Presntation by Zorayda E. Leopando, MD, MPH
Professor of Family and Community Medicine University of the Philippines Manila at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
The document discusses universal health coverage in the Philippines. It provides background on universal health coverage, the legislative process to pass a universal health care law in the Philippines, and the objectives and challenges of implementing such a law. The key points are:
1) The Philippines has been working towards universal health coverage through successive health reforms over nearly 50 years. A bill to consolidate these efforts into a universal health care law passed Congress in late 2018.
2) The universal health care law aims to consolidate financial resources, increase funding, improve governance of local health systems, and establish support mechanisms.
3) Implementing the new law faces challenges like managing expectations, passing complementary funding bills, addressing varied stakeholder perspectives, and developing
Research and Understanding for Universal Health Care - #RU4UHCAlbert Domingo
Research priorities in support of universal health care (UHC) implementation in the Philippines. Delivered in plenary at the 3rd Western Visayas Health Research Conference, 6 Nov 2018, Iloilo City, Philippines.
The healthcare system in the Philippines has a decentralized structure with the Department of Health as the apex regulatory authority. It follows a pyramidal organization with primary care provided at rural health units and barangay health stations. While the country faces a double burden of communicable and non-communicable diseases, it spends a low percentage of its GDP on healthcare and faces challenges in meeting its Millennium Development Goals. Improving infrastructure, implementing health insurance programs, and strengthening community healthcare initiatives are priorities to enhance access and health outcomes across the population.
This presents the trends, issues, and challenges in the Philippine Health Care Delivery System. The data were mostly taken from the Philippine Department of Health (DOH) website and DOH Region VI Office.
The Philippine health care system is composed of public, private, and social health insurance models. The Department of Health is the lead agency and oversees a network of hospitals, offices, and attached agencies. In 1991, health services were devolved from the national to local government level. The health system aims to provide universal access through primary, secondary, and tertiary levels of care. Challenges include high costs, barriers to access, and health workforce shortages.
Health care delivery system in the philippinessharina11
The document discusses the Philippine health care system, factors affecting it, and the application of nursing informatics. It defines key terms like health care delivery and describes models of health systems. The Philippine system is complex with public, private, and social security components. Health facilities are divided into primary, secondary and tertiary levels. Nursing informatics uses technology to support clinical practice, administration, education and research. It gives examples like electronic medical records, scheduling, and distance learning.
The document discusses universal health coverage in the Philippines. It provides background on universal health coverage, the legislative process to pass a universal health care law in the Philippines, and the objectives and challenges of implementing such a law. The key points are:
1) The Philippines has been working towards universal health coverage through successive health reforms over nearly 50 years. A bill to consolidate these efforts into a universal health care law passed Congress in late 2018.
2) The universal health care law aims to consolidate financial resources, increase funding, improve governance of local health systems, and establish support mechanisms.
3) Implementing the new law faces challenges like managing expectations, passing complementary funding bills, addressing varied stakeholder perspectives, and developing
Research and Understanding for Universal Health Care - #RU4UHCAlbert Domingo
Research priorities in support of universal health care (UHC) implementation in the Philippines. Delivered in plenary at the 3rd Western Visayas Health Research Conference, 6 Nov 2018, Iloilo City, Philippines.
The healthcare system in the Philippines has a decentralized structure with the Department of Health as the apex regulatory authority. It follows a pyramidal organization with primary care provided at rural health units and barangay health stations. While the country faces a double burden of communicable and non-communicable diseases, it spends a low percentage of its GDP on healthcare and faces challenges in meeting its Millennium Development Goals. Improving infrastructure, implementing health insurance programs, and strengthening community healthcare initiatives are priorities to enhance access and health outcomes across the population.
This presents the trends, issues, and challenges in the Philippine Health Care Delivery System. The data were mostly taken from the Philippine Department of Health (DOH) website and DOH Region VI Office.
The Philippine health care system is composed of public, private, and social health insurance models. The Department of Health is the lead agency and oversees a network of hospitals, offices, and attached agencies. In 1991, health services were devolved from the national to local government level. The health system aims to provide universal access through primary, secondary, and tertiary levels of care. Challenges include high costs, barriers to access, and health workforce shortages.
Health care delivery system in the philippinessharina11
The document discusses the Philippine health care system, factors affecting it, and the application of nursing informatics. It defines key terms like health care delivery and describes models of health systems. The Philippine system is complex with public, private, and social security components. Health facilities are divided into primary, secondary and tertiary levels. Nursing informatics uses technology to support clinical practice, administration, education and research. It gives examples like electronic medical records, scheduling, and distance learning.
The Philippine Health Agenda 2016-2022 aims to achieve three guarantees: universal health insurance, a functional service delivery network, and services for all life stages and diseases. It outlines strategies to advance health promotion, cover all Filipinos against financial health risks, harness human resources, invest in health data and technology, increase accountability and transparency, improve responsiveness to patients, and elicit multi-sectoral support for health. The agenda seeks to attain health-related UN Sustainable Development Goals by 2022.
The document discusses community diagnosis, which involves conducting an in-depth analysis of a community's health profiles, status, and factors affecting health. It outlines the suggested contents of a community diagnosis, which includes an introduction, target community profile, data analysis, action plan based on prioritized problems identified, conclusion, and recommendations. It also describes the target community profile section in detail, covering geographic identifiers, population profile, socio-demographic indicators, socio-economic indicators, environmental indicators, and health profile. Finally, it discusses the steps involved in community diagnosis, including preparation, survey conduct, data analysis and interpretation, and action plan preparation.
An Introduction to Health Systems; An Overview of the Philippine Health Care ...Paolo Victor Medina
The document provides an overview of the Philippine health care system and health systems thinking using the WHO health systems framework. It introduces concepts of health systems, leadership and governance in the Philippines, health financing sources and challenges, and human resources for health. The Department of Health is the lead agency for health care and aims to ensure accessibility and quality, but the system faces issues of inequitable financing that relies heavily on out-of-pocket costs and a lack of incentives and uneven distribution of human resources for health.
Community health nursing involves promoting health, preventing disease, and managing factors affecting health at the community level. It aims to raise the overall health status of populations. A community is defined as a group of people living in a specific geographical area with common characteristics or interests. Community health nursing utilizes the nursing process to provide care to individuals, families, population groups, and communities. It combines public health science with nursing skills and social assistance. The community is considered the patient, with the family as the unit of care.
