Presentation delivered at the University of Oslo Institute of Health and Society, September 24, 2012, Oslo, Norway. For more information: http://www.med.uio.no/helsam/english/research/news-and-events/events/guest-lectures-seminars/2012/global-governance.html
Video of the presentation here: http://www.youtube.com/watch?v=cF_JMlV12dg&list=UU3guB0vZS8vch7_mzs_5T8Q&index=1&feature=plcp
Easy to discuss and understand by the summarize topics of 3 which is Community Health Nursing, COPAR and Primary Health Care. Sources from different presentations and Shield book. MOSTLY COMPLETE AND COMPREHENSIBLE!!!
Easy to discuss and understand by the summarize topics of 3 which is Community Health Nursing, COPAR and Primary Health Care. Sources from different presentations and Shield book. MOSTLY COMPLETE AND COMPREHENSIBLE!!!
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 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 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.
Youth Perspectives on Social Determinants, Health Equity, and Global GovernanceRenzo Guinto
Presentation given in the panel entitled "Human Rights and Global Governance for Health" during the 7th Conference for Global health and Vaccination Research, September 26-27, 2012, Clarion Hotel and Congress, Trondheim, Norway.
Cardiovascular disease inequalities: causes and consequences. Capewell S. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
Global Health Equity and the Social Determinants of HealthRenzo Guinto
From the workshop "Closing the Gap in OUR Generation: Reducing health inequities through action on the global and local determinants of health" held last March 5-9, 2013 in Baltimore, Maryland, USA during the 62nd 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/131377723/Closing-the-Gap-in-OUR-Generation-PreGA-Final
Fight for Equity - Closing the Gap in OUR GenerationRenzo Guinto
Presentation given during the forum "Global Health - Why Bother?" - a pre-conference forum dedicated to the 7th Conference for Global health and Vaccination Research, September 25, 2012, The Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Video of the presentation here: http://www.youtube.com/watch?v=fNeL9KXPbLQ&list=HL1348615458&feature=mh_lolz
Global Health Inequalities: Focus on Asia-PacificRenzo Guinto
Lecture given during the pre-APRM workshop on Social Determinants of Health and Global Health Equity, September 11, 2012, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur
A presentation that introduces the program that I'm currently handling - Health Care Without Harm-Asia's Healthy Energy Initiative!
The Healthy Energy Initiative aims to mobilize the health sector to advocate for cleaner, healthier, and more climate-friendly energy alternatives. Through education, network-building, collaborative research, and advocacy, the Initiative hopes to raise critical awareness, promote dialogue, and build consensus among health professionals and healthcare organizations around the nexus of climate change, energy, and human health.
My Journey in Global Health: Part One of the TrilogyRenzo Guinto
Inaugural talk of the Alumni Lecture Series organized by my alma mater, University of the Philippines Rural High School (UPRHS) last Jamuary 9, 2015.
My talk is Part One ("Foundation") of my life's trilogy. Part Two ("Formation") and Part Three ("Fruition") will be delivered on my 50th and 75th birthdays, respectively.
Universal Health Coverage in 'One ASEAN': Are Migrants Included?Renzo Guinto
Presentation delivered during the pre-conference event of the Emerging Voices in Global Health 2014 program of the Third Global Symposium on Health Systems Research, September 29, 2014, University of the Western Cape, Cape Town, South Africa
Lecture given to Learning Unit 2 students of the Integrated Liberal Arts-Medicine Program of the University of the Philippines College of Medicine, March 12, 2014, Paz Mendoza Building
Fourth INTARMED batch to experience my interactive session on "Futures Thinking" for health - one of the closing sessions in the subject "History of Medicine"
Presentation delivered during the 4th National Convention and General Assembly of the Alliance of Young Nurse Leaders & Advocates-International with the theme "MDGs and Beyond: Positioning the Role of Nurses in Global Health." December 14, 2013, Cabanatuan City, Nueva Ecija, Philippines.
