DEPARTMENT OF PREVENTIVE, FAMILY & COMMUNITY MEDICINE

FACULTY OF MEDICINE & SURGERY

UNIVERSITY OF SANTO TOMAS

COMMUNITY HEALTH 3 ‘PUBLIC HEALTH SYSTEMS’

1st SEMESTER AY 2022-2023

STUDENT GUIDE TO GROUP ACTIVITY # 2

HEALTH POLICIES ‘HEALTH RELATED LAWS IN THE PHILIPPINES’
CASE BASED ANALYSES

ACTIVITY GOALS:
a. The activity is focused on the process of enabling the students to have a clear
understanding of health and health-related regulatory policies or laws (acts), which aspect
of health is being promoted, and the ways in which health is affected by social and
environmental influences.
b. The process entails group participation which provides opportunities to reinforce skills and
enhance self-confidence in future clinical work under a participatory and collaborative
engagement and approaches.

GROUP MEMBERSHIP:
a. With the subsection arranged in alphabetical order, the subsection leader equally divides
the subsection into three (3) subgroups.
b. Each subgroup selects a leader and a secretary for this activity
c. Each subgroup leader tasks members to handle each of the three (3) cases presented for
analyses.

TASKS:
a. Download, Read and understand the following documents:
i. National Health Insurance Act of 2013
ii. Republic Act 11223 UHC Act 2019
iii. Republic Act 10121 Philippine Disaster Risk Reduction and Management Act of
2010
iv. National Disaster Risk Reduction and Management Plan (NDRRMP) 2011‐2028
b. Utilize and respond to the guide questions for group discussions and reporting.

GROUP REPORT:
a. Each case analyzed is worth 5 points at 15 points total.
o Case Scenario 1: Disaster Preparedness and Responses
o Case Scenario 2: National Health Insurance Program (PhilHealth) – Adult/Senior
Citizen
o Case Scenario 3: National Health Insurance Program (PhilHealth) – Child
a. Word PDF Format, A4, single spacing, Arial font, size 12
b. Random.org to determine which group will present a particular case scenario.
c. Submission of all reports must be done by the subsection leader through Google Drive and
email of faculty facilitators on or before the scheduled shifting examination day.
 Name of Faculty Module Email address Cellphone Number
Dr. Ma. Victoria Rondaris Community Health 3 marondaris@ust.edu.ph 0917-8804009
(Supervisor) ‘Public Health Systems’
Dr. Wilfredo R. Santos Community Health 3 wrsantos@ust.edu.ph 09175027453
‘Public Health Systems’
Prof. Alejandro V. Pineda, Community Health 3 avpineda@ust.edu.ph 09178821008
Jr. ‘Public Health Systems’
Dr. Iluminada M. Lerma Community Health 3 imlerma@ust.edu.ph 09228787239
‘Public Health Systems’
Dr. Irene G. Limpo Community Health 3 iglimpo@ust.edu.ph 09175128787
‘Public Health Systems’

FORMAT FOR WRITTEN REPORT IN WORD PDF

I. TITLE PAGE
Case-Based Analysis 01: Disaster Preparedness and Response
Case-Based Analysis 02: PhilHealth (Adult/Senior Citizen)
Case-Based Analysis 03: PhilHealth (Child)
In Partial Fulfillment of Requirements
Community Health 3 ‘Public Health Systems’
Department of Preventive, Family & Community Medicine
Faculty of Medicine & Surgery, University of Santo Tomas
Sub-section Group, Leader, Secretary and Members
Respective Faculty Facilitator
II. MAIN CONTENT
Case scenario
Guide Questions
Responses
III. GROUP REFLECTION ON THE TASKS
IV. ANNEXES (print materials, photos, or images)
V. REFERENCES

CASE-BASED ANALYSIS 01

The Marikina Valley Fault System, also known as the Valley Fault System (VFS), is a dominantly dextral
strike-slip[ fault system in Luzon, Philippines. It extends from Dingalan, Aurora in the north and runs
through the provinces of Nueva Ecija, Bulacan and Rizal, and the Metro Manila cities of Quezon,
Marikina, Pasig, Makati, Parañaque, Taguig and Muntinlupa, and the provinces of Cavite and Laguna
that ends in Canlubang.

The fault contains two major segments, known as West Valley Fault (WVF) and East Valley Fault (EVF).
The west segment, known as the West Valley Fault (WVF) is one of the two major fault segments of the
Valley Fault System which runs through the cities of Marikina, Pasig and Muntinlupa and moves in a
dominantly dextral strike-slip motion. The West Fault is capable of producing large scale earthquakes
on its active phases with a magnitude of 7 or higher. The eastern segment, known as East Valley Fault
(EVF) moves in an oblique dextral motion within 10 kilometers.
 https://en.wikipedia.org/wiki/Marikina_Valley_Fault_System

If a major earthquake of MAGNITUDE 7.2 were to hit Metro Manila today, experts predict that the
anticipated devastation would be so big even disaster response authorities may have difficulty coping
with such.

With your knowledge and understanding of the major provisions of REPUBLIC ACT No. 10121 known as
the "Philippine Disaster Risk Reduction and Management Act of 2010", kindly explore the case as a
group and respond to the following guide questions.

1. WHO ARE THE VULNERABLE GROUPS IN THE EVENT THIS FEARED EARTHQUAKE SHOULD
ACTUALLY HAPPEN?
a. Identify individuals or population subsections
b. Briefly explain your reasons for selecting said individuals

2. HOW DO WE ADJUST IN RESPONSE TO THIS EXPECTED CLIMATIC STIMULI OR THEIR EFFECTS?

a. How do we organize (preparedness) to reduce the level of risk, or effects of such a disaster
or exploit beneficial opportunities (capacity building)?
b. Which moderates harm – mitigation and response?