Medical Governance and Health Policy in the PhilippinesAlbert Domingo
An overview of key concepts and present trends in medical governance, health policy, and health sector reform in the Philippines, presented by Dr. Albert Domingo at the De La Salle Health Sciences Institute - College of Medicine on Sep. 26, 2013 for the subject "Perspectives in Medicine".
Includes the broad concept of medical governance as applied to various settings, from the point of care between provider and client/patient, to national and global health systems. Also touches on the practice of evidence-based healthcare as applied to the scale-up of innovations necessary to accelerate reform implementation, with grounding in the operational realities of implementation arrangements faced by sector managers on a day-to-day basis.
Suggested Citation:
Domingo, Albert Francis E. "Medical Governance, Health Policy, and Health Sector Reform in the Philippines: An Overview of Key Concepts and Present Trends." De La Salle Health Sciences Institute (DLSHSI). DLSHSI College of Medicine, Dasmarinas, Cavite. 26 Sep. 2013. Lecture.
This document outlines the process of conducting a family health assessment. It involves collecting data on the family's structure, socioeconomic status, health practices, home environment, and each member's health status. This data is then analyzed to determine any existing or potential health problems, including wellness conditions, health threats, deficits, or foreseeable crises. Problems are further analyzed to identify their nature and any barriers preventing the family from addressing the problems. This results in a prioritized list of the family's health issues to guide the provision of appropriate nursing care.
Community diagnosis is vital in health planning, evaluation and needs assessment, several types of indicators are valid to be used for community diagnosis including Socio-economic, demographics, health system, and living arrangements.
The document summarizes the history and implementation of primary health care (PHC) in the Philippines. It discusses the definition of PHC according to the WHO and how it was adopted in the Philippines. It then outlines the different periods of PHC implementation: pre-devolution, institutionalization, and devolution. Under each period, it describes the various approaches, innovations, and mechanisms used to promote PHC in the country. It concludes by noting some of the challenges faced in fully implementing PHC.
The document defines family and discusses the Filipino family structure. It provides definitions of family from various sources that emphasize family as a basic social unit shaped by society. It then outlines sections from the Philippine Constitution regarding the state's recognition and protection of family. The rest of the document discusses characteristics of the Filipino family including bilateral kinship and family types, roles, and stages of development. It also examines theoretical approaches to understanding the family, including developmental, structural-functional, and systems models.
Universal Health Care: The Philippine journey towards accessing quality healt...Albert Domingo
Presentation delivered by WHO Consultant for Health Systems Strengthening Dr Albert Domingo at the University of Santo Tomas, on the occasion of UHC Day 2018.
This document provides a community diagnosis of Sitio Asana 1 in Barangay Santisima Cruz, Laguna, Philippines. It includes a community profile with information on the population, family structure, socioeconomic factors, homes and environment, health care practices, community development issues and recommendations. A total of 332 households were surveyed out of 520 households in the community. The population is made up of slightly more males than females. Most families are nuclear in structure and the main occupations include fishing and construction.
The purpose of community diagnosis is to define existing problems, determine available resources and set priorities for planning, implementing and evaluating health action, by and for the community.
This is the first part of the lecture in Community Health Nursing. This course provides an overview of the Philippine Health Care Delivery System and the different programs implemented by the Philippine Department of Health to promote and protect the health of the people.
The document discusses concepts and tools related to public health and community diagnosis. It covers demography topics like population size, composition, and distribution. Health statistics and indicators are also covered, including crude birth rate, death rate, and leading causes of mortality and morbidity. Specific rates like maternal mortality are defined. The summary provides an overview of the key topics and concepts addressed in the public health document.
The PRECEDE-PROCEED model provides a comprehensive framework for designing, implementing, and evaluating health promotion programs. It consists of 9 phases: (1) social diagnosis to identify community health issues, (2) epidemiological diagnosis to determine associated health problems, (3) behavioral and environmental diagnosis to analyze behavioral and environmental factors, (4) educational diagnosis to select factors to modify behaviors, (5) administrative diagnosis to assess resources and policies, (6) implementation, (7) process evaluation, (8) impact evaluation, and (9) outcome evaluation to determine effects on health and quality of life. The model takes a participatory approach and considers both individual and environmental influences on behaviors.
This document provides an overview of community health programs in the Philippines. It discusses key concepts in community health including primary health care, determinants of health, and the levels of the health care system. It also outlines several specific health programs implemented by the Department of Health in the Philippines, including programs focused on adolescents, breastfeeding promotion, cancer control, and diabetes control. The overall goal of the health programs is to improve health outcomes by reducing mortality and morbidity rates through prevention and early treatment initiatives.
This document discusses family health programs in the Philippines. It begins by outlining the paradigm of primary health care and essential health care programs, including family health programs. It then provides details on several key family health programs: Maternal Health, Family Planning, Child Health, Expanded Program on Immunization, and Nutrition. For each program, it describes objectives, services provided, and key statistics. The document emphasizes the importance of these programs in improving family survival, health, and well-being.
The document discusses various aspects of health policy in the Philippines, including its history, goals, and strategies. It outlines the country's epidemiological transition over time from communicable to non-communicable diseases. It also summarizes the government's plans to achieve universal health care through expanding PhilHealth coverage, improving health facilities, deploying more health workers, and ensuring financial protection for citizens' health needs. The ultimate goals are to achieve public health targets while providing accessible, quality care and minimizing out-of-pocket costs.
Universal health coverage as a concept was born in 1883 when Germany introduced health coverage for achieving health status of its young population.India, is still attempting to find a way for providing appropriate, affordable and accessible health care to its population.
The Philippine Health Agenda 2016-2022 aims to achieve three guarantees: universal health insurance, a functional service delivery network, and services for all life stages and diseases. It outlines strategies to advance health promotion, cover all Filipinos against financial health risks, harness human resources, invest in health data and technology, increase accountability and transparency, improve responsiveness to patients, and elicit multi-sectoral support for health. The agenda seeks to attain health-related UN Sustainable Development Goals by 2022.
