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1. What are the different kinds of hospital under Philippine health care delivery system?

Answer:  Primary Hospitals
Equipped with services capabilities needed to support licensed Physician rendering services in Medicine, Pediatrics, Obstetrics and Minor Surgery.

 Secondary Hospitals
Equipped with the services capabilities needed to support licensed physicians rendering services in the fields of Medicine, Pediatrics, Obstetrics and Gynecology, General Surgery and other ancillary services

 Tertiary Hospitals
A fully departmentalized and equipped with the services capabilities needed to support certified Medical Specialist and other licensed physicians rendering services in the field of Medicine , Pediatrics, Obstetrics and Gynecology, Surgery, their specialties and ancillary services.

2. What are the negative and positive aspects of Philippine National health situation? Answer: .

which served as the local health board. . Through General Order No. The Spaniards instituted a hospital system with 13 hospitals and intensified public health work with the creation of the Central Board of Vaccination and a Board of Health and Charity. Public health services in the Philippines began in 1577 when a Franciscan friar. the Americans created a Board of Health for the City of Manila on September 29. 1898 On June 23. 308. Before the Americans came to the Philippines. 1901 The Philippine Commission created the Board of Health for the Philippine Islands. 15. 1899 On August 26. herbs and rituals) were widely used. Aguinaldo’s proclamation was not continued for they lost to the Americans. Registration of births. It became the Insular Board of Health when the provincial health boards and municipal health boards were created on December 2. and marriages began during this time.. there were already Medicos Titulares. 1901 through Act No. 1898.H. through Act No. the Department of Public Works. Dr. together with three American surgeons. 157 dated July 1. Education and Hygiene (currently known as Department of Public Works and Highways.e. the dispensary became the San Juan de Dios Hospital. Pardo de Tavera and Dr. Fr. this American order started the institutional development of the current Department of Health (DOH). respectively. which corresponds to today’s provincial health workers. In 1659. established a dispensary for Manila indigents. the Board of Health was abolished while Dr. traditional ways of healing (i. 1899.3. deaths. Significant Milestones Before 1898 During the pre-Spanish period. respectively) was formally proclaimed by President Emilio Aguinaldo. Guy Edie was appointed as the first Commissioner of Health. Aristone Bautista Lim. 1898. Department of Education. Juan Clemente. 1901. Nevertheless. T. and Department of Health. 15 is American in nature. it aimed to protect the health of the American troops. comprised the provisional board. Being that General Order No. 307 and Act No.

317 formalized the Department of Public Health and Welfare with Dr. and municipal hospitals. The Department included the following: Bureau of Quarantine. consolidated municipalities into sanitary divisions and instigated today’s “Health Fund”. Dr. Bureau of Hospitals. health resorts. health department of chartered cities. 94 regulated reorganization in the Department of Public Health and Welfare. and all City Health Departments. 1407. Philippine Commission Act No. 1947 In October 1947. the Bureau of Health was renamed into Philippine Health Service. and all charitable agencies. Under DOH were Office of the Secretary. 1906 Repealing Act No. dispensaries and clinics.1905 With Act No. the Department was called Department of Health (DOH). Basilio J. The Bureau of Public Welfare and the Philippine General Hospital (PGH) were transferred under the Office of the President of the Philippines. Victor Heiser was the first Director of the Bureau of Health. 1941. Executive Order No. 1487 ordered that the provincial boards of health be replaced with district health officers. provincial. 307. also referred to as “Fajardo Act”. Valdez as its first Commissioner. Bureau of Health. public markets and slaughter houses. 1932 The Reorganization Act of 1932or Act No. From then on. being under the Department of Interior. the Insular Board of Health and its functions were abolished and replaced by the Bureau of Health. 4007 created the Office of the Commissioner of Health and Public Welfare with Dr. Jose Fabella as its first Department Secretary. the Executive Order No. 2156 of 1912. city. Vicente de Jesuswas the first Filipino Director of Health. and later reverted back to its previous name. 1941 On January 7. 1912 Act No. Bureau of Quarantine. . Dr. 1915 In 1915.

the Integrated Provincial Health Office was created to reorganize the Ministry of Health. health services were classified into primary. and the Undersecretary of Special Services – were created. 392. the second reorganization of the Department was implemented through Executive Order No. provincial. 1972 At the onset of Martial Law. 1958 After a threat from the US Operations Mission to the Philippines. The first Minister of Health was Dr. The Institute of Nutrition. or the so-called Philippine Medical Care Act of 1969. 6111. conversion of the Division of Laboratories into an Office of Public Health Research Laboratory. 1970 In 1970. secondary.1950 Just three years after. 1982 Under the Executive Order No. and tertiary levels through the Restructured Health Care Delivery System. DOH was renamed to Ministry of Health and the regional offices increased from eight to twelve. 1969 Republic Act No. and medical expense benefits for the people. and conversion of the leprosy control section into a Division of Sanitaria under the Bureau of Hospitals. Two Undersecretaries of Health – the Undersecretary of Health and the Medical Services. namely: integration of the National Chest Center and TB section into a Tuberculosis Division. 851. There were also changes within the Department. Eight regional health offices were formed as the health services were decentralized to the regional. the “most sweeping” reorganization was implemented. and Division of Food Technology were transferred from the Institute of Science to DOH. Division of Biological Research. Clemente Gatmaitan. authorized hospitalization. surgical. and municipal levels. The Health Education and Manpower Development Service was also created . The Medical and Dental Services unit under the Bureau of Public Schools was transferred as the Division of School Medical and Dental Services under the Bureau of Health.

