Prepared by:

Jessica D. Bentayen RN-MAN

 C. Primary Health Care
WHO: PHC was declared in the ALMA ATA
CONFERENCE(USSR) in September 6-12, 1978,
as a strategy to community health
development.
• The joint efforts of the WHO and UNICEF,
sponsored the conference
• To correct serious gaps and deficiencies in the
existing health services
 Legal Basis
 Philippines: Adopted through LOI 949 signed
by President Marcos on October 19, 1979 with
the theme-

 “Health in The Hands of the People by 2020”

 Definition
 Essential health care made universally accessible to
individuals and families in the
community by means acceptable to them through their full
participation and at a cost that the community can afford.
 WHO: is essential health care made universally accessible to
individual and families in the community by means acceptable
to them, through their full participation and at a cost that the
community and country can afford to maintain at every stage
of their development in the spirit of self-reliance and self-
determination.
 Elements

1. Environmental sanitation.
2. Control of communicable disease.
3. Immunization
4. Health education
5. Maternal and child health care, including 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
 Principles and Strategies
1. Reorientation and reorganization of the national health care system
with the establishment of functional support mechanism in support of
the mandate of devolution under the local government code of 1991
2. Effective preparation and enabling process for health action at all
levels
3. Mobilization of the people to know their communities and
identifying their basic health needs with the end in view of providing
appropriate solutions leading to self-reliance and determination
4. Development and utilization of appropriate technology focusing
on local indigenous resources available in and acceptable by the
community.
5. Organization of communities arising from their expressed needs
which they have decided to address and that this is continually
evolving is pursuit of their own development
6. Increased opportunities for community participation in local level
planning, management, monitoring, and evaluation within the
context of regional and national objectives
7. Development of intra-sectoral linkages with other government
and private agencies so that programs of the health sector is closely
linked with those of other socio-economic sectors at the national,
intermediate and community levels.
8. Emphasizing partnership so that the health workers and the
community leaders/members view each other as partners rather than
merely providers and receiver of health care respectively.
 Community-
Based

Affordable Accessible

PHC

Acceptable Sustainable
 People
Empowerment

“Health for All

Filipinos by the
Year 2000 and
Health in the
Hands of the
People by 2020”

Partnership
 How can PHC be possible?
Control of Communicable Diseases
Offers Health Education
Maternal and Child Care
Provision of Medical Care and Emergency Treatment
Offers “Immunization”
Nutrition and Food Supply
Environmental Sanitation
N “Family Planning”
Treatment of Locally Endemic Diseases
Supply and Proper Use of Essential Drugs
 PILLARS of PHC
A. Multi-sectoral approach
Intersectoral linkages (population control, private sectors,
social welfare, public service, enrironmental, etc.)
Intrasectoral linkages (people’s empowerment; within
own system)

B. Community Participation
e.g. Community Organizing

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 C. Appropriate Technology

- method used to provide a socially and environmentally acceptable

level of service or quality product at the least economic cost.
Criteria:
Safe
Acceptable
Feasible
Effective
Scope-wise
Affordable
Complex
 • Example:

- ORS
- - Herbal Meds
- -Botica sa Baryo
- -Use of Indigenous Materials
 RA 8423: utilization of medicinal plants as alternative for high cost medications

10 Medicinal Plants:
Bawang-anti cholesterol
Ulasimang-bato – lowers uric acid
Bayabas – antiseptic; diarrhea
Lagundi – cough, asthma, and colds
Yerba Buena – tooth ache, pain, and arthritis
Sambong – renal calculi
Ampalaya – diabetes mellitus
Niyog-niyogan – anti-helminthic
Tsaang-gubat-diarrhea
Akapulko- fungal infection
 D. Support mechanism made available

