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Sa Tuwid na Daan, Kalusugang Tuloy Tuloy, para sa Pamilyang PINOY
UHCHigh Impact Five
Universal Health Care High Impact Five (UHC-HI5)
Objectives of UHC HI5
General: To attain key 2015-2016 Universal Health Care (UHC)/Millennium Development Goals (MDG)
Specific: To intensify regional operations and
converge in priority program areas; and
To implement model plans on five (5) key high impact interventions
High Impact Five
I. RATIONALE
Only 10 months left to achieve the UHC / KP Goals, Hi-5 Targets and the monitoring and evaluation of its flagship programs: (1)Maternal Care Program (ANC and FBD, Teenage Pregnancy)(2)Infant Care (FIC, preventing neonatal and infant deaths)(3)Under 5 (IMCI, PCV13) (4)Halting HIV-AIDS (counselling, diagnosis, treatment and
peer interventions) (5)Establishing Service Delivery Network (SDN profiling, mapping and
matching)
High Impact Five
B. KP Caravan with Child
Injury Prevention Campaign
Mandatory for:
1. Senior Citizen
2. Father
3. Mother
4. Adolescent
5. Under Five
B.INTENSIFIED REGIONAL OPERATIONS FOR SPECIAL BREAKTHROUGH SERVICES
C. Buntis Congress
Mandatory Activities:1.Prenatal Services2.Basic laboratory and CBC for the pregnant women3.Oral health 4.Buntis kits5.Blood typing for the primigravid mother & for the husband6.Ultrasound Services
High Impact Five
D. Garantisadong Pambata/ Deworming Mass deworming for children aged 5-12 years shall be carried out nationwide during National Deworming Days
E. Nutrition for ASAPP 3-month long nutrition program that shall be implemented in ASAP areas to improve overall nutritional status of Filipino children
Mandatory
1. With ASAPP – Identify malnourish population
2. Non-ASAPP – Identify at least 3 municipalities/region
3. Feeding program in 3 months
July 30, 2015
July 1, 2015
B. INTENSIFIED REGIONAL OPERATIONS FOR SPECIAL BREAKTHROUGH SERVICES
High Impact Five
G. RAIDERs (Reach And Innovate Desired Rational Scores) Are trained NDPs who shall trace defaulters of immunization and pre- and post-natal services, exclusive breastfeeding and other services being provided. It shall serve as the outreach link between the community and RHUs.
H. Service Delivery Network shall be established in all provinces to identify facilities and providers (both public and private) assigned to priority households and families to ensure continuous access to health services.
I. Voluntary blood donations shall be conducted through the Blood Network existing/to be established in the SDN.
B.INTENSIFIED REGIONAL OPERATIONS FOR SPECIAL BREAKTHROUGH SERVICES
Target population
The rest of the country shall also be targeted in a life cycle approach
AdultsElderly
AdolescentsNeonates, Infants, Children
Preparatory Activities(Mandatory for ALL Regions)
PROFILING Dates 1. Q1/NHTS/Point of Care Nationwide
2. 29 Accelerated and Sustainable Anti-Poverty Program (ASAPP) Municipalities (All Families)
Region XI – 3 ASAPP Region VI – 8 ASAPPRegion VII – 3 ASAPP
3. 35 Whole Nation Initiative (WNI) Municipalities
Region XI – 17 WNI CARAGA – 18 WNI
June 30, 2015
July 31, 2015Sept. 30, 2015June 30, 2015
Dec. 31, 2015
SERVICE DELIVERY NETWORK
Rule 5 of the RPRH Law IRR – Service Delivery Network
The SDN shall be a network of facilities ranging from Barangay Health Stations (BHS), Rural Health Units (RHUs), district and/or city hospitals, to the provincial and/or DOH-retained hospitals.
The DOH and/or the LGU may engage private health facilities or providers (including among others, natural family planning providers) to form part of the SDN.
