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.
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
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
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.
EUTHANASIA AND SUICIDE DYSTHANASIA ORTHOTHANASIA
ADMINISTRATION OF DRUGS TO THE DYING
ADVANCE DIRECTIVES END OF LIFE CARE PLAN OR DNR
NURSING ROLES AND RESPONSIBILTIES
ETHICAL DECISION MAKING PROCESS
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.
A Re-Introduction to Health Education and the knowledge in it
purpose
dimension
aspects
importance
The Change, its process and management
The Education Process
The Teaching Strategies
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.
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 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.
EUTHANASIA AND SUICIDE DYSTHANASIA ORTHOTHANASIA
ADMINISTRATION OF DRUGS TO THE DYING
ADVANCE DIRECTIVES END OF LIFE CARE PLAN OR DNR
NURSING ROLES AND RESPONSIBILTIES
ETHICAL DECISION MAKING PROCESS
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.
A Re-Introduction to Health Education and the knowledge in it
purpose
dimension
aspects
importance
The Change, its process and management
The Education Process
The Teaching Strategies
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.
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.
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.
Each month, join us as we highlight and discuss hot topics ranging from the future of higher education to wearable technology, best productivity hacks and secrets to hiring top talent. Upload your SlideShares, and share your expertise with the world!
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This presentation describe the Health care system in Pakistan.
In this presentation complete information our health system in Pakistan. The advantage and disadvantage are clearly define in presentation.
https://dogblaze.com/
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).
Presented by Clem Bezold and Trevor Thompson
Public health in each city and county in the United States works to ensure the conditions for all to be healthy. Public health investigates disease outbreaks, fosters health promotion and health equity, and assures that health care is available. And it typically focuses on the most vulnerable in the community. There are several forces changing public health—what it does and how it operates. The effects of climate change on local communities, other types of emergencies, future infectious diseases and their surveillance, optimal approaches to health promotion for communities, the role of health care providers in enhancing population health, the state of health equity or fairness—these are among the topics considered in the scenarios. The Institute for Alternative Futures, with funding from the Robert Wood Johnson Foundation and the Kresge Foundation, has developed a national project developing Public Health 2030 Scenarios. This session will present those results.
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.
NCD Prevention and Control as a Health System Strengthening InterventionAlbert Domingo
Lecture on NCD Prevention and Control as a Health System Strengthening Intervention delivered by Dr Albert Francis Domingo at the UP Manila College of Public Health on 19 January 2018.
Universal Health Coverage Action Framework for the Western Pacific RegionAlbert Domingo
Presentation by Dr Albert Francis Domingo, delivered at the meeting on rehabilitation as part of the continuum of people-centred health care, Seoul (Republic of Korea), 13-15 December 2016.
Addressing hearing loss through a health care systems approachAlbert Domingo
Presentation by Dr Albert Francis Domingo, Consultant of the Division of NCDs and Health through the Life-Course, WHO Regional Office for the Western Pacific delivered at the Multi-country Workshop on Ear and Hearing Care in the Western Pacific Region (6-7 Dec 2016, Beijing, China).
Insights and Opportunities for the Philippine Medical Student in the ASEAN Co...Albert Domingo
Presentation delivered by Albert Francis E. Domingo, MD, MSc at San Beda College Mendiola, during the 49th Annual National Convention of the Association of the Philippine Medical Colleges. Discusses ASEAN integration and the trade in health services, from the perspective of future physicians (i.e. medical students).
Dissecting the Reproductive Health Law Policy ProcessAlbert Domingo
Slides intended for interactive discussion on the policy process behind the Philippines' Reproductive Health law (RA 10354), following the framework of Walt and Gilson (1994)'s health policy triangle and the legislative threshold of Gray (2004).
NCDs in the Context of the SDGs - a presentation delivered by Dr Albert Francis Domingo (Consultant, WHO Regional Office for the Western Pacific) at the Philippines' DOH NCRO Operational Planning Workshop for Local Strategic Plans on Noncommunicable Diseases Prevention and Control Programs, 2-4 December 2015. (Adapted from an earlier presentation by Dr Douglass Bettcher, Director, Prevention of NCDs, WHO.)