Evaluation Rubrics for Written Group Report on Health Policy

Case Analysis - Disaster Management

DIMENSIONS 1 0.5 0
Define the Demonstrates full ability Demonstrates limited` No definition of
problem to construct a clear and ability to construct a problem
insightful problem clear and insightful
statement with problem statement
evidence of all relevant with evidence of all
contextual factors. relevant contextual
factors.
Identify Identifies multiple Identifies only a single No identification of
strategies. approaches for solving approach for solving strategies
(Mitigation and the problem that apply the problem that does
Capacity Building) within a specific apply within a specific
context. context.
Propose Proposes one or more Proposes a solution No proposal is
solutions. solutions that indicates that is difficult to presented
(Preparedness) comprehension of the evaluate because it is
problem. Solutions are vague or only
sensitive to contextual indirectly addresses
factors as well as the the problem
one of the following: statement.
ethical, logical, or
cultural dimensions of
the problem.
 *+ One half (0.5) point for group reflections
*+ One half (0.5) for references
*+ One full point for clear, logical, and grammatically correct written report with annexation.
Total points= 5

CASE-BASED ANALYSIS 02

A 72-year-old retired government employee is seen at the Emergency Room of UST hospital for
weakness, cough, and fatigue. His wife relates an incomplete recovery since a myocardial infarction
event last year. Currently, he complains of poor appetite, and she thinks that he may be depressed.

The patient has shortness of breath and confused. His wife speaks for him. Over the past week, he has
become weaker and developed vomiting. Yesterday he developed a fever, had chills, and a cough
productive of white to yellowish sputum. His past medical history is otherwise unremarkable except
for a cholecystectomy intervention done sometime in his mid-fifties. He is taking aspirin, amlodipine,
and simvastatin.

On physical examination, his temperature is 39 degrees centigrade, respiratory rate of 30, pulse rate of
90 per minute, blood pressure of 140/90 and pulse oximetry reading of a below 90% oxygen saturation
readings. He is frail, pale, and oriented to the person element only. The lung examination is
remarkable for crackles over the left lung base, dullness to percussion and increased tactile fremitus.

Chest radiography revealed left lower lobe infiltrates. Laboratory test results include: 13 d/dL
hemoglobin; 20,000/mm3 WBC; 300,000/mm3 platelets; 90 segmenters; 1.9 mg/dL creatinine, 50
mg/dL BUN; normal electrolytes; normal CK; Normal troponin; and normal sinus rhythm ECG.

He was subsequently admitted for IV hydration, IV antimicrobial coverage and monitoring.

Based on patient-specific characteristics and your knowledge and clear understanding of the major
provisions of REPUBLIC ACT NO. 10606 (AN ACT AMENDING REPUBLIC ACTS NO. 7875 and 9241
‘NATIONAL HEALTH INSURANCE ACT of 2013), kindly explore the case as a group and respond to the
following guide questions.

1. What is the case all about? Define and briefly discuss the clinical case contextualized into the
officially recognized diseases (ICD 10) set in the law.
2. Is the patient a beneficiary of this insurance program? Briefly explain your response.
3. What benefit entitlements apply to our 72-year-old patient?
4. Will the following health care providers benefit from their exposure to this patient?
Briefly explain your responses.
c. Attending Physician
d. Referral Doctors
e. UST Hospital benefit from this patient exposure?
Evaluation Rubrics for Written Group Report on Health Policy

Case Analysis – Philhealth 02

PARAMETERS 1 0
Correct Not correct

Case Definition
Philhealth Membership Entitlement
Health Provider Entitlement
Case Rate Application
Additional 1 point for clear, logical, and grammatically correct written report
Total points = 5

CASE BASED ANALYSIS 3

Erica, a five-year-old female, was seen at the clinic for chronic constipation. She has poor appetite,
poor weight gain, with passage of hard, pebble like stools every other day. On physical examination,
the abdomen is tympanitic and distended, with large fecal mass palpable at the left lower abdomen.
Rectal examination revealed tight sphincteric tone and empty rectal vault. Her parents were advised
admission for further evaluation.

Upon admission, scout film of the abdomen showed fecal stasis. Barium enema was suspicious for
Hirschprung’s Disease. A rectal biopsy was advised however the patient developed fever and cough
right on day one (1) ward stay. Chest x-ray showed infiltrates and IV antibiotics were started. After
four days, the patient was discharged improved.
1. How can the child be a beneficiary of Philhealth?
2. If the family is indigent, how can the child be a beneficiary of Philhealth?
3. What are the entitlements for our five-year old patient?

The child followed-up after two weeks fully recovered. A decision came about to re-admit the patient
at the earliest for additional test and definitive intervention for Hirschsprung’s Disease.
4. Can she still avail of Philhealth benefits?
5. What documents are required from the child’s parents or guardians, the physicians
involved, and the health care facility so that everyone will be benefit from Philhealth?
Evaluation Rubrics for Written Group Report on Health Policy

Case Analysis – Philhealth 03

PARAMETERS 1 0
Correct Not correct
Case Definition
Philhealth Membership Entitlement
Health Provider Entitlement
Case Rate Application
Additional 1 point for clear, logical, and grammatically correct written report
Total points = 5

PROF. ALEJANDRO V. PINEDA, JR, MD, DFM, FPAFP

MODULE LEAD
COMMUNITY HEALTH LEVEL 3 ‘PUBLIC HEALTH SYSTEMS’