Why SDN?Strategic response to achieve MDGs 4,5 & 6
No single facility or unit can provide the entire Core Package of Health Care Services
A well coordinated delivery of health services can meet varying needs of population and ensure continuum of care
Categorization included (Urban, Rural, Car line, island, & GIDA/IPs)
Why is it Important to UHC
Service Delivery Network
An organized and strong SDN will ensure coordination of health services across all levels of the health care
Mapping of available services for individuals and families
Identifying gaps in service delivery
Providing support to health facilities with identified gaps
SDN MORE EFFICIENT AND EFFECTIVE SERVICE DELIVERY
Why is it Important to UHC
Service Delivery Network
Ensure No Balance Billing for NHTS as agreed in the MOA or MOU
NHTS Families have access to quality hospital and public health services based on matching of clients vs. Facilities / Providers
The referral mechanism promotes appropriate level of care which contributes to achievement of MDGs
SDN MORE EFFICIENT AND EFFECTIVE SERVICE DELIVERY
What makes up a SDN? Network of health facilities and
providers within the province or city-wide health system that offers a core package of health care services in an integrated and coordinated manner.
Can be as small as one City / Municipal LGU and huge as provincial or regional SDN
It has both transportation and communication support system
SDN Composition
RHUs/CHOs
Other health facilities
District/ Municipal Hospitals
GPs/ Specialists/Private
Practitioners
Provincial Hospitals
Cebu City SDN Composition
CHO: BHCs in 5 health areas Other health
facilities : private birthing
clinics/ diagnostic centers / blood
centers
City Hospitals: CCMC, SAMCH,
GCH
GPs/ Specialists/Private
Practitioners
Private hospitals: CHH, CVGH, CDU, NGH, PSH, VGH, SHH, AH, VCMMC/
Steps of SDN Establishment
Identify Needs of Priority
Population
Mapping Available
Health Care Providers
Designating Population to
Facilities
Monitoring and Evaluation
Instructions
A. Identify the Priority Population The poor shall be the priority population.
The NHTS poor list and other government measures shall be used in identifying the priority population
The PHO shall determine the municipalities and component cities with NHTS – PR poor households. While the City Health Officer (CHO) of independent / chartered cities shall identify barangays
Service Delivery Network
Profiling: Clients, Health Care Providers, & Facilities To establish baseline
data on target clients, health care providers,
and health facilities.1
OBJECTIVES
will include updating & completion of the current databases of target clients, health providers, & health facilities.
will create comprehensive SDN directory
To develop a comprehensive
directory of Health care providers to improve access of the target
clients to their matched SDN
(provider & facility).
2
PROCESS
Data Collection and Validation
Collation of data at RHU level
Collation of data at the Provincial level
Matching
BHW & NDP
SDN Form
Service Delivery Network
Data Collection Tool (SDN form)
There are standard definitions for each field required in this form.
It is important that every data collector, validator, and analyzer knows how each term is used and how answers are to be indicated in each field.
Team must level off their understanding on how to properly accomplish this form. (e.g codes to be used, standard formats for date, age, AOG, etc.)
Steps of SDN Establishment
Identify Needs of Priority
Population
Mapping Available
Health Care Providers
Designating Population to
Facilities
Monitoring and Evaluation
ObjectivesTo identify available health care providers based on the location of the population
Steps in Mapping HCP 1. List specific health services which shall be indicated as
services for FP / MCH ( ANC, Maternal & NB care, PP care, infant & child care)
2. Write the name and address of health provider for each service
3. Identify if facility is public or private
4. Indicate PHIC accreditation (Hospitals – Level 1, 2, 3; RHU / Clinics – PCB, MCP, NCP)
5. Indicate days and time the facility is open (Mon – Fri 8-5; 24 hrs etc.)
6. Indicate cost of service
7. Write complete name of contact person and number of health provider (template p5)
Steps of SDN Establishment
Identify Needs of Priority
Population
Mapping Available
Health Care Providers
Designating Population to
Facilities
Monitoring and Evaluation
ObjectivesTo match the needs of the priority
population to network of health providers
To engage the available health providers
To determine the support services needed in assisting the referral of clients
Service Delivery Network
Facility-client matching via Letters for Families
Service Delivery Network
Letters for the Facility
Steps of SDN Establishment
Identify Needs of Priority
Population
Mapping Available
Health Care Providers
Designating Population to
Facilities
Monitoring and Evaluation
Roles and ResponsibilitiesC. Local Government Units (LGUs) are encouraged and
shall be assisted to: Overall execute the steps in establishing SDN Support the mobilization of CHTs to sustain
demand generation activities in the field Ensure that RH services are accessible and
available to priority population provided that it is delivered by skilled professionals
Ensure that priority population will be provided with support services such as transportation and communication assistance and / or maternity waiting home especially to clients living in GIDA areas
Good Health = Good Governance
Daghang Salamat.
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