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THE PHILIPPINE HEALTH CARE DELIVERY SYSTEM.pptx

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THE PHILIPPINE HEALTH CARE DELIVERY SYSTEM.pptx

The Philippines has accredited hospitals and well-trained medical providers. In most cities, healthcare in the Philippines will be just as good, if not better, than in your home country.

However, the Philippines is made up of more than 7,500 islands, and the country has more than 20,000 miles of coastline. There are many remote areas within this geography. Remote locations may not have up-to-date equipment or adequate staffing levels, though the quality of health services will vary by facility and region.

Yet the healthcare system in the Philippines is steadily improving. The Philippine Health Insurance Corporation, known as PhilHealth, aims to provide universal coverage; expats and foreigners who legally reside in the Philippines can join this system for very low premiums. With a range of public and private options, you’ll find that every kind of healthcare need can be met in the Philippines.

The Philippines has accredited hospitals and well-trained medical providers. In most cities, healthcare in the Philippines will be just as good, if not better, than in your home country.

However, the Philippines is made up of more than 7,500 islands, and the country has more than 20,000 miles of coastline. There are many remote areas within this geography. Remote locations may not have up-to-date equipment or adequate staffing levels, though the quality of health services will vary by facility and region.

Yet the healthcare system in the Philippines is steadily improving. The Philippine Health Insurance Corporation, known as PhilHealth, aims to provide universal coverage; expats and foreigners who legally reside in the Philippines can join this system for very low premiums. With a range of public and private options, you’ll find that every kind of healthcare need can be met in the Philippines.

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THE PHILIPPINE HEALTH CARE DELIVERY SYSTEM.pptx

