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, 1987) HEALTH CARE DELIVERY - rendering health care services to the people (WilliamsTungpalan, 1981). HEALTH CARE DELIVERY SYSTEM (Williams-Tungpalan, 1981) - the network of health facilities and personnel which carries out the task of rendering health care to the people. PHILIPPINE HEALTH CARE SYSTEM - is a complex set of organizations interacting to provide an array of health services (Dizon, 1977). COMPONENTS OF THE HEALTH DELIVERY SYSTEM The Department of Health Mandate: The Department of Health shall be responsible for the following: formulation and development of national health policies, guidelines, standards and manual of operations for health services and programs; issuance of rules and regulations, licenses and accreditations; promulgation of national health standards, goals, priorities and indicators; development of special health programs and projects and advocacy for legislation on health policies and programs. The primary function of the Department of Health is the promotion, protection, preservation or restoration of the health of the people through the provision and delivery of health services and through the regulation and encouragement of providers of health goods and services (E.O. No. 119, Sec. 3). Vision: Health as a right. Health for All Filipinos by the year 2000 and Health in the Hands of the People by the year 2020.
are the smaller. chest clinics. their sub-centers.Services offered to patients with symptomatic stages of disease. which require moderately specialized knowledge and technical resources for adequate treatment.by arousing community awareness . clinics operated by the Philippine Medical Association. puericulture centers operated by League of Puericulture Centers. tuberculosis clinics and hospitals of the Philippine Tuberculosis Society.are the highly technological and sophisticated services offered by medical centers and large hospitals. 1981). These are the specialized national hospitals.by mobilizing resources . 2.are the rural health units. 3. community hospitals and health centers operated by the Philippine Medicare Care Commission and other health facilities operated by voluntary religious and civic groups (Williams-Tungpalan. 1981) .Services rendered at this level are for clients afflicted with diseases which seriously threaten their health and which require highly technical and specialized knowledge. in partnership with the people to ensure equity. and schistosomiasis control units operated by the DOH. private clinics. .by making services available . quality and access to health care: . non-departmentalized hospitals including emergency and regional hospitals. malaria eradication units. TERTIARY LEVEL OF HEALTH CARE FACILITIES . . SECONDARY LEVEL OF HEALTH CARE FACILITIES .by promoting the means to better health LEVELS OF HEALTH CARE FACILITIES 1. PRIMARY LEVEL OF HEALTH CARE FACILITIES . clinics operated by large industrial firms for their employees. facilities and personnel to treat effectively (Williams-Tungpalan.Mission: The mission of the DOH.
first contacts of the community and initial links of health care.attends to health problems beyond the competence of village workers . .provide support to front-line health workers in terms of supervision.Community health worker. pharmacists. training. nurses and midwives. political and financial feasibility THREE LEVELS OF PRIMARY HEALTH CARE WORKERS A. . volunteers or traditional birth attendants. other health professionals. . .Participate in activities geared towards the improvement of the socio-economic level of the community like food production program. FIRST LINE HOSPITAL PERSONNEL . .Provide simple curative and preventive health care measures promoting healthy environment.FACTORS ON THE VARIOUS CATEGORIES OF HEALTH WORKERS AMONG COUNTRIES AND COMMUNITIES 1. supplies.Physicians with specialty. . nurses. available health manpower resources 2. and services. C. dentist. INTERMEDIATE LEVEL HEALTH WORKERS .provide back up health services for cases that require hospitalization . B. VILLAGE OR GRASSROOT HEALTH WORKERS .represent the first source of professional health care . local health needs and problems 3.establish close contact with intermediate level health workers or village health workers.Medical practitioners.
Economic. barangay health workers refer cases to the rural health team. . 8th edition. Public P Barangay Health O Health Worker Nurse 2nd 3rd P HF HF U EA EA L Barangay RHU AC AC A Health Midwife Physician LI LI T Stations TL TL I HI HI O T T N RHS Sanitary Y Y Midwife Inspector MULTISECTORAL APPROACH TO HEALTH (NLGNI.g. 8th edition 1995) A two-way referral system need to be established between each level of health facility e. then to the provincial. physical. Etc. et. 1995) The level of health of a community is largely the result of a combination of factors. regional or the whole health care system. Other health-related Systems (government/ private Ways of The People (Cultural) Community Health Health Care System Environment (Social.TWO-WAY REFERRAL SYSTEM (Niace. who in turn refer more serious cases to either the district hospital. al.
it is necessary to unify health efforts within the health organization itself and with other sectors concerned. 1. improvement of social and economic conditions need to be attended to first or tackled hand in hand with health problems.Health. Neither can one sector or discipline claim monopoly to the solution of community health problems. Local governments e. It implies the integration of health plans with the plan for the total community development. As such. agricultural technology that produces side effects unsafe to health (for instance. cannot work in isolation. Intersectoral Linkages . . Population Control g. Every pupil or student can be tapped for primary health care activities such as sanitation and food production activities….Sectors most closely related to health include those concerned with: a. Social Welfare f.Primary Health Care forms an integral part of the health system and the over-all social and economic development of the community. it is unrealistic to expect a malnourished child to substantially gain in weight unless the family’s poverty is alleviated…… In other words. Private Sectors The agricultural sector can contribute much to the social and economic upliftment of the people……. Health has now become a multisectoral concern. The school has long been recognized as an effective venue for transmission of basic knowledge to the community. therefore. Public works d. Demonstration to mothers of better techniques and procedures for food preparation and preservation can preserve the nutritive value of local foods.. Education c. . Agricultural b. insecticide poisoning) can be minimized or prevented. Through joint efforts. For instance.
2. Primary health care is the hub of the health system. A PYRAMIDAL HEALTH STRUCTURE Tertiary Health Care National Health Services Regional Health Services District Health Services Rural (Local Hospital) Services Rural Health Units Barangay Health Stations Secondary Health Care Primary Health Care THE NATIONAL HEALTH PLAN (Niace. al 8th edition 1995) . et. better housing through social welfare agencies. Likewise. the acceptance of primary health care necessitates the restructuring of the health system to broaden health coverage and make health service available to all. Community organization (e. There is now a widely accepted pyramidal organization that provides levels of services starting with primary health and progressing to specialty care.In the health sector.Construction of safe water supply facilities and better roads can be jointly undertaken by the community with public works. Intrasectoral Linkages . establishing a barangay network for health) can be worked through the local government or community structure. promotion of responsible parenthood through family planning services and increased employment through the private sectors can be joint undertakings for health……We have to recognize that oftentimes health actions undertaken outside the health sector can have health effects much greater than those possible within it.g.
4. POLICY THRUSTS AND STRATEGIES There are policy thrusts and strategies which are commonly important. 2. It defines the country’s health problems. Information. 3. 5. Enhancement of the status and role of women as program beneficiaries and program implementers will be pursued to enable them to substantially participate in the development process. These are: 1. . nutrition and family planning (HNFP). education. including policy makers. Partnership between the public and the private sectors will be strengthen and institutionalized to effectively utilize and monitor private resources for the sector. Integration of efforts in the health. program planners and decision makers. and stronger advocacy for pending HNFP –related legislations will be pursued. and communication programs will be implemented to raise the awareness of the public.The National Health Plan is the blue print which is followed by the Department of Health. policy thrusts. An update of the legislative agenda for health. strategies and targets. nutrition and family planning sector to maximize resources in the delivery of services through the establishment of coordinative mechanisms at both the national and local levels.
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