THE HEALTH CARE DELIVERY SYSTEM - The first follow-up to the

Millennium Summit was held in

- Health care system is an organized 2005 at the 2005 World Summit.
plan of health services. The
rendering of health care services
to the people is called Health Care
Delivery System.

- Thus, health care delivery system

is the network of health facilities
and personnel which carries out
the task of rendering health care
to the people.
- The Sustainable Development
- In the Philippines health care Goals are the blueprint to achieve
system is complex set of a better and more sustainable
organizations interacting to future for all.
provide an array of health services. - They address the global
challenges we face, including those
- The World Health Organization is a related to poverty, inequality,
specialized agency of the United climate change, environmental
Nations responsible for degradation, peace and justice.
international public health. - The 17 Goals are all
- The WHO Constitution, which interconnected, and in order to
establishes the agency's governing leave no one behind, it is
structure and principles, states its important that we achieve them all
main objective as "the attainment by 2030
by all peoples of the highest
possible level of health.“ - The Sustainable Development
Goals – Action Towards 2030
- The Sustainable Development
Goals (SDGs) were adopted by the
United Nations in 2015 as part of
Agenda 2030 – see:
https://www.youtube.com/watch?
v=9-xdy1Jr2eg
- In Video , CAFOD explains what the
- The implementation of these eight SDGs are and why they are
chapters of the Millennium transformational in the way the
Declaration was agreed to begin in world fights extreme poverty,
1st January 2001, and the UN inequality, injustice and climate
agreed to be holding such summits change.
every five years to assess its - The SDGs follow the Millennium
progress towards achieving the Development Goals - or MDGs –
MDGs. agreed in 2000 in a global
coordinated attempt to tackle
development issues.
- There are four underlining - Goal 6: Clean water and Sanitation
principles that come with the SDGs - Goal 7: Affordable and Clean
and that are transformational in Energy
the way we work on development - Goal 8: Decent Work and
in the future: Economic Growth
- Firstly they are universal and apply - Goal 9: Industry, Innovation and
to every country, rich and poor, Infrastructure
north and south, developed and - Goal 10: Reduced Inequality
developing. - Goal 11: Sustainable Cities and
- Secondly, they integrate all Communities
dimensions of sustainability: - Goal 12: Responsible Consumption
economic development, social and Production
progress and environmental - Goal 13: Climate Action
protection. - Goal 14: Life Below Water
- Thirdly, the SDGs tell us we should - Goal 15: Life on Land
leave no one behind. - Goal 16: Peace and Justice Strong
- And finally, the SDGs require the Institutions
participation of all. - Goal 17: Partnerships to achieve
the goal
- Goal 1: No Poverty
- By 2030, ensure that all - THE DEPARTMENT OF HEALTH
men and women, in particular the
poor and the vulnerable, have - VISION: Health for all Filipinos
equal rights to economic
resources, as well as access to - MISSION: Ensure accessibility &
basic services, ownership and quality of health care to improve
control over land and other forms the quality of life of all Filipinos,
of 13 property, inheritance, especially the poor.
natural resources, appropriate
new technology and financial Historical Background of DOH
services, including micro-finance.
- Goal 2: Zero Hunger - The Department of Health
- By 2030, end all forms of (abbreviated as DOH; Filipino:
malnutrition, including achieving, Kagawaran ng Kalusugan) is the
by 2025, the internationally agreed executive department of the
targets on stunting and wasting in Government of the Philippines
children under 5 years of age, and responsible for ensuring access to
address the nutritional needs of basic public health services by all
adolescent girls, pregnant and Filipinos through the provision of
lactating women and older quality health care and the
persons regulation of all health services
and products.

- Goal 3: Good Health and Well

Being. - It is the government's over-all
- Goal 4: Quality Education technical authority on health.
- Goal 5: Gender Equality
 - It has its headquarters at the San • In 1915- the Bureau of Health was
Lazaro Compound, along Rizal reorganized and renamed into the
Avenue in Manila. Philippine Health Service.
• On January 1, 1919, Dr. Vicente De
AGENCIES attached to Department of Jesus became the first Filipino to
Health head the Health portfolio.
• In 1933, after a reorganization, the
- Philippine Institute of Traditional Philippine Health Service reverted
and Alternative Health Care to being known as the Bureau of
- Philippine Health Insurance Health.
Corporation. By 1936, as Governor-General Frank
- Philippine National AIDS Council Murphy was assuming the post of United
- Commission on Population States High Commissioner, he
- National Nutrition Council remarked that the Philippines led all
Secretary of the Department of Health oriental countries in terms of health
(DOH) status.

