CPH Flashcards
is a complex discipline that has strong historical connections to society.
PUBLIC HEALTH
A state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity
HEALTH (WHO)
encompasses the scientific and artistic practices aimed at preventing disease, enhancing well-being, and extending life span
PUBLIC HEALTH
According to this individual/ organization, public health is the combination of scientific knowledge and artistic skills aimed at preventing diseases, extending life span, and enhancing health and productivity through coordinated community actions.
Dr. CE Winslow
According to this individual/ organization, public health is defined as the practice of utilizing scientific knowledge within the realm of politics to decrease health disparities while simultaneously promoting optimal health for the largest population
World Health Organization
focuses on the overall well-being of communities and populations as a whole, its mission is to advance the promotion of health, the prevention of disease, and the extension of life.
PUBLIC HEALTH
to promote and protect the health of people and the communities where they live, learn, work, and play.
Mission of Public Health
A global leader for attaining better health outcomes, competitive and responsible health care system, an equitable health financing
DOH VISION
To guarantee equitable, sustainable, and quality health for all Filipinos, especially the poor, and to lead the quest for excellence in health
DOH MISSION
The study of the distribution and determination of health- related states or events in specified populations, and the application of thus study to control health problems
EPIDEMIOLOGY
Factors that influence an individual’s or population’s health, which can include biological, socioeconomic, psychosocial, behavioral, or social in nature
DETERMINANTS OF HEALTH
Efforts to prevent the occurrence of disease or injury, typically categorized as primary ( before it occurs), secondary (early detection), or tertiary (after it has occurred) prevention
PREVENTION
The process of enabling people to increase control over and to improve their health through lifestyle changes
HEALTH PROMOTION
The continuous, systematic collection, analysis, and interpretation of health-related data needed for the planning, implementation, and evaluation of public health practice
SURVEILLANCE
An occurrence of disease greater than would otherwise be expected at a particular time and place.
OUTBREAK
The epidemic that has spread over several countries or continents, usually affecting a large number of people
PANDEMIC
The attainment of the highest level of health for all people, with the focus on removing disparities and inequalities in health status due to factors such as race, gender, income, or geographic location
HEALTH EQUITY
Conditions in the environment where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks
SOCIAL DETERMINANTS OF HEALTH
Illnesses caused by microorganisms such as bacteria, viruses, fungi, or parasites that can be spread, directly or indirectly, from one person to another
COMMUNICABLE DISEASES
Diseases not passed from person to person, often chronic in nature, such as heart disease, stroke, cancer, diabetes, and chronic lung diseases
NON-COMMUNICABLE DISEASES
The branch of public health that focuses on the relationships between people and their environment, promotes human health and well-being, and fosters healthy and safe communities
ENVIRONMENTAL HEALTH
Decisions, plans, and actions undertaken to achieve specific healthcare goals within a society
HEALTH POLICY
posits that health behavior is influenced by an individual’s own beliefs and perceptions regarding an illness or health issue, as well as their understanding of the available measures to mitigate its occurrence.
HEALTH BELIEF MODEL
is highly acknowledged conceptual framework in health behavior theory.
HEALTH BELIEF MODEL
An international agreement that advocates for a holistic view of health, emphasizing the need for health equity, empowerment of individuals and communities, and the necessity of enabling environments for health.
THE OTTAWA CHARTER for Health Promotion (1986)
is the process of enabling individuals and communities to enhance control over and improve their health.
HEALTH PROMOTION
Essential Prerequisites that the OTTAWA Charter underscored that is necessary for Health Improvement
ADVOCACY
ENABLEMENT
MEDIATION
ADAPTATION TO LOCAL CONTEXT
are epidemics or outbreaks of disease that spread far and wide affecting populations of multiple
continents.
PANDEMICS
This pandemic, commonly known as the Spanish Flu, was caused by the H1N1. A virus. It remains one of the most severe pandemics in history, leading to substantial morbidity and mortality. The high infection rate and the rapid global spread of the virus highlighted the challenges of managing infectious diseases on a global scale, emphasizing the need for effective public health measures and international cooperation in responding to such health crises.