Social Determinants of Health: Why Should We Bother?Renzo Guinto
Presentation delivered during the 2nd Social Oncology Forum with the theme "Social Determinants of Health in Agricultural Communities." November 10, 2013, Benguet State University, La Trinidad, Benguet.
Reframing Climate Change as a Public Health Issue: Challenges and Opportuniti...Renzo Guinto
Oral presentation delivered during the Second National Conference on Climate Change, with the theme "Linking Climate Knowledge to Action." September 26, 2013, Traders Hotel Manila, Philippines.
The World's Health: Past, Present, and FutureRenzo Guinto
Presentation delivered during the segment “Setting the scene for the panel debate: Key defining moments of global health – perspective from a young doctor” in "Global Health Beyond 2015: Engaging Students and Young Professionals Workshop” held last April 5, 2013 at the Swedish Society of Medicine, Stockholm, Sweden. Program at http://www.sls.se/GlobalHealth/Workshop-5-april/Programme/
Global Health Education for the 21st Century: A Student's PerspectiveRenzo Guinto
Presentation delivered in the panel entitled "Global Health Education: Preparing for Global Interdependencies - Do We Teach Today's Medical Students the Right Skills for the 21st Century?" at the World Health Summit 2012 in Berlin, Germany, October 23, 2012.
Watch the video at http://www.youtube.com/watch?v=14VhEg5WQkU&feature=share
The International Political Economy of Universal Health CareRenzo 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 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
Presentation given during the public forum "Global Health - Why Bother?" in commemoration of the Asia-Pacific Regional Meeting of the International Federation of Medical Students' Associations (IFMSA), Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, September 11, 2012
The Health System as a Determinant of HealthRenzo Guinto
Lecture given during the pre-APRM workshop on Social Determinants of Health and Global Health Equity, September 12, 2012, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur
Social Determinants of Health InequitiesRenzo Guinto
Lecture given during the pre-APRM workshop on Social Determinants of Health and Global Health Equity, September 11, 2012, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur
From Jakarta to Cape Town: The Role of IFMSA in Global Health EquityRenzo Guinto
Presentation delivered in the workshop entitled "Root Out, Reach Out: Medical Students Taking Action on Social Determinants of Health" during the Third People's Health Assembly, July 8, 2012, Cape Town, South Africa
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Good Global Governance for Action on Social Determinants of Health: Lessons from the Philippines
1. Ramon Lorenzo Luis Rosa Guinto, MD
Regional Coordinator for the Asia-Pacific and
Founding Coordinator, Global Health Equity Initiative
International Federation of Medical Students’ Associations (IFMSA)
Youth Commissioner, Lancet-University of Oslo
Commission on Global Governance for Health
2. Outline
• Global Health and the Philippines
• Social Determinants of Health
• The Philippine Health System
• Foreign Policy and Health
• Some Take-Home Lessons
3. Alma Ata, 1978
The International Conference on Primary
Health Care calls for urgent action by all
governments, all health and development
workers, and the world community to protect
and promote the health of all the people of
the world by the year 2000.
6. Life expectancy at birth (men)
Glasgow, Scotland (deprived suburb) 54
India 61
Philippines 65
Korea 65
Lithuania 66
Poland 71
Mexico 72
Cuba 75
US 75
UK 76
Glasgow, Scotland (affluent suburb) 82
(WHO World Health Report 2006; Hanlon,P.,Walsh,D. & Whyte,B.,2006)
13. Philippine Health Situation
• 6 out of 10 Filipinos who die, die without health
professional attendance
• 4 out of 10 families can not buy the medicine they need.
• 70% of health professionals serve only 30% of the
population, those who can pay.
• Our latest National Health Statistics are 3 years old
• Our health system is chronically underfunded
• 54% of our National Health expenditure comes from out
of pocket.
16. Filipino Wealth Quintiles
AVERAGE HOUSEHOLD MONTHLY INCOME
Middle
Poorest Poor Rich Richest
Income
5,958 8,594 12,269 18,497 40,590
FOOD EXPENDITURE SHARE
40% 27%
67% 57% 49%
FIES, 2009
17.
