MODULE 1 Primary health care Flashcards
Roles of DOH in Health Sector
leadership in health
enabler and capacity builder
administrator of specific services namely, national and sub-national health facilities and hospital
A Global Leader for attaining better health outcomes, competitive and responsive health care systems, and equitable health care financing
VISION STATEMENT (DOH)
A Global Leader for attaining better health outcomes, competitive and responsive health care systems, and equitable health care financing
MISSION STATEMENT (DOH)
Three Strategic Thrust
Financial Risk Protection
Attainment of the health-related Millennium Development Goals (MDGs)
Improving access to quality hospitals and health care facilities
Six (6) strategic instruments
- Health Financing-
- Service Delivery
- Policy, Standards and Regulation
- Governance for Health
- Human Resources for Health
- Health Information
instrument to transform the health service delivery structure to address variations in Health service utilization and health outcomes across socio- economic variables
Service Delivery
instrument to increase resources for health that will be effectively allocated and utilized to improve the financial protection of the poor and vulnerable sectors
Health Financing
instrument to ensure equitable access to health services, essential medicines and technologies of assured quality, availability and safety
Policy, Standards and Regulation
instrument to establish the mechanisms for efficiency, transparency and accountability and prevent opportunities for fraud
Governance for Health-
instrument to ensure that all Filipinos have access to professional health care providers capable of meeting their health needs at the appropriate level of care.
Human Resources for Health
An essential health care made universally acceptable to individuals and families in the community by means acceptable to them through their full participation and at a cost that the community and country and afford at every stage of development
PRIMARY HEALTH CARE (PHC)
Goal Of PHC
Health for all by year 2000
SEVEN FEATURES OF PRIMARY HEALTH CARE (PHC)
- An element of health system
- Focus on priorities-
- Scientific basis
- Culture sensitivity-
- Equity
- Community participation
- Sustainability and self- reliance
Rationale for Adopting Primary Health Care
Magnitude of Health Problems
Inadequate and unequal distribution of health resources
Increasing cost of medical care
Isolation of health care activities from other development activities
Five Key Elements of PHC
- universal coverage reforms
- service delivery reforms
- public policy reforms
- leadership reforms
- Increasing stakeholder participation
Four 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 Dependence on the part of the community people Lack of managerial skills
coordination of health activities with other sectors (education, agriculture, finance etc.)
INTERSECTORAL COLLABORATION
INTERSECTORAL COLLABORATION ADVANTAGES
- Overall human development
- It ensures economic development
- It ensures affordability
Criteria 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 Promotion of Adequate Food Supply
- Treatment of Communicable Diseases and Common Illness
- Supply of Essential Drugs
Major Strategies of Primary Health Care (Philippine Setting)
- 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
First contacts of the community and the initial link in the health chain
Village or grassroot health workers
General medical practitioners, public health nurses, and midwives
Intermediate level health workers
Physicians with some specialty area, nurses, dentists, pharmacists, etc, working in primary hospitals
First Line Hospital Personnel