  1. 1. THE PHILIPPINE HEALTH CARE DELIVERY SYSTEM By: ROMMEL LUIS C. ISRAEL III
  2. 2. MAJOR PLAYERS 2 Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses.
  3. 3. MAJOR PLAYERS COMPOSED OF 2 SECTORS: 1. PUBLIC SECTOR - largely financed through a tax-based budgeting system at both national and local levels and where health care is generally given free at the point of service 2. PRIVATE SECTOR - for profit and non-profit providers - largely market –oriented - health care is paid through user fees at the point of service Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 3
  4. 4. THE DEPARTMENT OF HEALTH • Mandated as the lead agency in health • It has a field office in every region and maintains specialty hospitals regional hospitals and medical centers Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 4 This Photo by Unknown author is licensed under CC BY.
  5. 5. THE DEPARTMENT OF HEALTH • It also maintains provincial health teams made up of DOH representatives to the local health boards and personnel involved in communicable disease control, especially for Malaria and Schistosomiasis Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 5 This Photo by Unknown author is licensed under CC BY.
  6. 6. THE DEPARTMENT OF HEALTH • Other national agencies providing health care services such as the Philippine General Hospital are also part of this sector Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 6 This Photo by Unknown author is licensed under CC BY.
  7. 7. DEVOLUTION OF HEALTH SEERVICES Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 7 LOCAL HEALTH SYSTEM • Run by LGUs (Local Government Units) PROVINCIAL DISTRICT HOSPITALS • Under the provincial government HEALTH CENTERS/RURAL HEALTH UNITS/BARANGAY HEALTH STATIONS • Managed by the City/Municipal Government This Photo by Unknown author is licensed under CC BY-ND.
  8. 8. LOCAL HEALTH BOARD •In every province, city or municipality •Chaired by the local chief executive •Functions mainly to serve as advisory body to the local executive and the sanggunian or local legislative council on health-related matters Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 8 This Photo by Unknown author is licensed under CC BY-NC-ND.
  9. 9. THE PRIVATE SECTOR • Includes For-Profit and Non-Profit health providers • Providing health services in clinics and hospitals, health insurance, manufacture of medicines, vaccines, medical supplies, equipment and other health and nutrition products, research and development, human resource development and other health-related services Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 9 This Photo by Unknown author is licensed under CC BY-ND.
  10. 10. ROLES AND FUNCTIONS OF THE DEPARTMENT OF HEALTH Leadership in health Enabler and Capacity Builder Administrator of Specific Services Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 10 This Photo by Unknown author is licensed under CC BY.
  11. 11. LEADERSHIP IN HEALTH Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 11 DOH serves as the national policy and regulatory institution - from which LGUs, NGOs, and other members of the health sector involved in social welfare and development will anchor their thrust and directions for health
  12. 12. LEADERSHIP IN HEALTH Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 12 DOH provides leadership in the formulation, monitoring and evaluation of national health policies, plans and programs. - shall spearhead sectoral planning and policy formulation and assessment at the national and regional levels
  13. 13. LEADERSHIP IN HEALTH • DOH serves as advocate in the adoption of health policies, plans and programs, to address national and sectoral concerns Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 13 This Photo by Unknown author is licensed under CC BY-SA-NC.
  14. 14. ENABLER AND CAPACITY BUILDER • Innovate new strategies in health - to improve the effectiveness of health programs - to initiate public health discussion on health issues and undertaking - to disseminate policy research outputs to ensure informed public participation in policy decision- making Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 14
  15. 15. ENABLER AND CAPACITY BUILDER Exercise oversight functions and monitoring and evaluation of national health plans, programs and policies Ensure the highest achievable standards of quality health care, health promotion and health protection Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 15 This Photo by Unknown author is licensed under CC BY. This Photo by Unknown author is licensed under CC BY-SA.
  16. 16. ADMISITRATOR OF SPECIFIC SERVICES Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 16 MANAGES THE FOLLOWING: Selected National Health Facilities and Hospitals with modern and advanced facilities that shall serve as national referral centers (I.e. special hospitals) Selected health facilities at sub- national levels that are referral centers for local health systems (tertiary and special hospitals, reference laboratories, training centers, centers for health promotion, centers for disease control and prevention, regulatory offices, etc.)
  17. 17. ADMINISTRATOR OF SPECIFIC SERVICES • Administer direct services for emergent health concerns that require new complicated technologies that it deems necessary for public welfare - Administer special components of specific programs like Tuberculosis, schistosomiasis, HIV-AIDS, in as much as it will benefit and affect large segments of the population. Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 17 This Photo by Unknown author is licensed under CC BY-ND.
  18. 18. ADMINISTRATOR OF SPECIFIC SERVICES • Administer health emergency response services, including referral and networking system for trauma, injuries, and catastrophic events, in cases of epidemic and other widespread public danger, upon the direction of the President and upon consultation with concerned LGU. Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 18 This Photo by Unknown author is licensed under CC BY-NC-ND.
  19. 19. VISION-MISSION OF THE DEPARTMENT OF HEALTH Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 19 VISION Filipinos are among the healthiest people in Southeast Asia by 2022, and Asia by 2040