The document discusses community diagnosis, which involves conducting an in-depth analysis of a community's health profiles, status, and factors affecting health. It outlines the suggested contents of a community diagnosis, which includes an introduction, target community profile, data analysis, action plan based on prioritized problems identified, conclusion, and recommendations. It also describes the target community profile section in detail, covering geographic identifiers, population profile, socio-demographic indicators, socio-economic indicators, environmental indicators, and health profile. Finally, it discusses the steps involved in community diagnosis, including preparation, survey conduct, data analysis and interpretation, and action plan preparation.
An Introduction to Health Systems; An Overview of the Philippine Health Care ...Paolo Victor Medina
The document provides an overview of the Philippine health care system and health systems thinking using the WHO health systems framework. It introduces concepts of health systems, leadership and governance in the Philippines, health financing sources and challenges, and human resources for health. The Department of Health is the lead agency for health care and aims to ensure accessibility and quality, but the system faces issues of inequitable financing that relies heavily on out-of-pocket costs and a lack of incentives and uneven distribution of human resources for health.
Community health nursing involves promoting health, preventing disease, and managing factors affecting health at the community level. It aims to raise the overall health status of populations. A community is defined as a group of people living in a specific geographical area with common characteristics or interests. Community health nursing utilizes the nursing process to provide care to individuals, families, population groups, and communities. It combines public health science with nursing skills and social assistance. The community is considered the patient, with the family as the unit of care.
Medical Governance and Health Policy in the PhilippinesAlbert Domingo
An overview of key concepts and present trends in medical governance, health policy, and health sector reform in the Philippines, presented by Dr. Albert Domingo at the De La Salle Health Sciences Institute - College of Medicine on Sep. 26, 2013 for the subject "Perspectives in Medicine".
Includes the broad concept of medical governance as applied to various settings, from the point of care between provider and client/patient, to national and global health systems. Also touches on the practice of evidence-based healthcare as applied to the scale-up of innovations necessary to accelerate reform implementation, with grounding in the operational realities of implementation arrangements faced by sector managers on a day-to-day basis.
Suggested Citation:
Domingo, Albert Francis E. "Medical Governance, Health Policy, and Health Sector Reform in the Philippines: An Overview of Key Concepts and Present Trends." De La Salle Health Sciences Institute (DLSHSI). DLSHSI College of Medicine, Dasmarinas, Cavite. 26 Sep. 2013. Lecture.
This document outlines the process of conducting a family health assessment. It involves collecting data on the family's structure, socioeconomic status, health practices, home environment, and each member's health status. This data is then analyzed to determine any existing or potential health problems, including wellness conditions, health threats, deficits, or foreseeable crises. Problems are further analyzed to identify their nature and any barriers preventing the family from addressing the problems. This results in a prioritized list of the family's health issues to guide the provision of appropriate nursing care.
Community diagnosis is vital in health planning, evaluation and needs assessment, several types of indicators are valid to be used for community diagnosis including Socio-economic, demographics, health system, and living arrangements.
The document summarizes the history and implementation of primary health care (PHC) in the Philippines. It discusses the definition of PHC according to the WHO and how it was adopted in the Philippines. It then outlines the different periods of PHC implementation: pre-devolution, institutionalization, and devolution. Under each period, it describes the various approaches, innovations, and mechanisms used to promote PHC in the country. It concludes by noting some of the challenges faced in fully implementing PHC.
The document defines family and discusses the Filipino family structure. It provides definitions of family from various sources that emphasize family as a basic social unit shaped by society. It then outlines sections from the Philippine Constitution regarding the state's recognition and protection of family. The rest of the document discusses characteristics of the Filipino family including bilateral kinship and family types, roles, and stages of development. It also examines theoretical approaches to understanding the family, including developmental, structural-functional, and systems models.
Universal Health Care: The Philippine journey towards accessing quality healt...Albert Domingo
Presentation delivered by WHO Consultant for Health Systems Strengthening Dr Albert Domingo at the University of Santo Tomas, on the occasion of UHC Day 2018.
This document provides a community diagnosis of Sitio Asana 1 in Barangay Santisima Cruz, Laguna, Philippines. It includes a community profile with information on the population, family structure, socioeconomic factors, homes and environment, health care practices, community development issues and recommendations. A total of 332 households were surveyed out of 520 households in the community. The population is made up of slightly more males than females. Most families are nuclear in structure and the main occupations include fishing and construction.
The purpose of community diagnosis is to define existing problems, determine available resources and set priorities for planning, implementing and evaluating health action, by and for the community.
This is the first part of the lecture in Community Health Nursing. This course provides an overview of the Philippine Health Care Delivery System and the different programs implemented by the Philippine Department of Health to promote and protect the health of the people.
The document discusses concepts and tools related to public health and community diagnosis. It covers demography topics like population size, composition, and distribution. Health statistics and indicators are also covered, including crude birth rate, death rate, and leading causes of mortality and morbidity. Specific rates like maternal mortality are defined. The summary provides an overview of the key topics and concepts addressed in the public health document.
The PRECEDE-PROCEED model provides a comprehensive framework for designing, implementing, and evaluating health promotion programs. It consists of 9 phases: (1) social diagnosis to identify community health issues, (2) epidemiological diagnosis to determine associated health problems, (3) behavioral and environmental diagnosis to analyze behavioral and environmental factors, (4) educational diagnosis to select factors to modify behaviors, (5) administrative diagnosis to assess resources and policies, (6) implementation, (7) process evaluation, (8) impact evaluation, and (9) outcome evaluation to determine effects on health and quality of life. The model takes a participatory approach and considers both individual and environmental influences on behaviors.
This document provides an overview of community health programs in the Philippines. It discusses key concepts in community health including primary health care, determinants of health, and the levels of the health care system. It also outlines several specific health programs implemented by the Department of Health in the Philippines, including programs focused on adolescents, breastfeeding promotion, cancer control, and diabetes control. The overall goal of the health programs is to improve health outcomes by reducing mortality and morbidity rates through prevention and early treatment initiatives.
This document discusses family health programs in the Philippines. It begins by outlining the paradigm of primary health care and essential health care programs, including family health programs. It then provides details on several key family health programs: Maternal Health, Family Planning, Child Health, Expanded Program on Immunization, and Nutrition. For each program, it describes objectives, services provided, and key statistics. The document emphasizes the importance of these programs in improving family survival, health, and well-being.
The document discusses various aspects of health policy in the Philippines, including its history, goals, and strategies. It outlines the country's epidemiological transition over time from communicable to non-communicable diseases. It also summarizes the government's plans to achieve universal health care through expanding PhilHealth coverage, improving health facilities, deploying more health workers, and ensuring financial protection for citizens' health needs. The ultimate goals are to achieve public health targets while providing accessible, quality care and minimizing out-of-pocket costs.