DR. Teodoro “Ted” Herbosa

- Dr. Herbosa pledged to usher in • In 1936- Dr. Jose Fabella was
universal healthcare in the country named chief of the Bureau of
by strengthening health sector Health.
strategy interventions and • When the Japanese occupied the
implementing healthcare reforms Philippines, they dissolved the
National Government and replaced
Historical Background of DOH it with the Central Administrative
Organization of the Japanese
• September 10, 1898- Americans Army. Health was relegated to the
assembled a military Board of Department of Education, Health
Health. To care for injured and Public Welfare under
American troops. Commissioner Claro M. Recto.
• 1901- Bureau of Governmental • In 1944- Dr. Antonio C. Villarama
Laboratories, which was built in as appointed Secretary of
1901 for medical research and Department of Health. First
vaccine production to respond in secretary of health under
an epidemic Spanish FLU (200,222 Philippine Republic
lives including 66,000 children Specialized Institution
were lost) - Philippine Heart Center
• 1905- The Americans, led by Dean - National Kidney and Transplant
Worcester built the UP College of - Philippine Children Hospital
Medicine and Surgery.
1909- nursing instruction was also begun
at the Philippine Normal School. In terms
of public health, the Americans improved
on the sewer system and provided a safer
water supply.
LOCAL HEALTH SYSTEMS and Devolution LHB ) which is mandated to propose
of Health Services annual budgetary allocations for the
operation and maintenance of their
- First Wave of Health Sector own health facilities.
Reform
Composition of Local Health Board
Local Government Code of 1991
- The implementation of the Local • Provincial Level
Government Code of 1991 1.Governor- Chair
resulted in the devolution of 2. Provincial Health Officer – Vice Chair
health services to local 3. Chair , Committee on Health of
government units (LGUs) which Sangguniang Panlalawigan
included among others the 4. DOH representative
provision, management and 5. NGO representative
maintenance of health services at
different levels of LGUs. Composition of Local Health Board

• In 1991 the Philippines City and Municipal Level

Government introduced a major 1. Mayor – Chair
devolution of national government 2. MHO/CHO – Vice Chair
services, which included the first 3. Chair, Committee on Health of
wave of health sector reform, Sangguniang Bayan
through the introduction of the 4. DOH representative
Local Government Code of 1991. 5. NGO representative
• The Code devolved basic services
for agriculture extension, forest LAWS AFFECTING PUBLIC HEALTH AND
management, health services, PRACTICE
barangay (township) roads and
social welfare to Local R.A. 1082 – Rural Health Act. It created
Government Units. the first 81 Rural Health Units.
• In 1992, the Philippines -amended by RA 1891 ; more
Government devolved the physicians, dentists, nurses, midwives and
management and delivery of sanitary inspectors will live in the rural
health services from the National areas where they are assigned in order to
Department of Health to locally raise the health conditions of barrio
elected provincial, city and people ,hence help decrease the high
municipal governments. incidence of preventable diseases.
( Grundy 2003)
LAWS AFFECTING PUBLIC HEALTH AND
R.A 7160 PRACTICE

- The Local Government Code. R.A. 6425 – Dangerous Drugs Act. It

This involves the devolution of powers, stipulates that the sale, administration,
functions and responsibilities to the local delivery, distribution and transportation
government both rural & urban. of prohibited drugs is punishable by law.
Hence, each province, city and R.A. 9165 – the new Dangerous Drug Act
municipality has a LOCAL HEALTH BOARD ( of 2002
P.D. No. 651 – requires that all health 2. SECONDARY LEVEL FACILITIES
workers shall identify and encourage the
registration of all births within 30 days 3. TERTIARY LEVEL FACILITIES
following delivery.
Classify as to what level the ff. belong
LAWS AFFECTING PUBLIC HEALTH AND
PRACTICE 1. Teaching and Training Hospitals
2. City Health Services
P.D. No. 996 – requires the compulsory 3. Emergency and District Hospitals
immunization of all children below 8 yrs. 4. Private Practitioners
of age against the 6 childhood 5. Heart Institutes
immunizable diseases. 6. Puericulture Centers
P.D. No. 825 – provides penalty for 7. RHU
improper disposal of garbage.
R.A. 8749 – Clean Air Act of 2000
P.D. No. 856 – Code on Sanitation. It
provides for the control of all factors in
man’s environment that affect health
including the quality of water, food, milk,
insects, animal carriers, transmitters of
disease, sanitary and recreation facilities,
noise, pollution and control of nuisance.

LAWS AFFECTING PUBLIC HEALTH AND

PRACTICE

• R.A. 6675 – Generics Act of 1988

which promotes, requires and
ensures the production of an
adequate supply, distribution, use
and acceptance of drugs and
medicines identified by their
generic name
• RA 4073 – advocates home
treatment for leprosy
• RA 3573 – requires reporting of all
cases of communicable diseases
and administration of prophylaxis
• Ministry Circular No. 2 of 1986 –
includes AIDS as notifiable disease
• R.A. 8172 – Salt Iodization Act (
ASIN LAW)

Philippine Health Care Delivery System

1.PRIMARY LEVEL FACILITIES