COMMUNITY ORGANIZATION AND HEALTH
PROGRAMS IN THE PHILIPPINES
Community Health- Medical intervention or approach
which is concerned with the health of the whole
population
Two broad areas of preventive medicine:
1. Public Health- Programs and activities directed at
community level and will benefit everyone or
individuals who are not currently under the care of
a physician
2. Risk Factor Evaluation- directed at individuals
who are currently under the care of physician who
evaluates them for high-risk factors that can cause
disease
Ten Essential Public Health Services:
1. Monitor health status to identify community
health problems.
2. Diagnose and investigate health problems and
health hazards in the community.
3. Inform, educate and empower people about
health issues.
4. Mobilize community partnerships to identify
and solve health problems.
5. Develop policies and plans that support
individual and community health efforts.
6. Enforce laws and regulations that protect
health and ensure safety
7. Link people to needed personal health services
and assure the provision of health care when
otherwise unavailable.
8. Assure a competent public health and personal
healthcare workforce
9. Evaluate effectiveness, accessibility and
quality of personal and population-based
health services.
10. Research for new insights and innovative
solutions to health problems.
Disease- failure of the body defense mechanism
Health
 Preventing disease
 Prolonging life
 Promoting health and efficiency
 Holistic
 Successful defense of the host
Aspects Of Health:
1. Physical Health- strong and healthy body
2. Mental Health- emotions
3. Social Health- ways a person feels, think and acts
towards everybody around him
Determinants Of Health:
1. Income and social status
2. Education
3. Physical environment
4. Employment and working conditions
5. Social support networks
6. Culture Customs, traditions and the beliefs of the
family and community
7. Genetics
8. Personal behavior and coping skills
9. Health services
Health Care Delivery System is a network of health
facilities and personnel which carries out the task of
rendering health care to the people
Health Care System is a complex set of organizations
interacting to provide an array of health services
Primary Health Care (PHC) An approach to delivery of
health care services Universally accessible to individuals
and families in the community
Elements/Components of PHC:
1. Environmental sanitation
2. Control of communicable disease
3. Immunization
4. Health Education
5. Family Planning
6. Adequate Food and Proper Nutrition
7. Provision of Medical Care and Emergency Treatment
8. Treatment of Locally Endemic Diseases
9. Provision of Essential Drugs
Four Cornerstones/Pillars in PHC:
1. Active community participation
2. Intra and inter-sectoral linkages
3. Use of appropriate technology
4. Support mechanism made available
Levels of Health Care Referral System:
 Primary Level of Care
-Center physicians, public health nurses, rural
midwives, barangay health workers, and
others at the barangay health stations and
rural health units.
 Secondary level of care
-infirmaries, municipal and outpatient
departments of provincial hospitals
-referral center for the primary health facilities
-minor surgeries & simple lab exam
 Tertiary level of care
-medical centers as well as regional and
provincial hospitals and specialized hospitals
-Complicated cases and intensive care requires
tertiary care
Concept of Community Health: Working together to
help people help themselves, not merely to survive but
also achieve the maximum potential
Four priorities in Public Health:
1. Survival of man
2. Prevention of condition which lead to destruction or
retardation of human function and potential
3. Achievement of human potential and prevention of
the loss of productivity of young adults
4. Improvement of the quality of life
3 divisions of HealthCare Delivery System:
1. Government- Can be national (DOH) or local (LGUs)
2. Mixed Sectors
3. Private Sectors
The Mission of the DOH partnership with the people to
ensure equity, quality and access to health care:
1. By making services available
2. By arousing community awareness
3. By mobilizing resources
4. By promoting the means to better health.
Responsibilities of the DOH:
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1. Ensuring access to basic health services to all
Filipinos
2. National health policies, guidelines, standards and
manual operation for health services and programs
3. Issuance of rules and regulations, licenses and
accreditation
4. Promulgation of the national standards, goals,
priorities and indicators
5. Development of special health programs and projects
Health Programs:
1. Adolescent and Youth Health and Development
Program (AYHDP)
-Mission: Ensure that all adolescent and youth have
access to quality health care services in an adolescent