Universal health coverage as a concept was born in 1883 when Germany introduced health coverage for achieving health status of its young population.India, is still attempting to find a way for providing appropriate, affordable and accessible health care to its population.
The inaugural Philippines Healthcare will focus on investment opportunities in the Philippines healthcare sector as well as examine the developments in healthcare plans and policies by government, market access opportunities for pharma and technology, new healthcare facility projects, upgrades and expansions and increasing efficiencies of existing facilities.
Philippines is currently focused on speeding up health facilities and upgrades, meeting the needs and growing demand for health specialists, training to ensure competency and quality of healthcare services and ensuring the availability of drugs throughout the country.
The conference will have discussions on policy and regulation updates, investment opportunities, projects and developments to strengthen Philippines healthcare infrastructure and delivery.
It will be held in Manila and will have representations from government, hospitals, insurance companies, pharma companies, health technology and medical device providers and other related stakeholders.
Universal Health Care: Perceptions, Values, and IssuesRenzo Guinto
From the workshop "Universal Health Care: The First Step to Global Health Equity" held last August 5-9, 2012 in Mumbai, India during the 61st General Assembly March Meeting of the International Federation of Medical Students' Associations (IFMSA). Brought to you by the IFMSA Global Health Equity Initiative (http://www.ifmsa.org/Activities/Initiatives/The-IFMSA-Global-Health-Equity-Initiative).
For more information about the workshop, visit http://www.scribd.com/doc/193822108/Universal-Health-Care-PreGA-Program
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
Disease Prevention and Health Care Promotion in the Philippine Development Pl...HealthJustice Philippines
This document discusses disease prevention and health care promotion in the Philippine Development Plan from 2011-2016 and the Post-2015 Development Agenda. It outlines that the Philippine plan aims for inclusive growth through improving education, health services, and protecting people from economic shocks. The health sector agenda focuses on improving access to services, environmental protection, nutrition, and injury prevention to ultimately improve health status. It also details the universal health care strategy of expanding insurance coverage, improving quality of services, and scaling preventive health programs. For post-2015, it notes ongoing health challenges like limited budgets, unequal access to care, and issues with social programs in remote areas, proposing solutions like growing the health industry and further improving affordable, accessible services.
The document summarizes recommendations from the High Level Expert Group on achieving Universal Health Coverage in India. It discusses expanding health coverage to all citizens through a national health package, increasing public spending on health to 3% of GDP, strengthening primary healthcare and developing norms for facilities at each level of care. It also emphasizes improving human resources for health, community participation, and access to medicines. The overall vision is to ensure equitable access to quality health services for all Indians.
Social class creates inequalities in life chances and lifestyles. Classism means placing different values on people based on their social and economic worth rather than their character. Examples of how class affects life chances include access to stable jobs, education, home ownership, and discrimination. Class also influences lifestyles through social networks, leisure activities, shopping habits, and health. In Canada, social class is shaped by factors like income, wealth, occupation, education, and ethnicity. These influence opportunities and mobility between classes. The class system creates disparities that impact health, education and life outcomes.
The document discusses the Philippine Public Private Partnership (PPP) Program in Health. It provides background on the Aquino administration's health agenda and the Department of Health's plan to improve hospital services through PPP programs. It then summarizes several ongoing and proposed PPP projects to modernize and expand various hospitals around the country. These include projects to build new facilities, provide equipment, increase bed capacity, and implement service management agreements. The presentation concludes by discussing the health benefits of PPP projects and the roles of the Department of Health Center of Excellence on PPP in Health.
This document provides guidelines for designing a healthy diet, including:
1) A philosophy of consuming a variety of foods in moderation and balance.
2) Comparing the nutrient density of foods and the concept of energy density.
3) Describing states of nutritional health like undernutrition and overnutrition.
4) Tools for measuring nutritional state like MyPyramid and the Dietary Guidelines for Americans.
The document provides a health system review of the Philippines that includes 3 sections. It begins with an introduction that describes the country's geography, demographics, economy, politics, and health status. Secondly, it examines the organization and governance of the health system, including its history, decentralization, planning, information management, and regulation. Finally, it analyzes the system's financing through sources of revenue, expenditures, and payment mechanisms. The review aims to describe the key components of the Philippines' health system and reforms.
This document discusses concepts related to social stratification and inequality. It begins by defining social mobility as the process by which individuals move between different levels in a stratification system. It then discusses different theories of social stratification, including functionalist views which see it as necessary for societies to function, and conflict theories which see it as benefiting some groups at the expense of others. The document also examines concepts like social class, status, and life chances as defined by Max Weber, and looks at cross-country differences in inequality using measures like the Gini index.
my short report in sociology about social stratification.. :D x x x
My slides includes:
Meaning of stratification
Basic concepts of inequality
Social stratification system
Dimensions of social stratification
Methods of determining class divisions
The theories of social stratification
Four ways in which wealth can be distributed
Three types of social stratification
Classes in some countries
Maternal, Newborn and Child Health: A Global PerspectiveMichelle Avelino
Presentation of Jacqueline F. Kitong, M.D., MPH, technical officer for Maternal and Child Health and Nutrition, World Health Organization at the PhilHealth Maternal, Newborn and Child Health Summit
Chapter 1: Context of Health Care Financial ManagementNada G.Youssef
This document discusses key topics in health care financial management including lowering costs, goals of the health care system, and changing methods of financing and delivery. It outlines reforms under the Affordable Care Act to expand access through insurance marketplaces and Medicaid expansion while controlling costs through value-based purchasing. It also covers trends like the rise of the uninsured and accountable care organizations, as well as factors affecting the cost of care and impacts to provider reimbursement models.
The document discusses July as National Nutrition Month in the Philippines. It notes that obesity is a major risk factor for non-communicable diseases like cancer, diabetes, and cardiovascular disease. While undernutrition remains a problem, the prevalence of overweight and obese Filipinos has increased from 16.6% in 1993 to 31.1% in 2013. The objectives of Nutrition Month are to increase awareness of proper nutrition and physical activity to prevent overweight/obesity, and encourage healthy diets and physical activity to prevent diseases related to overweight/obesity.