Western Pacific Updates on Noncommunicable DiseasesAlbert Domingo
Western Pacific Updates on Noncommunicable Diseases - a presentation delivered by Dr Albert Francis Domingo (Consultant, WHO Regional Office for the Western Pacific) at the Philippines' DOH NCRO Operational Planning Workshop for Local Strategic Plans on Noncommunicable Diseases Prevention and Control Programs, 2-4 December 2015. (Adapted from an earlier presentation by Dr Susan Mercado, Director, DNH/WPRO.)
Introduction to Technical Writing: The Policy BriefAlbert Domingo
A short presentation on the basics of writing a policy brief for use in the health sector. This is meant to be accompanied by hands-on learning materials (pre-test, exercise, post-test).
Noncommunicable Diseases as the Focus for a Diagonal Approach to Strengthenin...Albert Domingo
This is an overview of the work-based placement I had at the World Health Organization Regional Office for the Western Pacific, in Manila, the Philippines. My research topic has been about noncommunicable diseases or NCDs as the focus for a diagonal approach to strengthening health systems.
The state in global health (focus on LICs/MICs)Albert Domingo
A report/presentation on the changing dynamics of the power of the state viz. external actors in formulating health policy, particularly in low income countries and middle income countries.
Medical Governance, Health Policy, and Health Sector Reform in the PhilippinesAlbert Domingo
Suggested citation:
Domingo, Albert Francis E. "Medical Governance, Health Policy, and Health Sector Reform in the Philippines.” De La Salle Health Sciences Institute (DLSHSI). DLSHSI College of Medicine, Dasmarinas, Cavite. 27 Jun. 2014. Lecture.
Understanding the Supreme Court Decision on the RH LawAlbert Domingo
Briefing on the Decision of the Supreme Court of the Philippines in the consolidated case of Imbong v. Ochoa (G.R. Nos. 204819, 204934, 204957, 204988, 205003, 205043, 205138, 205478, 205491, 205720, 206355, 207111, 207172 & 207563, April 8, 2014) assailing the constitutionality of RA 10354
(Updated draft as of 19 May 2014. Note: The analyses of this presentation may still change until the Decision becomes final and executory.)
Policy Implications of Healthcare Associated InfectionsAlbert Domingo
On February 19, 2014 at the Ateneo School of Medicine and Public Health in Pasig City, Dr. Albert Domingo presented an introduction to the economic impact of healthcare associated infections (HAIs) as well as related concepts in health policy and management. The speaker discussed common approaches taken to ascertain the economic impact of HAIs, followed by factors/considerations in Philippine health policy and management that must be understood and adjusted in order to minimize HAIs.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)blessyjannu21
Neurological system includes brain and spinal cord. It plays an important role in functioning of our body. Encephalitis is the inflammation of the brain. Causes include viral infections, infections from insect bites or an autoimmune reaction that affects the brain. It can be life-threatening or cause long-term complications. Treatment varies, but most people require hospitalization so they can receive intensive treatment, including life support.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
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Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
Cold Sores, medically known as herpes labialis, are caused by the herpes simplex virus (HSV). HSV-1 is primarily responsible for cold sores, although HSV-2 can also contribute in some cases.
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in CardiologyR3 Stem Cell
Dr. David Greene, founder and CEO of R3 Stem Cell, is at the forefront of groundbreaking research in the field of cardiology, focusing on the transformative potential of stem cell therapy. His latest work emphasizes innovative approaches to treating heart disease, aiming to repair damaged heart tissue and improve heart function through the use of advanced stem cell techniques. This research promises not only to enhance the quality of life for patients with chronic heart conditions but also to pave the way for new, more effective treatments. Dr. Greene's work is notable for its focus on safety, efficacy, and the potential to significantly reduce the need for invasive surgeries and long-term medication, positioning stem cell therapy as a key player in the future of cardiac care.
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...nirahealhty
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac CareDr. David Greene Arizona
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
3. 0 10025 x 1,000 km 75
Parameter 25 75 100
Life Event Manufacture to
Prime
Middle Age Resale / Trade-in /
Scrap
Care
Provider
“Casa” “Talyer” / Self-repair ?
