CHN CHAPTER 2 Flashcards

(45 cards)

1
Q

Philippine health care delivery system is composed of two sectors:

A

the public sector
the private sector

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2
Q

Philippine health care delivery system which is
-financed through a tax-based budgeting system both national & local events.
-Health care is given free at point of service.
-national (DOH) & local government agencies

A

Public sector

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3
Q

Philippine health care delivery system which is
-a market oriented
-health is paid through user fees at point of service.

A

Private sector

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4
Q

At the national level ___ is appointed as the lead agency in health.

A

DOH

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5
Q

With the devolution of health services, the local health system is now run by___

A

Local Government Units (LGUs)

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6
Q

health centers/rural health units (RHUs) and barangay health stations (BHSs) are under

A

city/municipal government

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6
Q

Provincial & district hopsital are under___

A

Public/provincial Government

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7
Q

Its function is mainly to serve as advisory body to the local executive and the sanggunian or local legislative council on health-related matters.

A

local chief executive

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8
Q

public health nurse to population ratio

A

1:20,000

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9
Q

EO 851

A

MINISTRY OF HEALTH
-combines public health
and hospital operations under the Provincial Health Officers.

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10
Q

EO 119

A

“Reorganizing the Ministry of Health”
transformed the Ministry of Health back to the Department of Health.

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11
Q

RA 7160

A

Local Government Code/ DECENTRALIZATION of entire government

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12
Q

mandates the Department of Health to provide assistance to local
government units, people’s organization, and other members of civic society
- implementing programs, projects and services that will promote the
health and well being of every Filipino

A

EO 102

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13
Q

Roles and Functions of DOH

A

-Leadership in Health
-Enabler and Capacity Builder
-Administrator of Specific Services

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14
Q

-Serve as a National policy and regulatory institution,which other insitutions will anchor their thrusts and
directions for health.
- leadership in the formulation, monitoring and evaluation of national
health policies, plans and programs.
- Serve as advocate in the adoption of health policies, plans and programs.

A

leadership in health

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15
Q

-Innovate new strategies in health to improve the effectiveness of health programs. ensure informed public participation in policy decision-making.
- evaluation of national health
plans, programs and policies.
- Ensure the highest achievable standards of quality health care

A

-Enabler and Capacity Builder

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16
Q

-Manage selected national health facilities and hospitals with modern and advanced facilities.
-national and sub-national levels that are referral centers for health system.
- Administer direct services for emergent health concerns that require new complicated technologies. specific programs like tuberculosis, schistosomiasis,
HIV-AIDS.
- Administer health emergency response services

A

Administrator of Specific Services

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17
Q

The DOH is the leader, staunch advocate and model in promoting Health for All
in the Philippines.

A

Vision of DOH

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18
Q

Guarantee equitable, sustainable and quality health for all Filipinos, especially
the poor and shall lead the quest for excellence in health.

19
Q

GOAL OF DOH

A

Health Sector Reform Agenda (HSRA)
-Support mechanisms
will be through sound organizational development, strong policies, systems and
procedures, capable human resources and adequate financial resources.

20
Q

Rationale for Health Sector Reform

A
  • Slowing down in the reduction in the Infant Mortality Rate (IMR) and the Maternal Mortality Rate (MMR).
  • Persistence of large variations in health status across population groups and
    geographic areas.
  • high burden from infectious diseases.
  • Rising burden from chronic and degenerative diseases.
  • Unattended emerging health risks from environmental and work related factors.
  • Burden of disease is heaviest on the poor.
21
Q

It intends to implement critical interventions as a single package-backed by effective management infrastructure and financing arrangements following a sectorwide approach.

A

Framework for Implementation of HSRA: FOURmula ONE for Health

22
Q

Goals of FOURmula ONE for Health

A
  1. Better health outcomes
  2. More responsive health systems
  3. Equitable health care financing
23
Q

The four elements of the FOURmula one strategy are:

A

Health financing : better investment in health
Health regulation: quality & affordability of health services
Health service delivery: accessibility & availability of basic and essential health care
Good governance: enhance health system performance

24
The NHIP as key feature of FOURmula one supports each of the elements in terms of:
financing: reduce financial burden on filipino health care cost governance: influencing healthcare market regulation: accreditation and improved performance in health sector service delivery: fair compensation in providing essential goods & services
25
-espoused by the Department of Health in order to ensure quality of health care service at the local level. -individuals, communities and all other health care providers in a well- defined geographical area participate together in providing quality equitable and accessible health care.
Inter local health system
26
Composition of the Inter-Local Health Zone
P-B-H-H People: vary from zone to zone; population size between 1 00,000 and 500,000 for optimum efficiency and effectiveness. Boundaries: Locations and access to referral facilities Health Facilities: health services deciding to work together as an integrated health system. Health Workers: f health providers is needed to deliver comprehensive health services.
27
-An essential health care made universally accessible to individuals and families in the community -Acceptable to them through their full participation and at a cost that the community and country can afford at every stage of development
PHC Primary Health Care
28
PHC was declared during
During First International Conference; held in alma ata USSR (Soveit Union) on September 6-12, 1978 by WHO
29
"Health tor All by the year 2000".
PHC
30
"Health in the Hands of the People by 2020."
LOI 949; by President Marcos on October 19, 1979
31
Elements/ Components of Primary Healthcare
-Environmental Sanitation (adequate safe water & good waste disposal) -Control of Communicable Diseases -Immunization -Health Education -Maternal and Child Health and Family Planning -Adequate Food and Proper Nutrition -Provision of Medical Care and Emergency Treatment -Treatment of Locally Endemic Diseases -Provision of Essential Drugs
32
Strategies of PHC
- Reorientation and reorganization of the national health care system, under devolution/local government code -Effective preparation and enabling process for health action at all levels. -Mobilization of people and know their communities -Development and utilization of appropriate technology - Organization of communities -Increase opportunities for community participation -Development of intra-sectoral linkages -Emphasizing partnership
33
**Four Cornerstones/Pillars in Primary Health Care
I. Active community participation 2. Intra and inter-sectoral linkages 3. Use of appropriate technology 4. Support mechanism made available
34
***TYPES OF PRIMARY HEALTH CARE WORKERS
Primary & Secondary
35
The types vary in different communities depending upon:
* Available health manpower resources * Local health needs and problems * Political and financial feasibility
36
Two levels of primary health care workers have been identified
-Village or Barangay Health Workers (V/BHWs) -Intermediate level health workers.
37
Village or Barangay Health Workers (V/BHWs)
-Community health workers -Health auxiliary volunteer -traditional birth attendant/ healer
38
Intermediate level health workers.
Medical practiotioners Public Health Nurse Rural Sanitary Inspectors Midwives
39
the first contact between the community members and the other levels of health facility.
Primary health facility -by center physician
40
capable of performing minor surgeries and perform some simple laboratory examinations.
Secondary facilities -physician with basic health training
41
-is the referral center for the secondary care facilities. -Complicated cases and intensive care
Tertiary level of care
42
PRIMARY
-BHS -RHU -Community hospital & health centers -Private practitioners/Puericulture centers
43
Secondary
-District hospital/ Emergency -Provincial/ city health services/ City Hospital
44
Tertiary
-Regional health services -National Health services