1.

THE PHILIPPINE HEALTH SYSTrEM:

THE PHILIPPINE HEALTH SY STEM S A DUAL HEATH SYSTEM COMOSED OF THE

PUBLI PRIVATE SECTORS. HEALTH ERVICES IN THE PUPLIC SECToR ARE FRoVIDED
Y HEALTH FACILITIES RUN BY THE ATIONAL ; LOCAL GOvERNMENTS AND ARE LARE L
FINANCE THROUGH A TAx-BABED BUDLETIN SYSTEM. THE PRIVATE SECTDK I LARGELY
MARKED- oRIENTED, wHERE HEALTH SERVICES ARE GENERAUT AD.FOR THtuCtt usER FEE>
AT TH PbINT OF SERV ICE, THbuGH THE PLIPPINE HEALTH INSEECPORATION CPhilteait)
FRoM H t BotH PRINATE R PuPuC sECTRS
ALSO PURCHASE S SERVICES

1.1 HISTrORY BACKCROUND

1-1.1 SPANISH COLONIAL PERIOo
THe RLuPPINE SYSTEM #ORMALLY ENVOLVED DURN T t sPANISt COLON\A
KIODNHEN Ht FIRST HoSPITAL wAS BuIT N CEEu N 5%5 AND HAS LATER
TRANFERRED TO MANILA Ag THE EAT OF THE CoLONAL GONERNMENT, TO CATER
TD THE NEtDS DF TTE SPANISH ARNY NANY. B
1S78, THE (INFLUENCE) NFUuEST
sPANISH CLERGY ENTUAUY tSTAUSH THt FIRST
THESE REMAtNG N OPERATIAN TD THS PAY, SUMCH ASMEDIlCALNSTUNDNS. feN
A oF
THE SAN JuAN DE DIOS HosPTA
WtHICH TREAT THE DISASLED, HE ÁLKANOONED & THE
POOR, X
SArN LAZARO HOSS
qaHe
PiTAL, NHICA PROVIDES CARE FOR LEPERS. BYTHE L8O 5,
SMLPOX VACCANE WA
INTRODUCED IN tHE CouNTRY BY SPANISH KO1AL DECREE TD
PRUVENT AND CONTROLTHE
OuTBREAKES OF TE DISERSE AMa THE POPULACE. sEJERÁL OTHHE
R, PUBLUC HEALTH
MEASUuRES WERE INTRODUCED TO CONTRO L CHOLERA
scROSS THE LANDS x DEUMATED tHE POFULANON.
OUTBREAKS &BURIFERI, WHICH RALED
PURING THE ALMOST ADo vERRS OF
COLONZATjON, THE SPANIAzDS ASo AILD OTHeR MEDICAL FACauTIES IN OtH taRTE
OF ARCHHPELALO LDEPARTMENT OF HEALTH, 2014
J.
1.1.2. THE PHILIPPINE REVOLWTION
&AMERICAN COLONALL PERIOD:
TOWATP THE cosN YEATt OF AINETEENTH CENTURY , BLOODM REVOLITIDN BROMAT
ABOUT AN to sANISH
COLONIAL RIL, wTH THE FIUPINOS PECLARING
ON JuNE 12 1818. THE BUREAA OF FuBYC HEALTH wAS ORNIZED UNDETRINDEPENDENCE
RE YOLUTION ARY COVERNMUT THE
EStABUSH B GEN. EAILYO AAINALD0. HOwEVER, HOStLITES
PeWE THE FILIPINOS & THE
AMERICANS, wHo nHRe ALUES
PROKaN AT IN THE WEEKS TtAT AGAINST(SPANISH)SPAIN,
ToLLOWED. THE AMERICANJS TDOK OVER THE ReINS OF
CoVE RNMENT; EVENTUA LY CoASTUTATING THE
BOARD OF AEATH POR TH PHMUFPINE 15 LARNPS
ON 1JULY 190
1.1.5
THE PHILYPPINE
COMMONWEALTH
wHt THE ESTABHSHHMENT ESTABuSHMENT OF THe REFUBUC
oF THt PHIUPPIES
MANUEL L.QUEZON, THE COAMONJEATH UNDER PRESIDENT
DEPARTMAJT OF HERIH & PUBUC KWELFARE NAS BRANIZED ON
31 MAY 3 . THE CAINeACHIEVED DurING THE COMMONWEALTH ERA,EC. TRADMbNAL t1EALH
FCIunES &EPANSIDN OF SAuATION MCH SERVICES FEL INTD DISARRAY WITH THIE
SART OF NORLD KAK I, WItH THE JAfANESE forES OCOUPT# tHe
ENMRE SLANDS. THE
INCADE LES óF TB , MALARIA, MALKUT RION * OER PISEASE INCREASEp DURING
THE WAR YEARg. NIH TE URERATION OF THE COUNTR
R0M Tttt JAPANESE, THE EVEN
TAL ELIABUSHMENF oF THe REFUBU C, THT NEN oVERNMENT STARTED RE BAILDNG
FROM tte ASH WAR
 1.1.4. ESTABUsHMENT OF THE DEPA KTMEHT OP HEALTH
ON 4 oordBEK n47, THROUG+ EXEUTIVE ORDER NO. 94, ThE tDOH,AS Ir 15
*NOWN TDDA , W Á ETAeLISHEP NTH SUPERVStON OV HE BUREAU Ot tALTH, URrAu