Dx, Tx, Rx Preventive
Maintenance
(e.g., Oil Changes)
Brake Pad
Replacements,
Recalibrations
Overhauls
Costs of
Care
+ +++ +++++
Financing Co-pay Co-pay, Insurance Co-pay, Insurance
Catastrophe MV “Crash” (Damage)
Regulation LTO, LTFRDB, MMDA, etc.
4. 0 10025 x 1 year 75
Parameter 25 75 100
Life Event Birth to Early
Adulthood
Middle to Old Age (Very) Old Age
Care
Provider
Clinics
(OB, Pedia, Surg)
Clinics / Hospitals
(IM, Surg)
Hospitals
(IM, Surg, Patho)
Dx, Tx, Rx Outpatient > Inpatient
(Vaccines, Vitamins, etc)
Outpatient = Inpatient
(“Maintenance” Meds,
etc)
Outpatient <<
Inpatient
(ACLS, Critical Care, etc)
Costs of
Care
+ +++ +++++
Financing OOP vs. Insurance OOP vs. Insurance OOP vs. Insurance
Catastrophe MV “Crash” (Trauma)
Regulation PRC – Board of Medicine, DOH (incl. FDA), PHIC, etc.
5. Demystifying and De-medicalizing
The allocation of resources must be explicit
Decision-making at all levels must be open
Medicine must be de-mystified and health de-
medicalized, for professionals, patients, the general
public and politicians alike
Public health / health policy is thus multi-disciplinary, and
multi-stakeholder
Reference: Gray, 2004 (pp. 317-318), modified
6. “Pharmacology” of Health Policy
DYNAMICS and the mechanism of action:
Will an intervention reduce the risk?
KINETICS and the response of the system:
Will the intervention for the main concern increase other
risks? (i.e., adverse effects)
THERAPEUTICS and delivery:
Is it operationally possible to introduce the intervention?
Reference: Gray, 2004 (p. 296), with modification
8. Factors in Health Policy Change
OLD
POLICY
NEW
POLICY
Ideological
inspirations
Change in
circumstances
Evidence
Common sense
From
research
From experience
Reference: Gray, 2004 (Fig 7.8, p. 291; p. 292)
NOTE: Policy makers operate on a
timescale that does not generally admit
of delays that research will take.
9. How has health policy
developed over time
in the Philippines?
10. Historiography of PH Public Health
Spanish era: reordering of Philippine society
American era: a civilizing mission to prepare Filipinos for
independence; governance through sanitation, health,
hygiene, medical and scientific institutions, medical and
health professions
Public schools and school children as agents for public
health work
Educational, medical, and scientific research institutions as
training and preparation “laboratories”
Leading to “Filipinization” of the bureaucracy
Reference: Planta, 2008
11. History of Philippine Health Reform
1960s: Medicare
1970s: Population Policy
1980s: Generics Act of 1988
1990s:
Local Government Code of 1991
National Health Insurance Act of 1995
2000-present:
HSRA F1 KP
Reference: Romualdez, 2011
FINANCING
SERVICE
DELIVERY
16. Start with the Poor and Vulnerable
Q1
Poorest
Q2 Poor
Q3 Middle
Income
Q4 Rich Q5 Richest
16
Note: Population counts projected for FY 2013 (except for DSWD numbers); rounded off to the nearest
million.
