PHILIPPINE

HEALTH CARE
DELIVERY
SYSTEM
MISSION AND VISION
VISION
Filipinos are among the healthiest people in Southeast
Asia by 2022, and Asia by 2040
 
MISSION
To lead the country in the development of a productive,
resilient, equitable and people-centered health system
PHILIPPINE HEALTH CARE
DELIVERY SYSTEM
defined as “the totality of all
policies, facilities, equipment,
products, human resources and
services which address the health
needs, problems, and concerns of
the people.” It is large, complex,
multi-level and multidisciplinary.
 MAJOR PLAYERS
PUBLIC SECTOR – largely financed through a tax-
based budgeting system at both the national
and local levels and where health care is
generally given for free at the point of service.
 National Level – DOH as lead agency
Local Level – health system run by LGUs
 PRIVATE SECTOR – largely market-oriented and
where health care is paid through user fees at
the point of service.
THE PRIVATE SECTOR – composed of both
commercial and business organizations, which
have a market orientation, and non-business
organizations, which have a service orientation
Socio-civic groups, more often than not, function
as legislative advocates, community organizers,
researchers, and documentors of important
health issues, health resource development
manpower, volunteers for relief and disaster
work, and many more.
 Type Orientation Examples
Commercial/business Profit-oriented
Non-commercial Service oriented
 THE PUBLIC SECTOR
DOH:
Vision: The DOH is the leader, staunch
advocate, and model in promoting health
for all in the Philippines.
Mission: Guarentee equitable, sustainable,
and quality health for all Filipinos,
especially the poor, and lead the quest for
excellence in health.
The DOH shall do this by seeking all ways to
establish performance standards for health
human resources, health facilities and
institutions, health products, and health
services that will produce the best health
systems for the country.
This is in pursuit of its constitutional
mandate to safeguard and promote health
for all Filipinos regardless of creed, status,
or gender, with special consideration for
the poor and the vulnerable, who require
more assistance.
ROLES AND FUNCTIONS:
EO 102 identifies the DOH as the
national health authority providing
technical and other resource
assitance to concerned groups.
It has three specific roles in the
health sector and several functions
under each role.
MEMORY AID:
L eadership in health
A dministrator of spceific
services
C apacity builder
E nabler
 A. Leadership in Health
Functions:
LEADER in the formulation, monitoring and evaluation
of national health policies, plans, and program,
ADVOCATE in the adoption of health policies, plans and
programs to address national and sectoral concerns
NATIONAL POLICY AND REGULATORY INSTITUTION on
which LGUs, NGOs and other members of the health
sector involved in social welfare and development
anchor their thrusts and directions for health.
B. Administrator of Specific Services
Functions:
MANAGE selected health facilities and
hospitals.
◦ National referral centers like special or tertiary
hospitals.
◦ Referral centers for local health systems like tertiary
and specialty hospitals, reference laboratories,
training centers, centers for health promotion, centers
for disease control and prevention, and regulatory
offices.
ADMINISTER direct services for emergent health
concerns that require new complicated technologies.
PROVIDE emergency health response
services, including a referral and networking
system for trauma, injuries, catastrophic
events, epidemics, and widespread public
danger, upon the direction of the President
and consultation with the concerned LGU.
ADMINISTER special components of specific
programs like:
◦ Tuberculosis
◦ Schistosomiasis
◦ HIV-AIDS
 C. Capacity Builder and Enabler
Functions:
ENSURE the highest achievalble standards of quality
health care, health promotion and health protection,
INNOVATE new strategies in health to improve the
effectiveness of health programs
INITIATE public discussion on health issues and
disseminate policy research outputs to ensure informed
public participation in policy decision-making
OVERSEE implementation, monitoring and evaluation of
national health plans, programs and policies
Goal of DOH
Implementation of health sector
reforms through the HEALTH SECTOR
REFORM AGENDA (HSRA). Areas that
need to be reformed are the following

