On health and medicine
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Philippine health care system and PHC in Philippine context.
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On health and medicine
- 1. ON HEALTH AND MEDICINE BIEN ELI NILLOS, MD,MHSS @baryoMD
- 2. WHAT IS HEALTH A state of physical, mental, social well being and not merely the absence of a disease or infirmity. (WHO) Health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. (Ottawa Charter, 1986)
- 3. HEALTH CARE SYSTEM INTHE PHILIPPINES MAYOR GOVERNOR SECRETARYOF HEALTH MAIN HEALTH CENTERS PROVINCIAL HEALTH OFFICE PROVINCIAL/DISTRICT HOSPITALS BRGY HEALTH CENTERS RETAINED HOSPITALS REGIONALOFFICES SPECIALTY HOSPITALS
- 4. SOCIAL HEALTH INSURANCE Out of pocket expenses are high
- 5. ALMA ATA DECLARATION ON PRIMARY HEALTH CARE, 1978 Health as a RIGHT Community Participation Social Determinants of Health Health for ALL
- 6. ELEMENTS OF PRIMARY (HEALTH) CARE Education (Health Literacy) Local/endemic disease control Expanded Program of Immunization Maternal Health Essential medicines availability Nutrition Treatment of diseases Sanitation and Safe Water Access.
- 7. EDUCATION (HEALTH LITERACY) SWEETHEARTS CLUB ADOLESCENT HEALTH
- 8. LOCAL DISEASE CONTROL LOCAL DISEASE CONTROL IMMUNIZATION
- 9. MATERNAL HEALTH ESSENTIAL MEDICINES AVAILABILITY
- 11. SANITATION AND SAFEWATER ACCESS PREVENTION/PROMOTION
- 12. HEALTH OFTHE ENVIRONMENT AFFECTS THE HEALTH OFTHE POPULATION The social determinants of health are the conditions in which people are born, grow, live, work and age.These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. (WHO)
- 13. OUTCOMES DECREASED INCIDENCE OF DENGUE CASES IN 2019 compared with 2018. ZERO MORTALITY DUETO DENGUE DENGUE INCREASED PERCENTAGE FACILITY BASED DELIVERY and DELIVERIES BY SKILLED BIRTH ATTENDANTS TARGET CHILDREN DEWORMED
- 14. CHALLENGES DECREASED UNDERWEIGHTS BUT INCREASING STUNTED CHILDRENStunting FIC COVERAGE OF FULLY IMMUNIZED CHILDREN ABR ADOLESCENT BIRTH RATE INADEQUATE HEALTH HUMAN RESOURCE 1 MD: 60,000 population
- 15. REPUBLIC ACT 11223: GENERAL OBJECTIVES 15 To ensure equitable access to quality and affordable health care and protection against financial risk To progressively realize universal health care through systemic approach and clear role delineation of stakeholders
- 16. DECLARATION OF PRINCIPLES 16 Integrated and comprehensive approach to ensure health literacy, healthy living, and protection from hazards and risks Health care model that provides comprehensive health services without causing financial hardship Whole-of-system, whole-of- government, whole-of-society approach in the development of health policies People-oriented approach centered on people’s needs and well-being
- 17. SERVICE DELIVERY 17 Population-based Health Services DOH to contract province-wide and city-wide health systems with the following minimum components: Primary care provider network Epidemiologic surveillance systems Health promotion programs and campaigns
- 18. ORGANIZATION OF LOCAL HEALTH SYSTEMS 18 Provincial/City Health Board oversee integration of health services manage special health fund exercise administrative and technical supervision over their health facilities and HRH Municipalities and cities are entitled to have a representative in the Provincial/City Health Board Integration of health systems into: Province-wide City-wide
- 19. UNIVERSAL HEALTH CARE IS ABOUT… Population Coverage - automatic inclusion of every Filipino citizen into the NHIP Service Coverage • immediate eligibility and access • comprehensive outpatient benefit • provision of primary care provide Financial Coverage • Zero co-payment • Fixed, predictable co- payment Pool of Funds Health Literacy & Healthy Settings
- 20. THE FUTURE?
- 21. Addisu A, Adriaensen W, Balew A Ethiopia SORT IT NeglectedTropical Diseases Group, et alNeglected tropical diseases and the sustainable development goals: an urgent call for action from the front lineBMJ Global Health 2019;4:e001334.
- 24. THANKYOU BIEN ELI NILLOS, MD, MHSS “I will continue, O my God, to do all my actions for the love ofYou” – St. John Baptist de La Salle
Editor's Notes
- The UHC Act seeks to: progressively realize universal health care through systemic approach and clear role delineation of stakeholders; and ensure equitable access to quality and affordable health care and protection against financial risk.
- The UHC Law adopted the following principles: An integrated and comprehensive approach to ensure health literacy, healthy living and protection from hazards and risks; A health care model that provides comprehensive health services from promotive, preventive, curative, rehabilitative and palliative care, without causing financial hardship and prioritizing those who cannot afford these services; A framework that fosters a whole of system, whole of government, whole of society approach in the development of health policies, programs and plans; and A people-oriented approach centered on people’s needs and well being, cognizant of the differences in values, culture and beliefs.
- DOH will be contracting province- and city-wide health systems to provide population-based health services. Such local health systems, however, should have the following minimum components: a) Primary Care Provider Network; b) Epidemiologic Surveillance System; and, c) Proactive Health Promotion Programs and Campaigns.
- To harmonize the efforts and ensure efficient delivery of health services, local health systems will be integrated into province-wide and city-wide health system. These health systems are to be governed by local health boards that are mandated to: Oversee and coordinate the integration and delivery of health services across the health care continuum for province- and city-wide health systems. Manage the Special Health Fund. Exercise administrative and technical supervision over health facilities and health human resources within their respective territorial jurisdiction. Municipalities and cities that commit to health system integration will be entitled to a representation to the Provincial Health Board.
- Universal Health Care is about improving health literacy among Filipinos and providing them with healthy living environment, increasing the population coverage for all Filipinos, improving the service coverage through comprehensive benefit packages, and ensuring financial coverage through zero co-payment in basic accommodation and fixed, predictable co-payment in non-basic accommodation.
- Number of candidate products (diagnostics, drugs vaccines) for neglected diseases, by disease condition in 2017.
- Human Immunodeficiency Virus (HIV) has claimed at least 303 lives and infected 3,175 more in Western Visayas from 1986 to February 2019, despite information campaigns by the Department of Health in the region. Christine Mosqueda, DOH Regional Sexually Transmitted Infection Assistant Nurse Coordinator, said this is the cumulative HIV cases from 1986 to February 2019. “All six provinces and highly-urbanized cities are already reporting HIV cases,” Mosqueda said (https://thedailyguardian.net/local-news/hiv-infects-3175-kills-303-in-region-6-2/). Western Visayas was fifth nationwide in terms of percentage of newly diagnosed cases per region in February, accounting for 7 percent of total cases reported. DOH-6 data showed Iloilo City has the highest number of HIV cases at 791, followed by Iloilo Province at 666, Negros Occidental (554), Bacolod City (506), Capiz (222), Aklan (209), Antique (164), and Guimaras (63).