• Poverty incidence by NEDA/NSO is only a statistical estimate
• DSWD’s NHTS-PR and 4Ps/CCT, while with data on
names, faces, and places, may not have enlisted all the “real
poor”
• The DOH thus uses Q1 + Q2 for planning estimates, with
reliance on the DSWD’s NHTS-PR and 4Ps/CCT for
targeting/identification
Identified by DSWD
17. 1.0
Public Health MDGs
Achieved
1.1 - Reduce
Maternal and
Child Mortality
1.2 - Control
and Eliminate
Infectious
Diseases
1.3 - Promote a
Healthy
Lifestyle and
Prevent NCDs
2.0
Financial Risk
Protection
Improved
2.1 - Expand
PhilHealth
Coverage
2.2 - Improve
PhilHealth
Benefit
Package
3.0
Quality Care
Delivery System
Accessible
3.1 - Upgrade
and Improve
Health Units
and Hospitals
3.2 - Deploy
Human
Resources for
Health
4.0
Health
Governance
Improved
4.1 – Improve/
Reform Health
Systems
4.2 – Maintain
an Effective
Health
Regulatory
System
Outcomes and Strategies
19. 1.0
Public Health
MDGs Achieved
1.1 - Reduce
Maternal and
Child Mortality
1.2 - Control
and Eliminate
Infectious
Diseases
1.3 - Promote a
Healthy
Lifestyle and
Prevent NCDs
Package
of actions
and
population
coverage:
• Increase facility-based deliveries and
family planning services, commodities
and counseling for Q1 and Q2 mothers
& women of reproductive age
• Immunize all infants according to the
Expanded Program on Immunization
(EPI) & provide pneumococcal and
rotavirus vaccines among susceptible
communities
• Immunize poor senior citizens (influenza
and pneumococcal vaccines)
• Provide vitamins & minerals to all
children (<5 y/o)
21. 1.0
Public Health
MDGs Achieved
1.1 - Reduce
Maternal and
Child Mortality
1.2 - Control
and Eliminate
Infectious
Diseases
1.3 - Promote a
Healthy
Lifestyle and
Prevent NCDs
Package
of actions
and
population
coverage:
• Treat all diagnosed TB cases
• Eliminate malaria in endemic provinces
• Improve HIV/AIDS prevention, screening,
diagnosis, and treatment
• Provide rabies vaccine for dog bite victims
and coordinate with DA for dog
vaccination
• Eliminate filaria and other intestinal
parasites
22. Susceptible
Population
Not detected or false
negatives on screening,
hence not treated;
Or self-medicated
MDR TB Mortality
Treatment
Success
Rate
(TSR)
Case Detection Rate (CDR)
Prevalence
RateIncidence
Rate
TB Infection
Cycle
Failed
treatment
Spontaneous
remission
Case Notification Rate (CNR)
Cure Rate
(CR)
23. 1.0
Public Health
MDGs Achieved
1.1 - Reduce
Maternal and
Child Mortality
1.2 - Control
and Eliminate
Infectious
Diseases
1.3 - Promote a
Healthy
Lifestyle and
Prevent NCDs
Package
of actions
and
population
coverage:
• Promote key health messages (on Healthy
Lifestyle, preventing disease and injury,
available health services)
• Establish, link, and maintain non-
communicable disease registries in
provinces
• Provide access to screening services for
NCDs for the poor through PhilHealth
Primary Care Benefit package
24.
25. How will we improve
Financial RisK Protection?
26. Who pays for the cost of health care?
National
Government
12%
Local
Government
15%
Social Health
Insurance
(PhilHealth)
9%Private OOP
53%
Others
11%
Source: 2011 Philippine National Health Accounts
27. 2.0
Financial Risk
Protection
Improved
2.1 - Expand
PhilHealth
Coverage
2.2 - Improve
PhilHealth
Benefit
Package
Package of
actions and
population
coverage:
• Expand coverage of all Filipinos,
especially the poor and near-poor
(14.7M)
• Inform and guide all members on
PhilHealth availment procedures and
benefits
• Improve access to primary care benefit
package for the poor (drugs &
diagnostics)
• Increase PhilHealth share in total health
care costs, to minimize out-of-pocket
payments
Increased Fiscal Space:
“Tuwid na Daan”
Sin Tax Reform of 2012
National Health
Insurance Act of 2013
28. How do we make a Quality Care
Delivery System Accessible?
