Philippine Health Care Delivery System

BY DEPARTMENT OF HEALTH
Health care system
 is an organized plan of health services. services (Miller-Keane, 1987)
Health Care Delivery
 The rendering of health care services to the people is called health care delivery
system. (Williams-Tungpalan, 1981)
Health Care Delivery System
 The network of health facilities and personnel which carries out the task of
rendering health care to the people. Williams-Tungpalan, 1981)
Philippine Health Care System
 Is complex set of organizations interacting to provide an array of health services.
(Dizon, 1977).

The DOH vision

"Health as a right. Health for All Filipinos by the year 2000 and Health in the Hands of
the People by the year 2020.

The DOH mission

"DOH, in partnership with the people to ensure equity, quality and access to health care
by: making services available; arousing community awareness; mobilizing resources; and
promoting the means to better health.”

Philippine healthcare setting health care facilities are:

Level I (Primary Level of Health Care Facility)

• rural health units, their sub-centers,
• chest clinics
• malaria eradication units, and schistosomiasis control units directly operated by
the DOH;
• puericulture centers operated by League of Puericulture Centers;
• tuberculosis clinics and hospitals of the Philippine Tuberculosis Society;
• private clinics, clinics operated by the Philippine Medical Association;
• clinics operated by large industrial firms for their employees;
• community hospitals and health centers operated by the Philippine Medicare
Care Commission
• Other health facilities operated by voluntary religious and civic groups.

Level II (Secondary Level of Health Care Facilities)

• smaller, non-departmentalized hospitals including emergency and regional
hospitals. The services offered to patients with symptomatic stages of disease,
which require moderately specialized knowledge and technical resources for
adequate treatment.

Level III (Tertiary Level of Health Care Facilities)

• highly technological and sophisticated services offered by medical centers and
large hospitals. These are the specialized national hospitals. The services
rendered at this level are for clients afflicted with diseases which seriously
threaten their health and which require highly technical and specialized
knowledge, facilities and personnel to treat effectively.
 CORE VALUES OF DOH:

 Integrity – doing what is morally right and proper.

 Excellence – Striving for the best and taking pride in the calling and practice of one’s
profession according to ethical standards and applying appropriate technical knowledge
to best serve the public.
 Compassion and respect for human dignity – serving with sympathy and benevolence to
anybody irrespective of race, sex, creed or religion and upholding the sanctity of human
life.
 Commitment – unselfishly delivering the services required.
 Professionalism – performing one’s duties with the highest degree of excellence,
intelligence, skills and utmost devotion and dedication.
 Teamwork – giving full coordination and cooperation with the mindset of achieving
optimum result.
 Stewardship of Health – advocate, protect and provide health care services for all.
 Political Neutrality – providing service to everyone without discrimination and
regardless of party affiliation or preference.
 Simple living – leading a modest life appropriate to one’s position and income, and shall
not indulge in extravagance or ostentatious display of wealth in any form.

The Department of Health Mandate:

The Department of Health shall be responsible for the following:
• formulation and development of national health policies, guidelines, standards
and manual of operations for health services and programs
• issuance of rules and regulations, licenses and accreditations; promulgation of
national health standards, goals, priorities and indicators
• development of special health programs and projects and advocacy for
legislation on health policies and programs.

The primary function of the Department of Health

• is the promotion, protection, preservation or restoration of the health of the
people through the provision and delivery of health services and through the
regulation and encouragement of providers of health goods and services (E.O.
No. 119, Sec. 3)

FACTORS ON THE VARIOUS CATEGORIES OF HEALTH WORKERS AMONG COUNTRIES AND

COMMUNITIES:
1. Available health manpower resources
2. Local health needs and problems
3. Political and financial feasibility

THREE LEVELS OF PRIMARY HEALTH CARE WORKERS

A. VILLAGE OR GRASSROOT HEALTH WORKERS
-first contacts of the community and initial links of health care.
-Provide simple curative and preventive health care measures promoting healthy environment.
-Participate in activities geared towards the improvement of the socio-economic level of the
community like food production program.
-Community health worker, volunteers or traditional birth attendants (Hilot).
B. INTERMEDIATE LEVEL HEALTH WORKERS
-represent the first source of professional health care
-attends to health problems beyond the competence of village workers
-provide support to front-line health workers in terms of supervision, training, supplies, and
services
C. FIRST LINE HOSPITAL PERSONNEL
-provide backup health services for cases that require hospitalization
-establish close contact with intermediate level health workers or village health workers.
-Physicians with specialty, nurses, dentist, pharmacists, other health professionals.

The health care delivery system is affected by policies such as:

RA 9439
 known as "An Act Prohibiting the Detention of Patients in Hospitals and Medical
Clinics on Grounds of Nonpayment of Hospital Bills or Medical Expenses"
RA 9502
 An act providing for cheaper and quality medicines, amending for the purpose
Republic Act No. 8293 or the intellectual property code, Republic Act No. 6675 or
the Generics Act of 1988, and Republic Act No. 5921 or the Pharmacy Law, and
for other purposes.