Hospital and Facilities Services. Traditional Medicine. Reforms include: fiscal autonomy to government hospitals. promoting the development of local health systems and assurance of effective performance. endorsed the HSRA for approval. the functions and operations of DOH were to be aligned with the provisions of Administrative Code 1987 and RA 7160. NCR. Disaster Management. consisting of seven (7) special research centers and hospitals and eight (8) medical centers. five (5) offices. 2000 The Health Sector Reform Agenda (HSRA). Among these projects are National Micronutrient Campaign. funding for priority health programs. strengthening of capacities of health regulatory agencies and expanding coverage of the National Health Insurance Program (NHIP). and Management Service. Standards and Regulation was created from the merging of two big offices. Standard and Regulations. major chronic illnesses and injuries. and "Let’s DOH It"! 1999 Through the Executive Order 102. The Office of Hospital Facilities. The Office for Special Concerns was formed from the branching out of the Office of Public Health Services. and international partners. was also created. Health projects were intensified. 1991-1993 The Republic Act 7160 or Local Government Code of 1991 was fully implemented. which indicates the Philippines’ objectives to eradicate and control infectious diseases. 119. Urban Health and Nutrition Project. These offices are the Chief of Staff. This encourages healthy lifestyle and health-seeking behaviors towards the prevention of diseases. Also. The National Government Agencies. headed by an undersecretary and an assistant secretary. were placed under the Secretary of Health. was also launched. being the major framework for health policies and investments.e. Public Health Services. CAR. was institutionalized this year. the Health Sector Reform Agenda of the Philippines 1999-2004 was launched. Doctors to the Barrios Program. Three regions (i. together with the national and local health stakeholders.1986-1987 The Ministry of Health regained its former name (Department of Health) with the Executive Order No. and ARMM) were added to the 12 regional health offices. A National Health Facilities.. The National Objectives for Health 1999-2004. . This year.

. DOH set a new Guinness World Record for the Most Number of Woman Breastfeeding Simultaneously. more equitable health financing. stating the guidelines on the HSRA implementation plan. Schedule of Fees for the OSS Licensure System for Hospitals. the DOH received both national and international recognitions from the Presidential Anti-Graft Commission (PAGC) and Guinness World Records Limited. Thirteen convergence sites or advance implementation areas were established in this year. The PAGC awarded DOH as the number one agency to fight corruption.2001 In July 13. 2006 This year. DOH also ranked first among the government agencies according to the Pulse Asia 3rd Quarter Survey. and AO 2007-0024. 2001. allowing 100% retention and use of hospital income to improve health facilities. and better health outcomes. respectively. synchronize. AO 2007-0022. In terms of national studies and surveys. Guidelines for the Licensure of DOH Hospitals – were issued to support the establishment of the OSS Licensure System for Hospitals. Within the medium term 2005-2010. F1 intended to achieve speedy. Sec. precise. 2007 Four Administrative Orders – AO 2007-0021. F1 was devised to address the issues on fragmentation of the Philippine health system and inequity in health care. Harmonization and Streamlining of the Licensure System for Hospitals. 2003 Through Administrative Order 50. Violations Under the OSS Licensure System for Hospitals. and target priority public health programs. Manuel Dayrit signed the Administrative Order 37. and wellcoordinated critical reforms to improve the health system of the country. AO 2007-0023. In May of this year. 2005 FOURmula ONE for Health (F1) was launched as a blueprint of reform implementation aiming for a more responsive health system. Also. Sixty-eight DOH-retained hospitals were provided with fiscal autonomy. the One-Script Systems Improvement Program was established to unify.

necessities. Neonatal. and quality health care available and accessible to all Filipinos. “PhilHealth Sabado.The Technical Assistance Coordination Team (TACT) was created through the DPO 2007-2964 to harmonize the technical assistance provided to the DOH. Republic Act No. with its creative mechanisms. . Enrique T. and Child Health and Nutrition Strategy (MNCHN) was pursued to address maternal and neonatal mortality. 2010 With the appointment of Dr. SDAH was adopted in the implementation of F1 for Health to gain the development partners’ support in the race to unify the health sector.” as one of the initiatives to achieving UHC. TACT. 9502 or the Universally Accessible Cheaper and Quality Medicines Act of 2008 made quality medicines more accessible to every Filipino. 2008 The Maternal. ensures that technical assistance efforts are suited to the needs of various offices. The Sector-wide Development Approach for Health (SDAH) was operationalized on November 15. 2007 through Administrative Order 2007-0038. Ona as the new Health Secretary came a new platform on health – the Universal Health Care (UHC). was launched on October 2 of this year. This reform agenda aims to make essential health services.

Pyramidal Health Structure National Health Services Regional Health Services Distinct Health Services Rural ( Local Hospitals) Services Rural Health Units Barangay Health Stations .4.