CHN CHAPTER 2 Flashcards

1
Q

Philippine health care delivery system is composed of two sectors:

A

the public sector
the private sector

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2
Q

Philippine health care delivery system which is
-financed through a tax-based budgeting system both national & local events.
-Health care is given free at point of service.
-national (DOH) & local government agencies

A

Public sector

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3
Q

Philippine health care delivery system which is
-a market oriented
-health is paid through user fees at point of service.

A

Private sector

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4
Q

At the national level ___ is appointed as the lead agency in health.

A

DOH

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5
Q

With the devolution of health services, the local health system is now run by___

A

Local Government Units (LGUs)

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6
Q

health centers/rural health units (RHUs) and barangay health stations (BHSs) are under

A

city/municipal government

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6
Q

Provincial & district hopsital are under___

A

Public/provincial Government

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7
Q

Its function is mainly to serve as advisory body to the local executive and the sanggunian or local legislative council on health-related matters.

A

local chief executive

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8
Q

public health nurse to population ratio

A

1:20,000

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9
Q

EO 851

A

MINISTRY OF HEALTH
-combines public health
and hospital operations under the Provincial Health Officers.

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10
Q

EO 119

A

“Reorganizing the Ministry of Health”
transformed the Ministry of Health back to the Department of Health.

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11
Q

RA 7160

A

Local Government Code/ DECENTRALIZATION of entire government

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12
Q

mandates the Department of Health to provide assistance to local
government units, people’s organization, and other members of civic society
- implementing programs, projects and services that will promote the
health and well being of every Filipino

A

EO 102

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13
Q

Roles and Functions of DOH

A

-Leadership in Health
-Enabler and Capacity Builder
-Administrator of Specific Services

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14
Q

-Serve as a National policy and regulatory institution,which other insitutions will anchor their thrusts and
directions for health.
- leadership in the formulation, monitoring and evaluation of national
health policies, plans and programs.
- Serve as advocate in the adoption of health policies, plans and programs.

A

leadership in health

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15
Q

-Innovate new strategies in health to improve the effectiveness of health programs. ensure informed public participation in policy decision-making.
- evaluation of national health
plans, programs and policies.
- Ensure the highest achievable standards of quality health care

A

-Enabler and Capacity Builder

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16
Q

-Manage selected national health facilities and hospitals with modern and advanced facilities.
-national and sub-national levels that are referral centers for health system.
- Administer direct services for emergent health concerns that require new complicated technologies. specific programs like tuberculosis, schistosomiasis,
HIV-AIDS.
- Administer health emergency response services

A

Administrator of Specific Services

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17
Q

The DOH is the leader, staunch advocate and model in promoting Health for All
in the Philippines.

A

Vision of DOH

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18
Q

Guarantee equitable, sustainable and quality health for all Filipinos, especially
the poor and shall lead the quest for excellence in health.

A

Mission

19
Q

GOAL OF DOH

A

Health Sector Reform Agenda (HSRA)
-Support mechanisms
will be through sound organizational development, strong policies, systems and
procedures, capable human resources and adequate financial resources.

20
Q

Rationale for Health Sector Reform

A
  • Slowing down in the reduction in 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.
21
Q

It intends to implement critical interventions as a single package-backed by effective management infrastructure and financing arrangements following a sectorwide approach.

A

Framework for Implementation of HSRA: FOURmula ONE for Health

22
Q

Goals of FOURmula ONE for Health

A
  1. Better health outcomes
  2. More responsive health systems
  3. Equitable health care financing
23
Q

The four elements of the FOURmula one strategy are:

A

Health financing : better investment in health
Health regulation: quality & affordability of health services
Health service delivery: accessibility & availability of basic and essential health care
Good governance: enhance health system performance

24
Q

The NHIP as key feature of FOURmula one supports each of the elements in terms of:

A

financing: reduce financial burden on filipino health care cost
governance: influencing healthcare market
regulation: accreditation and improved performance in health sector
service delivery: fair compensation in providing essential goods & services

25
Q

-espoused by the Department of Health in order to ensure
quality of health care service at the local level.
-individuals, communities and all other
health care providers in a well- defined geographical area participate together in
providing quality equitable and accessible health care.

A

Inter local health system

26
Q

Composition of the Inter-Local Health Zone

A

P-B-H-H
People: vary from zone to zone; population size between 1 00,000
and 500,000 for optimum efficiency and effectiveness.
Boundaries: Locations and access to referral facilities
Health Facilities: health services deciding to work together as an
integrated health system.
Health Workers: f health providers is needed to deliver
comprehensive health services.

27
Q

-An essential health care made universally accessible to
individuals and families in the community
-Acceptable to them through
their full participation and at a cost that the community and country can afford at
every stage of development

A

PHC Primary Health Care

28
Q

PHC was declared during

A

During First International Conference; held in alma ata USSR (Soveit Union) on September 6-12, 1978 by WHO

29
Q

“Health tor All by the year 2000”.

A

PHC

30
Q

“Health in the Hands of the
People by 2020.”

A

LOI 949; by President Marcos on October 19, 1979

31
Q

Elements/ Components of Primary Healthcare

A

-Environmental Sanitation (adequate safe water & good waste disposal)
-Control of Communicable Diseases
-Immunization
-Health Education
-Maternal and Child Health and Family Planning
-Adequate Food and Proper Nutrition
-Provision of Medical Care and Emergency Treatment
-Treatment of Locally Endemic Diseases
-Provision of Essential Drugs

32
Q

Strategies of PHC

A
  • Reorientation and reorganization of the national health care system, under devolution/local government code
    -Effective preparation and enabling process for health action at all levels.
    -Mobilization of people and know their communities
    -Development and utilization of appropriate technology
  • Organization of communities
    -Increase opportunities for community participation
    -Development of intra-sectoral linkages
    -Emphasizing partnership
33
Q

**Four Cornerstones/Pillars in Primary Health Care

A

I. Active community participation
2. Intra and inter-sectoral linkages
3. Use of appropriate technology
4. Support mechanism made available

34
Q

***TYPES OF PRIMARY HEALTH CARE WORKERS

A

Primary & Secondary

35
Q

The types vary in different communities depending upon:

A
  • Available health manpower resources
  • Local health needs and problems
  • Political and financial feasibility
36
Q

Two levels of primary health care workers have been identified

A

-Village or Barangay Health Workers (V/BHWs)
-Intermediate level health workers.

37
Q

Village or Barangay Health Workers (V/BHWs)

A

-Community health workers
-Health auxiliary volunteer
-traditional birth attendant/ healer

38
Q

Intermediate level health workers.

A

Medical practiotioners
Public Health Nurse
Rural Sanitary Inspectors
Midwives

39
Q

the first
contact between the community members and the other levels of health facility.

A

Primary health facility
-by center physician

40
Q

capable of performing minor surgeries and
perform some simple laboratory examinations.

A

Secondary facilities
-physician with basic health training

41
Q

-is the referral
center for the secondary care facilities.
-Complicated cases and intensive care

A

Tertiary level of care

42
Q

PRIMARY

A

-BHS
-RHU
-Community hospital & health centers
-Private practitioners/Puericulture centers

43
Q

Secondary

A

-District hospital/ Emergency
-Provincial/ city health services/ City Hospital

44
Q

Tertiary

A

-Regional health services
-National Health services