THE PHILIPPINE HEALTH CARE DELIVERY SYSTEM

HEALTH CARE SYSTEM

- an organized plan of health services (Miller-Keane, 1987)
HEALTH CARE DELIVERY
- rendering health care services to the people (Williams-
Tngpalan, 1981)!
HEALTH CARE DELIVERY SYSTEM (Williams-Tungpalan, 191!
- the net"or# of health facilities and personnel "hich carries ot
the tas# of rendering health care to the people!
PHILIPPINE HEALTH CARE SYSTEM
- is a comple$ set of organizations interacting to provide an arra%
of health services (&izon, 1977)!
C"MP"NENTS "# THE HEALTH DELIVERY SYSTEM
T$% D%pa&'m%n' () H%al'$ Man*a'%+
The &epartment of 'ealth shall (e responsi(le for the follo"ing)
formlation and development of national health policies, gidelines,
standards and manal of operations for health services and
programs* issance of rles and reglations, licenses and
accreditations* promlgation of national health standards, goals,
priorities and indicators* development of special health programs and
pro+ects and advocac% for legislation on health policies and programs!
The primar% fnction of the &epartment of 'ealth is the promotion,
protection, preservation or restoration of the health of the people
throgh the provision and deliver% of health services and throgh the
reglation and encoragement of providers of health goods and
services (,!-! .o! 119, /ec! 0)!
Visi(n+
'ealth as a right! 'ealth for 1ll 2ilipinos (% the %ear 3444 and
'ealth in the 'ands of the 5eople (% the %ear 3434!

