PHC Flashcards
`Sino ang nag start ng concept ng PHC and around what year?
WHO - 1978
If we’re talking about health promotion that started around 1986, ano naman yun?
Ottawa charter
Alma ata conference was held where?
Alma Ata, Kazakhstan
It identified primary health care as the key to the attainment of the goal of Health for All.
Alma ata conference of 1978
What is the legal basis of PHC sa country?
LOI 949
Who signed this LOI and anong date?
Ferdinand Marcos
October 19, 1979
Goal of PHC
Health for all Filipinos by the year 2000 and health in the hands of the people by the year 2020.
Mission of PHC
To strengthen the healthcare system by increasing opportunities & supporting the conditions wherein people will manage their own healthcare.
T or F. Tao na mag-aalaga sa sarili nila accordinng to PHC
T!! What we want is self-reliance
What are the 2 core principles of PHC? Differentiate them
Partnership and empowerment.
Partnership is with the people aka ACTIVE PARTNERSHIP. Nakikinig and nakikiisa sila.
Empowerment is lahat ng alam natin, ipapasa sa kanila para kahit iwan, ayos lang
What is considered as the key to self-reliance?
Empowerment
What are the four pillars/ cornerstones of PHC?
clue- AIUS
Active community participation
Intra and intersectoral linkages
Use of appropriate technology
Support mechanism made available
It pertains to kailangan nandiyan sila, nakatingin, and nangingialam.
Active community participation
Sino ang pipitas ng dahon para sa herbal?
Sila! Also sila rin ang magtitimpla and magpapakulo
Differentiate intra and inter sectoral linkages. Give examples.
intra - w/n the healthcare delivery system (DOH, Philhealth)
inter - outside ng HCDS (GO & NGOs)
Saan nakapasok ang 2 way referral system? Also explain
Intra! Heto yung sa mga levels like from primary > second > tertiary > (umayos) balik secondary > primary > bahay
This basically means humingi ka ng tulong outside HCDS
Inter
- May cabinet member and agency
- Foundations
- GO
- NGO
It pertains sa usage ng local indigenous resources.
Use of appropriate technology
Kailangan ng mahihirap ang support ng govt
Support mechanism made available
What are the six characteristics of PHC?
(casasa)
Community based
Accessible
Sustainable
Available
Self-reliance
Affordable
What do we mean by accessible?
Malapit, w/n 3-5 km and w/n 30 mins, nakakarating na
Sustainable means short term or long term?
Long term
T or F. We promote free! Because they’ll be dependent.
F!! We don’t promote free, doon tayo sa mura aka low cost approach
What are the 8 elements of PHC?
(elements-dam)
Education
Locally endemic dx
EPI
MCH
Essential drugs
Nutrition
Treatment of CD, NCD
Sanitation
Dental health
Access of hospital as wellness centers
Mental health
What are the 3 levels or prevention under education? explain
Primary
Secondary
Tertiary
Under what level ginagawa ang health educ?
ALL!! PRIMARY SECONDARY AND TERTIARY
If patients are healthy, what level of prevention do they belong? Ano rin ang ginagawa under dito.
Healthy = PRIMARY
- health promotion
- illness prevention
If patients are at high risk, what level of prevention do they belong? Ano rin ang ginagawa under dito. Give examples ng high risk patients
High risk = SECONDARY (aka mga inaabuso sarili like smokers, obese, etc)
- early screening
- early diagnosis
- early treatment to prevent complications
If patients are post treatment na, what level of prevention do they belong? Ano rin ang ginagawa under dito.
Post treatment = TERTIARY
- Rehabilitation (maintenance and prevent complications)
Ilang mos exactly to consider it s a terminally ill px? ano ring care binibigay sa kanila, define
< 6 mos to live - Palliative care (goal: QOL/supportive symptomatic treatment)
This refers to the occurence and distribution of diseases. (Nalalaman kung saan uso at kumakalat ang sakit)
Epidemiology
It is considered as the backbone of preventing diseases.
Epidemiology
Who is the first epidemiologist? Father of medicine? Father of epidemiology?
1st epidemiologist & father of med - Hippocrates
Father of epi - John Snow (Cholera outbreak sa London)
What are the four classification of dx?
Sporadic
Endemic
Epidemic
Pandemic
Cases occur ocassionally, meaning pa minsan-minsan. (Hence, unpredictable). If tag-ulan and tag-init, ano ang usong sakit?
Sporadic
Tag-ulan: leptospirosis
Tag-init: Rabies
Ano ang basis if nakakahawa ang sakit? Then ibigay ano yung sa measles and COVID
Reproductive number
Measles - 12-18
COVID- 2-4
Identify:
1. highly immune, less susceptible
2. equal ang susceptibility and immunity (2 ans dito)
3. highly susceptible, less immune
- Sporadic
- Endemic and pandemic
- Epidemic
Cases are always present. Disease occurs regularly, habitually, constantly affecting the population group.
