Philippine Health Care Delivery System
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1
Functions of the Department of Health in the Health Sector (LEA)
Serve as national policy and regulatory institution
Serve as national policy and regulatory institution
Functions of the Department of Health in the Health Sector (LEA)
Leadership in Health
Serve as national policy and regulatory institution
Leadership in Health
Serve as national policy and regulatory institution
2
Functions of the Department of Health in the Health Sector (LEA)
Provide leadership in formulation, monitoring, and evaluation of national policies, plans and programs.
Provide leadership in formulation, monitoring, and evaluation of national policies, plans and programs.
Functions of the Department of Health in the Health Sector (LEA)
Leadership in Health
Provide leadership in formulation, monitoring, and evaluation of national policies, plans and programs.
Leadership in Health
Provide leadership in formulation, monitoring, and evaluation of national policies, plans and programs.
3
Functions of the Department of Health in the Health Sector (LEA)
Serve as advocate in the adoption of health policies, plans and programs
Serve as advocate in the adoption of health policies, plans and programs
Functions of the Department of Health in the Health Sector (LEA)
Leadership in Health
Serve as advocate in the adoption of health policies, plans and programs
Leadership in Health
Serve as advocate in the adoption of health policies, plans and programs
4
Functions of the Department of Health in the Health Sector (LEA)
Innovate new strategies in health
Innovate new strategies in health
Functions of the Department of Health in the Health Sector (LEA)
Enabler and Capacity
Innovate new strategies in health
Enabler and Capacity
Innovate new strategies in health
5
Functions of the Department of Health in the Health Sector (LEA)
Exercise oversight functions and monitoring and evaluation of national health plans, programs, and policies
Exercise oversight functions and monitoring and evaluation of national health plans, programs, and policies
Functions of the Department of Health in the Health Sector (LEA)
Enabler and Capacity
Exercise oversight functions and monitoring and evaluation of national health plans, programs, and policies
Enabler and Capacity
Exercise oversight functions and monitoring and evaluation of national health plans, programs, and policies
6
Functions of the Department of Health in the Health Sector (LEA)
Ensure the highest achievable standards of quality health care, health promotion, and health protection
Ensure the highest achievable standards of quality health care, health promotion, and health protection
Functions of the Department of Health in the Health Sector (LEA)
Enabler and Capacity
Ensure the highest achievable standards of quality health care, health promotion, and health protection
Enabler and Capacity
Ensure the highest achievable standards of quality health care, health promotion, and health protection
7
Functions of the Department of Health in the Health Sector (LEA)
Manage selected national health facilities and hospitals with modern and advanced facilities (tertiary)
Manage selected national health facilities and hospitals with modern and advanced facilities (tertiary)
Functions of the Department of Health in the Health Sector (LEA)
Administrator of Specific Services
Manage selected national health facilities and hospitals with modern and advanced facilities (tertiary)
Administrator of Specific Services
Manage selected national health facilities and hospitals with modern and advanced facilities (tertiary)
8
Functions of the Department of Health in the Health Sector (LEA)
Administer direct services for emergent health concerns that require new complicated technologies
Administer direct services for emergent health concerns that require new complicated technologies
Functions of the Department of Health in the Health Sector (LEA)
Administrator of Specific Services
Administer direct services for emergent health concerns that require new complicated technologies
Administrator of Specific Services
Administer direct services for emergent health concerns that require new complicated technologies
9
Functions of the Department of Health in the Health Sector (LEA)
Administer health emergency response
Administer health emergency response
Functions of the Department of Health in the Health Sector (LEA)
Administrator of Specific Services
Administer health emergency response
Administrator of Specific Services
Administer health emergency response
10
DOH Vision: Filipinos are among the healthiest people in Southeast Asia by , and Asia by .
DOH Vision: Filipinos are among the healthiest people in Southeast Asia by 2022, and Asia by 2040.
