Health Laws Flashcards
Where do legislations, A.O.s, E.O.s emanate?
- Legislative and Health Policy Agenda of the DOH
- Legislative Agenda of the President and Cabinet
- Legislative Agenda of the Senate and Lower House of Congress
- Legislative and Health Policy Agenda of Civil Society Groups How are Legislative and Health
Typology of Health Laws
Republic Acts by Congress (R.A. #)
Implementing Rules and Regulations of a Republic Act (IRR of R.A. #)
Department of Health Administrative Orders – (DOH A.O. #)
Presidential Executive Order (E.O. #)
Presidential Proclamation Order (P.O
Way of formulation
Analysis of the National Health Situation
Conduct of health policy researches
Nation-wide consultations, round table discussions and workshops to identify health policy and legislative gaps
Consensus Building on Priorities
Rational way
Way of formulation
Lobbying by vested interests
Personal agenda of a Senator or Congress Representative
Agitation by special interest groups, social activists and development organizations
Irrational way
Steps in Congressional Decision Making
Filing of house bills Hearings and consultations Floor debates Passing of bill by houses Bicameral session Submission for signature
Three Methods by Which a Bill Becomes a Law
Signed by president
2/3 votes of all members of each house after veto by president
Not acted upon by president 30 days upon submission
Presidential Decision Making on E.O.s and P.O.s
Upon recommendation
Processing and staff work
Personal lobbying
Presidential singing or proclamation
DOH Health Policy Decision Making
Health researches and consultation
Submission of completed staff work and decision making
Signing by DOH secretary
Implementation drawbacks
Lack of funds
Lack of political will to implement
Continued pressure of vested interest groups not to implement the law
Monitoring & Evaluation of the Law
No official system and procedure
Sometimes done with support
Done only when there is an amendment to the law
Check and balance by congress
DOH shall pursue and assure
Promotion of health and well-being
Prevention and control of diseases
Protection
Treatment, management and rehabilitation
Roles of DOH health sector
Leadership
Enabler and capacity builder
Administrator of specific services
A Global Leader for attaining better health outcomes, competitive and responsive health care systems, and equitable health care financing
Vision of DOH
To guarantee equitable, sustainable and quality health for all Filipinos, especially the poor, and to lead the quest for excellence in health
Mission of DOH
Three strategic thrust
financial risk protection
Attainment of health-related MDGs
Improving access
Six strategic instruments
Health financing Service delivery Policy, standard and regulation Governance for health Human resources for health Health information
Goal of PHC
Health for all by year 2000
7 features of PHC
Element of health system Focus on priorities Scientific basis Culture sensitivity Equity Community participation Sustainability and self reliance
Place where international conference for PHC took place
Alma Ata, USSR
Mandated the ministry of health to adopt PHC
Ferdinand Marcos
Rationale for adopting PHC
Magnitude of health problems
Inadequate and unequal distribution of health resources
Increasing const of medical care
Isolation of health care activities from other development activities
Objectives of PHC
Improvement in health favorable population growth Reduction in the prevalence of disease Extension of essential health services Improvement in basic sanitation Development: self-reliance Maximize contribution of other ssectors
5 key elements of PHC
Universal coverage reforms Service delivery reforms Public policy reforms Leadership reforms Increase steakholder participation
4 pillars of PHC
Active community participation
Intra- and inter-sectoral linkages
Use of appropriate technology
Support mechanism made available
Principles of PHC
Accessibility (equal distribution) Community participation Health promotion Appropriate technology Inter-sectoral collaboration
a process by which individuals and family assume responsibility for their own health and those of the community and develop the capacity to contribute to their development as well as the community
Community participation
Barriers of community involvement
Lack of motivation Attitude Resistance to change Community dependence Lack of managerial skills
coordination of health activities with other sectors (education, agriculture, finance etc
Inter sectoral collaboration
Criteria for appropriate technology
Effective and safe Complexity Cost Acceptable Scope of technology Feasibility
Essential elements of PHC
Health education
treatment of locally endemic disease
Expanded program on immunization
Maternal and child health and family planning
Environmental sanitation and promotion of safe water supply
Nutrition and adequate food supply
Treatment of communicable diseases and common illness
Supply of essential drugs
4 major strategies of PHC
Elevating health to a comprehensive and sustained national effort
Promoting and supporting community managed health care
Increasing efficiencies in the health sector
Advancing essential national health research
4 As and Es
Appropriate, accessible, acceptable, affordable
Efficient (least amount of resources), effective (regardless oft he amount), equity, empowerment
Type of primary health care worker?
First contacts of the community and the initial link in the health chain
Village or grass root health workers
Type of primary health care worker?
general medical practitioners, public health nurses, midiwives
Intermediate level health workers
Type of primary health care worker?
physicians with some specialty area, nurses, dentists,pharmacists, etc, working in primary hospitals
First line hospital personel
A community-based and patient-directed organization
provide first aid, maternal and child health care, diagnosis of social diseases and other basic services
equipped to provide primary level of health care
Baranggay health center
