Primary Health System PH

Question 1

The combination resources, organization, financing, and management that culminate in the delivery of Health Services to the Population -Roemer, 1991

Answer 1

Health System

Question 2

… IS A STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELLBEING, AND NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY.” – ALMA - ATA DECLARATION 1978

Answer 2

HEALTH

Question 3

Health is…

Answer 3

A STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELLBEING, AND NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY.” – ALMA - ATA DECLARATION 1978

Question 4

Health Care Common Concern
______________in the people’s health status which is NOT socially, economically, and politically acceptable.

Answer 4

Gross inequality

Question 5

• “an organized plan of health services”

• Miller & Keane (1987)

Answer 5

Health care system

Question 6

• “rendering of health care services to the people”

• Williams & Tungpalan (1981)

Answer 6

Health care delivery

Question 7

• “network of health facilities and personnel which carries out the task of rendering health care to the people”

• Williams & Tungpalan (1981)

Answer 7

Health care delivery system

Question 8

… ESSENTIAL HEALTH CARE BASED ON PRACTICAL, SCIENTIFICALLY SOUND, AND SOCIALLY ACCEPTABLE METHODS AND TECHNOLOGY MADE UNIVERSALLY ACCEPTABLE.” - Alma - Ata Declaration 1978

Answer 8

PRIMARY HEALTH CARE

Question 9

• Deals with social policy which targets health equity

Answer 9

Primary Health Care (PHC)

Question 10

Ultimate goal of Primary Health Care (PHC)

Answer 10

Ultimate goal: better health for all

Question 11

5 key elements to achieve this goal (WHO):

Answer 11

1. Universal coverage to reduce exclusion and social disparities in health
2. Service delivery organized around people’s needs
3. Public policy that integrates health into all sectors
4. Leadership that enhances collaboration
5. Increased stakeholder participation

Question 12

Essential Elements of Primary Health Care
ELEMENTS

Answer 12

Education concerning prevailing health problems and the methods of identifying, preventing, and controlling them

Locally endemic disease prevention and control

Expanded program of immunization against major infectious diseases

Maternal and child health care including family planning

Essential drugs arrangement (generic name, dosage, frequency use)

Nutritional food supplement, an adequate supply of safe, and basic nutrition

Treatment of communicable and non-communicable disease and promotion of mental health

Safe water and sanitation

Question 13

Other elements include:

Answer 13

• Expanded options of immunization
• Reproductive health needs
• Provision of essential technologies for health
• Health promotion
• Prevention and control of non-communicable diseases
• Food safety and provision of selected food supplements

Question 14

MANAGEMENT OF PRIMARY HEALTH CARE
Functions of Health Care Managers
(POSCD)

Answer 14

Planning
Organizing
Staffing
Controlling
Directing

Question 15

• setting priorities and determining performance targets

Answer 15

Planning

Question 16

• designing the organization or the specific division, unit, or service for which the manager is responsible

Answer 16

Organizing

Question 17

acquiring and retaining human resources, and developing and maintaining the workforce through various strategies and tactics

Answer 17

Staffing

Question 18

monitoring staff activities and performance and taking the appropriate actions for corrective actions to increase performance

Answer 18

Controlling

Question 19

• initiating action in the organization through the effective leadership, motivation, and communication of managers

Answer 19

Directing

Question 20

Management principles in relation to organizing function:

Answer 20

1. Authority, responsibility, and accountability
2. Centralization, decentralization, and formalization
3. Staffing

Question 21

• formal and legitimate right of a manager to issue orders, make decisions, and allocate resources to achieve desired outcomes of the organization

Answer 21

Authority

Question 22

• duty of employee to perform the assigned tasks

Answer 22

Responsibility

Question 23

reporting and justification of task outcomes to higher management by those in authority

Answer 23

Accountability

Question 24

Types of Authority

Answer 24

Line Authority
Functional Authority
Staff Authority

Question 25

managers Issue orders to their subordinates and are also responsible for results

Answer 25

Line Authority

Question 26

have the power only over specific set of activities

Answer 26

Functional Authority

Question 27

given to specialists in their areas of expertise.

simply advises, recommends, and
counsels

Answer 27

Staff Authority

Question 28

refers to the concentration of planning and decision-making to the top of the organization

Answer 28

Centralization

Question 29

• delegation of planning and decision making to the lower branches of the organization

Answer 29

Decentralization

Question 30

• a written document provided for the direct control of the employees

Answer 30

Formalization

Question 31

Staffing (functions of the manager)…

Answer 31

Assign
Assess
Recruit
Improve

Question 32

Staffing:

_______individuals to respective positions identified in the management plan

Answer 32

assign

Question 33

Staffing:

_______required competencies through:
identification of the key result areas (KRAs) per major activity
determination of the competencies and qualifications

Answer 33

assess

Question 34

Staffing:

_____ qualified personnel

Answer 34

recruit

Question 35

______existing services and programs by
- reviewing and adjusting the requirements accordingly
- matching the competency requirements visa-vis the responsible personnel assigned to the activity

Answer 35

improve

Question 36

“A COMPLEX SET OF ORGANIZATIONS INTERACTING TO PROVIDE AN ARRAY OF HEALTH SERVICES”
- DIZON, 1977

Answer 36

THE PHILIPPINE HEALTH CARE SYSTEM