3 - Philippine Healthcare and the Philippine Healthcare Delivery System Flashcards
Fundamental human right as cited in the Alma-Ata Declaration of 1978
Health
states that primary health care is essentialhealth care based on scientifically sound and socially acceptable methods, universally accessible to
individuals and families with their full participation at a cost that the community and country can afford in a spirit of self-reliance and selfdetermination.
(WHO-WPRO, 2018)
Alma-Ata Declaration of 1978
Ten parts of the declaration EACH REINFORCING
WIDELY ACCEPTED VALUES AND
POLICIES ON HEALTH CARE
•Definition of Health • Concern over inequity between countries • Health as a pre-requisite for economic progress of countries • People's right to participate in planning and implementation of health services • State responsibility in provision of health care to all citizens • Reaffirmation of primary health care as an important strategy to organize health services • Components of primary health care • Align national policies and build political will to achieve primary health care • Cooperation between countries to achieve these goals • Health for all by 2000
Goal of Alma-Ata Declaration of 1978
Reach optimal level of health from the collaboration and action among social and economic sectors
An organized plan of health services
Health Care System
Who defined the concept of Health Care System in 1987?
Miller & Keane
Carries out the task of endering of health services to the people
Health Care Delivery
Who defined the concept of Health Care Delivery in 1981?
Williams-Tungpalan
deals with social policy targets health equity with the
ultimate goal of better health for all
Primary Health Care
five key elements to achieve PHC’s goal as identified by WHO are?
• universal coverage to reduce exclusion and
social disparities in health;
• service delivery organized around people’s
needs and expectations;
• public policy that integrates health into all
sectors;
• leadership that enhances collaborative
models of policy dialogue; and
• Increased stakeholder participation.
8 essential elements of PHC?
- Education concerning prevailing health problems and the methods of identifying, preventing and
controlling them - Locally endemic disease prevention and control
- Expanded program of immunization against major
infectious diseases - Maternal and child health care including family planning
- Essential drugs arrangement
- Nutritional food supplement, an adequate supply of safe and basic nutrition
- Treatment of communicable and non-communicable
disease and promotion of mental health - Safe water and sanitation
6 other elements of PHC?
- Expended options of immunizations
- Reproductive health needs
- Provision of essential technologies for health
- Health promotion
- Prevention and control of non-communicable diseases
- Food safety and provision of selected food supplements
Primary Health Care should integrate what?
Principles
Will serve as guide for the functions of the system as a whole
Principles
Bridges the conflict between primary healthcare and is a holistic approach to the provision of health
services
Principles
12 Basic objectives to launch and sustain PHC:
- Improve the level of health care of the community
- Promote favorable population growth structure
- Reduce the morbidity and mortality rates especially
among infants and children - Reduce prevalence of preventable, communicable,
and other diseases - Improve basic sanitation
- Extend essential health services especially to
underserved sectors - Develop the capability of the community to become
self-reliant - Encourage the contribution of other sectors to the
social and economic development of the community - Provide equitable distribution of health care
- Ensure community participation and monitor
adequacy and distribution of health workers who are
supported locally and at the referral levels - Recognize that the formal health sector needs other
sectors in the promotion of health (multi-sectoral
approach) - Use the appropriate technology which are accessible, feasible, affordable, and culturally acceptable to the
community
5 steps in the management of Primary Health Care:
- Planning
- Organizing
- Staffing
- Controlling
- Directing
Setting priorities and determining performance targets
Planning
Designing organization and designating reporting relationships and positions
Organizing
Acquiring, retaining, developing human resources
Staffing
Monitoring staff activities and performance
Controlling
Initiating action
Directing
Management principles in relation to organizing
- Authority, Responsibility, and Accountability
- Types of Authority
- Centralization, Decentralization, and Formalization
- Staffing
refers to the formal and legitimate right of a manager to issue orders, make decisions, and allocate resources to achieve
desired outcomes of the organization.
Authority