CHN 17-22 Flashcards
Refers to the act by which the National
Government confers power and authority
upon the various local government units to
perform specific functions and responsibilities,
including the provision and delivery of health care
services
Devolution
THEY made local government
executives responsible to operate local health
services.
Devolution
Objectives of the Local Health System
. Establish local health systems for effective
and efficient delivery of health care services.
* Upgrade the health care management and
service capabilities of local health facilities.
* Promote inter-LGU linkages and cost sharing
schemes including local health care financing
systems for better utilization of local health
resources.
* Foster participation of the private sector, nongovernment organizations (NGOs), and
communities in local health systems
development.
* Ensure the quality of health service delivery at
the local level.
Each local government unit has a ____ which proposes annual budgetary
allocations for the operations of health services
within the locality.
local health
board
Adopted primary health care approach that
integrates at the community level all elements
necessary to make impact upon the health
status of the people
Restructured Health Care Delivery System
Objectives of RHCDS
To strengthen the rural health services and to
effect a more efficient and effective delivery care
of health services in the country
Main Health Center RHCDS
- Location: municipality
- Own catchments area: 5,000 population more
or less - Staff: complete team
Barrio Health Stations
Located in a strategic area beyond 3-5
kilometer from MHC
- Catchments area: 5,000 population
- Staffed by RHM
It is a system of health care similar to district
health system in which individuals,
communities and all other health care
providers in a well-defined geographical area
participate together in providing quality,
equitable and accessible health care
Inter Local Health System
- Unit of the health system created for local
health service management and delivery in
the Philippines. - Has a defined population within a defined
geographical area and comprises a central or
core referral hospital and a number of
primary level facilities such as RHUs and
BHS. - Includes all stakeholders involved in the
delivery of health services
Inter Local Health Zone (ILHZ)
Importance of establishing an ILHZ
- To re-integrate hospital and public health
services for a holistic delivery of health services - To identify areas of complementation of the
stakeholders - LGUs at all levels, DOH, PHIC,
communities, NGOs, private sector and others.
Composition of ILHZ
. People
. Boundaries
. Health facilities
. Health workers
- Main hospital for ILHZ and its catchment
population - Main point of referral for hospital services
from the community, private medical
practitioner and public health services at BHS
and RHUs
Core Referral Hospital
Core Referral Hospital
Minimum services:
o Out-patient services
o Lab and radiological diagnostic
services
o Inpatient care
o Surgical services sufficient to provide
emergency care for basic life
threatening conditions, obstetrics and
trauma
- A contained segment of the national health
system which comprises a well-defined
administrative and geographic area either rural or
urban and all institutions and sectors whose
activities contribute to improve health (WHO)
District Health System
need to be
established between each level of health.
Two-Way Referral System
Two-Way Referral System
primary
secondary
tertiary
primary:
RHU
BRGY. HEALTH STATION
secondary:
DISTRICT HEALTH SERVICES
PROVINCIAL HOSPITAL
tertiary:
NATIONAL HEALTH SERVICES
REGIONAL HEALTH SERVICES
Two-Way Referral System
-Redndered by specialist
-Referral center of secondary care facilitiies
Tertiary Level
Two-Way Referral System
-Given by physicians with basic health training
-serves as referal center of primary health facilities
-Capable of Performing minor surgeries and perform simple labolatory examinations
Secondary Level
Two-Way Referral System
-Developed in cities and municipalities
-Provided by center physicians, RHNs, RHMs, BhwS, traditional healers
-First contact between the community member and other levels of health facilty
Primary level
Two-Way Referral System
facilities, substance/drug abuse treatment and rehabilitation centers, sanitaria/leprosania, and nursing homes
Custodial Care Facility
Two-Way Referral System
laboratory, radiologic and nuclear medicine facility
Diagnostic Facility
Two-Way Referral System
dialysis clinic, cancer chemotherapy clinic, cancer
radiation facility, physical medicine and
rehabilitation center/clinic
Specialized Outpatient Facility
Definition of Primary Health Care
→ Alma, Ata
The essential health care based on
practical, scientifically sound and socially
acceptable methods and technology made
universally accessible to individuals and
families in the community through their full
participation and at a cost that the community
and country can afford to maintain at every stage
of their development in the spirit of SELFRELIANCE and self- determination
Definition of Primary Health
→ DOH
An approach to health development
which is carried through a set of activities and
whose ultimate aim is continuous improvement
and maintenance of the health status of the
community.
