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Reviewer(2B) > CHN Module 2 > Flashcards

CHN Module 2 Flashcards

1
Q
  • A world everyone can live a healthy productive lives.
  • Placing health at the center of health agenda.
  • Engaging countries and strengthening partnerships.
A

Vision Statement (WHO)

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2
Q
  • To oversee global health issues while leading research initiatives.
  • To publicize fact-based policy options so all information is disseminated globally.
  • To aid individual countries to cope with health issues within their borders
A

Mission Statement(WHO)

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3
Q

THE ROLE OF W.H.O. (World Health Organization) IN PUBLIC HEALTH

A

 Providing leaderships on matters critical health and engaging in partnerships where joint action is needed;
 Shaping the research agenda and stimulating the generation, translation and dissemination of valuable knowledge;
 Setting norms and standards and promoting and monitoring their implementation;
 Articulating ethical and evidence-based policy options;
 Providing technical support, catalyzing change, and building sustainable institutional capacity; and
 Monitoring the health situation and assessing health trends.

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4
Q
  • Signed by 189 UN member countries on September 2000.
  • Aims to achieve a set of eight measurable goals that combat poverty, hunger, disease, illiteracy, environmental degradation, and discrimination against women by 2015.
A

MILLENIUM DEVELOPMENT GOALS (MDG) 2015

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5
Q

HOW MANY MDG GOALS?

A
  1. To eradicate extreme poverty and hunger
  2. To achieve universal primary education
  3. To promote gender equality and empower women
  4. To reduce child mortality
  5. To improve maternal health
  6. To combat HIV/ AIDS, Malaria, and other diseases
  7. To ensure environmental sustainability
  8. To develop a global partnership for development.
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6
Q
  • Officially known as Transforming our World: the 2030 Agenda for Sustainable Development
  • It is a non-binding document released as a result of Rio+20 Conference held in June 2012 in Rio de Janeiro, in Brazil.
  • Develop a new set of 17 “Global Goals” with 169 targets between them.
  • It will carry on the momentum generated by MDG’s ad fit into a global development framework beyond 2015 (Post 2015 Development Agenda (successor to the Millennium Development Goals.)
  • Spearhead BY THE United nations through a deliberative process involving its States, as well as civil society. 193 members.
A

SUSTAINABLE DEVELOPMENT GOALS (SDG) 2030

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7
Q

It is a non-binding document released as a result of

A

Rio+20 Conference

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8
Q

Rio+20 Conference held in

A

June 2012 in Rio de Janeiro, in Brazil.

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9
Q

Signed by ___ __ ______ countries on _________ ____?

A

189 UN member , September 2000

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10
Q

GOAL 3 TARGETS

A

Ensure healthy ad promote well-being for all at all ages

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11
Q

 Filipinos are among the healthiest people in Southeast Asia by 2022, and Asia by 2040.

A

Vision(DOH)

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12
Q

 To lead the country in the development of productive, resilient, equitable, and people-centered.

A

Mission(DOH)

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13
Q

holds the over-all technical authority on health as it is national health policy-maker and regulatory institution.
It mandate is to develop national plans, technical standards, and standards, and guidelines on health.

A

Department of Health (DOH)

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14
Q

THREE MAJOR ROLES IN THE HEALTH SECTOR:

A

 Leadership in health;
 Enabler and capacity builder; and
 Administrator of specific services

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15
Q

FIVE MAJOR FUNCTIONS OF DOH:

A
  1. Ensure equal access to basic health services.
  2. Ensure formulation of national policies for proper division of labor and proper coordination of cooperation’s among the government agency jurisdictions.
  3. Ensure a minimum level of implementation nationwide of services regarded as public health goods.
  4. Plan and establish arrangements for the public health systems to achieve economies of scale.
  5. Maintain a medium of regulations and standards to protect consumers and guide providers
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16
Q