Missi(n+
The mission of the &-', in partnership "ith the people to
ensre e6it%, 6alit% and access to health care)
- (% ma#ing services availa(le
- (% arosing commnit% a"areness
- (% mo(ilizing resorces
- (% promoting the means to (etter health
LEVELS "# HEALTH CARE #ACILITIES
1, PRIMARY LEVEL "# HEALTH CARE #ACILITIES
- are the rral health nits, their s(-centers, chest clinics,
malaria eradication nits, and schistosomiasis control nits
operated (% the &-'* pericltre centers operated (% 7eage
of 5ericltre 8enters* t(erclosis clinics and hospitals of the
5hilippine T(erclosis /ociet%* private clinics, clinics operated
(% the 5hilippine Medical 1ssociation* clinics operated (% large
indstrial firms for their emplo%ees* commnit% hospitals and
health centers operated (% the 5hilippine Medicare 8are
8ommission and other health facilities operated (% volntar%
religios and civic grops (Williams-Tngpalan, 1981)!
-, SEC"NDARY LEVEL "# HEALTH CARE #ACILITIES
- are the smaller, non-departmentalized hospitals inclding
emergenc% and regional hospitals!
- /ervices offered to patients "ith s%mptomatic stages of
disease, "hich re6ire moderatel% specialized #no"ledge and
technical resorces for ade6ate treatment!
., TERTIARY LEVEL "# HEALTH CARE #ACILITIES
- are the highl% technological and sophisticated services offered
(% medical centers and large hospitals! These are the
specialized national hospitals!
- /ervices rendered at this level are for clients afflicted "ith
diseases "hich seriosl% threaten their health and "hich
re6ire highl% technical and specialized #no"ledge, facilities
and personnel to treat effectivel% (Williams-Tngpalan, 1981)
#ACT"RS "N THE VARI"/S CATE0"RIES "# HEALTH
W"R1ERS AM"N0 C"/NTRIES AND C"MM/NITIES
1! availa(le health manpo"er resorces
3! local health needs and pro(lems
0! political and financial feasi(ilit%
THREE LEVELS "# PRIMARY HEALTH CARE W"R1ERS
A, VILLA0E "R 0RASSR""T HEALTH W"R1ERS
- first contacts of the commnit% and initial lin#s of health care!
- 5rovide simple crative and preventive health care measres
promoting health% environment!
- 5articipate in activities geared to"ards the improvement of the
socio-economic level of the commnit% li#e food prodction
program!
- 8ommnit% health "or#er, volnteers or traditional (irth
attendants!
2, INTERMEDIATE LEVEL HEALTH W"R1ERS
- represent the first sorce of professional health care
- attends to health pro(lems (e%ond the competence of village
"or#ers
- provide spport to front-line health "or#ers in terms of
spervision, training, spplies, and services!
- Medical practitioners, nrses and mid"ives!
C, #IRST LINE H"SPITAL PERS"NNEL
- provide (ac# p health services for cases that re6ire
hospitalization
- esta(lish close contact "ith intermediate level health "or#ers or
village health "or#ers!
- 5h%sicians "ith specialt%, nrses, dentist, pharmacists, other
health professionals!
TW"-WAY RE#ERRAL SYSTEM (Nia3%, %', al,
'$
%*i'i(n 1994!
1 t"o-"a% referral s%stem need to (e esta(lished (et"een
each level of health facilit% e!g! (aranga% health "or#ers refer cases
to the rral health team, "ho in trn refer more serios cases to
either the district hospital, then to the provincial, regional or the "hole
health care s%stem!
5(lic
5 9aranga% 'ealth
- 'ealth Wor#er .rse 3
nd
0rd
5 ' 2 ' 2
: , 1 , 1
7 9aranga% ;': 1 8 1 8
1 'ealth Mid"ife 5h%sician 7 < 7 <
T /tations T 7 T 7
< ' < ' <
- T T
. ;'/ /anitar% = =
Mid"ife <nspector
M/LTISECT"RAL APPR"ACH T" HEALTH
(NL0NI,
'$
%*i'i(n, 1994!
The level of health of a commnit% is largel% the reslt of a
com(ination of factors!
-ther health-related
/%stems (government>
private
Wa%s of 8ommnit% 'ealth 8are
The 'ealth /%stem
5eople
(8ltral)
,nvironment (/ocial,
,conomic, ph%sical,
,tc!
'ealth, therefore, cannot "or# in isolation! .either can one
sector or discipline claim monopol% to the soltion of commnit%
health pro(lems! 'ealth has no" (ecome a mltisectoral concern!
2or instance, it is nrealistic to e$pect a malnorished child to
s(stantiall% gain in "eight nless the famil%?s povert% is
alleviated@@ <n other "ords, improvement of social and economic
conditions need to (e attended to first or tac#led hand in hand "ith
health pro(lems!
1, In'%&s%3'(&al Lin5ag%s
- 5rimar% 'ealth 8are forms an integral part of the health
s%stem and the over-all social and economic development
of the commnit%! 1s sch, it is necessar% to nif% health
efforts "ithin the health organization itself and "ith other
sectors concerned! <t implies the integration of health plans
"ith the plan for the total commnit% development!
- /ectors most closel% related to health inclde those
concerned "ith)
a! 1gricltral
(! ,dcation
c! 5(lic "or#s
d! 7ocal governments
e! /ocial Welfare
f! 5oplation 8ontrol
g! 5rivate /ectors
The agricltral sector can contri(te mch to the social
and economic pliftment of the people@@! &emonstration to
mothers of (etter techni6es and procedres for food
preparation and preservation can preserve the ntritive vale of
local foods! Throgh +oint efforts, agricltral technolog% that
prodces side effects nsafe to health (for instance, insecticide
poisoning) can (e minimized or prevented!
The school has long (een recognized as an effective
vene for transmission of (asic #no"ledge to the commnit%!
,ver% ppil or stdent can (e tapped for primar% health care
activities sch as sanitation and food prodction activities@!!
8onstrction of safe "ater sppl% facilities and (etter roads can
(e +ointl% nderta#en (% the commnit% "ith p(lic "or#s!
8ommnit% organization (e!g! esta(lishing a (aranga% net"or#
for health) can (e "or#ed throgh the local government or
commnit% strctre! 7i#e"ise, (etter hosing throgh social
"elfare agencies, promotion of responsi(le parenthood throgh
famil% planning services and increased emplo%ment throgh the
private sectors can (e +oint nderta#ings for health@@We have
to recognize that oftentimes health actions nderta#en otside
the health sector can have health effects mch greater than
those possi(le "ithin it!
-, In'&as%3'(&al Lin5ag%s
- <n the health sector, the acceptance of primar% health care
necessitates the restrctring of the health s%stem to
(roaden health coverage and ma#e health service availa(le
to all! There is no" a "idel% accepted p%ramidal organization
that provides levels of services starting "ith primar% health
and progressing to specialt% care! 5rimar% health care is the
h( of the health s%stem!
1 5=;1M<&17 ',17T' /T;:8T:;,
Tertiar%
.ational 'ealth
'ealth 8are
/ervices
;egional
'ealth /ervices /econdar%
'ealth
&istrict 'ealth /ervices 8are
;ral (7ocal 'ospital)
/ervices
;ral 'ealth :nits 5rimar%
9aranga% 'ealth /tations 'ealth
8are
THE NATI"NAL HEALTH PLAN (Nia3%, %', al
'$
%*i'i(n 1994!
The .ational 'ealth 5lan is the (le print "hich is follo"ed (%
the &epartment of 'ealth! <t defines the contr%?s health pro(lems,
polic% thrsts, strategies and targets!
P"LICY THR/STS AND STRATE0IES
There are polic% thrsts and strategies "hich are commonl%
important! These are)
1! <nformation, edcation, and commnication programs "ill (e
implemented to raise the a"areness of the p(lic, inclding
polic% ma#ers, program planners and decision ma#ers*
3! 1n pdate of the legislative agenda for health, ntrition and
famil% planning ('.25), and stronger advocac% for pending
'.25 Arelated legislations "ill (e prsed*
0! <ntegration of efforts in the health, ntrition and famil% planning
sector to ma$imize resorces in the deliver% of services throgh
the esta(lishment of coordinative mechanisms at (oth the
national and local levels*
B! 5artnership (et"een the p(lic and the private sectors "ill (e
strengthen and instittionalized to effectivel% tilize and monitor
private resorces for the sector*
C! ,nhancement of the stats and role of "omen as program
(eneficiaries and program implementers "ill (e prsed to
ena(le them to s(stantiall% participate in the development
process!