What is Health System?

-The combination of health care institutions, supporting human resources,

financing mechanism, information system, organizational structures that link
institutions and resources, and management structures that collectively
culminate in the delivery of health services to patients.
Fundamental Objectives of Health Systems
1. Improvement of health outcomes of the population they serve.
2. Providing financial protection against the costs of ill health (the poor need it
more)
3. Responding to people’s expectations (public satisfaction in performance).
Levels of Governance, Health Delivery Systems
1. Nation-wide Health System
2. Region-wide Health System
3. Local Health System (City, Province, Municipal, Barangay, Inter-Local
cooperation systems)
What are the Local Health System?
-A health system at the sub-national level (Dorotan, et al)
-The core element of local or district health system is the integrated primary
health care and the first referral hospital serving a well-defined population
(Segall, 2003).
The Basic Framework of LHS
-The basic framework of local health system is inter-LGU partnership.
-Inter-LGU coordination: The actions of two or more LGUs to joinly adapt
and implement in a coordinated manner a common set of policies, programs,
projects or activities in order to achieve common health goals or purposes.

Devolution of Health Services

- R.A. 7160 or Local Government Code was enacted to bring about genuine
and meaningful local autonomy. This will enable local governments to attain
their fullest development as self-reliant communities and make them more
effective partners in the attainment of national goals. It mandates devolution
of basic services from the national government to LGUs. Devolution refers to
the act by which the national government confers power and authority upon
the various LGUs to perform specific functions and responsibilities (Congress
of the Republic of the Philippines, 1991).
-R.A. 7160 provided for the creation of the Provincial Health Board and the
City/ Municipal Health Boards, or Local Health Boards. The chairman of the
board is the local executive-the Provincial Governor/ Mayor. The
Provincial/City/Municipal Health Officer serves as vice chairman. Members of
the board are composed of the chairman of the committee on health of the
Sanggunian, a representative from the private sector or NGO involved in
health services, and a representative of the DOH (Congress of the Republic of
the Philippines, 1991).
The functions of Local Health boards are as follows:
1. Proposing to the Sanggunian annual budgetary allocations for the operation
and maintenance of health facilities and services within the province/city/
municipality;
2. Serving as, an advisory committee to the Sanggunian on health matters;
and
3. Creating committee that shall advise local health agencies on various
matters related to heal.th service operations.