11
DOH Mission (PREP): To lead the country in the development of a p , resilient, equitable, and people-centered health system
DOH Mission (PREP): To lead the country in the development of a productive, resilient, equitable, and people-centered health system
12
DOH Mission (PREP): To lead the country in the development of a productive, r , equitable, and people-centered health system
DOH Mission (PREP): To lead the country in the development of a productive, resilient, equitable, and people-centered health system
13
DOH Mission (PREP): To lead the country in the development of a productive, resilient, e , and people-centered health system
DOH Mission (PREP): To lead the country in the development of a productive, resilient, equitable, and people-centered health system
14
DOH Mission (PREP): To lead the country in the development of a productive, resilient, equitable, and p health system
DOH Mission (PREP): To lead the country in the development of a productive, resilient, equitable, and people-centered health system
15
The overriding goal of DOH:
The overriding goal of DOH: Health Sector Reform Agenda (HSRA)
16
The framework for the implementation of HSRA:
The framework for the implementation of HSRA: FOURmula ONE for Health (2005-2010)
17
Five Pillars of FOURmula ONE for Health (FRS GG PAc)
To foster greater, better and sustained investments in health (PHILHEALTH)
To foster greater, better and sustained investments in health (PHILHEALTH)
Five Pillars of FOURmula ONE for Health (FRS GG PAc)
Health Financing
To foster greater, better and sustained investments in health (PHILHEALTH)
Health Financing
To foster greater, better and sustained investments in health (PHILHEALTH)
18
Five Pillars of FOURmula ONE for Health (FRS GG PAc)
To ensure the affordability and quality of health goods and services
To ensure the affordability and quality of health goods and services
Five Pillars of FOURmula ONE for Health (FRS GG PAc)
Health Regulation
To ensure the affordability and quality of health goods and services
Health Regulation
To ensure the affordability and quality of health goods and services
19
Five Pillars of FOURmula ONE for Health (FRS GG PAc)
To improve and ensure the accessibility and availability of basic and essential health care
To improve and ensure the accessibility and availability of basic and essential health care
Five Pillars of FOURmula ONE for Health (FRS GG PAc)
Health Service Delivery
To improve and ensure the accessibility and availability of basic and essential health care
Health Service Delivery
To improve and ensure the accessibility and availability of basic and essential health care
20
Five Pillars of FOURmula ONE for Health (FRS GG PAc)
To enhance health system performance at the national and local levels (transparent, accountable, and efficient)
To enhance health system performance at the national and local levels (transparent, accountable, and efficient)
Five Pillars of FOURmula ONE for Health (FRS GG PAc)
Good Governance
To enhance health system performance at the national and local levels (transparent, accountable, and efficient)
Good Governance
To enhance health system performance at the national and local levels (transparent, accountable, and efficient)
21
Levels of Health Care and Health Referral System
Devolved to the cities and municipalities
Devolved to the cities and municipalities
Levels of Health Care and Health Referral System
Primary level of care
Devolved to the cities and municipalities
Primary level of care
Devolved to the cities and municipalities
22
Levels of Health Care and Health Referral System
Health care provided by center physicians, public health nurses, rural health midwiwes, barangay health workers, traditional healers
Health care provided by center physicians, public health nurses, rural health midwiwes, barangay health workers, traditional healers
Levels of Health Care and Health Referral System
Primary level of care
Health care provided by center physicians, public health nurses, rural health midwiwes, barangay health workers, traditional healers
Primary level of care
Health care provided by center physicians, public health nurses, rural health midwiwes, barangay health workers, traditional healers
23
Levels of Health Care and Health Referral System
Barangay Health Stations
Barangay Health Stations
Levels of Health Care and Health Referral System
Primary level of care
Barangay Health Stations
Primary level of care
Barangay Health Stations
24
Levels of Health Care and Health Referral System
Rural Health Unit
