The Philippine health system Flashcards
How does DOH conduct regulation
ensure that services can provide the same standard of care to any health institution
How does DOH provide technical assistance
Provides health institutions assistance on
how to comply with the standards set by the DOH
Office of the secretary role
- Legal service
- Internal auditing
- Public assistance
Office of technical service role
Giving of data from the epidemiologic bureau to the Department of Health before implementing certain programs
Role of Medicine Access Program
distribute medicines to far flung areas
Role of Epidemiology bureau
collects and analyzes data about the health status of a region
National Voluntary Blood Services Program
organizes blood donations
National Nutrition Council
policy making on nutrition
Role of Philippine National AIDS Council
reviews and recommends policies on HIV/AIDS
Role of Commission on Population (POPCOM)
facilitates coordination of policies and programs for population
moved from DOH to NEDA (National Economic Development Authority)
Role of OFFICE FOR HEALTH REGULATIONS (OHR)
Set minimum standards for regulation of health facilities and services
Disseminate regulatory policies and standards for
information and compliance
Role of OFFICE FOR FIELD IMPLEMENTATION AND MANAGEMENT (OFIM)
Ensures all health centers conform to standards
Role of Health Emergency and Management Bureau
in charge of disaster response
Role of OFFICE FOR PUBLIC HEALTH SYSTEM (OPHS)
Uses data obtained by the Epidemiology Bureau to
prepare plans for programs
Role of OFFICE FOR HEALTH SERVICE DELIVERY (OHSD)
deploying health care professionals to doctor-less areas
who leads the Doctor to the Barrios (DTTB) program
The Mayor
3 DOH Goals
- Financial protection
- Better Health Outcomes
- Responsiveness
DOH Values
- Equitable and inclusive to all
- Transparent and accountable
- Uses Resources Efficiently
- Provides High Quality Services
Top 3 pregnancy complications
- Pre-eclampsia and eclampsia/seizure
- Hypovolemia/great fluid loss
- Sepsis
What is the likeliness child will not reach 5 when born into a poor family
3x more likely
The Fraction of children are stunted due to chronic malnutrition
1/3
Annual number of families are pushed to poverty due
to healthcare expenditures
1.5 Million
Amount of healthcare expenses considered catastrophic for single income families.
Php4,000/month
Signs of poor quality in public hospitals/clinics
- long wait times
- Limited autonomy to choose provider
- Less than hygienic restrooms, lacking amenities
- Privacy and confidentiality taken lightly
- Poor record-keeping
- Overcrowding and under-provision of care
5 Public health challenges
- Many MDG targets have not attained
- Inequities in outcomes still persists
- Out-of-pocket financing continues
- Poor quality and undignified care
- Ineffective referral system
nine commitments of health by the 3rd SDG
- Reduce maternal mortality
- reduce deaths from hazards
- universal health coverage
- universal access to RH services
- Reduce global deaths from road incidents
- Strong prevention against substances abuse
- Reduce premature mortality
- End major diseases like AIDS and TB
- End preventable deaths in newborns and children
Serves as a declaration of the government’s
commitments and strategies for the health of the
Filipinos
FOURMULA ONE (F1) PLUS FOR HEALTH
Concentrates on the four (4) F1 Plus Pillars
→ Financing
→ Service, Delivery
→ Regulation
→ Governance
What is the new crosscutting initiative which restores the trust and confidence in the country’s health system
Performance Accountability
Objective of Formula 1 (F1) services
Ensure the availability of essential quality
health services at appropriate levels of care.
Strategies of F1 services
- Increase access to essential quality health products and services
- Ensure equitable access to quality health facilities
- Ensure equitable distribution of human resources for health.
- Engage SDNs to deliver comprehensive package of services
Goal of Health system
Improving health and health equity in ways that are responsive and financially fair
Executive order issued by Manuel Roxas which induces the separation of health and public affair of the country. It also first established the DOH
Executive Order No. 94 s.1947
First head of the DOH
Secretary Antonio Villarama
4 Executive Supervisions of the DOH
- Bureau of Health, Quarantine and Hospitals
- Health departments
- All forms of local to national hospitals and clinics EXCEPT UP-PGH
- All public markets, food establishments and hotels
Protection of the health of the people of the Philippines and maintenance of sanitary conditions
Bureau of Health
8 Bureau of Health Roles
- Detect and investigate dangerous communicable disease
- Sanitation control and investigation
- School medical service supervision
- Maintenance of quarantine during pandemics
- Sanitary control of dead disposal
- Systematizes vaccination
- Disseminate hygiene information
- Health inspection of all health organizations
6 Bureau of Hospitals Role
- Manage government hospitals
- Manage dangerous communicable disease in hospitals
- Manage special hospitals for specific illnesses (i.e. TB and mental)
- Manage skin disease clinics and other medical units
- Manage charity clinics
- Supervise private hospitals
Act where Puericulture centers transformed to Rural Health Units and health centers
Rural Health Act of 1954
Act where National network of public health facilities at the community level organized in all cities and municipalities
Rural Health Act of 1954
Act where the establishment of more schools for the medical, nursing and allied health professions in the country by the 1960s
Rural Health Act of 1954
Executive order wherein the Lead agency in articulating national objectives for health to guide the development of local health systems, programs and services
Executive Order No. 102 s.1999