WAYS TO IMPROVE THE

HEALTHCARE SYSTEM
IN BARANGAY BOOT, TANAUAN
CITY, BATANGAS
Grade 12 – Our Lady of Good
Counsel
Medical Group 1
 INTRODUCTION

A.Background of the Study

B.Statement of the Problem
C.Significance of the Study
health system. Health systems are one of the key
instruments created by human societies, and also one
of severalBackground
determinants of of the Study
health, since high-
performing health systems can improve the health of
populations especially in developing countries like the
Philippines. It also helps raise and channel resources
to create and manage the service delivery
mechanisms that bring effective health improving
technologies to the people who need them.
Furthermore, the delivery of these services can be
through via specific modes and channels, such as the
different types of health facilities providing health
services; outlets for health-related goods and other
entities.
financing (Ennis and Harrington, 2001). Increased
Background
inputs should of the
lead to improved Study
service delivery and
enhanced access to services. Ensuring availability of
health services that meet a minimum quality standard
and securing access to them are key functions of a
well-managed health system. On the other hand,
Health service delivery systems that are safe,
accessible, high quality, people-centred, and
integrated are critical for moving towards universal
health coverage (WHO, 2015). Service delivery
systems are responsible for providing health services
for patients, persons, families, communities and
populations in general, and not only care for patients.
extended arrangement of home care services which
includes Background
but not limited to ofmedical
the Study
equipment and
supplies, nutritional supplements, respiratory therapy,
and rehabilitation technology. Unlike in the
Philippines, healthcare services are only delivered
through private and public healthcare facilities.
The rural health care system has changed
dramatically over the past decade because of a
general transformation of health care financing, the
introduction of new technologies, and the clustering of
health services into systems and networks. Despite
these changes, resources for rural health systems
remain relatively insufficient.
services, and facilitates access to comprehensive
health andBackground
social services.of the services
Thus, Study must be
responsive to the needs and culture of the target
community and population.
The development of community health care is a
worldwide phenomenon that has seen the emergence
of a range of programmes and services in many
different settings, principally in the developed world,
but increasingly also in developing countries.
Recognizing the need for a more community-based
approach and more orientation in the delivery of
coordinated health and social services is one of the
most probable solutions in improving healthcare
workforce services.
 Background
In order to improve theof the Study
availability of rural health
care, programs that are unique to rural areas might
also be developed. Furthermore, one of the keys in
improving these services is to make sure that not only
are there enough providers, but that there are enough
systems in place to employ those providers and
enough incentives available to encourage providers to
work where they are needed the most.
Tanauan City, Batangas. This study attempts to
investigateBackground of can
the factors which thehelpStudyin improving
the healthcare system in the said research venue.
Also, this research study entitled “Ways to Improve
the Healthcare System in Barangay Boot, Tanauan
City, Batangas” aims at finding out the various
healthcare barriers and issues related to rural
healthcare system problems, and to know the
strategies that rural healthcare facilities can employ to
have a well-managed healthcare system for the
residents.
Healthcare System in Barangay Boot, Tanauan City,
Batangas”Statement of the
focuses on gathering data Problem
and information on the
of improvement of the healthcare system. The researchers
would like to answer the following sub problems:
1. What are the factors which can help in improving the
healthcare system in terms of:
A. Service and performance
B. Strategies
C. Management system in the area
2. How do these factors affect the development and
productivity of the health care
system?
3. What are the issues related to rural healthcare
system problems?
Batangas” addresses to build a complex and
concrete Significance of the Study
solutions for workforce shortages. The
research paper as a tool will bring a guidance for the
following beneficiaries:
Local Government. The study will help the local
government to make a concrete solution for the
improvement of healthcare workforce shortages.
They will convince to promote and serve medical
assistance for the healthcare centers.
Government officials. The research will serve as a
wakeup call for the government officials to continue
the medical programs and assistance by their
promotions until it will resolve the shortages.
Rural community. The study will bring awareness
Significance of the Study
to the rural community especially for the citizens of
Barangay Boot, Tanauan City, Batangas. It can help
them to grab the opportunity to receive the benefit
in healthcare centers through the implementation of
the medical programs and assistance by the local
government and officials.
Future researchers. The research will help those
who want to continue and discover such information
about the improvement of healthcare workforce to
seek support for those other small communities that
needs an improvement of their medical assistance.
 In this chapter, a structured type of interview was
used in gathering precise data since, set of questions known
Methodology
as interview questionnaire are posed to the interviewee
visited and the responses are recorded on a standardized
schedule. Besides, this method is useful since it is easy to
replicate as a fixed set of closed questions are used.
Structured interview is a valid method for this
research because it shows a high degree of reliability,
validity, and legal defensibility. According to Bryman (2001),
the aim of this type of interview is for all interviewees to be
given exactly the same context of questioning, which means
that each respondent receives exactly the same interview
stimulus as any other. The goal of this style of interview is to
ensure that interviewees’ replies can be aggregated.
Therefore, the researcher has control over the topics as well
as the format of the interview.
researchers made a sample questionnaire and asked
research supervisorMethodology
to check the questions that we're going
to ask to the said health care workers. The researchers,
then, added some additional questions to answer the
problem in the statement of the problem and removed
unnecessary questions. When they completed the research
questionnaires, they made a letter of consent that is to be
given to the interviewed personnel. When the letter has been
approved and signed by the research supervisor, the
researchers proceeded to Barangay Boot, Tanauam City to
interview the Barangay Health Center about the status of
their service, managament, and techniques they use to
manage a successful health care service. The researchers
went inside, greeted the personnel and asked them if they
are available for interview and then gave the personnel the
letter of consent showing what they want to know. As for the
ending, the interview went well.
terms of healthcare. In fact, according to World Health
Organization’sResults
Ranking ofand Discussion
the World’s Health Systems, the
Philippines stand in the sixtieth place. Philippines is known for
their hospitality and care not only for the elderly but also for
all other patients, which is considered to be some
characteristics that should be evident in the medical world.
That being said, Philippines adapted Alma Ata
Declaration at the International Conference on Primary Health
Care (PHC), Almaty (formerly Alma-Ata), Kazakh Soviet
Socialist Republic,September 6-12, 1978. This focuses on the
following: (1) health education (2) treatment of locally
endemic diseases (3) expanded program on immunization (4)
maternal and child health (5) nutrition (6) treatment of
communicable and non-communicable diseases and lastly (7)
safe water and good waste disposal. In order to achieve this
there are two types of primary health care worker in the
Philippines (1) Barangay Health Worker or Village Health
Worker and (2) Intermediate Lever Primary Health Worker.
causing this shortage is poor service served to the patients

