HEALTH, LEADERSHIP, AND GOVERNANCE Flashcards
a devolved set up
“decentralized”.
over all chief executive of the administrative regions
president of the Phillipines
the adminitrative regions
provinces, cities, municipalities and barangay
the special administrative regions are autonomous regions
car (cordillera autonomous region),
armm (autonomous region for muslim mindanao.
Implementation of Decentralization Began in ____
January 1993
The main funding source for each LGU was
Internal Revenue Allotment (IRA)
responsible for medical, hospital and support services.
also responsible for ensuring access to secondary and tertiary care through vertical referrals.
Provincial Govt
responsible for administration of primary health care and other national programs through municipal health offices and corresponding RHU and BHS.
Municipal Govt
responsible for city health offices, city hospitals in highly urbanized cities and corresponding RHU and BHS facilities.
focusing on monitoring health policy implementation and LGU performances.
City Govt
renamed Center for Health Development
focusing on monitoring health policy implementation and LGU performances.
Regional Health Offices
SIX BUILDING BLOCKS OF HEALTH SYSTEM
Leadership and governance
Health human resource
Access to medicine and technology
Health service delivery
Health information
Health financing
Also called stewardship
Most complex but critical building block of any health system
Overseeing and guiding the whole health system, public as well as private.
“wheel in the middle of the wheel”
LEADERSHIP & GOVERNANCE
HEALTH DEVELOPMENT STRATEGIES
based on government funds
based on rural health units (rhu)
Must be established in every province, city or municipality.
LOCAL HEALTH BOARD
members of Local health board:
Governor - Chairman
provincial health officer as vice chairman
chairman of the committee on health of the provincial council
a representative from private sector or non-governmental organizations involved in health services and representative of DOH.