4 philippine health system

8/3/2019 4 Philippine Health System

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WHAT IS A HEALTH SYSTEM?

all the activities whose primary purpose is topromote, restore or maintain health

(World Health Report 2000)

the combination of health care institutions,supporting human resources, financingmechanisms, information systems, organizationalstructures that link institutions and resources, and

management structures that collectively culminatein the delivery of health services to patients

(Lassey et al 1997)


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FUNDAMENTAL OBJECTIVES OFHEALTH SYSTEMS

Improving the health of the

population they serve Responding to peoples expectations

Providing financial protection againstthe costs of ill-health


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FUNCTIONS OF HEALTH SYSTEMS

ServiceProvision

Delivering personal and non-personalhealth services

Financing Raising, pooling and allocating

revenues to purchase services

ResourceGeneration

Investing in people, facilities andequipment

Stewardship Acting as overall stewards of the resources,powers and expectations entrusted to them


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HEALTH SYSTEM GOALS:

HEALTH OUTCOMES

Improving aggregate health status

FINANCIAL FAIRNESS

Improving financial risk protection

CLIENT RESPONSIVENESS

Improving client satisfaction


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VISION/MISSION FOR THE HEALTHSECTOR

VISION

Health for all Filipinos

MISSION

Ensure accessibility and quality of

health care to improve the quality of lifeof all Filipinos especially the poor


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MILLENIUM DEVELOPMENTGOALS

Provides a benchmark for thePhilippines and other countries in

setting goals and targets to wipeout poverty and ensure humandevelopment by the year 2015


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MDG GOALS BY 2015

Reduce by two-thirds the under five mortalityrate

Reduce by three-quarters the maternalmortality rate

Halt the spread of HIV/AIDS, malaria andother major diseases

Improve access to safe drinking water


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NATIONAL OBJECTIVES FOR HEALTH

Sets the direction for the implementation ofhealth sector reform

2005-2010 FOCUS:

A. Public Health Program

andB. Institutional management support systems


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A. PUBLIC HEALTH PROGRAM

Prevention and Control of InfectiousDiseases

Prevention and Control of DegenerativeDiseases and lifestyle related diseases

Management of health risks and promotion ofHealthy Lifestyle

Protection and promotion of family healthand health of special population


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B. INSTITUTIONAL MANAGEMENT

SUPPORT SYSTEMS

1. Health System

-Governance

-Financing

- Service delivery

- Regulation

2. Management System

- Procurement- Knowledge management

- Human Resource

- Critical Infrastructure


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Health Sector Reform AgendaHealth

Financing

Hospital

Local Health

Systems

Public

HealthProgram

Health

Regulation


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FOURMULA ONE FOR HEALTHFinancing

Service Delivery

Regulation Governance

PublicHealth

ProgramHospital


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FOURMULA ONE: OVER ALL FRAME

Goals

Better health outcomes

More responsive health system

Equitable health care financing


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HEALTH CARE FINANCING to secure more, better and sustained

investments in health to improve outcomeespecially of the poor

Mobilizing resources from extra budgetaryresources

Coordinating local and national health spending

Focusing on direct subsidies to priority programs

Adopting a performance-based financing system

Expanding the National Health InsuranceProgram


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HEALTH REGULATION

To assure access to quality and affordable healthproducts, devices, facilities and services, especiallythose used by the poor.

Establish a one-stop shop for the licensing of healthfacilities

Automate regulatory systems and processes

Integrate accreditation and certification into a unified sealof approval

Introduce intensive, less frequent incentive basedregulatory procedures

Decentralize regulatory functions to regional offices andLGUs


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THE AVAILABILITY OF LOW-PRICED, QUALITYESSENTIAL MEDICINES SHALL BE ASSURED:

Promoting high quality generic pharmaceuticalproducts

Expanding drug distribution networks (National &LGU hospital pharmacies, Botika ng Barangay,Botika ng Bayan)

Identifying alternative local and foreign sourcesof low-priced branded drugs


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HEALTH SERVICE DELIVERY

to improve accessibility and availability of basic

and essential health care for all, especially thepoor

Ensuring availability of providers of essential healthservices in the locality.

Designation of providers of specific and especialservices in localities

Intensified public health programs in targeted localities


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INTENSIFIED PUBLIC HEALTH PROGRAMSIN SPECIFIC LOCALITIES:Undertaking disease-free zones initiative

Implementing intensified diseaseprevention and control strategy

Enhancing health promotion and diseasesurveillance


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GOVERNANCE

to improve local health system governance and

coordination, enhance public-private partnershipand improving central capabilities to manage thehealth sector

FOUR-IN-ONE advanced implementation sites

LGU FOURmula ONE for Health Score card

FOURmula ONE for Health Expanded Professional career

track.