This document discusses social stratification and the different systems used to rank individuals in a society. It describes the four main systems - slavery, caste, estate, and class - and explains how social mobility and status can vary between them. Key factors like wealth, power, prestige, occupation, gender, race, and age are used to stratify and rank people in a hierarchy within a social structure.
Before Spanish colonization, the Philippines was made up of independent barangays that functioned as city-states or principalities. Barangays were coastal or riverine communities usually numbering between 50-100 families ruled by a datu. Larger barangays in places like Cebu, Manila and Butuan were cosmopolitan principalities with established social hierarchies and trade relations. The barangays had complex social structures divided into nobility classes like the tumao and warrior classes like the timawa. Upon colonization, smaller barangays were combined into towns headed by a cabeza de barangay under Spanish rule.
The document provides an overview of community and public health in the Philippines. It defines public health as ecological and multi-sectoral in scope, aiming to improve community health through organized community efforts. The history of public health in the Philippines is then traced from the pre-American occupation period to the present day, noting the establishment of early hospitals and health programs under Spanish colonial rule. Major concepts of public health like health promotion, disease prevention, and community participation are also outlined.
This document discusses social class stratification and mobility in the Philippines. It defines social class and identifies key determinants like money, education, occupation prestige, lifestyle, and heredity. It outlines the historical class systems from the pre-colonial, Spanish colonial, and cultural minority eras. It also examines class-linked attitudes, behaviors, and institutional attitudes towards government, religion, and the economy among the upper, middle, and lower classes in Philippine society.
This document outlines the Aquino Health Agenda (AHA) launched by the Department of Health to achieve universal health care for all Filipinos. It aims to improve financial risk protection through expanding health insurance enrollment and coverage, improve access to quality hospitals and facilities, and attain health-related Millennium Development Goals. Key strategies include expanding PhilHealth enrollment, increasing benefit payouts, upgrading public health facilities, deploying community health teams, and providing integrated health services through the life cycle approach. The agenda prioritizes improving access and health outcomes for the poor and vulnerable.
PUBLIC HEALTH NURSING IN THE PHILIPPINES.pptxKathrynDetablan
The document summarizes public health nursing and the primary health care system in the Philippines. It describes the roles of community health nurses which include being a clinician, health educator, facilitator, supervisor, health advocate, and collaborator. It also outlines the key elements of primary health care as promoted by the WHO, including environmental sanitation, disease control, immunization, health education, maternal and child health services, nutrition programs, and access to essential drugs and medical treatment. The primary health care approach aims to make basic health services universally accessible through people-centered and multi-sectoral involvement at the community level.
PUBLIC HEALTH NURSING IN THE PHILIPPINES.pptxKathrynDetablan
The document summarizes public health nursing in the Philippines. It discusses how community health nursing has evolved in response to global and local health trends, positioning nurses as leaders in health promotion. It outlines the roles of community health nurses as clinicians, educators, facilitators, supervisors, and advocates. It also describes the Philippine healthcare system, including the human resources challenges and primary healthcare approach centered on people and multi-sectoral involvement to achieve universal health coverage.
PUBLIC HEALTH NURSING IN THE PHILIPPINES.pptxKathrynDetablan
The document summarizes public health nursing in the Philippines. It outlines the roles of community health nurses which include being a clinician, health educator, facilitator, supervisor, health advocate, and collaborator. It also describes the country's health care delivery system, noting issues like uneven distribution of health resources and a strong private sector. Primary health care is discussed as the approach to make essential services universally accessible through community participation and multisectoral involvement. The key elements of primary health care include environmental sanitation, disease control, immunization, and ensuring access to medical care, nutrition, and essential drugs.
This document presents a 5-year strategic health plan for Apati from 2018-2022. The key points are:
1. The plan aims to improve basic healthcare access and quality as well as lower maternal and child mortality rates.
2. Apati has a population of over 44 million people with high density in central regions. Health resources are concentrated in urban areas.
3. Objectives include strengthening the health system, improving quality of care, increasing equitable access and utilization, and decentralizing planning and resources.
4. Key targets by 2022 are reducing the maternal mortality ratio to 110 deaths per 100,000 births and infant mortality rate to 20 deaths per 1,000 births.
The document discusses the human right to health and how the National Rural Health Mission (NRHM) in India aims to uphold this right. It outlines key human rights relating to health like access to healthcare, safe drinking water, and education. NRHM's goals are reducing infant and maternal mortality and improving access to health services. The program strengthens primary healthcare, integrates health programs, and empowers local communities to manage their own health needs. It also outlines expected health outcomes and strategies NRHM uses like training health workers and improving infrastructure.
The document summarizes the state of public health in India before the National Rural Health Mission (NRHM). There were large health gaps and crises in rural areas, including malnutrition, maternal and infant deaths, and inadequate water supply. NRHM was launched in 2005 to improve rural health systems by making them more accessible, affordable, accountable, and equitable. It focused on increasing access to primary healthcare and reducing child and maternal mortality rates.
The document discusses several challenges facing healthcare systems, including twin epidemics of infectious and chronic diseases, poor public health program implementation, and limited healthcare access. It provides examples of innovative community healthcare models in Bangladesh and India that aim to overcome resource constraints and engage communities. These include herbal clinics, health promotion temples, and village health workers. However, challenges remain like poor government support. The document also summarizes recommendations from India's High Level Expert Group to strengthen primary healthcare through increased funding, integrated insurance schemes, and empowering regulatory authorities.
The document provides information on healthcare delivery in China. It begins with definitions of healthcare delivery systems and their components. It then provides demographic profiles of China and India, comparing various metrics like population size, density, health outcomes, expenditures, and common health problems. The profile sections of China and India are quite extensive. It also provides historical background on China's healthcare system, from the pre-revolutionary era to the establishment of the basic health insurance system in recent decades. It describes the key reforms to China's healthcare system over time that aimed to decentralize control and increase coverage. It outlines China's current universal healthcare system, which utilizes a mix of public health programs, primary care facilities, hospitals, and basic medical insurance schemes to cover
The health care system in Pakistan consists of public and private sector providers that deliver services through primary, secondary, and tertiary levels of care. The public sector system is primarily the responsibility of provincial governments and includes hospitals, basic health units, and community health workers. However, it suffers from issues like high population growth, uneven workforce distribution, insufficient funding, and limited access to quality care. As a result, the private sector has expanded to help meet demand, though most private hospitals are small and run as sole proprietorships. Overall spending on health care is increasing but remains lowest in Balochistan and highest in Punjab.