Definition of Primary Health
→ Thompson
The collective impact of the community
health nurses in PHC concept embraces the
provision of basic essential servicesPromotive, Preventive, Curative And
Rehabilitative (PPCR)- for the total population at
the local community level.
Definition of Primary Health
→ Rodol.
as an approach, requires the community
health nurse to be competent in a number of
responsibilities including promoting self-reliance
in health care among individuals and families,
collaborating with development sectors in
promoting health and preventing diseases and
disability and extending health care coverage to
all segments of the population especially
vulnerable groups
Primary healthcare Paradigm
rodol
Available
ACCESSIBLE
Affordable
Acceptable
Attainable
PRIMARY HEALTH CARE
OBJECTIVES
a. To develop and maximize people potential
and self-reliance of the community for the
improvement of their own health.
b. To maximize the contributions of other sectors
of health.
c. To maximize the extension of effective health
care services to the periphery
PRIMARY HEALTH CARE
RATIONALE
a. Magnitude of health problems
b. Inadequate and unequal distribution of health
resources
c. Increasing cost of medical care
d. Isolation of health care activities from other
development
PRIMARY HEALTH CARE
MISSION:
To strengthen the health care system by
increasing opportunities and supporting the
conditions wherein people will manage their own
health care
PRIMARY HEALTH CARE
GOAL:
Health for All by the Year 2000
PRIMARY HEALTH CARE
THEME:
Health for All and Health in the Hands of the
People by the Year 2020
PRIMARY HEALTH CARE
KEY STRATEGY TO ACHIEVE GOAL:
Partnership with empowerment of the People
The strategy for achieving health for all is
based on four basic points
a. Use of technology that is scientifically and
socially acceptable as well as economically
sound.
b. Political efforts to improve health, thus
improving people’s economic and social
status.
c. Cooperation of the health sector with other
sectors such as education, agriculture,
industry and media.
d. Community and individual participation.
Center of Equity -
Depressed, deprived and
underserved (DDU)
PRIMARY HEALTH CARE|
COMPONENTS
- E ducation for Health
- L ocal Endemic Disease Prevention & Control
- E xpanded Program on Immunization
- M aternal and Child Health/Family Planning
- E ssential Drugs Provision/Herbal Medicines
- N utrition
- T reatment of Communicable Diseases &
Accidents - S afe Water and Sanitation
PRIMARY HEALTH CARE|
PILLARS
- Use of appropriate technology
- Multisectoral approach
- Active community participation
- Support mechanisms made availabl
PRIMARY HEALTH CARE
|
CRITERIA
Effectiveness and Safety-
Complexity
Cost
Scope Of Technology
Acceptability
Feasibility
PRIMARY HEALTH CARE
|
CRITERIA
- produces the
desired effect without harm.
Effectiveness and Safety
PRIMARY HEALTH CARE
|
CRITERIA
- simple and easy to apply by the
health care providers and clientele.
c. Cost - affordable for all people
Complexity
PRIMARY HEALTH CARE
|
CRITERIA
- directly related to
effectiveness, safety, appropriateness and
affordability.
. Scope Of Technology
PRIMARY HEALTH CARE
|
CRITERIA
- understandable and attuning
with the cultural practices of the people.
Acceptability -
PRIMARY HEALTH CARE
|
CRITERIA
-compatible with the local
condition of the community.
Feasibility -
PRIMARY HEALTH CARE
|
CRITERIA
- affordable for all people.
. Cost
It is a broad-scale movement to engage
people’s participation in achieving a specific
development or health goal through self-reliant
efforts - those that depend on their own resources
and strengths
SOCIAL MOBILIZATION
TYPES OF PRIMARY HEALTH CARE
WORKERS
- Village Health Workers
- Intermediate Level Health Workers
- Health Personnel of First-Line