  20. 20. VISION-MISSION OF THE DEPARTMENT OF HEALTH Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 20 MISSION To lead the country in the development of a productive, resilient, equitable and people- centered health system
  21. 21. HOW WILL THE GOVERNMENT REALIZE THE VISION OF THE DOH? Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 21 By producing the best health systems for the country through seeking all ways to establish: • Performance standards for health human resources • Health Facilities and institutions • Health products and health services
  22. 22. GOAL: HEALTH SECTOR REFORM AGENDA (HSRA) Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 22 Health Sector Reform - the overriding goal of the DOH
  23. 23. THE HSR SUPPORT MECHANISM Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 23 Sound organizational development Strong policies, systems, and procedures Capable human resources Adequate financial resources
  24. 24. RATIONALE FOR HSR Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 24 CURRENT SITUATION: Slowing down in the reduction of the Infant Mortality Rate (IMR) and the Maternal Mortality Rate (MMR) Persistence of large variations in health status across population groups and geographic areas High burden from infectious diseases Rising burden from chronic and degenerative diseases Unattended emerging health risks from environmental and work-related factors Burden of disease is heaviest on the poor
  25. 25. RATIONALE FOR HSR Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 25 REASONS FOR THE CURRENT SITUATION: Inappropriate health delivery system as shown by an inefficient and poorly targeted hospital system, ineffective mechanism for providing public health programs on top of health human resources maldistribution Inadequate regulatory mechanism for health services resulting to poor quality of health care, high cost of privately provided health services, high cost of drugs and presence of low quality of drugs in the market. Poor health care financing and innefficient sourcing or generation of funds for health care
  26. 26. RATIONALE FOR HSR Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 26 IMPLICATION OF THE CURRENT SITUATION There is poor coverage of public health and primary care services There is inequitable access (physical and financial) to personal health care services There is low quality and high cost of both public and personal health care
  27. 27. FRAMEWORK FOR THE HSRA IMPLEMENTATION: FOURmula ONE For Health Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 27 GOALS OF FOURmula ONE For Health • Better health outcomes • More responsive health systems • Equitable health care financing
  28. 28. FOURmula ONE For Health Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 28 •Health Financing •Health Regulation •Health Service Delivery •Good governance 4 ELEMENTS
  29. 29. FOURmula ONE For Health: HEALTH FINANCING Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 29 The goal is to foster greater, better, and sustained investment in health The Philippine Health Insurance Corporation (PHIC) through the National Health Insurance Program (NHIP) and the DOH through sector- wide policy support will lead this component jointly.
  30. 30. FOURmula ONE For Health: HEALTH REGULATION • The goal is to ensure the quality and affordability of health goods and services Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 30
  31. 31. FOURmula ONE For Health: HEALTH SERVICE DELIVERY • The goal is to ensure and improve the accessibility and availability of basic and essential health care in both public and private facilities and services Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 31
  32. 32. FOURmula ONE For Health: GOOD GOVERNANCE • The goal is to enhance health system performance at the national and local levels Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 32
  33. 33. MILLENNIUM DECELOPMENT GOALS Millennium Development Goals | Philippine Statistics Authority (psa.gov.ph) 33 In September 2000: Member states of the United Nations (UN) gathered at the Millennium Summit to affirm commitments towards reducing poverty and the worst forms of human deprivation. The Summit adopted the UN Millennium Declaration which embodies specific targets and milestones in eliminating extreme poverty worldwide.
  34. 34. MILLENNIUM DECELOPMENT GOALS Millennium Development Goals | Philippine Statistics Authority (psa.gov.ph) 34
  35. 35. HEALTH AND SUSTAINABLE DEVELOPMENT GOAL Health is a reliable indicator of the SDG progress as the social, economic, and environmental determinants of health are broad, involve many sectors, and cross-link with these sectoral outcomes. In addition to being an outcome, health is also a contributor to achieving sustainable development. Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 35
  36. 36. THE SUSTAINABLE DEVELOPMENT GOAL The 17 Sustainable Development Goals - SDGs - Philippines (neda.gov.ph) 36
  37. 37. THE SUSTAINABLE DEVELOPMENT GOAL The 17 Sustainable Development Goals - SDGs - Philippines (neda.gov.ph) 37
  38. 38. THE SUSTAINABLE DEVELOPMENT GOAL The 17 Sustainable Development Goals - SDGs - Philippines (neda.gov.ph) 38
  39. 39. FROM: SDGs and the PDP - SDGs - Philippines (neda.gov.ph) 39
  40. 40. Updated Philippine Development Plan 2017-2022 - Philippine Development Plan (neda.gov.ph) 40
  41. 41. THE 17 SUSTAINABLE DEVELOPMENT GOALS The 17 Sustainable Development Goals - SDGs - Philippines (neda.gov.ph) 41
  42. 42. THE 17 SUSTAINABLE DEVELOPMENT GOALS The 17 Sustainable Development Goals - SDGs - Philippines (neda.gov.ph) 42
  43. 43. THE 17 SUSTAINABLE DEVELOPMENT GOALS The 17 Sustainable Development Goals - SDGs - Philippines (neda.gov.ph) 43
  44. 44. THE LOCAL HEALTH SYSTEM: HISTORICAL BACKGROUND • For over 40 years after Post War independence, the Philippine Health Care System was administered by a central agency based in Manila which provided the singular sources of resources, policy direction, technical and administrative supervision to all health facilities nationwide. Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 44
  45. 45. THE LOCAL HEALTH SYSTEM: HISTORICAL BACKGROUND Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 45 RA 7160 • Local Government Code passed in 1991 • All structures, personnel, and budgetary allocations from the provincial health down to the barangays were devolved to the LGU to facilitate health service delivery • Local Government Executives are responsible to operate local health services