Integrating microfinance and health programs can provide benefits to both clients and microfinance institutions. Health education combined with microfinance access has led to positive health outcomes in areas like reproductive health, child health, and disease prevention. Evidence shows interventions that combine health education, trained health workers, and linkages to care can improve health knowledge, behaviors, and access to services. Moving forward, addressing barriers like program costs and identifying best practice health programs can help scale up integrated microfinance and health initiatives.
This document discusses integrating microfinance and health programs to improve access to healthcare for poor clients. It notes that illness is a major barrier to escaping poverty, and that microfinance institutions reach hundreds of millions globally. Integrating basic health education, services, and products can help address clients' health needs while leveraging the vast network of microfinance institutions. The evidence shows that combining health education with microfinance can positively impact reproductive health, child health, nutrition, disease prevention and more. Programs providing health education, loans for healthcare, or linking clients to providers have demonstrated improved access, behaviors, and health outcomes. Moving forward, barriers to integration like costs must be addressed to realize the potential of joining microfinance and health.
NHM Overview of Gov of Bharat. The presentation is very helpful.pritoshitconsultant
The National Health Mission (NHM) aims to provide universal access to equitable, affordable, and quality healthcare services. It seeks to strengthen primary healthcare through initiatives like Health and Wellness Centers and increasing public expenditure on healthcare. The NHM addresses issues such as low access to healthcare, fragmented programs, and shortages in human resources. It focuses on improving healthcare management through measures like community involvement, decentralization, and flexible financing. The ultimate goal is to support states in providing comprehensive and high-quality healthcare that meets people's needs.
This document provides an overview of the health care delivery system in India. It describes the organizational structure at the central, state, district, block, primary health center, and village levels. The key shortcomings are discussed as inverse care, impoverishing care, fragmented care, unsafe care, and misdirected care. Reforms proposed by the WHO are also outlined, including universal coverage, service delivery, public policy, and leadership reforms. The objectives and importance of establishing Indian Public Health Standards are also presented. In conclusion, it acknowledges advances but notes the system remains ineffective and discusses needed reforms and decentralization to improve healthcare quality and delivery.
How can health accounts inform health sector investments? Lessons from countr...HFG Project
Countries must have a firm grasp on their health financing landscape in order to ensure sufficient and effective use of resources. Health Accounts—an internationally standardized methodology that allows a country to understand the source, magnitude, and flow of funds through its health sector—provide a wealth of information on past spending. When combined with macroeconomic, health utilization, and health indicator data, Health Accounts provide powerful insights for health financing policy.
USAID’s Health Finance and Governance (HFG) project supports countries to institutionalize their Health Accounts so that they are produced regularly and efficiently, and are a useful tool for policymakers. In this technical briefing webinar, held June 29, 2016, HFG experts used country examples to demonstrate how Health Accounts have been (and can be) used to inform national health financing decisions. The experts also provided perspectives on the future of Health Accounts.
National Rural Health Mission (NRHM) was launched in 2005 with the objectives of providing effective healthcare to rural populations by improving access to care, enhancing equity and accountability, and promoting decentralization. Key goals included reducing infant mortality rate to 30/1000 live births and maternal mortality ratio to 100/100,000 live births by 2012. The mission focused on improving primary healthcare through community health workers called ASHAs, strengthening sub-centers, PHCs, and CHCs, and implementing district-level health plans. It also aimed to control communicable and non-communicable diseases, involve private providers, and increase health spending.
Dr azilina 1 care for ph conference 12july2011 11july 2011EyesWideOpen2008
Slide 18 shows the implementation process of 1Care. In phases 1 to 3 the name 1Care doesn't even appear but it is part of the process.
The MOH Deputy Director General, Datuk Dr Noor Hisham Abdullah has confirmed that 1Care is currently in phase 1 & 2 of implementation.
RURAL HEALTH CARE SERVICES Riya Tanwar final 2.pptxRaiRai72
The document provides an overview of rural health care services in India. It discusses the key components of the rural health care system, including sub-centers, primary health centers (PHC), and community health centers (CHC). Sub-centers are the most peripheral contact point between communities and the primary health care system. PHCs provide basic medical services and refer patients to CHCs, which are 30-bed hospitals that offer specialized services like surgery. The document outlines the services, staffing, infrastructure, and objectives of each type of rural health care center in India.
This document discusses a model to universalize access to quality primary healthcare in India. It outlines recommendations in several areas: human resources for health, community participation, access to medicines/vaccines, health financing, management reforms, and social determinants of health. The key recommendations are to increase public spending on health, strengthen primary care infrastructure and workforce, ensure access to essential medicines, implement health financing reforms to achieve universal coverage, and address social factors like education, sanitation, and nutrition that impact health outcomes. The model aims to make primary healthcare services accessible to all Indians through a strengthened public system and community involvement.
This document discusses universal health coverage and provides information on key facts, definitions, objectives, and challenges. It summarizes the evolution of universal health coverage in India through various committee reports and schemes. Key recommendations from the High Level Expert Group report on achieving universal health coverage in India include establishing a national health package, developing health service norms, increasing human resources for health, strengthening community participation, and improving access to medicines and technology. Monitoring progress and overcoming challenges such as inadequate services, varying quality, and affordability issues are important to achieve universal health coverage.
Similar to Universal Health Care: the Philippine experience (20)
This document discusses integrating occupational health services into primary health care. It argues that while some countries have made progress expanding occupational health services, coverage remains low globally. Most workers, especially in informal sectors and small businesses, lack access to even basic services. The document calls for strengthening primary health care systems based on the principles of the 1978 Alma Ata Declaration, including providing universal access to essential health interventions and services. Integrating occupational health into primary care could help extend coverage of basic services to more workers and their communities through workplace and community-based delivery models.
The document provides information about the Wantveld Health Centre in the Netherlands, including its services and staff. It discusses the current separate systems for primary healthcare and occupational healthcare, noting advantages and disadvantages. Reasons are provided for joining these systems, including more focus on work and functioning for clients. Experiences of a "company doctor in primary care" are shared. The referral processes between practitioners are outlined for several client cases.
