A review of DoH SDN Guidelines and Identification of processes for SDN localization in a Devolved Health Set UP

1. Functional SDN in Strategizing
Implementation of Universal
Health Care High Impact Five
(UHC-HIF)
Project HOPE MNCHN Philippines Project
Rogelio M. Ilagan, MD, MPH
Program Director – Project HOPE

9. What is a functional SDN?

10. Establishment and Organization
of SDNs
Step 1: Identify needs of priority groups and
the general population to be able to define
service targets effectively. (Who are the priority
groups?) Action: Compute for Targets
Step 2: Map available health care providers
that can serve the needs of the priority
groups and the general population, for
particular quality program services
requiring different levels of care (Who are the
facilities and providers?) Action: Map the Facilities and
Providers

11. Establishment and Organization
of SDNs
Step 3: Designate priority groups, general
population to health facilities to facilitate
efficient access to quality health services. (Where
are the facilities and providers located?) Action: Designate
SDN
Step 4: Undertake monitoring and evaluation of
the SDN (How do we know we reach there?) Action: Do
Monitoring and Evaluation

12. GUIDING PRINCIPLES GOVERNING THE STRUCTURE,
ORGANIZATION AND REFERRAL SYSTEM IN THE
SERVICE DELIVERY NETWORK
• Universal Health Care or Kalusugan Pangkalahatan
(UHCIKP) targets and outcomes shall guide the goals and
objectives of service delivery network (SDN);
• SDN is an instrument to improve, strengthen service
delivery and ensure continuity of services for families,
across political and geographical boundaries.
• All hospitals and health facilities shall seek to be
part of referral network within the vicinity of
their SDNs, to provide for services which they are
not capable to render, and to provide basis for any
assistance required.
• All families belonging to a SDN are entitled to access
responsive and quality health services

13. All hospitals and health facilities shall
seek to be part of referral network
within the vicinity of their SDNs, to
provide for services which they are not
capable to render, and to provide basis for
any assistance required – BE PART
OF THE REFERRAL
NETWORK!
How do we establish a functional
SDN?

14. Framework of MNCH Referral Flow - The Backbone
of SDN
HEALTH SYSTEMS
SDN
• Community Level
Providers
• BeMONC
• CeMONC
• Other Levels / Groups
PROTOCOLS /
GUIDELINES
• Pre-Natal
• Intra-partum and Delivery
• Post-Partum and Newborn
Care
• Family Planning
• SGBV / AYRH / IWG / WP
POLICY SUPPORT
• Transportation
• Communication
• Executive Order /Municipal
Ordinance/Batangay
Resolutions
• Technical Working Group
• Public-Private Partnerships
INITIATING FACILITY (SDN NETWORK)
• Client and their Condition
• Protocol of Care
• Provision of Care and Documentation
• Decision to Refer
REFERRAL PRACTICALITIES
• Outward referral form
• Communication with receiving facility
• Information to the Client
• Referral Register
RECEIVING FACILITY (SDN
NETWORK)
• Receive Client with Referral form
• Treat Client and Documentaiton
• Plan for Tx of pt and treatment
completion
REFERRAL PRACTICALITIES
• Back Referral form
• Feedback to Initiating facility
• Referral Register
SUPERVISION AND CAPACITY BUILDING
• Monitor Referrals
• Ensure Back Referral
• Feedback and Training for facility staff
• Feedback to Central level