NCM_104
COMMUNITY HEALTH NURSING
TOPIC OUTLINE: PRIMARY HEALTH CARE
THE DEPARTMENT OF HEALTH
● VISION: Health for all Filipinos
● MISSION: Ensure accessibility and quality
of healthcare to improve the quality of life
for all Filipinos, especially the poor.
VISION
“Filipinos are among the healthiest people in
Southeast Asia by 2022, Asia by 2040.”
MISSION
“To lead the country in the development of a
Productive, Resilient, Equitable and People
Centered health system.”
HISTORY OF PRIMARY HEALTH CARE
● May 1997 - 30th World Health Assembly
(WHA) adopted Resolution 30.43
➢ The main social target of governments
and of WHO should be the attainment of
a level of health that will permit all the
people of the world to lead a socially
and economically productive life by
Y2000.
● September 6 - 12, 1978 - International
Conference on PHC was held in Alma Ata,
USSR
➢ Alma Ata Declaration - Represents a
global ideal, a new vision about how to
achieve world health and health for all
through PHC.
● 1979 - WHA launched the Global Strategy
for Health for All
➢ Oct. 19, 1979 - President Marcos issued
LOI 949, which mandated the MOH to
adopt PHC as an approach towards the
design, development and
implementation of programs which focus
health development at the community
level.
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PRIMARY HEALTH CARE (PHC)
● PHC: essential health care made universally
accessible to individuals and families in the
community.
● It must be acceptable; community
participated, affordable for community and
country on all stages of development.
CONCEPTUAL FRAMEWORK OF PHC
● Goal
➢ Health for all Filipinos and health in
the hands of the people by the year
2020
● Mission
➢ To strengthen the health care
system by increasing opportunities
and supporting the conditions
wherein the people will manage their
own health
CONCEPT
● Characterized by partnership and
empowerment of people
● Core strategy in effective provision of
essential health services
COMMUNITY-BASED
● Individual and collective responsibility for
health in the spirit of self-reliance
ACCESSIBLE
● Meeting needs at the level of the community
or home, as well as ensuring access to
higher technical levels as necessary
ACCEPTABLE
● Full participation and active involvement
of the community towards the development
of self-reliant people, capable of achieving
an acceptable level of health and well-being
● Recognizes the interrelationship between
health and overall political, socio-cultural
and economic development of society.
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 SUSTAINABLE GOVERNANCE
● Capable of being adapted and further (improved performance)
developed; in succeeding generations ● To improve health system performance at
AFFORDABLE national and local levels
● Affordable for the community and FOURMULA ONE FOR HEALTH
government must be available at an
F1 → NOH → MTPDP → MDGS
affordable cost
● “...speed, precision and effective
FOCUS IS ON THE HEALTH coordination towards improving the
● Focus is on the health of the individual, his efficiency, effectiveness and equity of health
family and community care delivery.”
PRINCIPLES
FOURmula ONE for Health ● Universal access to basic health services
● After 5 years of implementation of the must be ensured
Health Sector Reform Agenda, the DOH is ● The health and nutrition of vulnerable
now adopting a new implementation groups must be prioritized
framework for health sector reforms. ● The epidemiologic shift from infectious to
● Designed to: degenerative diseases must be managed
➢ Implement critical health interventions ● The performance of the health sector must
as a single package backed by effective be enhanced
management infrastructure, and GOAL AND OBJECTIVES
financial arrangements 1. To improve the general health status of the
FOUR THRUSTS population
1. Financing ● Reduce infant mortality rate
2. Regulation ● Reduce child mortality rate
3. Service Delivery ● Reduce maternal mortality rate
4. Governance ● Reduce total fertility rate
● Increase the life expectancy and quality
FINANCING
of years
(increased, better and sustained)
2. Reduce morbidity, mortality, disability and
● To secure more, better and sustained
complications from the following disease
investments in health to provide equity and
and disorders:
improve health outcomes, especially the ● Pneumonias
poor ● Diarrheas
REGULATION ● TB
(assured quality and affordability) ● Obesity
● To assure access to quality and affordable ● Intestinal parasitism
health products, devices, facilities and ● STIs, HIV/AIDS, RTI
● Hepatitis B
services, especially those commonly used
● Asthma and the like
by the poor
● Nephritis and the like
SERVICE DELIVERY ● Accidents, traumas, injuries
(ensured access and availability) ● Iron-deficiency anemia
● To improve the accessibility and availability ● Mental Disorders
of basic and essential health care for all, ● CAD, HPN, Hyperlipidemia
particularly the poor ● Stroke
● Cancer
● Diabetes
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 3. Eliminate the following diseases as public NEW NORMAL FOR HEALTH
health problems GENERAL OBJECTIVE 1
● Schistosomiasis
● Sustainable investments for health secured,
● Vaccine preventable diseases
● Malaria efficiently used and equitably allocated for
● Filariasis improved health outcomes
● Vitamin A deficiency ➢ Specific objective 1. More resources
● Leprosy for health efficiently mobilized and
● Iodine deficiency disorders equitably distributed
● Rabies ➢ Specific objective 2. Health spending
4. Eradicate poliomyelitis rationalized
➢ Specific objective 3. Financial
5. Promote healthy lifestyles
resources focused towards high-impact
● Healthy diet and nutrition
interventions
● Mental health and less stressful life
● Physical activities and fitness GENERAL OBJECTIVE 2
● Prevent smoking and substance abuse ● Access to essential quality health products
● Personal hygiene and services ensured at appropriate levels
● Prevent violent and risk taking behaviors of care
6. Promote the health and nutrition of families ➢ Specific objective 4. Access to quality
and special populations essential health products and services
● Neonatal and infant health increased
● Health of indigenous people ➢ Specific objective 5. Equitable access
● Children’s health
to quality health facilities ensured
● Health of OFW
● Adolescent and youth health ➢ Specific objective 6. Equitable
● Health of differently-abled persons distribution of HRH guaranteed
● Adult health ➢ Specific objective 7. Service delivery
● Health of the rural poor networks organized and engaged
● Women’s health GENERAL OBJECTIVE 3
● Health of the urban poor ● High quality and affordable health products,
● Health of older people devices, facilities and services ensured
7. Promote environmental health and
➢ Specific objective 8. Regulatory
sustainable development
systems and processes harmonized and
● Healthy homes
streamlined
● Healthy schools
● Healthy workplace and establishments ➢ Specific objective 9. Innovative
● Healthy communities, towns and cities regulatory mechanisms developed for
equitable distribution of quality and
PRIMARY STRATEGIES affordable health goods and services
TO ACHIEVE HEALTH GOALS GENERAL OBJECTIVE 4
● Increasing investment for primary health ● Strengthened leadership and management
capacities, coordination, and support
care
mechanisms necessary to ensure
● Development of national standards and functional, people-centered and
objectives for health participatory health systems
● Assurance of the health care ➢ Specific objective 10. Strengthened
● Support to local health system development
sectoral leadership and management
● Support for frontline health workers
➢ Specific objective 11. Improved
organizational development and
performance
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 ➢ Specific objective 12. Improved
processes for procurement and supply
chain management that ensure the
availability and quality of health
commodities
➢ Specific objective 13. Ensured
generation and use of evidence in
health policy development, decision
making, and program planning and
implementation
GENERAL OBJECTIVE 5
● Better health attained through transparent,
responsive and responsible health sector
management
➢ Specific objective 14. Transparency
and accountability measures at all levels
institutionalized
➢ Specific objective 15. Outcome-based
management approach used

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