

WHO recommends five interwoven strategies 5

aralin nyo tangina

SELF-CARE

The ability of individuals, families and communities to promote health, prevent disease, maintain health, and cope with illness and disability with or without the support of health-care provider (WHO)

Self management

self medication, self treatment, self examination, self injection, self administration, self use

Self testing

self sampling, self screening, self diagnosis, self collection, self monitoring

Self awareness

self help, self education, self regulation, self efficacy, self determination

Ensure Food Security

8-point Socioeconomic Agenda 1

Address Learning Losses

8-point Socioeconomic Agenda 2

Reduce Transport and Logistics Cost

8-point Socioeconomic Agenda 3

Strengthen Social Protection

8-point Socioeconomic Agenda 4

Reduce Energy Costs

8-point Socioeconomic Agenda 5

Ensure Sound Fiscal Management

8-point Socioeconomic Agenda 6

Improve Health

8-point Socioeconomic Agenda 7

Enhance Bureaucratic Efficiency

8-point Socioeconomic Agenda 8

2024 NATIONAL BUDGET

Php 5.768 trillion

DPWH

What’s the highest? (aralin mo narin)

Pres. Ferdinand Marcos

who created Medicare, forerunner of Philhealth (1969)?

REPUBLIC ACT No. 10606

National Health Insurance Act of 2013 AN ACT AMENDING REPUBLIC ACT NO. 7875, OTHERWISE KNOWN AS THE "NATIONAL HEALTH INSURANCE ACT OF 1995″, AS AMENDED, AND FOR OTHER PURPOSES

Beveridge Model

4 models (1)

Bismarck Model

4 models (2)

National Health Insurance Model

4 models (3)

Out-of-Pocket Model

4 models (4)

DRGs(Diagnosis-Related Groups)

payments are more responsive to inpatient care's complexities and improve providers’ efficiency by linking clinical standards and resource needs. DRG implementation is targeted to commence in 2025

“No-Balance-Billing”

Transition from the “_____” (NBB) program to the “No Copay” and “Fixed Copay” initiative

Pres. Corazon C. Aquino

• REPUBLIC ACT 6675 “GENERICS ACT OF 1988”

• Ang buwan ng Setyembre ay “GENERICS AWARENESS MONTH”

Pres. Gloria Macapagal Arroyo

• Republic Act No. 9502 Universally Accessible Cheaper and Quality Medicines Act of 2008

• Implementing Rules and Regulations