The document discusses integrating occupational health practices into primary health care in the Netherlands. Currently, the two systems are separate, with general practitioners providing primary care and company doctors providing occupational health services. The summary is:
1) There are advantages and disadvantages to the separate Dutch systems, such as GPs not being pressured to provide sick notes but also a lack of communication between the sectors.
2) The document proposes integrating company doctors into primary care to address issues like overlooking work-related causes of illness and providing a point of contact for those without regular occupational services.
3) Examples are given of clients successfully treated by a primary care company doctor by addressing both health and work-related issues. The integration could improve
Rt 2 occupational health and primary care hague 11 29-11Health and Labour
The document discusses shifting the focus of primary care from episodic, disease-based care to holistic, patient-centered care that addresses social determinants of health like occupation and work. It outlines the large number of work-related injuries and illnesses in the U.S. each year and how integrating occupational health into primary care settings could help improve diagnosis, treatment, and prevention for many patients. Barriers and opportunities for strengthening collaboration between occupational health and primary care professionals and institutions are also examined.
This document summarizes Dr. Issa Said Al Shuaili's presentation on integrating occupational health services into primary health care in Oman. It discusses Oman's workforce demographics and existing occupational health regulations. It then outlines Oman's experience integrating occupational health into primary care through training primary care doctors, promoting health education in workplaces, and planning to attach doctors to workplaces. Finally, it identifies capacities needed like assessing local contexts, developing human resources, and establishing evaluation systems to support a people-centered occupational health model in primary care.
1. The role of primary care centers in workers' health is to provide prevention, treatment, disability assessment, and collaboration with occupational health specialists. Electronic health records and tools can help integrate occupational health data.
2. Strengthening collaboration requires training primary care and occupational health providers together, identifying stakeholders, and removing administrative and financial barriers.
3. Supporting workers' health involves empowering workers and communities through health education, ensuring access to occupational health services, and addressing legal issues. Involving workers and unions is important.
This document outlines discussions from Round Table 2 on people-centered care. The round table focused on identifying strategies and actions to protect and promote worker health. Key questions discussed included: [1] defining the role of primary care centers in worker health; [2] strengthening collaboration between occupational health and primary care; [3] empowering workers and communities to care for their own health; and [4] actions to advance people-centered care for workers at all levels. Suggestions focused on training, guidelines, identifying stakeholders, research, and ensuring access to occupational health services.
Rt 1 The different dimensions of universal coverage and access to careHealth and Labour
Presentation by Prof. Dr. J. De Maeseneer, MD, PhD, FRCGP (Hon) Department of Family Medicine and PHC- Ghent University, Belgium at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
This document outlines the agenda for four parallel working sessions at a conference on occupational health and safety. Roundtable 1 focuses on universal healthcare coverage strategies. Roundtable 2 discusses people-centered care and the roles of primary care and occupational health. Roundtable 3 addresses participatory governance and considering worker health in healthcare reforms. Roundtable 4 explores integrating worker health into non-health policies and national occupational health programs through primary care.
The document summarizes discussions from Round Table 4 on enhancing consideration of workers' health in non-health policies. Key questions discussed include how to strengthen intersectoral collaboration on workers' health, how to design and link national workers' health profiles and action plans to primary care, the benefits of strategic health impact assessments, and actions to include workers' health in other policies. Suggestions focused on stakeholder analysis, education, legal frameworks, local solutions, data collection, and addressing knowledge gaps.
This document summarizes the discussions from Parallel Working Session Round Table 3 on participatory governance. The round table addressed 4 questions: 1) To what extent should worker health be considered in healthcare reforms? 2) Should new health leadership engage in dialogue with worker representatives, employers, and labor ministries? 3) What health information is needed to ensure primary care can address work-related issues? 4) What actions should be taken to advance participatory governance for worker health? Suggested answers to each question were provided.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...AyushGadhvi1
learning occurs when a stimulus (unconditioned stimulus) eliciting a response (unconditioned response) • is paired with another stimulus (conditioned stimulus)
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
DECLARATION OF HELSINKI - History and principlesanaghabharat01
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
Kosmoderma Academy, a leading institution in the field of dermatology and aesthetics, offers comprehensive courses in cosmetology and trichology. Our specialized courses on PRP (Hair), DR+Growth Factor, GFC, and Qr678 are designed to equip practitioners with advanced skills and knowledge to excel in hair restoration and growth treatments.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
1. Universal Health Care:
The Philippine Experience
Zorayda E. Leopando, MD, MPH
Professor of Family and Community Medicine
University of the Philippines Manila
2. • “Health is a right of every Filipino
citizen and the State is duty-bound
to ensure that all Filipinos have
equitable access to effective
health care services”
Philippine 1987 Constitution
3. Universal Health Care
Deliberate attention to the
needs of millions of poor
Filipino families which
comprise the majority of
our population
4. Comprehensive Reform Agenda
Reforms Focus
Health Sector Reform public health, hospital,
Agenda, 1999-2004 health care financing,
governance, and
regulations.
Fourmula One For financing, service
Health, 2005-2010 delivery, regulation,
governance
Universal Health Care, to improve, streamline,
2011-2016 and scale up above
reforms
5. Filipino Income Quintiles
Monthly income Families per quintile
Q1 3,460 5,218,267
Q2 6,073 4,094,164
Q3 9,309 3,912,443
Q4 15,064 3,707,494
Q5 38,065 3,485,067
Exchange rate US$ 1.00= Php 43.00
Source: National Health and Demographic Survey, 2008
6. The Philippine Health Care System
• Public Sector:
– Services devolved to local government
units
• Private sector
– More doctors are in the private sector
– Almost the same number of hospitals and
hospital beds between public and private
sectors
7. Office of Secretary of Health
Attached Agencies
Regional hospital
Medical Centers Regional Offices
Sanitaria
City Health Offices Provincial Health Offices Provincial
(Chartered Cities) Hospitals
Inter-local Health Zones
City Health
Hospitals Centers City Health Offices Municipal health District
offices/ Rural hospitals
Barangay (Component Cities)
Level of Health Unit
Health
Supervision Health
Stations City Barangay Health
Centers
DOH Hospitals Stations
Province Barangay
City government Health
Municipal gov’t Stations
8. Utilization of Health
Facilities %
HEALTH FACILITY TYPE
Government 50 %
Private 42 %
Traditional healer 7%
Common reasons for seeking health care:
illness or injury ---------------------- 68 %
medical check-up --------------- 28 %
dental care --------------- 2 %
medical requirement ---------- 1 %
Source: NDHS, 2008
9. • Improved public health services such as
PhilHealth for all within three years
– President Aquino’s Inaugural Speech
• to enroll the poorest 5,000,000 Filipino
families with PhilHealth
– President Aquino’s State of the Nation Address
10. Health Coverage in the Philippines
• 1960’s- Medical Care Commission,
implemented for the employed and their
families, hospitalization benefits only
• 1995: National Health Insurance Program
with Philippine Health Insurance Corporation
as implementing agency, Phase 1 for the
employed and their dependent,
Hospitalization initially, then with selective
outpatient package; plus sponsored
members
11. Distribution of Health
Expenditure by Source of Funds
Total health expenditure is P234.3 B (3.2 percent of GDP)
Source: Philippine National Health Account, 2007
12. Distribution of Health Expenditure
by Use of Funds
Public Health Others Total health expenditure is P234.3 B
Care 10% (3.2 percent of GDP)
9% P 23.3 billion
P 21.2 billion
Personal
Health Care
81%
P 189.7 billion
Source: Philippine National Health Account, 2007
13. National Health Insurance Program and the
Philippine Health Insurance Corporation
Pres. Aquino, on PhilHealth Enrolment:
According to the National Statistics Office,
38% of Filipinos Have PhilHealth coverage.