INFLUENZA (1918)
a highly contagious viral disease that can lead to paralysis
Polio
The Doctor who developed a vaccine for Polio
Dr. Jonas Salk
A pandemic, which emerged in the late 20th century, has had a profound impact on global public health. As of the current data, approximately 34 million people are living with this disease worldwide
HIV
The typhoon struck the Philippines in November 2013, causing widespread devastation and resulting in a significant public health crisis. The impact of the typhoon posed various health challenges, including injuries, displacement, and the risk of infectious diseases.
YOLANDA
involves the use of infectious agents or toxins to harm or kill humans, animals, or plants, often with the intention of gaining a military advantage.
BIOLOGICAL WARFARE
This comprehensive law, also known as the Tobacco Regulation Act, was enacted to promote a
healthful environment and protect the public from the harmful effects of smoking and exposure to
tobacco smoke
RA No. 9211
Issued in 2017 by then-President Rodrigo Duterte, this executive order aims to establish smoke-free
environments in public and enclosed places.
Executive Order No. 26
THE PUBLIC HEALTH APPROACH
- Surveillance
- Risk Factor Identification
- Intervention Evaluation
- Implementation
CORE SCIENCES
- Epidemiology
- Laboratory
- Informatics
- Surveillance
- Prevention Effectiveness
Public Health in the Spanish Era (1565- 1898)
- The San Lazaro Church and Hospital
- Hospital Real in Cebu
- Medical Institutions addressing diseases like smallpox and cholera
Public Health under the Americans (1898- 1918)
- Improved Health Care by building more hospitals
- Implementing disease prevention measures
- Providing formal medical education and benefits to Filipinos
- Mass smallpox vaccinations
was established in 1947 following the separation of health and public welfare offices.
Department of Health
- Resulted from the first international conference on PHC held in Kazakhstan.
- Emphasized accessibility, community participation, health promotion, appropriate technology, and a
multi-sectoral approach. - The battle cry was “Health for All.”
ALMA-ATA DECLARATION (1978)
- Nationwide implementation of PHC, integrating preventive and curative health services.
- Established the Research Institute for Tropical Medicine and a herbal processing plant.
- Received the WHO Sasakawa Health Prize in 1985.
Dr. Azurin’s Term (1981- 1992)
- Issued EO 119, restoring the Department of Health (DOH) and increasing the health budget.
- Implemented key initiatives: “The Milk Code,” Field Epidemiology Training Program, Generics Drug Act
(RA 6675), and Local Government Code of 1991
Aquino Administration (1986-1992)
- Dr. Juan Flavier’s innovative programs, including the National Immunization Day and public health
campaigns. - Passage of RA 7160 (Local Government Code) and RA 7305 (Magna Carta for Public Health Workers).
- Achievement: WHO declared the Philippines polio-free in 2003.
Fidel and Flavier (1992- 1995)
- Enacted during Ramos’ presidency, establishing PhilHealth.
- Aimed at providing essential health services to all, prioritizing vulnerable sectors.
- Dr. Hilarion Ramiro implemented key reforms.
National Health Insurance Act of 1995
- Evolution from Medicare to PhilHealth, emphasizing universal healthcare.
- Achievements include expanded coverage, financial stability, and the passage of the Universal
Healthcare Act in 2013.
Philhealth Through the Years
- Dr. Carmencita Reodica focused on children’s health, reproductive health, and the Botika ng Barangay
program. - Enacted RA 8423 (Traditional and Alternative Medicine Act) in 1997.
First female Secretary of Health (1996- 1998)
- Secretary Felipe Estrella and Alberto Romualdez emphasized decentralization, prevention, and health
sector reform. - Launched the National Health Passport and initiated various health programs.
Health Sector Reform Agenda (1998- 2001)
- Implemented the “One Script System” for resource allocation.
- Achievements include TB control, fiscal autonomy for DOH hospitals, and successful management of
the SARS outbreak. - Strong emphasis on community health and strategic health planning
Secretary Manuel Dayrit (2001- 2005)
- A historical quote highlighting the impact of past pandemics on commerce and public life.