18. Incidence of Illness and
Injury by Income Quintile
100
90
80
70
60
50
40
30 55 51 45 39
20 34
10
0
Poorest Poorest Middle Rich Richest
Income
National Demographic and Health Survey, 2008
21. Disasters and Climate Change
• No. 6 in the Climate
Change
Vulnerability Index
• No. 3 most
vulnerable to
disaster risks and
natural hazards in
the World Risk
Index 2011, next to
Vanuatu and Tonga
26. Weaknesses of the
Health System
• Inappropriate & weak governance within the devolved
health system
• Antiquated and inadequate health information system
• Ineffective regulation of health goods and services
• Fragmentation of health service delivery: private vs
public, curative vs public health
• Dysfunctional health workforce
• Unfair, unjust and inadequate health care financing
From Ramon Paterno, 2011
27. 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)
Health Unit
Health
Health
Stations City Barangay Health
Centers
Hospitals Stations
Barangay
Health
Stations
29. Universal Health Care
1. A roadmap towards universal health care through a
refocused PhilHealth
2. Particular attention to the construction, rehabilitation, and
support of health facilities
3. Attainment of Millennium Development Goals 4, 5, and 6
38. “Sixty percent of our
countrymen who succumb to
sickness die without seeing a
doctor.”
Department of Health-Philippines. National Objectives
for Health, 2005 – 2010. DOH: Manila, 2005.
40. Role in Global Health
• Recipient of development aid and humanitarian
assistance
• Participant in the trade of health services – provider of the
world’s health workforce, slow growth of medical tourism
41. Southeast
Asia
• Diverse political and
cultural systems
• Diverse health systems
• Varying levels of
economic development
• Highly vulnerable region
• Theater of FTAs
42. Association of Southeast
Asian Nations
• By the year 2020….. ASEAN will be Single Market and
Single Production Base
43. Association of Southeast
Asian Nations
• Free flow of Goods
• Free flow of Services
• Free flow of Investment
• Free flow of Capitals
• Free flow of Skilled Labor
50. Some Take-Home Lessons
• The Philippine health system faces many governance
challenges internally – within the health sector and
beyond.
• Global forces also shape national policies – especially
those related to or impacting on health.
• Governments must look through a health lens as they
negotiate trade agreements and forge foreign relations.
• Good global and national governance will usher action
on social determinants to reduce inequalities in health.
51.
52. The Power of Medicine
"Medicine… has the
obligation to point out
problems and to attempt
their theoretical
solution…The physicians
are the natural attorneys
of the poor…”
Dr. Rudolf Virchow
Father of Social Medicine
53. The Power of Young People
“The youth are
the hope of the
Fatherland.”
Dr. Jose Rizal
National Hero of the Philippines
Despite remaining a threat to our population’s health, deaths due to infectious diseases have actually declined. Here we see the decreasing trend of infectious and communicable disease whereas lifestyle diseases already dominate the leading causes of deaths in the country --- cardiovascular disease, Cancers, diabetes, chronic lower respiratory diseases.
Focus on refocusing the implementation of the National Health Insurance Program through PhilHealthParticular attention to the construction, rehabilitation and support of health facilities: LGU/regional hospitals, rural health units, barangay health stations to enhance their capacity in providing basic health services.Attainment of Millennium Development Goals 4, 5, and 6Reduction of maternal, neonatal, and infant mortalitySupport to contain/eliminate age old pubic health diseases (malaria, dengue, TB)
Philippines – roughly 3.3 comparable to Thailand, MalaysiaVietnam – 5% - compliant with 5% requirement of the Global Strategy for Health for All in the Year 2000China – roughly 4.5%Cuba – 6.6 %Canada – close to 9%UK – 7%US – 13%
When I was being interviewed by the Secretary for the position which I currently hold, he asked me what can the government do with the fact that over 30% of our countrymen die without ever seeing a doctor. Poverty is the reason for poor access to health services; The poor do not have money to finance their health needs. Government Health facilities are poorly equipped and are not adequately manned by health workers. The answer