  46. 46. THE LOCAL HEALTH SYSTEM: HISTORICAL BACKGROUND Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 46 RA 7160 • Emerging of the new centers of authority for health: provincial, city, municipal governments, including an autonomous regional government and a metropolitan authority.
  47. 47. THE LOCAL HEALTH SYSTEM: HISTORICAL BACKGROUND RA 7160 • PROVINCIAL GOVERNMENT operates the hospital system (provincial and district hospitals) • CITY OR MUNICIPAL GOVERNMENTS operate the health centers, rural health units, and barangay health stations Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 47
  48. 48. THE LOCAL HEALTH SYSTEM: OBJECTIVES 1. Establish Local Health System for effective and efficient delivery of health care services 2. Upgrade the health care management and service capabilities of local health facilities 3. Promote inter-LGU linkages and cost- sharing schemes including local health care financing systems for better utilization of local health resources 4. Foster participation of the private sector, NGOs and communities in local system development 5. Ensure the quality of the local health service delivery at the local level Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 48
  49. 49. 49
  50. 50. PRIMARY HEAKTH CARE AS AN APPROACH TO THE DELIVERY OF HEALTH CARE SERVICES According to the World Health Organization: PHC is essential health care made universally accessible to individuals and families in the community by means acceptable to them through their full participation and at a cost that the community and country can afford at every stage of development. Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 50
  51. 51. PRIMARY HEAKTH CARE AS AN APPROACH TO THE DELIVERY OF HEALTH CARE SERVICES • Declared during the First International Conference on Primary Health Care held in Alma Ata, USSR on September 6-12, 1978 by the W.H.O. • The Goal was Health for All By Year 2000 • Adopted in the Philippines through the Letter of Instruction 949 signed by President Ferdinand Marcos on October 19, 1979 - Underlying theme: Health in the Hands of the People by 2020 Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 51
  52. 52. PRIMARY HEAKTH CARE AS AN APPROACH TO THE DELIVERY OF HEALTH CARE SERVICES WHO stated 3 Components of PHC: 1. integrated health services to meet people’s health needs throughout their lives 2. addressing the broader determinants of health through multisectoral policy and action 3. empowering individuals, families and communities to take charge of their own health. World Health Organization. (2022). Primary health care. Who.int; World Health Organization: WHO. https://www.who.int/health-topics/primary-health- care#tab=tab_1 52
  53. 53. ELEMENTS/COMPONENTS OF PHC 1. Environmental Sanitation (adequate supply of safe water and good waste disposal) 2. Control of communicable diseases 3. Immunization 4. Health Education 5. Maternal and Child Health and Family Planning 6. Adequate Food and proper nutrition 7. Provision of medical care and emergency treatment 8. Treatment of locally endemic diseases 9. provision of essential drugs Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 53
  54. 54. PRIMARY HEAKTH CARE: 4 CORNERSTONES/ PILLARS 54
  55. 55. LEVELS OF PHC WORKERS 1. VILLAGE OR BARANGAY HEALTH WORKERS - trained community health workers or health auxillary volunteer or a traditional birth attendant or a healer 2. INTERMEDIATE LEVEL HEALTH WORKERS - Medical Practitioners or their assistants - Public Health Nurse, Rural Sanitary Inspectors and midwives Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 55
  56. 56. RURAL HEALTH UNIT Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 56 An intermediate health facility Located in a town or poblacion RHU Team: Physician, Dentist, Public Health Nurse, Midwife, Sanitarian, and other health workers
  57. 57. LEVELS OF HEALTH CARE AND REFERRAL SYSTEM Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 57 Primary Level of Care Secondary Level of Care Tertiary Level of Care
  58. 58. PRIMARY LEVEL OF CARE Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 58 Devolved to the cities and the municipalities Health care is provided by the center physicians, public health nurses, rural health midwives, barangay health workers, traditional healers and others at the BHS and RHUs The first contact between the community members and the other levels of health facility
  59. 59. SECONDARY LEVEL OF CARE Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 59 Secondary care is given by physicians with basic health training Usually in health facilities either privately owned or government operated such as infirmaries, municipal and district hospitals, and Out- Patient Departments of provincial hospitals Serves as a referral center for the primary health facilities Capable of performing minor surgeries and perform some simple laboratory examinations
  60. 60. TERTIARY LEVEL OF CARE Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 60 Complicated cases and intensive care requires tertiary care and all these can be provided by the tertiary care facility The referral center for the secondary care facilities Tertiary care is rendered by specialists in health facilities including medical centers, as well as regional and provincial hospitals, and specialized hospitals such as the Philippine Health Center
  61. 61. Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 61
  62. 62. DOH MILESTONES 62
  63. 63. DOH MILESTONES 63
  64. 64. DOH ORGANIZATIONS 64
  65. 65. DOH ORGANIZATIONS 65
  66. 66. DOH WEB LINKS DOH HOSPITALS DOH Hospitals | Department of Health website ATTACHED AGENCIES DOH Attached Agencies | Department of Health website LOCATION MAP DOH Location Map | Department of Health website UNIVERSAL HEALTH CARE AND ITS AIM Universal Health Care | Department of Health website (doh.gov.ph) Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 66
  67. 67. DOH WEB LINKS MILLENIAL DEVELOPMENT GOALS (SDG) Things You Want To Know About MDG | Philippine Statistics Authority (psa.gov.ph) SUSTAINABLE DEVELOPMENT GOALS (SDG) The 17 Sustainable Development Goals - SDGs - Philippines (neda.gov.ph) Public health nursing in the Philippines. (2007). Manila] National League Of Philippine Government Nurses. 67

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