BASIC HEALTH SERVICES UNDER DOH

A

E – Education regarding health
L – Local endemic diseases
E – Expanded Program on immunization (EPI)
M – Maternal and Child Health Services
E – Essential drugs and Herbal plants
N – Nutritional health Services (PD 491): Creation of Nutrition Council of the Philippines
T – Treatment of Communicable and Non-Communicable Diseases
S – Sanitation of the environment (PD 856): Sanitary Code of the Philippines

D – Dental Health Promotion
A – Access to and use of hospital as Centers of Wellness
M – Mental health promotion

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17
Q

PRINCIPLES TO ATTAIN THE VISION OF DOH

A

o Equity: equal health services for all- no discrimination
o Quality: DOH is after the quality of service not the quantity.
o Philosophy of DOH: “Quality is above quantity”
o Accessibility: DOH utilize strategies for delivery of health services.

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18
Q

equal health services for all- no discrimination

A

Equity

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19
Q

DOH is after the quality of service not the quantity.

A

Quality

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20
Q

Philosophy of DOH:

A

“Quality is above quantity”

21
Q

DOH utilize strategies for delivery of health services.

A

Accessibility

22
Q

 “the totality of all policies, facilities, equipment, products, human resources and services which address the health need problems and concerns of the people. It is large complex, multi-level and multi-disciplinary.
 Interrelated system in which a country organizes available resources for the maintenance and improvement of the health of its citizens ad communities.
 The network of health facilities and personnel which carries out the task of rendering health care to the people.

A

Health Care Delivery System

23
Q

WHO SIX BUILDING BLOCKS OF HEALTH CARE SYSTEMS

A
  1. Leadership and Governance;
  2. Service Delivery;
  3. Health Information;
  4. Health Financing;
  5. Human Resources; and
  6. Medicine and Technologies
24
Q

o Refers to the act by which the National Government confers power and authority upon the various Local Government Units (LGUs) to perform specific functions and responsibilities.

A

Devolution of Health Services

25
Q

o The legal basis of devolution
o It devolved the following services
 Agriculture, Forest management, Health services, Social welfare, 
Barangay level roads 

 For effective and efficient delivery of healthcare services 

 Promote inter-LGU linkages and cost-sharing schemes 

 Foster participation of private sectors, NGO, etc. in health development

A

Republic Act 7160- The Local Government Code of 1991

26
Q

LGUs were given powers to mobilize their resources

A

DOH as facilitators
LGU as implementors

27
Q

An RN must apply in the RHU through the

A

Municipal Health Officer

28
Q

o It has retained the centralized character of its health system.
o DOH ARMM directly runs the provincial hospitals and the municipal health centers.

A

Context of Devolution in the ARMM

29
Q

Key Elements in Health Service Delivery

A
  • Organizing health services as networks of primary care 
backed up by hospitals and specialized care. 

  • Providing package of health benefits with clinical and public health interventions. 

  • Ensuring access and quality of services. 

  • Holding providers accountable for access ad quality and ensuring consumer voice.
30
Q

Forms of Health Service Delivery in the Philippines

A

o Public Sector
* Financed through taxes

* Budgeting system is done at the local and national level
* Health Care service is “free” at the point of care

* LGU- direct delivery of public health services
* DOH- technical assistance (i.e capacity building, advisory services for disease prevention and control, and provide free medicines ad vaccines).
o Private Sector
* Profit and non-profit health providers
* Usually market-driven
* Services are not free (i.e out-of-pocket schemes, insurance, external funding).

31
Q

Financed through taxes

* Budgeting system is done at the local and national level
* Health Care service is “free” at the point of care

* LGU- direct delivery of public health services
* DOH- technical assistance (i.e capacity building, advisory services for disease prevention and control, and provide free medicines ad vaccines).