(Pnoy’s SONA – July 26, 2010; emphasis supplied)
13
15. DOH, 2010
GOALS
Better health Responsive health Equitable health
outcomes system financing
Objectives
Instruments utlized
Health Service Policy, standards Health Health Governance
Financing Delivery and regulation Human Information for Health
Resource
16. Three Strategic Thrusts
Improve financial risk protection through
improvements in NHIP benefit delivery
Achieve health-related Millennium
Development Goal -Max (MDGmax)
targets
Improve access to quality health care
facilities
Plus: 1. Attain efficiency by using information technology
2. More aggressive promotion of healthy lifestyle
DONH, 2010
17. STRATEGY # 1
Ensure that each family has an assigned
competent primary health care provider
STRATEGY # 2
Produce health professionals that are
responsive to the current needs of the health
sector
STRATEGY # 3
Manage the exit or re-entry
18. Best Practices for Health Human
Resource Development Initiatives
• University of the Philippines Manila School of
Health Sciences (1976)
– Ladderized curriculum- student can become
midwife, nurse, doctor with service leave in
between
– Students nominated by communities
– Do not pay tuition fees, given allowance
– To serve for 2 years for every year of education
– Retention rate of 85-90 %Now with 3 campuses
19. Best Practices for Health Human
Resource Development Initiatives
• Department of Health
– Doctors to the Barrios program (1995)- doctors recruited
for underserved, doctorless communities, serve for 2 years,
with financial incentives and CME activities
– Pinoy MD- scholarship for doctors who are required to
serve fort two years for every year of education
– Midwifery Students Scholarship Program - midwives to
serve for two years for every year of education
– RNHeals – 10000 nurses to be fielded to train community
health teams.
20. Universal Health Care or
“Kalusugan Pangkalahatan” (KP)
Access to KP as an Operational Solution
Quality IP
and OP Care
NHIP Public
Benefit Health
Delivery Services
Poorest
Families • Convergence of three
strategic thrusts to serve
poor families
21. Access to
Quality IP
Kalusugan Pangkalahatan (KP)
and OP Care
NHIP Benefit Public Health
Delivery Services
Poorest
Families
Analysis of the Problem
• Neither Government subsidy nor the NHIP have adequately
protected the poor from financial risk
• The poor have limited access to quality outpatient (RHUs)
or inpatient (hospital) facilities
• Current public health effort may not meet MDG
commitments by 2015, specially those related to maternal
and child health
DOH, 2011
22. The goals set by the DOH
Financial Risk Protection
• Enroll 5.2 million families (Q1) identified by NHTS-PR
under the PhilHealth Sponsored Program__> DONE
• Train and deploy 10,000 RNHeals nurses as trainers and
supervisors to capacitate community-level health
workers ongoing
• Secure drugs, medicines and supplies for DOH-retained
hospitals serving NHTS-PR families for implementation
of NBB policy ONGOING
DOH, 2011
23. The goals set by the DOH
Health Facilities Enhancement
• Upgrade DOH-retained hospitals, provincial
hospitals, district hospitals and RHUs to ensure
access to better-quality inpatient and outpatient
care for NHTS-PR families ONGOING, WITHIN
TARGET
• Procure and distribute treatment packs for
hypertension and diabetes to RHUs for the use of
4Ps beneficiaries
DOH, 2011
24. The goals set by DOH
Attaining Health-related MDGs
• Procure and distribute health commodities to RHUs
serving 4Ps beneficiaries ONGOING
• Deploy Community Health Teams ONGOING
DOH, 2011
26. Phil Health Membership
• Aim for 100 % coverage
• Sponsored Program Coverage to be
sustained
• Coverage of the Rest of the Informal Sector
– Revive organized group enrollment
• Educating the Sponsored and Informal
Sector Members
– RN Heals
– Family Development seminars with DSWD
•
E. P. Banzon, PHIC, 2011
27. Health care providers
• Facilitate accreditation of Autonomous Region of Muslim
Mindanao facilities and MDG benefit providers
• Incentive package for healt5h providers
• Facilitate investments in innovative health care providers
such as specialty surgical hospitals
• Maximize use of information technology with
POLICIES on Health data dictionaries, AND security
and privacy of health data disseminated
E. P. Banzon, PHIC, 2011
28. Benefits for members
• Total shift to case payment
• CONSIDER Differential case payments based on facility
type, remoteness, incentive for quality
• Intensify implementation of No Balance Billing for the
SPONSORED PROGRAM in GOVERNMENT HOSPITALS
• Improved OPB now to be called the PRIMARY CARE
BENEFIT
– Gate-keeping !
– Continued support for innovative models like the Bukidnon model
– Open to all types of health care providers complying with accreditation
requirements
29. Benefits for members
• Supplemental health insurance benefits
for government employees
• Catastrophic fund in collaboration with
President’s social fund, PCSO, PAGCOR,
etc.
• Closer collaboration with HMOs to
simplify PhilHealth availment of
PhilHealth members who are also HMO
members