Endemic
Schistosomiasis, malaria, and dengue are example of what classification of dx?
Endemic
Another term for epidemic is?
Outbreak
Sudden increases of cases in a short period of time aka may INFLATION of cases. Location based din to.
Epidemic
Give four types of epidemic. Briefly differentiate
Point source - single event galing, may simultaneous exposure (food poisoning)
Propagated - person to person trans (COVID)
Cyclical/seasonal - seasons
Secular variation - change of dx over time (cancer)
Another term for pandemic is?
Worldwide epidemic since several countries are affected (SARS, Ebola)
Give yung under sa triple burden dx
Communicable dx
Non- communicable dx
Dx of rapid urbanization and industrialization
Give the 1, 2, and 3 causes of death sa PH
- dx ng heart
- dx ng blood vessels (hypertension)
- cancer
FHSIS means?
Field health service information system
Also known as the reporting system of the DOH
FHSIS
What is the computerized version of FHSIS?
CHITS! Community health information tracking system
What are the four components of FHSIS?
- Family treatment record (FTR)
- Target client list (TCL)
- Reporting system/tally report (TR)
- Output record (OR)
What is the fundamental building block of FHSIS?
Family treatment record
Second building block and is sorted by the DOH program?
Target client list - under din dito ang follow up; monitor
Part ng FHSIS na transports/transmits from one facility to another either quarterly or monthly. Anong facility?
Tally report/ reporting system - provincial health office
Saan napo-produce ang output record?
Provincial health office
Under tally report, ___ nire-report ang infectious dx to control
weekly
Sa tally report: (monthly or quarterly form)
__ midwife
___ PHN
monthly - midwife
quarterly- PHN
Under FHSIS na objective in designing output format and makes the reports useful for monitoring or management purposes.
Output reports - produced at PHO
Under FHSIS na objective in designing output format and makes the reports useful for monitoring or management purposes.
Output reports - produced at PHO
It says here that Filipinos are automatically enrolled in Philhealth and no payment needed for membership. Give din yung RA
Universal healthcare law - RA 11223
T or F. May direct and indirect membership under Philhealth.
T! under direct yung nagbabayad
Essential drugs na law, give RA and meaning ng TAMA
RA 8423 - Traditional and alternative medicine act
Give 10 halamang gamot
(lubby santa)
lagundi
ulasimang bato
bayabas
bawang
yerba buena
sambong
akapulko
niyog-niyogan
tsaang gubat
ampalaya
Pinakamaraming usage, under saan yung may ASCOF na pneumonic plus cephalocaudal ang ginagamot
LAGUNDI
- asthma
- cough
- fever
- headache
- coryza/sipon
- skin dx
- body malaise
- dysentery/diarrhea
- arthritis
- insect bites
- sprain
- contusion
T or F. Lagundi can be used as an aromatic bath for sick patients.
True!
Other term for ulasimang bato and ano tini-treat niya
Pancit-pancitan - treats gout! yung sa uric acid niya
T or F. Ulasimang bato is pwede for kidney stones
F! Bawal siya, dadagdag bato
Bayabas has ___ properties. Can be used sa?
Antiseptic!
Wash
- mouth wash
- wash wounds
- wash vagina
-stomachache/tootache (also)
T or F. Bawal mag combine ng herbal! Should be one herbal at a time
T!
Bawang is for ___ since it reduces ____. Also pwede rin for ___-/
HPN - reduces cholesterol
tootache
Bawang is a gastric irritant kaya dapat ____
Need may laman ng tiyan, take after meals
Ano yung peppermint sa 10 halamang gamot?
Yerba buena
PAIN sa tiyan, muscles, bones, insect bites, cough and colds. What halaman? Also same to sa lagundi except for asthma
Yerba buena
It acts as a diuretic, so dapat siya sa px with ___
Sambong - px with edema
(not pwede for kidney infection)
Bayabas-bayabasan. For fungal infections like yung sa scabies, athlete’s foot
Akapulko
What is the best time to give niyog-niyogan? para saan din siya
2 hrs after dinner ang best time (interval is 1 wk)
for parasitism sa kids
Contraindicated ang seeds neto for kids ___ yo
Niyog-niyogan - <4 yo
For infantile colic, dyspepsia/indigestion, dental carries, diarrhea
Tsaang gubat (tip- tsaang = tsan)
Ampalaya is indicated for ____ DM. Anong part din ginagamit dito?
T2DM - leaves
Sa decoction, anong klaseng pot gagamitin? Plus anong heat and should it be covered?
Clay pot! Don’t cover and low heat lang
We stop sa pagbibigay ng herbal if walang nangyari or nagbago after __ doses
2-3 doses = STOP plus with anaphylactic signs
What are the three recording systems in the Ph?
FHSIS
CHITS
CBT
Heto yung first delivery model used in the Philippines
Community based teams (CBT)