A

Public Sector

32
Q
  • Profit and non-profit health providers
  • Usually market-driven
  • Services are not free (i.e out-of-pocket schemes, insurance, external funding).
A

Private Sector

33
Q

direct delivery of public health services

A

LGU

34
Q

technical assistance (i.e capacity building, advisory services for disease prevention and control, and provide free medicines ad vaccines).

A

DOH

35
Q

o According Per Ownership
 Government
 Private
o According to Scope of Services
 General Facilities/ Hospitals (e.g. Philippine General Hospital (PGH) and Jose Reyes Memorial Medical Center (JRMMC).
 Specialty Centers/ Hospitals (e.g. Philippine Heart Center, national Kidney Transplant Institute (NKTI).

A

Classification of Health Facilities (DOH AO 2012-0012)

36
Q

PARTICULAR DISEASE

A

Philippine Orthopedic Center
National Center for Mental Health
San Lazaro Hospital

37
Q

PARTICULAR ORGAN

A

Lung Center of the Philippines
Philippine Heart Center
National Kidney Transplant Institute

38
Q

Key Elements in Human Resources for Health

A

o Achieving sufficient numbers of the right mix of staff

o Ensuring system wide deployment and distribution

o Establishing job related norms and enabling work environments
o Establishing payment systems that produce the right kind of incentives

39
Q

Public Health Worker/s Providers (PHW)

A

o 8 Public Health Workers

40
Q

Trends in Health Personnel

A

o Largest category of health workers in the Philippines; Nurses and Midwifes.
o There is underproduction in other categories such as doctors and dentists.

41
Q

Health Workplace Distribution

A

o More hospital-based doctors, nurses, PTs, ad OTs are in the private 
sector. 

o NCR, Region III and IV-A have a higher proportion of government health workers than other regions.

42
Q

DOH Deployment Programs

A

o Doctors to the Barrios (DTTB)- Physicians are assigned for two years primarily in 4th to 6th class municipalities that has not have a doctor for the last 2 years. 

o Registered Nurses for Health Enhancement and Local Services (RN HEALS)- Deployed nurses are assigned 6 months in the community (RHUs) and then another 6 months for hospital service.
o Rural Health Midwives Programs- midwives are assigned in Barangay Health Stations and Rural Health Units for improved maternal and child care. These facilities can then provide Basic Emergency Obstetric and Newborn Care (BEmONC) or Comprehensive Emergency Obstetric and Newborn Care (CEmONC) 

o Rural Health Team Placement Program (RHTPP)- Dentists, medical technologists, and nutritionist- dieticians are assigned in field health facilities to complement existing RHU personnel

43
Q

Career Choices

A

o Government-based positions- not attractive among newly–trained/ graduates.
o Government nurses have been recently (2020) declared to receive Salary Grade 15 (i.e. Php 32, 053 to Php 34, 801).

44
Q

Pharmaceutical Care

A

o Pharmaceutical reach consumers via supply-drive distribution scheme.
o Drug stores (80.1%), Hospitals (9.7%) and Others (10.2%)
o Monopolistic pricing exists in hospitals drug sales, especially in private hospitals where outside purchases are discouraged.
o Drug prices in hospitals are reported to be double those of prices in retail outlets.
o Regulated by Food and Drug Administration.

45
Q

Constraints in Assessing Essential Drugs

A

 Limited Availability
 Irrational Use
 High Costs

46
Q

Develops plans, policies, programs and strategies for regulating health and health-related devices and techn

A

o Bureau of Health Devices and Techologies of the DOH

47
Q

Health Financing in the Philippines

A

o 4.7% of GDP (WHO, 2016)
o Low public budget share of health spending (32.5% of the total)
o Has a high proportion of out-of-pocket spending
o Each Pinoy spent 5,859 for health in 2014.

48
Q

Three Major Groups of Payers of Healthcare in the Philippines

A

o Government
o Social Health Insurance (NHP/PhilHealth and Employees Compensation Fund)
o Private Sources

Reviewer(2B) (8 decks)

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