Rural Health Unit
Levels of Health Care and Health Referral System
Primary level of care
Rural Health Unit
Primary level of care
Rural Health Unit
25
Levels of Health Care and Health Referral System
Community Hospitals
Community Hospitals
Levels of Health Care and Health Referral System
Primary level of care
Community Hospitals
Primary level of care
Community Hospitals
26
Levels of Health Care and Health Referral System
Health Centers
Health Centers
Levels of Health Care and Health Referral System
Primary level of care
Health Centers
Primary level of care
Health Centers
27
Levels of Health Care and Health Referral System
Puericulture Center
Puericulture Center
Levels of Health Care and Health Referral System
Primary level of care
Puericulture Center
Primary level of care
Puericulture Center
28
Levels of Health Care and Health Referral System
Given by physicians with basic health training
Given by physicians with basic health training
Levels of Health Care and Health Referral System
Secondary level of care
Given by physicians with basic health training
Secondary level of care
Given by physicians with basic health training
29
Levels of Health Care and Health Referral System
Serves as a referral center for the primary health facilities
Serves as a referral center for the primary health facilities
Levels of Health Care and Health Referral System
Secondary level of care
Serves as a referral center for the primary health facilities
Secondary level of care
Serves as a referral center for the primary health facilities
30
Levels of Health Care and Health Referral System
Capable of performing minor surgeries and perform some simple laboratory examinations
Capable of performing minor surgeries and perform some simple laboratory examinations
Levels of Health Care and Health Referral System
Secondary level of care
Capable of performing minor surgeries and perform some simple laboratory examinations
Secondary level of care
Capable of performing minor surgeries and perform some simple laboratory examinations
31
Levels of Health Care and Health Referral System
Emergency/District Hospitals
Emergency/District Hospitals
Levels of Health Care and Health Referral System
Secondary level of care
Emergency/District Hospitals
Secondary level of care
Emergency/District Hospitals
32
Levels of Health Care and Health Referral System
Provincial/City Health Sevices
Provincial/City Health Sevices
Levels of Health Care and Health Referral System
Secondary level of care
Provincial/City Health Sevices
Secondary level of care
Provincial/City Health Sevices
33
Levels of Health Care and Health Referral System
Provincial/City Hospitals
Provincial/City Hospitals
Levels of Health Care and Health Referral System
Secondary level of care
Provincial/City Hospitals
Secondary level of care
Provincial/City Hospitals
34
Levels of Health Care and Health Referral System
Rendered by specialists in health facilities
Rendered by specialists in health facilities
Levels of Health Care and Health Referral System
Tertiary level of care
Rendered by specialists in health facilities
Tertiary level of care
Rendered by specialists in health facilities
35
Levels of Health Care and Health Referral System
Referral center for the secondary care facilities
Referral center for the secondary care facilities
Levels of Health Care and Health Referral System
Tertiary level of care
Referral center for the secondary care facilities
Tertiary level of care
Referral center for the secondary care facilities
36
Levels of Health Care and Health Referral System
Complicated cases and intensive care
Complicated cases and intensive care
Levels of Health Care and Health Referral System
Tertiary level of care
Complicated cases and intensive care
Tertiary level of care
Complicated cases and intensive care
37
Levels of Health Care and Health Referral System
Regional Health Services
Regional Health Services
Levels of Health Care and Health Referral System
Tertiary level of care
Regional Health Services
Tertiary level of care
Regional Health Services
38
Levels of Health Care and Health Referral System
Regional Medical Centers and Training Hospitals
Regional Medical Centers and Training Hospitals
Levels of Health Care and Health Referral System
Tertiary level of care
Regional Medical Centers and Training Hospitals
Tertiary level of care
Regional Medical Centers and Training Hospitals
39
Levels of Health Care and Health Referral System
National Health Services
National Health Services
Levels of Health Care and Health Referral System