29. 3.0
Quality Care
Delivery System
Accessible
3.1 - Upgrade
and Improve
Health Units
and Hospitals
3.2 - Deploy
Human
Resources for
Health
Package of
actions and
population
coverage:
• Upgrade, build, and enhance:
• Barangay health stations as well
as rural and city health units to
deliver preventive health services
• LGU district and provincial
hospitals for quality outpatient
and inpatient care
• DOH regional hospitals and
medical centers to make
specialized care more affordable
• Distribute complete treatment packs
(for common diseases like infections,
diabetes, hypertension, heart
diseases, etc) to poor patients
30. 3.0
Quality Care
Delivery System
Accessible
3.1 - Upgrade
and Improve
Health Units
and Hospitals
3.2 - Deploy
Human
Resources for
Health
Package of
actions and
population
coverage:
• Deploy human resources for health
(Physicians, Nurses, and Midwives)
nationwide, properly distributed with
priority to NHTS and other priority areas
• Train and deploy Community Health
Teams (CHTs) to reach families with key
messages and basic preventive care
32. Office of Secretary of Health
Attached Agencies
Regional Offices
Provincial Health Offices
City Health Offices
(Component Cities)
Inter-local Health Zones
City
Hospitals
Health
Centers
Barangay
Health
Stations
District
hospitals
Municipal health
offices/ Rural
Health Unit
Barangay Health
Stations
Provincial
Hospitals
Regional hospital
Medical Centers
Sanitaria
City Health Offices
(Chartered Cities)
City
Hospitals
Health
Centers
Barangay
Health
Stations
References: Kelekar and Llanto, 2013; Khemani, 2010
33.
34. The Five-Star Doctor
Roles
Health Care Provider
Teacher
Researcher
Social Mobilizer
Manager / Policy
Maker
Examples of
Leaders
Expert Clinicians
Deans and Professors
Principal Investigators
Health Advocates
DOH Officials / Staff
Photo from http://humcaff.org/mobile-hummer-car-cars-and-girls/
Photo from http://humcaff.org/mobile-hummer-car-cars-and-girls/
It will be necessary to draw evidence from a wide variety of disciplines if public health professionals are to continue to identify the causes of ill-health and to prevent disease and promote health through the organized efforts of society.
Although the idea underpinning the introduction of any organizational change may reflect the ideology of the political party in power, or that of an individual, pressure group or think tank, the decision taken can be based on evidence.The nature of the evidence may be: (1) the experience of what happened since the last change in service financing and organization; or (2) derived from research findings.However, the amount of research evidence available on which to base healthcare policy is often limited, and politicians may argue that the introduction of a particular policy is supported by common sense.Reference: Gray, 2004 (p. 291)
1990s: disjoint split of service delivery and financing2000s onwards: “making devolution work” (attempts)Kalusugan Pangkalahatan care builds on gains on the reform initiatives of the last decade. Health Sector Reform Agenda (HSRA) – identified the reform pillars of public health, hospital, health care financing, governance, and regulations Fourmula One for Health – provided for an implementation framework: financing, service delivery, regulation, governanceAHA-UHC/Kalusugan Pangkalahatan – an operational focus that improves, streamlines, and scales up reform interventions
Mortality Trends of Communicable Diseases, Malignant Neoplasms, and Diseases of the Heart, per 100,000 Population, 1954-2008
Question:Does illness result in poverty,or does poverty result in illness?UHC is defined as achieving the best health status for a given population while providing them protection from the financial risks of utilizing care.The gains brought about by inclusive growthcan be easily wiped out by loss of productivity owing to illness and premature deathand the financial burdenof paying for health careThe push towards UHC varies in approach across countries, depending on their respective economic status, cultural context, political environment, and other operational considerations.
Explain broken loop -> cases not detected most likely to go untreated -> MDR -> infective, increases incidence; or, they die (TB mortality) / naturally get well (small percentage) Sure, there may be a natural rate of decline, due to:1. Geographical isolation2. Relative temporal improvements in social determinants (housing, hygiene, etc)3. Pockets of infection due to social stigma4. Self-medication (which may lead to MDR)
Mall vs. Main Street
This is the mandated goal. But HOW?
Skills – from WHO/Geneva (http://www.who.int/hrh/en/HRDJ_1_1_02.pdf)Roles – from Silliman University (http://su.edu.ph/article/396-5Star-Roles)