Basic Principles to Achieve Improvement in Health

 Universal access to basic health services must be ensured.

 The health and nutrition of vulnerable groups must be prioritized.
 The epidemiological shift from infection to degenerative diseases must be managed.
 The performance of the health sector must be enhanced.

DOH leads in the efforts to improve the health of Filipinos, in partnerships with other gov't
agencies, the private sector, NGOs and communities:

The direction pursued by the DOH is guided by the:

 Philippine Development Plan
 Philippine Development Plan (PDP) 2017-2022
• the first medium-term plan anchored on this national long term vision
• seeks to lay a stronger foundation for more inclusive growth, a high-trust
and resilient society, and a globally competitive knowledge economy
• guided by the 0-10 Point Socio-Economic Agenda, the regional
consultations conducted by the various planning committees, and the
 social development summits that culminated in the 2022 Agenda:
Malasakit at Pagbabago

The strategies to achieve this objective are organized under the three
major pillars of “Malasakit,” “Pagbabago,” and “Patuloy na Pag-unlad.”
 The Malasakit pillar is about enhancing the social fabric. The
strategies aim to build the foundations for a high-trust society by
ensuring a clean, efficient, and people-centered governance;
guaranteeing swift and fair administration of justice; and
increasing awareness of the different cultures and values across
Philippine society.
 The Pagbabago pillar is about effecting inequality-reducing
transformation. It consists of strategies to expand economic
opportunities, accelerate human capital development, reduce
vulnerability, and build safe and secure communities.
 The Patuloy na Pag-unlad pillar is about increasing potential
growth. It consists of strategies to enhance the factors necessary
to accelerate and sustain growth and development through 2040.
It is about promoting science, technology, and innovation. It also
covers strategies to reap the demographic dividend.

 Philippine Development Plan (PDP) 2023-2028

• Poverty is targeted to decline to 9 percent of population by 2028. The
overall goal is to reinvigorate job creation and poverty reduction by
steering the economy back to its high-growth path, and more
importantly, through economic transformation for a prosperous, inclusive
and resilient society.
 Fourmula 1 plus
• The FOURmula One Plus with the tagline, “Boosting Universal Health
Care via FOURmula One Plus or F1 Plus” hints a health reforms to a more
transparent, inclusive, coordinative and synergistic agenda with the
efforts of both the public and private sector partners especially the local
government
• built along the health system pillars of financing, service delivery,
regulation, governance and performance accountability.
• a strategy for implementing health reforms, has been put into action by
the different offices, bureaus, programs, and projects including attached
agencies since 2005. Numerous efforts and resources have been poured
for the operationalization
• This ultimately leads to the three major goals that the Philippine Health
Agenda aspires for:
(1) better health outcomes with no major disparity among population
groups
(2) financial risk protection for all especially the poor, marginalized and
vulnerable
(3) a responsive health system which makes Filipinos feel respected,
valued and empowered.
 Health Sector Reform Agenda (HSRA)
• describes the policies, public investments, and organizational changes needed to
improve the way health care is delivered, regulated, and financed in the country.
• Specifically, it seeks to undertake the following: Provide fiscal autonomy to
government hospitals

• 3 MAJOR GOALS OF THE PHILIPPINE HEALTH AGENDA:**

1. Better health outcomes with no major disparity among population
groups.
2. Financial risk protection for all especially the poor, marginalized
and vulnerable.
3. Responsive health system which makes Filipinos feel respected,
valued and empowered

 Universal Healthcare
• Republic Act No. 11223 mandated that all Filipinos get the healthcare they need,
when they need it, without getting impoverished
• The law enrolled all Filipino citizens in the National Health Insurance Program to
be administered by the Philippine Health Insurance Corp. or PhilHealth.

 National Objectives for Health

 The National Objectives for Health (NOH) 2017–2022 serves as the medium-term
roadmap of the Philippines towards achieving universal healthcare (UHC)**
 It specifies the objectives, strategies and targets of the Department of Health
(DOH) FOURmula One Plus for Health (F1 Plus for Health) built along the health
system pillars of financing, service delivery, regulation, governance and
performance accountability.

 All for health, Health for all

 It is the battle cry of the Philippine Health Agenda under the Duterte
administration.
 The primary aim is the attainment of health-related sustainable development
goals
o financial risk protection
o better health outcomes
 o responsiveness.
 Means that health is to be brought within reach of everyone in a given country.
And by “health” is meant a personal state of wellbeing, not just the availability of
health services—a state of health that enables a person to lead a socially and
economically productive life
 Implies the removal of the obstacles to health—that is to say, the elimination of
malnutrition, ignorance, contaminated drinking-water, and unhygienic housing—
quite as much as it does the solution of purely medical problems such as a lack of
doctors, hospital beds, drugs and vaccines.

ALL FOR HEALTH TOWARDS HEALTH FOR ALL VALUES