- The evolution reflects a continuous effort to enhance healthcare accessibility, address emerging health
challenges, and achieve the goal of “Health for All” in the Philippines
Pandemic Reference (1935)
- Implemented “FOURmula ONE for Health” framework focusing on healthcare financing, regulation,
service delivery, and governance. - Achieved unprecedented budget increases, reaching 23.7 billion pesos in 2009.
- Passed the landmark Accessible Cheaper and Quality Medicines Act of 2008 (RA 9502), reducing
medicine prices and expanding distribution networks. - Enacted the Food and Administration Law of 2009 (RA 9711) to strengthen regulatory oversight.
- Implemented the Maternal, Neonatal and Child Health and Nutrition (MNCHN) Strategy to address
maternal and child mortality
Dr. Francisco Duque’s Term (2005-2010)
- Adopted a Sector-Wide Development Approach (SDAH) for effective donor coordination and resource
mobilization. - Successfully managed the AH1N1 virus outbreak in 2009, receiving commendation from the World
Health Organization. - Instituted internal reforms in financial management, procurement, and internal audit, enhancing
transparency and accountability. - Awarded the Communication Excellence in Organizations in 2009 for effective communication
strategies. - Dr. Esperanza Cabral served as Secretary of Health after Dr. Duque’s appointment as Chairman of the
Civil Service Commission in 2010.
Dr. Francisco Duque’s Term (2005-2010)
RA ___________ or the Universal Health Care Act
RA 11223
Aims to provide Filipinos with access to quality and affordable health care services
Universal Health Care Act
Meaning of IRR
Implementing Rules and Regulations
Key Components of IRR
1.) The expansion of the benefit packages provided by PhilHealth
2.) Ensuring financial risk protection for all Filipinos
3.) Encourage health promotion and disease prevention programs
The UHC law encompasses all Filipinos within the National Health Insurance Program. The overarching goal is to ensure that everyone has equitable access to quality and affordable health care services.
COVERAGE
The UHC Act categorizes health services into preventive, promotive, curative, rehabilitative, and palliative care, catering to both individual and community health needs
HEALTHCARE SERVICES
The successful implementation of UHC hinges on adequate funding sources. Key contributors include the national government subsidy, funds from the Philippine Health Insurance Corporation (PhilHealth), and contributions from the Sin tax law.
FUNDING
Derived from the Greek words “epi”, “demos”, “logos” and stands as a critical pillar in the realm of Community and Public Health
Epidemiology
It serves as the scientific backbone,
employing rigorous methods to explore the distribution and determinants of health-related states or events
within specific populations.
Epidemiology
Epidemiology does not operate in isolation; instead, it embraces a _______________ nature,
multidisciplinary
Epidemiology draws insights from other various scientific fields like:
-Biostatics
-Informatics
-Biology
-Economics
-The social and behavioral sciences
As a ____________________, epidemiology demands a profound understanding of probability, statistics, and research methods.
Quantitative discipline
indicating the number of health events like cases of meningitis or diabetes, is assessed in relation to the population size, allowing for the calculation of rates.
FREQUENCY
delves into the occurrence of health-related events concerning time, place,
and person.
PATTERNS
patterns may manifest annually, seasonally, weekly, daily, or even hourly, providing insights
into temporal influences on disease occurrence.
TIME
patterns involve geographic variations, urban/rural distinctions, and the location of workplaces or schools.
PLACE
encompassing demographic factors (such as age, sex, marital status, and
socioeconomic status), behaviors, and environmental exposures, contribute to a comprehensive
understanding of health events.
PERSONAL CHARACTERISTICS
_______________________________ plays a pivotal role in characterizing health events by time, place, and person. This
involves detailed exploration and analysis of the distribution patterns, laying the groundwork for further
investigations and interventions in public health.
Descriptive Epidemiology
involves a thorough examination of groups with different disease rates to assess disparities in demographic characteristics, genetic or immunologic makeup, behaviors, environmental
exposures, and other potential risk factors.
Analytic Epidemiology
___________________ focus on specified populations, distinguishing them from ________________ who prioritize individual health.
Epidemiologists, clinicians
What does the epidemiological approach starts with?
Defining what constitutes a case