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    Primary Health Care

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    nchlrys
    The document summarizes the health care delivery system in the Philippines. It describes the public and private sectors that finance and provide health care. It also outlines the primary, secondary, and tertiary levels of care and the referral system between facilities. Primary health care is defined as essential care accessible to communities through participation and affordable costs. It focuses on environmental sanitation, communicable disease control, and other components. The Sentrong Sigla program aims to improve quality of care across the health sector through certification incentives and technical assistance.

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    Primary Health Care

    Uploaded by

    nchlrys
    373 views35 pages
    The document summarizes the health care delivery system in the Philippines. It describes the public and private sectors that finance and provide health care. It also outlines the primary, secondary, and tertiary levels of care and the referral system between facilities. Primary health care is defined as essential care accessible to communities through participation and affordable costs. It focuses on environmental sanitation, communicable disease control, and other components. The Sentrong Sigla program aims to improve quality of care across the health sector through certification incentives and technical assistance.

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    Primary Health Care (1)

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    The document summarizes the health care delivery system in the Philippines. It describes the public and private sectors that finance and provide health care. It also outlines the primary, secondary, and tertiary levels of care and the referral system between facilities. Primary health care is defined as essential care accessible to communities through participation and affordable costs. It focuses on environmental sanitation, communicable disease control, and other components. The Sentrong Sigla program aims to improve quality of care across the health sector through certification incentives and technical assistance.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    373 views35 pages

    Primary Health Care

    Uploaded by

    nchlrys
    The document summarizes the health care delivery system in the Philippines. It describes the public and private sectors that finance and provide health care. It also outlines the primary, secondary, and tertiary levels of care and the referral system between facilities. Primary health care is defined as essential care accessible to communities through participation and affordable costs. It focuses on environmental sanitation, communicable disease control, and other components. The Sentrong Sigla program aims to improve quality of care across the health sector through certification incentives and technical assistance.

    Copyright:

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    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 35

    Health Care Delivery System

    Ivan N. Tanodra, M.D. RPh

    Objectives

    To know the structure of health care delivery system in the Philippines To define primary health care To know the levels of health care To be aware of the different agencies that deliver health care

    Philippine Healthcare Delivery System

    Public sector
    - financed through a tax-based budgeting system at both national & local levels - health care is delivered free at the point of service

    Private sector
    - profit & non-profit providers

    - market-oriented, health care is paid


    through user fees at point of service

    PUBLIC SECTOR
    NATIONAL LOCAL

    PGH

    DOH
    PROVINCIAL GOVERNMENT

    LOCAL GOVERNMENT UNITS

    CITY/MUNICIPAL GOVERNMENT HEALTH CENTER/ RURAL HEALTH UNITS (RHU) BARANGGAY HEALTH STATIONS (BHS)

    PROVINCIAL/DISTRICT HOSPITALS

    Primary Health Care

    Essential health care made universally accessible to individuals and families in the community by means acceptable to them through their full participation and at a cost that the community and the country can afford at every stage of development

    Primary Health Care

    Declared during the First International Conference on Primary Health Care in Alma Ata, USSR on Sept 6-12, 1978 by WHO Goal Health for All by the Year 2000

    Primary Health Care

    Adopted in the Philippines through Letter of Instruction 949 signed by President Marcos on Oct 19, 1979 Theme Health in the Hands of the People by 2020

    Elements/Components of Primary Health Care

    Environmental Sanitation (adequate supply of safe water & good waste disposal) Control of Communicable Diseases Health Education Maternal & Child Health and Family Planning

    Elements/Components of Primary Health Care

    Adequate Food and Proper Nutrition Provision of Medical Care and Emergency Treatment Treatment of Locally Endemic Diseases Provision of Essential Drugs

    Strategies of Primary Health Care

    Reorientation/reorganization of the national health care system with the establishment of functional support system Effective preparation and enabling process for health actions at all levels

    Strategies of Primary Health Care

    Mobilization of the people to know their communities and identifying their basic health needs with the end in view of providing solutions leading to self reliance and self determination

    Strategies of Primary Health Care

    Development & utilization of appropriate technology focusing on local indigenous resources available in and acceptable to the community Organization of communities arising from their expressed needs which they have decided to address and that this is continually evolving in pursuit of their development

    Strategies of Primary Health Care

    Increase opportunities for community participation in local level planning, management, monitoring and evaluation within the context of regional and national objectives Development of intrasectoral linkages with other government and private agencies

    Strategies of Primary Health Care

    Emphasizing partnership so that the health workers and the community leaders/members view each other as partners rather than merely provider and receiver of health care respectively

    Four Pillars of PHC

    Active community participation Intra and inter-sectoral linkages Use of appropriate technology Support mechanism made available

    Types of PHC Workers

    Vary in different communities depending upon: 1. Availability of health manpower resources 2. Local health needs and problems 3. Political and financial feasibility

    Types of PHC Workers

    Village or Baranggay health workers


    - trained community health workers, traditional birth attendants, health auxiliary volunteer, healer

    Intermediate level health workers


    - general medical practitioners, public health nurses, rural sanitary inspectors, midwives

    Levels of Health Care and Referral System

    Primary level of Care Secondary level of Care Tertiary level of Care

    Levels of Health Care and Referral System

    Primary level of Care


    - devolved to the cities / municipalities - provided by center physicians, public health nurses, rural health midwives, baranggay health workers - first contact between the community members and other levels of health facility

    Levels of Health Care and Referral System

    Secondary level of Care


    - given by physicians with basic health training - either privately owned/government operated (infirmaries, municipal/district/provincial hospital, OPD) - referral center for the primary health facilities

    Levels of Health Care and Referral System

    Secondary level of Care


    - capable of performing minor surgeries and some simple laboratory examination

    Levels of Health Care and Referral System

    Tertiary level of Care


    - rendered by specialists in health facilities including medical centers, regional and provincial hospitals, specialized hospitals - referral center for the secondary care facilities - complicated cases/intensive care

    National/Regional Medical Centers And Training Hospitals


    Rural Health Unit, Community Hospitals Emergency/District Hospitals

    Provincial/City Hospital Baranggay Health Stations

    Sentrong Sigla

    1998- DOH embarked Quality Assurance Program in providing quality health services 1999- renamed Sentrong Sigla or Centers of Vitality Movement (SSM) Goal: Quality healthcare services and facilities SS Phase 1

    Sentrong Sigla

    2001 concern for quality health care into the entire health sector SS Phase 2

    Guiding Principles of Sentrong Sigla

    Recognition for achieving good quality shall be the main incentive in SS Certification Quality improvement is an unending process, promote the continuing drive for ever improving quality by providing higher quality standards

    Guiding Principles of Sentrong Sigla

    Focus shall be on core health programs that have proven to be most benificial to the people such as child health, maternal care and family planning, prevention & control of infectious diseases

    Guiding Principles of Sentrong Sigla

    Quality improvement is a partnership that empowers all stakeholders, and is based on trust and transparency All quality standards and methods shall be openly shared and discussed to ensure clear understanding and strong commitment by all concerned

    Guiding Principles for Sentrong Sigla

    DOH shall give purposive technical assistance to targeted health facilities to help them achieve quality improvement particularly in the underserved and marginalized areas Assessment for certification shall involve other stakeholders in order to provide objectivity and varying perspective in the process

    Thank you!

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