• TYPES OF PRIMARY HEALTH WORKERS

Village/Grassroots Intermediate Level Health Personnel of
Health Workers First-Line Hospitals
Trained Community General Medical Physicians with
Health worker; health Practitioners specialty area
auxiliary volunteer; Public Health Nurses Nurses
Traditional Birth Attendant Midwives Dentists
Initial link, 1st 1st source of Establish close
contact of the professional contact with the
community healthcare village and
intermediate level
HW
 D. Levels of Prevention
PRIMARY LEVEL SECONDARY LEVEL TERTIARY LEVEL
Health Promotion Prevention of Prevention of
and Illness Complications thru Disability, etc.
Prevention Early Dx and Tx
Provided at – ► When hospitalization ► When highly-
► Health care/RHU is deemed necessary specialized medical care
► Brgy. Health Stations and referral is made to is necessary
►Main Health Center emergency (now district), ► Referrals are made to
►Community Hospital provincial or regional or hospitals and medical
and Health Center private hospitals center such as PGH,
►Private and Semi- PHC, POC, National
private agencies Center for Mental Health,
and other gov’t private
hospitals at the municipal
level
 E. Universal Health Care
 Legal Basis
• President Rodrigo Duterte has just signed a Universal
Health Care (UHC) Bill into law (Republic Act No.
11223) that automatically enrolls all Filipino citizens in
the National
Health Insurance Program and prescribes complementary
reforms in the health system.
• This gives citizens access to the full continuum of health
services they need, while protecting them from enduring
financial hardship as a result.
Who will benefit from the UHC Act?
• All Filipinos will benefit from the UHC Act. The
government will ensure that the wellbeing and health
needs of all Filipinos, especially those of the
vulnerable population, will be addressed.
 How will the UHC Act ensure that every Filipino has access to quality and affordable health
care?

• Every Filipino should be able to access preventive,

promotive, curative, rehabilitative, and - palliative health
services. The UHC Act will improve and strengthen
existing health sector processes and systems by
highlighting primary care close to families and
communities, supported by hospitals that are contracted
as part of a network, and making PhilHealth membership
automatic for every Filipino. This will eventually lead to
the establishment of better networks of providers and
facilities, making health accessible for all.
 Will all health services be free through UHC?

• One of the goals of the UHC Act is to decrease the out-of-

pocket expenses of families. This means that some health
services may become more affordable, but not everything will
be free. At the very least, the prices of health goods and
services will be predictable and affordable.
• Depending on the available budget, such as additional revenue
from tobacco, alcohol, and sugar-sweetened beverage taxes,
and the value-based decisions of health technology
assessment, DOH and PhilHealth will design benefits for this.
 What do you mean by a primary care-
focused health system?
• In a primary care focused health system, the frontline of health
services will be strengthened so that every Filipino will have a
trusted primary care provider. The primary care provider will be the
initial and continuing point-of-contact of patients/clients with the
health system. He/She will provide the needed basic health
services. If higher-level health services are needed, the primary
care provider will navigate patients/clients to a health care
provider that can give the appropriate care. By providing clinical
leadership and guidance, hospitals may influence the design of
these primary care services while allowing them to focus on more
complicated cases.
 When will the UHC Act be
operationalized?
• The IRR is expected to be approved by September
2019. Initially, there are 33 advanced implementation
sites preparing for the roll-out of UHC in 2020, to be
followed by two more batches of implementation
sites to cover the country in the subsequent years.
Background and Rationale
• To support the implementation of the UHC Act, the Department
of Health, particularly the Health Promotion and Communication
Service, has created a strategic communication and
implementation plan to communicate UHC effectively to key
stakeholders and the public. Key activities, products and
initiatives are expected to be rolled out on the coming months
nationwide. As part of the initiatives, the Health Promotion and
Communication Service is hereby disseminating the Universal
Health Care Act Frequently Asked Questions Master Guide (see
attached document) to all DOH bureaus, offices and facilities, and
to local government units. The document will serve as a guide for
all health care workers, both in the national and local level, in
responding to queries and comments on Universal Health Care
Act. The document is for internal use only. For information and
guidance.
 References:
•

1. Public Health Nursing in the Philippines, 10th edition, Cuevas , FPL,

et.al
2. https://www.scribd.com/doc/23157872/Community-Health-Nursing
3.https://en.wikipedia.org/wiki/Department_of_Health_(Philippines)#:~:tex
t=With%20a%20shift%2
0to%20a,Ministry%20of%20Health%20with%20Dr.
4. https://hfsrb.doh.gov.ph/wp-content/uploads/2019/07/ao2012-0012-a.pdf
5. https://www.who.int/philippines/news/feature-stories/detail/uhc-act-in-
the-philippines-a-newdawn-for-healthcare#:~:text=Duterte%20has%20just
%20signed%20a,reforms%20in%20the%20health%20system.
6.https://www.officialgazette.gov.ph/downloads/2019/02feb/20190220-
RA-11223-RRD.pdf