MEMORY AID: Local Hospital Health

Program, FIRE!
Local health systems
Hospital systems
Public health programs
Health FInancing
Health Regulation
These five areas have been identified as
critical in transforming the health system into
one that ensures delivery of cost-effective
services; universal access to essential
services; and adequate and efficient
financing.
Support mechanisms will be through
sound organizational development;
stronger policies, systems, and
procedures; capable human resources
and adequate financial resources.
Framework for the implementation of
the HSRA:
FOURmula ONE for Health
◦ FOURmula ONE for health intends to
implement critical interventions as a single
package backed by effective management
infrastructure and financing arrangements
thru a sector-wide approach.
◦ This is directed towards ensuring
accessbile and affordable quality health
care, especially for the more
disadvantaged and vulnerable sectors of
the population.
This strategy has FOUR ELEMENTS:
MEMORY AID: Go! Go! FIRES!
Good Governance – to enhance health system
performance at the national and local levels. Key players for this
element include:
◦ Philippine Health Insurance Corporation (PHIC), through the National
Health Insurance Program
◦ DOH, through sector-wide policy support
Health FInancing – to foster greater, better, and sustained
investments in health
Health REgulation – to ensure the quality and affordability of health
goods and services
Health Service Delivery – to improve and ensure the accessibility and
availability of basic and essential health care in both public and private
facilities and services.
KEY FEATURES of FOURmula ONE for
HEALTH:
National Health Insurance Program (NHIP)
The NHIP supports each of the elements in terms of:
MEMORY AID: Go! GO! FIRES!
1. Good Governance – the NHIP is a prudent purchase of health
care, thus influencing the health care market and related
institutions
2. Financing – the NHIP reduces the financial burden of health
care costs placed on Filipinos
3. Regulation – the NHIP’s role in accreditation and payments
based on quality serves as an impetus for an improved
performance in the health sector.
4. Essential Service Delivery
The NATIONAL OBJECTIVES
for HEALTH (NOH) 2005 to 2010
Roadmap for All Stakeholders in Health
Provides the roadmap for stakeholders in health and health-
relatedsectors to intensify and harmonize their efforts to
achieve Health for All Filipinos.
Sets the targets and critical indicators, current strategies
based on field experiences, and lays down new methods for
improved interventions to guide policymakers and all
stakeholders in health.
Its implementation is defined through FOURmula ONE for
Health.
OBJECTIVES OF THE
HEALTH SECTOR
To facilitate understanding, the objectives of the
health sector could be divided into 4 general
objectives, namely:
Improve the Health Status of the Population
◦ Improve the general health status of the population
◦ Reduce morbidity and mortality from certain diseases
◦ Eliminate certain diseases as public health problems
◦ Promote health lifestyle and environmental health
◦ Protect vulnerable groups with special health and nutritional
needs
Ensure Quality Service
Delivery
Strengthen national and local health systems to ensure
better health service delivery.
Pursue public health and hospital reforms
Reduce the cost and ensure the quality of essential
drugs.
Institute health regulatory reforms to ensure quality
and safety of health goods and services.
Strengthen health governance and management
support systems.
 Improve Support System for the
Vulnerable and Marginalized
Groups
Institute safety nets for the vulnerable and
margnialized groups
- Implement proper Resource Management
Expand the coverage of social health insurance.
Mobilize more resources for health.
Improve efficiency in the allocation, production
and utilization of resoruces for health.
LOCAL GOVERNMENT UNITS
R.A. 7160 or the Local Government Code of
1991 – made possible the devolution of powers,
functions and responsibilties to the local
government, both provincial and municipal, as
well as an autonomous regional government
and a metropolitan authority.
Its aim is to build the capabilities of local
governments for self-governance and to
develop them as fully self-reliant communities.
Devolution – refers to the act by which
the National Government confers
power and authority upon the various
LGUs to perform specific functions and
responsibilities, including the provision
and delivery of basic health services.
 OBJECTIVES FOR LOCAL HEALTH SYSTEMS:
Establish local health systems for effective and efficient
delivery of health care services.
Upgrade the health care management and service
capabiltieis of local health faciltieis.
Promote inter-LGU linkages and cost-sharing schemes,
including local health care financing systems for better
utilization of local health resources.
Foster participation of the private sector, NGO’s and
communities in local health systems development.
Ensure the quality of health service delivery at the
local level.
Inter-Local Health System – a system of
health care similar to the district health
system in which individuals,
communities, and all other health care
providers in a well-defined geographical
area participate together in providing
quality, equitable, and accessbile health
care within the basic framework of inter-
local government unit (ILGU) partnership.
DISTRICT HEALTH SYSTEM –
defined by WHO as the smallest
manageable unit in areas which are
small enough to be managed
without being bogged down by
much bureaucracy, yet large
enough to make it feasible.
 It is the intermediate level in the provision of
healthcare; provides stability and ensures
effectiveness of teh peripheral levels of
health.
It includes:
◦ Primary health care facilities in the community
◦ A referral hospital
◦ Laboratory facilities
◦ Health office with a full-time health officer
◦ It refers to the first referral level; thus, it should
be close enough to the community.
THANK
YOU!!!