oF UARANT7NE, DUREAU EHOSPTALS, PALL IN THE CoUNTEY

LOCAL HEALTR OFFICES
ENHAN&MET OF T H RURAL HEALH AC
CpePARTMENT OF HEALTH, 204 ] . NITH THE
OF a54 tRANSFORMING THe PUERICuLTURE CENTHE TD RHus & tEALTH cENTRES, a
NETWORK OF PUBLUC HELTH FACILITT CS AT f t t cEMMUNiTY LEVEL WAS oRGA)-
NATONAL
BY TtE I1%Os, wITH THE ORGANIZATION
126D N ALL HT CITIE> & MuIUPA LITIES.
MEDICAL) NuRSING ALHED HEALn4
MORE SCHOOLS FoR tHE
IMFROVEMENTS FAIENT CARE & PUBLIC ERVIES wErE NOTED,
CouTRY, MARKED
1.2.DRGANIZATION
1.2.1 GUERNMENT SECTOR ENSURING
SEERAL AATIONALoOUERNMaNT AGEAUES
& LGUs ARE RESDHYBLE POR
HELTH PRORAMMERS &SERVCEs
ArrE DEU
THHE HEAH FOLICIES ARE IMPLEMENtED *
VERED TD THt PoPULATION.
NATiONAL COvERNMENT LtVa THE DOH ACT AS THt tONAL LEAD AENO
IN HEALTH. THE ÞoH CeTRAL OFFCE CONsIsr oF B FUREUS SERYICES RESTTSIBLE
toR 4 pEVELOPMENT, FROGRANANME FLANNING STANDARDS.EMNG RECULATNG/REGu-
LATON,& RELATED MANAGEMENT SUPPORT SERVICES CFIG Z . TD PROVIDT TttNICAL
HAS I7 REGIONAL HEALTH
AssiSTANCE TD LGU &MONITOR FELD OPERATIONS, THE DOH
REGONG CFTHE COUNTRY ALSO
OFHCES, ONE FOR C+ OF tHE I7 ÁDMINISTRATTVE
SANITARY/A, TREATMENT
MANAGES * OPERATEs SEVERAL HOSPITALS, MEPICAL CENTER,
sPtcITY TRANNING TO HEALTH FOFtsONJALS
REHADIUTATION (YSTBA) CENTBES
AENIES SuCH As THE SATIOAL MTRI
ATTACA TO DOH A2E SEVEAL AUtONOMOuS
R ORP DRATEENttms aCH As
TLO COuNQL & THE FOPULATLON
(NNC) COMM(SSION,
PHILHTALTH, THE PHIUPPINE INSTTUTE
OF TanpIIOJAL ATERAJATUE HEALH CARE
FtciALI2ED CoPORATE HaSPITAL.
R FMIL) FOuR HHLY
THe GoUERANrME NT N THE PHIUPPINES cONSISTS
LokL
LOCAL CovERNMENT LEVEL R FIvE AUE
33 ARE HGLY AKEANIzEV CTES
OF 8 PROVIN E, 1tS UTIts OF WH1CH IHY
INOEPEDENT CoMPONENT CMEs), 14t89 mUNICUPALITIES K A2.02s PARANGAYS (PHILIPPINe
tTATICS AUTHOEITY, 20S). uTt+ TH DEVOAT DN OF +HEALTH SECVICE UDEL THE LOCAL
(PHAPPINE) GOUERN MENT coDE C 1991, THhe DeEC POVISION & MANA EMENT oF
EALT+ 5YSTEKA etomPRiSAG THE PeovINCIAL HEALT+ OFICE THe PeovINCAL
pISTRIA HOSFTALs) THE MUN ICAPALTIES COVtRIMENT, HEA OED
THE mtor, mAJmES tHt mUNIPL HEUH (CFFIE) SATEMOMPOSED oF RHUAs
bHSs). E GOR MEAr ,SPE CiHCALLY 1N HIGHL uURSANzEp s- INDEFEptNT
CY
CATIE S, MANALæS cTY HOSPITALS, MEDICAL
1.2.2 DECENTIKAuZATION CENTRAYZATON;CENTRES, HEALTH CENTRES BHSs.
THE ATMBt oF THE oAL CVEKNMENT CODE OF IIq CREPUBUC AC
THHE EUOLATION OF HEALTH SURVICES FPOM THt
NATONRL GUERAMENT
NO.7IGO) MANDATep
WHTAt uSED TD BE A HIHLY CENTEALIZED HEXLTH TO THE LCUs.
R SYSTEM RUN BH THE DOH BtCAME A
MENTED SYSTEM RWN BY FTO VINES CTES *
ITS ROLEt Ag (HE
MUNICHPAUIES. tHt POt MMA INED
STENA RD ÓFNATIOH AL *OUQE6,
PLANS,STANOAPS & RetALATONJS
O tEALTH, WHHLE THE LGUs NERE (GAN)CGIVE) THE
AGERS & PROVIDER oF
RESPORSIB
PRECT HEATH SERNICES AT THE LOCAL (LIY OF PtIN, MAN
LEVEL. AG 2.2
Stow S He
PiFFERENE/pIrecENT UNTS RETAINEtD . Ht DOH THUSE
OEVEOFM ENt/pEVELa) PEVOLwEb O t E LaUs