The Philippine Health Care Delivery System
MDGs - (attained -2015)
HEALTH SYSTEM ⁃ eradication of poverty and hunger
includes all organizations, people, facilities, and ⁃ Achieve universal primary education
actions/approaches/services with a primary intent of ⁃ Promote gender equality and empowerment
promoting, restoring, and maintaining health ⁃ Reduce child mortality
⁃ Improve maternal health
6 BUILDING BLOCKS ⁃ Combat AIDS, malaria, and other major CDs
1. Service delivery- the actual services, commodities ⁃ Ensure environmental sustainability
and programs delivered to the communities ⁃ Develop a global partnership for development
Note: 3 are strictly health issues; 5 are health- related
2. Human resource for health- all human resources issues.
for health, from medical professional to community
volunteers (BHWs, BNSs, IT, and admin. aides in Health and the SDGs Key Areas
health facilities, etc.) *** the WHO report presents the latest data and in-depth
analysis for the key areas outlined in the health SDGs:
3. Health information- production, analysis, ⁃ reproductive, maternal, newborn, child, and
dissemination and use of reliable and timely adolescent health
information on health ⁃ Infectious diseases including HIV, tuberculosis,
malaria, hepatitis, and neglected tropical diseases;
4. Technologies (health products, vaccines, etc.)- ⁃ Non- communicable diseases (NCDs) including
medicines, supplies and equipment used in the heart disease, cancer, and diabetes;
delivery of health services ⁃ Mental health and substance use including
narcotics and harmful use of alcohol;
5. Health financing- adequate funds allocated for ⁃ Injuries and violence; and
health system operations including health insurance ⁃ Universal health coverage
(ex. Philhealth, PCSO, National budget)
THE DEPARTMENT OF HEALTH (DOH)
6. Leadership and governance for health vision by 2030
(stewardship)- local executives; ensuring strategic A global leader for attaining better health outcomes,
policy frameworks, oversight of and coalition- building competitive and responsive health care system, and
for the health system; initiation of linkages with equitable health financing.
stakeholders
Mission
(Picture: the six building blocks of health) To guarantee equitable, sustainable and quality health
for all Filipinos, especially the poor, and to lead the quest
WHO for excellence in health.
⁃ global health organization
⁃ Brainchild of UN Diplomats DOH Functions
⁃ Officially established in April 7, 1948 - Planning and formulating policies of health
⁃ April 7- world health day programs and services
⁃ Headquarters in Geneva, Switzerland - Monitoring and evaluating the implementation of
⁃ Provides global leadership in matters of health the health programs, projects, research, training
Goal: the attainment of the highest level of health by all and services
peoples - Advocating for health promotion and healthy
lifestyles
WHO Core Functions - Serving as a technical authority in disease control
⁃ providing leadership on matters critical to health; and prevention
engaging in partnerships - Providing administrative and technical leadership
⁃ Shaping the research agenda (generation, in the health care financing and implementing the
translation, and dissemination of valuable knowledge) National Health Insurance Law
⁃ Setting norms and standards and promoting and ⁃ Other functions (refer to textbook):
monitoring their implementation (health programs) • enabler/ capacity builder
⁃ Articulating ethical and evidence- based policy • Administrator of specific services like providing
options leadership in health emergency preparedness and
⁃ Providing technical support, catalyzing change, response services
and building sustainable institutional capacity; offers
training in the implementation of major programs,
monitoring of health situation/ health trends Local Health System
⁃ WHO has always been a partner of the - for over forty years, the Philippine Health System
Philippine DOH in meeting the MDGs and in navigating was administered by a central agency in Manila.
the SDGs This control agency provided the singular sources
of resources, policy direction, technical and
administrative supervision to all health facilities
nationwide.
- Major shift took place in 1991 with the passage of
Local Government Code known as RA 7160.
RA 7160
- The law provides that all structures, personnel, and
budgetary allocations from the provincial health
level down to the barangay were devolved to the
local government units to facilitate health service
delivery
- Devolution made local government executives
responsible to operate local health care services
Inter- local health system
- it is a system of health care in which individuals,
communities, and all other health care providers in
a well- defined geographical area participate in
providing quality equitable and accessible health
care.
Expected achievement of inter-local health system:
1. Universal coverage of health insurance
2. Improved quality of hospital and RHU service
3. Effective referral system
4. Integrated planning
5. Improved drug management system
6. Developed human sources
7. Effective leadership
8. Financially visible or self-sustaining hospitals
9. Integration of public health and curative hospital
care
10. Strengthened cooperation between LGU and
health sectors