Tertiary level of care
National Health Services
Tertiary level of care
National Health Services
40
Levels of Health Care and Health Referral System
Medical Centers
Medical Centers
Levels of Health Care and Health Referral System
Tertiary level of care
Medical Centers
Tertiary level of care
Medical Centers
41
Levels of Health Care and Health Referral System
Teaching and Training Hospitals
Teaching and Training Hospitals
Levels of Health Care and Health Referral System
Tertiary level of care
Teaching and Training Hospitals
Tertiary level of care
Teaching and Training Hospitals
42
The national authority for health:
The national authority for health: DOH
43
The 3 functions of DOH in the health sector is mandated by
The 3 functions of DOH in the health sector is mandated by EO 102
44
The measure of "healthiest" in the mission of DOH:
The measure of "healthiest" in the mission of DOH: Life Expectancy
45
Minimum salargy grade of public health nurses: Salary Grade
Minimum salargy grade of public health nurses: Salary Grade 15 (36K/month)
46
Levels of Health Care and Health Referral System
Most accessible (within 3-5 km radius/30 minutes)
Most accessible (within 3-5 km radius/30 minutes)
Levels of Health Care and Health Referral System
Primary level of care
Most accessible (within 3-5 km radius/30 minutes)
Primary level of care
Most accessible (within 3-5 km radius/30 minutes)
47
Levels of Health Care and Health Referral System
Basic (simple) health care services
Basic (simple) health care services
Levels of Health Care and Health Referral System
Primary level of care
Basic (simple) health care services
Primary level of care
Basic (simple) health care services
48
Levels of Health Care and Health Referral System
Smallest unit
Smallest unit
Levels of Health Care and Health Referral System
BHS
Smallest unit
BHS
Smallest unit
49
Levels of Health Care and Health Referral System
Common medical procedure
Common medical procedure
Levels of Health Care and Health Referral System
Secondary level of care
Common medical procedure
Secondary level of care
Common medical procedure
50
Levels of Health Care and Health Referral System
Common diagnostic procedures
Common diagnostic procedures
Levels of Health Care and Health Referral System
Secondary level of care
Common diagnostic procedures
Secondary level of care
Common diagnostic procedures
51
Levels of Health Care and Health Referral System
Surgical procedures
Surgical procedures
Levels of Health Care and Health Referral System
Secondary level of care
Surgical procedures
Secondary level of care
Surgical procedures
52
Levels of Health Care and Health Referral System
Complex/advanced healthcare services
Complex/advanced healthcare services
Levels of Health Care and Health Referral System
Tertiary level of care
Complex/advanced healthcare services
Tertiary level of care
Complex/advanced healthcare services
53
Levels of Health Care and Health Referral System
Satellite station
Satellite station
Levels of Health Care and Health Referral System
BHS
Satellite station
BHS
Satellite station
54
Levels of Health Care and Health Referral System
Main primary center
Main primary center
Levels of Health Care and Health Referral System
RHU
Main primary center
RHU
Main primary center
55
Levels of Health Care and Health Referral System
BHS is manned by the and
BHS is manned by the and
Levels of Health Care and Health Referral System
BHS is manned by the public health midwife and BHWs
BHS is manned by the public health midwife and BHWs
56
Levels of Health Care and Health Referral System
RHU Healthcare Team
- frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
RHU Healthcare Team
- frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
Levels of Health Care and Health Referral System
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
57
Levels of Health Care and Health Referral System
RHU Healthcare Team
Public Health Midwife - frontline
- supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
RHU Healthcare Team
Public Health Midwife - frontline
- supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
Levels of Health Care and Health Referral System
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
58
Levels of Health Care and Health Referral System
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
- manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
- manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
Levels of Health Care and Health Referral System
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
59