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LOCAL HEALTH SYSTEMS

THE LOCAL GOVERNMENT CODE : RA 7160

Provided for devolution and decentralization ofhealth services

Autonomy and empowerment of LGUs


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DEVOLUTION OF HEALTH SERVICES

DEPARTMENT OF HEALTH

Office of the Secretary

Centers for Health Development

Execom for National Field Operations


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LOCAL GOVERNMENT UNIT -DEVOLVED

STRUCTURE

Office of the Provincial Governor

Provincial Health Office

Provincial Health Board

Provincial Hospital District Hospital

District Hospital

District Hospital


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LOCAL GOVERNMENT UNITS - DEVOLVED

STRUCTURE

Office of City / Municipal Mayor

Health Center / RHU City / Municipal Hospitals

City / Municipal Health Board

BHS

BHS

BHS


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SITUATION

FRAGMENTATION OF HEALTH SYSTEM

BURDEN OF LOCAL HEALTH CARE FINANCING DID NOTMATCH IRA

INTEGRATED HEALTH CARE PLANNING DISRUPTED

REFERRAL SYSTEM BREAKDOWN HEALTH MANAGEMENT INFORMATION SYSTEM

DISINTEGRATED

DRUG PROCUREMENT PROBLEMS

MISSED OPPORTUNITITES FOR SPECIALTYTRAININGS/LOSS OF CAREER PATH/DEVELOPMENT


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CONSEQUENCES

LOW QUALITY OF HEALTH SERVICES

RE-EMERGINGCOMMUNICABLE

DISEASES (Measles, TB)

IMPROVEMENT IN IMR& MMR INDICESSLOWED DOWN


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DEVOLUTION ALTERED THE MEANS,

IT DID NOT CHANGE THE MISSION

Still the promotion of health

Still the protection from disease

Still assurance of good care

Even more, the mission includes:

Goodness

Fairness in financial burden

Meeting public satisfaction


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LOCAL DRIVERS TO LOCAL HEALTH

SYSTEM CHANGE

Local political interest in health

New patterns of financing health

Popular new health services introduced

Local leaders catalyzing local healthsystem

Improved public health performance


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STRATEGIC OPTION:

Re-establishment of District Health Systemin a Devolved Setting or ILHZ

The present concept of the Inter-Local HealthZone (District Health System in a DevolvedSetting) uses the Inter-LGU Cooperation as

the basic framework to attain agreement


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ILHZ ORGANIZATIONAL FRAMEWORK

ILHZ BOARD

Technical Mgt.Committee

CORE REFERRAL HOSPITAL(district/provincial hospital)

POLICY

Implementation

Service Delivery

RURAL HEALTH

UNITRURAL HEALTH

UNIT

BHS

RURAL HEALTHUNIT

BHS BHS BHS BHS BHS


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KEY PLAYERS IN ILHZ

LCEs, SPs, other Local GovernmentOfficials

PHO, Chief of Hospital, MHOs, other

Healthcare Providers and Support Staff

DOH, PHIC, other Govt Agencies

NGOs, POs, Private Sector

Community Health Workers

Community Members/Leaders


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PROVINCE OF SAMAR 6 INTER-LOCAL HEALTH ZONES

INTERLOCAL HEALTH ZONES DOHREP ASSIGNED

I. ACTSS-ILHZ:1. ALMAGRO MS. FERMINA CONEJOS2. CALBAYOG CITY DR. EUFEMIA ALCANTARA3. TAGAPUL-AN MS. FERMINA CONEJOS

4. STA. MARGARITA DR. EUFEMIA ALCANTARA5. STO. NINO MRS FERMINA CONEJOS

II. PGM-ILHZ1. PAGSANGHAN DR. CRISILDA AGUILAR

2. GANDARA3. MATUGUINAO


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PROVINCE OF SAMAR- INTER LOCAL HEALTH ZONES


III. SAMAR CENTRAL- ILHZ:2.CATBALOGAN MS. JOCELYN NABONG3.JIABONG MR. DOLPHY PATOSA3. ZUMARRAGA

4. SAN JORGE MS. MARIETA CARPUENTE5. TARANGNAN

IV. PAHIMOSAN1.PARANAS MR. SANTIAGO GLORIA JR2.HINABANGAN MS. CRISTITA GABON

3.MOTIONG MS. CRISTITA GABON4. SAN JOSE DE BUAN MR. SANTIAGO GLORIA JR


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PROVINCE OF SAMAR INTERLOCAL HEALTH ZONES


V. SMB NET-ILHZ1. CALBIGA MS. DEOGENES DARADAL2. PINABACDAO 3. DARAM MS. ANNA LISSA BABON

4. SAN SEBASTIAN 5. VILLAREAL MS. DIVINA PISCOS6 TALALORA

VI. SOUTH SAMAR ILHZ

1.. BASEY MS. ALMA BANDOY2. STA. RITA 3. MARABUT

4 philippine health system

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