provider (3) Results and Discussion

namely: (1) long wait times (2) limited autonomy to choose
less that hygienic restrooms/ lacking amenities
(4) privacy and confidentiality taken lightly and (5) poor
record-keeping and lastly, (6) overcrowding and under-
provision of care. Unfortunately, these are not only
experienced by the urban people but most especially by those
who live in rural areas. We went to their health care center to
confirm but unfortunately it is closed during weekends. To
make the most of it, we took pictures and observed the place.

In front of the office, there is a post of the steps for an

organized consultation: (1) register (2) list your name by
approaching the family planning coordinator or pre-natal
coordinator (3) let them check your vital signs, temperature,
blood pressure and weight (4) midwifery (5) medicine and
vitamins. Also, it is posted that they do not give out free
medicine without doctor’s prescription.
people but also those who are well. This is about the
communicable diseases, non-communicable diseases, malnutrition
Results and Discussion
and, diseases caused by rapid urbanization and industrialization.
Second, service delivery network or how functional are the network
of health facilities. Its goal is for services to be delivered by
networks that are fully functional (complete equipment, medicines,
health professionals), practicing gatekeeping, compliant with
clinical practice guidelines, located close to people (mobile clinic or
subsidize transportation cost), available 24/7 and even during
disasters (911) and enhanced by telemedicine. Lastly, the Universal
Health Insurance which is the financial freedom when accessing
services: (1) Philhealth as the gateway to free affordable care
where 100% of Filipinos are members; formal sector premium paid
through payroll and non-formal sector premium paid through tax
subsidy (2) simplify Philhealth rules: no balance billing for the basic
accommodation and fixed co-payment for non-basic
accommodation and lastly (3) Philhealth as main revenue source
for public health care providers. It needs to expand benefits to
cover comprehensive range of services and contracting networks
that provides within SDNs.
Batangas” attempts to investigate the factors which can help
in improving the healthcare system in the said research
Conclusions
venue. Also, this study aims at finding out the various
healthcare barriers and issues related to rural healthcare
system problems to know the strategies that rural healthcare
facilities can employ to have a well-managed healthcare
system for the residents. In this study, a structured type of
interview was used as a research design. The researchers
employed a structured type of interview as a research
design to obtain the objectives of this study. In addition, the
researchers gathered precise data through set of questions
known as interview questionnaire that are posed to the
interviewee visited. The research study is significant for the
barangay health center officials and residents.
 Based on the preceding summary of findings, the
following conclusions have been carefully and critically
Conclusions
drawn. First is that the barangay health center can provide
enough medical supplies for the community. Even though
sufficient amount of healthcare needs are being provided to
the community, still it is not enough to cater all of its
healthcare needs; due to the lack of fund as one of the
barriers. Similar to what Reindhart (2013) stated, the needs-
based and demand-based approaches to health care
services are still lacking. Although advances have been
made to improve healthcare in the Philippines, there are still
many issues that the country has yet to overcome to achieve
a high quality, cost efficient healthcare system (Kenworthy,
2017).
 Recommendations
Due to the information we’ve gathered, we recommend for the
Boot Health Center to stick to the program our president wants to
implement. Additional to this, we would like to address the local
government to give enough financial support to the said location to level
up their health care center’s equipment, medicine and their service. We
also noticed that they are close during weekends and is only upto 3pm in
the afternoon so we would like to address the head of the center to
lengthen their schedule to give more time for those who wants to
approach the center. Also, during New Year, we noticed that it is closed
during those times when in fact it should be open due to some hazards
that may happen to their citizens.
 ACKNOWLEDGEMENT
This capstone project wouldn’t be possible of course
if it weren’t for Our Almighty God who have been so great to
us to bless us with knowledge, talent and wisdom throughout
our capstone project journey.

Second, to our beloved parents who never left our

sides and stayed and motivated us through ups and downs.
For also cheering us up whenever we lose hope and for
always praying for us so that we can finish this project on
time.

We also like to acknowledge the help and guidance of

our Research and Capstone Professors, Mrs. Julimar
Turingan and Mr. Erwin Burgos who have shared with us their
knowledge in making formal papers like this. Also to our
College Librarian who have been so kind to lend us books
which helped us justify our literatures and essays.
To our friends and classmates, who have been so
positive that we can accomplish this kind of formal task.
Presented by:
Del Rio, Kenneth Charles
Florida, John Paolo
Calupitan, Joan Patricia
Castillo, Katherine Rose
Lat, Kyla Antoinette
Malgapo, Coleen