Levels of Health Care and Health Referral System
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
- laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
- laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
Levels of Health Care and Health Referral System
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
60
Levels of Health Care and Health Referral System
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
- environmental sanitation
Dentist - dental health program
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
- environmental sanitation
Dentist - dental health program
Levels of Health Care and Health Referral System
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
61
Levels of Health Care and Health Referral System
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
- dental health program
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
- dental health program
Levels of Health Care and Health Referral System
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
RHU Healthcare Team
Public Health Midwife - frontline
Public Health Nurse - supervisor
Health Officer/Rural Health Physician - manager
Medical Technologist - laboratory
Sanitary Inspector - environmental sanitation
Dentist - dental health program
62
The goal of the DOH is which is evaluated every 5 years
The goal of the DOH is NOH (National Objectives for Health) which is evaluated every 5 years
63
The goal of the DOH is NOH (National Objectives for Health) which is evaluated every
The goal of the DOH is NOH (National Objectives for Health) which is evaluated every 5 years
64
Five Pillars of FOURmula ONE for Health (FRS GG PAc)
The national health insurance program (NHIP) -
The national health insurance program (NHIP) -
Five Pillars of FOURmula ONE for Health (FRS GG PAc)
The national health insurance program (NHIP) - PhilHealth
The national health insurance program (NHIP) - PhilHealth
65
Five Pillars of FOURmula ONE for Health (FRS GG PAc)
Outcome-based approach; evaluation of the program
Outcome-based approach; evaluation of the program
Five Pillars of FOURmula ONE for Health (FRS GG PAc)
Performance Accountability
Outcome-based approach; evaluation of the program
Performance Accountability
Outcome-based approach; evaluation of the program
66
- Universal Health Care Law
RA 11223 - Universal Health Care Law
67
RA 11223 -
RA 11223 - Universal Health Care Law
68
RA 11223 - UHC Law
All Filipinos are automatically enrolled in
Case Rate Method - based per diagnosis
Dengue: 10K
Severe Dengue: 16K
All Filipinos are automatically enrolled in
Case Rate Method - based per diagnosis
Dengue: 10K
Severe Dengue: 16K
RA 11223 - UHC Law
All Filipinos are automatically enrolled in PhilHealth
Case Rate Method - based per diagnosis
Dengue: 10K
Severe Dengue: 16K
All Filipinos are automatically enrolled in PhilHealth
Case Rate Method - based per diagnosis
Dengue: 10K
Severe Dengue: 16K
69
RA 11223 - UHC Law
All Filipinos are automatically enrolled in PhilHealth
- based per diagnosis
Dengue: 10K
Severe Dengue: 16K
All Filipinos are automatically enrolled in PhilHealth
- based per diagnosis
Dengue: 10K
Severe Dengue: 16K
RA 11223 - UHC Law
All Filipinos are automatically enrolled in PhilHealth
Case Rate Method - based per diagnosis
Dengue: 10K
Severe Dengue: 16K
All Filipinos are automatically enrolled in PhilHealth
Case Rate Method - based per diagnosis
Dengue: 10K
Severe Dengue: 16K
70
RA 11223 - UHC Law
All Filipinos are automatically enrolled in PhilHealth
Case Rate Method - based per diagnosis
Dengue:
Severe Dengue: 16K
All Filipinos are automatically enrolled in PhilHealth
Case Rate Method - based per diagnosis
Dengue:
Severe Dengue: 16K
RA 11223 - UHC Law
All Filipinos are automatically enrolled in PhilHealth
Case Rate Method - based per diagnosis
Dengue: 10K
Severe Dengue: 16K
All Filipinos are automatically enrolled in PhilHealth
Case Rate Method - based per diagnosis
Dengue: 10K
Severe Dengue: 16K
71
RA 11223 - UHC Law
All Filipinos are automatically enrolled in PhilHealth
Case Rate Method - based per diagnosis
Dengue: 10K
Severe Dengue:
All Filipinos are automatically enrolled in PhilHealth
Case Rate Method - based per diagnosis
Dengue: 10K
Severe Dengue:
RA 11223 - UHC Law
All Filipinos are automatically enrolled in PhilHealth
Case Rate Method - based per diagnosis
Dengue: 10K
Severe Dengue: 16K
All Filipinos are automatically enrolled in PhilHealth
Case Rate Method - based per diagnosis
Dengue: 10K
Severe Dengue: 16K
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