HEALTH SERVICE

DELIVERY NETWORK
IN SURIGAO DEL NORTE:
A Cuban Polyclinic Model Adaptation
Implementation Update

JOSE R. LLACUNA JR; MD, MPH, CESO III

Director IV
REGION XIII
PROJECT LAUNCHING OF PHILIPPINE HEALTH AGENDA
SERVICE DELIVERY NETWORK IN SURIGAO DEL NORTE: A CUBAN
POLYCLINIC MODEL ADAPTATION PROJECT
Secretary of Health Dr. Paulyn Jean B. Rosell-
SEPTEMBER 23, 2017
Ubial, ARMM Secretary of Health Dr. Kadil
Sinolinding, Word Health Organization
Representative Dr. Gundo Weiler,,
Undersecretaries of Health, Assistant Secretaries
of Health, Regional Directors, Development
Management Officers, Program Managers,
Provincial Health Officers, Municipal Health
Officers, Barangay Health Workers, Chief of
Hospitals, Provincial Local Government Unit of
Surigao del Norte, MLGUs, BLGUs and locals
showed support to the project. Simultaneous to
the Launching was the conduct of “Panambay sa
Barangay” a Medical Mission conducted
periodically by the Medical team of Surigao del
Norte. Ground breaking of the General Luna
Trauma Center was also done.
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WHAT IS THE MAIN

OBJECTIVE OF THE
PROJECT?
 To STRENGTHEN the Service Delivery Network (SDN) of
14 Surigao del Norte by adopting Cuba’s service delivery
strategies towards improving health outcomes (
gatekeeping mechanisms and patient referral system)

Apex
Intermediate Hospital
RHU Polyclinic Hospital
BHS
(Midwives/
BHWs)
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THESE ARE THE SPECIFIC

OBJECTIVES….
5

To Mobilize community support

To integrate system of care
and engagement for implementing
that includes BHS, RHUs,
a primary health care approach
polyclinics and referral
hospitals
6

• To Develop a plan that will

ensure sustainability of
implementation & provide a
• To Develop & implement
model for replication in other
policies & legislation in
areas
support of SDN
 EXPECTED
18 OUTPUT

Established Increased Adherence Community

strong percentage of to clearly mobilization
gatekeeping the defined and
system in population health care engagement in
each level of utilizing services at the project
care primary care each level of
facilities care
 EXPECTED
19 OUTPUT

Increased Increased Decreased

PHIC- facilities with out-of-pocket
accredited functional expenditures
facilities EMRs
10
192,668
Beneficiaries
Island: (9 Municipalities)
Mainland -3 municipalities ▹ Socorro
▹ General Luna
(coastal): ▹ Dapa
▹ Claver ▹ Del Carmen
▹ Gigaquit ▹ Sta. Monica
▹ Bacuag ▹ San Benito
▹ Pilar
▹ San Isidro
▹ Burgos
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REFERRAL
PATHWAYS
AMONG
HEALTH
FACILITIES
 2018- FIRST YEAR OF FULL IMPLEMENTATION TARGET
34

1. ENACTMENT OF
PROVINCIAL
ORDINANCE FOR
CONVERSION OF 2. RENOVATION OF 3. PROCUREMENT 4. DEPLOYMENT OF
DISTRICT HOSPITALS DISTRICT HOSPITALS OF REQUIRED HRH BASED ON
EQUIPMENT IDENTIFIED GAPS
TO POLYCLINICS ; TO
MUNICIPAL POLYCLINIC/AMBULATO
ORDINANCE RY SURGICAL CLINIC
SUPORTING SDN FACILITIES AND
CONSTRUCTION OF GL
TRAUMA CENTER
 2018- FIRST YEAR OF FULL IMPLEMENTATION
35
TARGET

5. SDN MANUAL 6. IMPLEMENTATION 7. LAUNCHING OF

DEVELOPMENT OF CAPABILITY PARTNERSHIP BETWEEN
BASED ON ACTIVITIES,ADVOCAC SDNPH AND SPMC TO
APPROVED SDN Y AND NETWORKING UPGRADE THE CAPACITY
PROJECT PLAN ACTIVITIES OF SDNPH
DOCUMENT
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FUNCTIONAL
SERVICE DELIVERY
NETWORK in the
Province of Surigao
del Norte
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THANK YOU!