and youth friendly environment
2. Botika ng Barangay (BNB)
- Manage by community organization
-LGU/NGO
-has supervising pharmacist
Approved:
 Drug-Policy-Pharmaceutical Management Unit
 BFAD
 Generics, OTC and some antibiotics
3.Promotion of Breast-feeding program/ Mother
and Baby Friendly Hospital Initiative (MBFHI)
-fully protect, promote, support breastfeeding and
rooming-in practices
4.Cancer Control Program
- begun in 1988
-utilizing primary, secondary and tertiary prevention
-lung, breast, liver, cervix, oral cavity, colon and rectum
5.Diabetes Control Program chronic metabolic
disease
-↑ blood sugar levels associated with long term damage
and failure of organs functions
Complications:
o Blindness
o Kidney failure
o Stroke
o Heart attack
o Wounds that would not heal
o Impotence
6. Dengue Control Program
-eliminate the breeding places of Aedes aegypti
7.Dental Health Program
-highest possible oral health
-prevent and control dental diseases and conditions like
dental caries and periodontal diseases
8.Emerging Disease Control Program
-Newly identified and previously unknown infections
Increase incidence in the past 2 decades
9.Environmental Health
-Preventing illness through managing the environment
and by changing people’s behavior
-reduce exposure to biological and non-biological agents
of disease
Goal: Reduction of environmental and occupational
related diseases, disabilities and deaths through health
promotion and mitigation of hazards and risks in the
environment and workplaces
10.Expanded program on Immunization
-Institutionalized and adopted by all LGUs
-Reduce infant mortality and morbidity
Six Immunizable Diseases:
o TB
o Diphtheria
o Pertussis
o Tetanus
o polio
o measles
11.Family Planning
- Objective: To help couples, individuals achieve their
desired family size within the context of responsible
parenthood and improve their reproductive health
Anchored on the ff. basic principles:
(a)Responsible Parenthood
(b)Respect for life
(c)Birth spacing (ideally 3 years)
12.Food and Waterborne Diseases Prevention and
Control Program (FWBDPCP)
-established 1997 and operated 2000
- focuses on Cholera, typhoid fever, hepatitis A and other
food borne emerging diseases (e.g. Paragonimus)
13. Knockout Tigdas
-reduce the number of children at risk of getting
measles, or being susceptible to measles
14. National Leprosy Control. Program (NLCP)
-envisions to achieve a leprosy free community
-Mycobacterium leprae
15. National Malaria Control Program
-Palawan, Sultan Kudarat, Davao del norte,
Maguindanao, Sulu, Mindoro occidental, Tawi-tawi,
Cagayan Valley, and Davao City
16. National Filariasis Elimination Program
Objectives:
(a)To established the endemicity of municipalities at the
end of two years
(b)To perform Mass Treatment in established endemic
municipalities for at least four years.
(c) To continue surveillance of established endemic
areas five years after Mass treatment.
17. National Mental Health Program
-ensuring equity in the availability, accessibility,
appropriateness and affordability of mental health and
psychiatric services in the country
18. Newborn screening (NBS)
-congenital metabolic disorder that may lead to mental
retardation and even death if left untreated
19. Occupational Health Program
-To promote and protect the health and well-being of the
working population thru improved health, better
working conditions and workers’ environment
20. Health development Program for Older Persons
-establishments and provision of basic health services
for older persons
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21. Pinoy MD Program “Gusto Kong Maging Doktor”
-A Medical scholarship Grant for Indigenous People,
Local Health Workers, Barangay Health workers,
Department of Health employees or their children

Joint Partnership:
o DOH
o PCSO
o State Universities
o Medical Schools

22. Prevention of Blindness Program

-To eliminate all avoidable blindness

23. Schistosomiasis Control Program

- eliminate Schistosomiasis as a public health problem

24. National TB Control Program

-WHO introduced the Directly Observed Treatment
Short Course (DOTS) to ensure completion of
treatment

DOTS strategy depends on five elements for its

success:
o Microscope
o Medicines
o Monitoring
o DOT
o Political Commitment

25. Republic Act 7719 / “Blood Services Act of 1994”

-to promote and encourage voluntary blood donation as
a humanitarian act
-To provide, adequate, safe, affordable and equitable
distribution of supply of blood and blood products

Mixed Sectors:
-Coexistence of public and private sector

• PTS - Philippine Tuberculosis society

• PCS - Philippine Cancer Society
• PNRC - Philippine National Red Cross
• PMHA - Philippine Mental Health Association
• PHA - Philippine Heart Association

Private Sectors:
• Hospital
• Health insurance
• Manufacturer of medicines and vaccines
• Clinics and other related health services