FAMILY AND COMMUNITY MEDICINE NOV.

10, 2014
Module No.1

DEPARTMENT OF HEALTH
I-A BATCH2018
(Kagawaran ng Kalusugan)
NRN P. Mendoza, MD, DFM
3
OUTLINE <Subject>
I. Department of Health and its Mandate
<Lecture Title>
a. Vision and Mission
b. DOH
<Lecture>
i. 3 Major Roles of DOH
ii. Mandate of DOH
iii. DOH retained hospitals
(NCR)
II. Devolution of Services
a. Devolution
i. Aims
ii. Issues
b. Second Heading 2
III. Primary Health Care
a. Primary Health Care vs.Primary Care
b. Alma ata conference: 1978
c. 4 As of Primary Health Care
*Bigger Figure 2-1 at the last page of this trans
d. 3 Aspects of Primary Health
e. 8 Essential elements of PHC
Central Office: Central bureaus and services
f. 4 Pillars of PHC
g. Community Participation in PHC Every region: Centers for health development
i. Methods to promote and DOH-retained hospitals
maintain community
participation DOH retained hospitals (NCR)
Amang Rodriguez Medical Center
LEGEND
Batanes General Hospital
From the Lecture/powerpoint slides Dr. Jose Fabella Memorial Hospital
From AUDIO RECORDING OF LECTURER Dr. Jose N. Rodriguez Memorial Hospital
East Avenue Medical Center
Jose R. Reyes Memorial Medical Center
Las Pias General Hospital & Satellite Trauma Center
Lung Center of the Philippines
National Center for Mental Health
National Children's Hospital
National Kidney & Transplant Institute
Philippine Children's Medical Center
DEPARTMENT OF HEALTH AND ITS MANDATE Philippine Orthopedic Hospital
Vision and Mission Philippine Heart Center
Vision by 2030 Quirino Memorial Medical Center
A global leader for attaining better health outcomes, Research Institute for Tropical Medicine
competitive and responsive health care system, and Rizal Medical Center
equitable health financing San Lazaro Hospital
San Lorenzo Ruiz Women's Hospital
Mission Tondo Medical Center
To guarantee equitable, sustainable and quality health for all Valenzuela Medical Center
Filipinos, especially the poor, and to lead the quest for
excellence in health
DEVOLUTION OF HEALTH SERVICES
Department of Health Devolution
Over-all technical authority on health (Setting the guidlines Administrative category of decentralization
and standards) Involves legal transfer of administrative powers to political
National health policy-maker units
Regulator of all health services and products Health providers come under the management of non-health
Provider of special tertiary health care services and technical managers
assistance to health providers and stakeholders(e.g. Setting Local Government Code of 1991
the thresholds on professional fees of doctors, etc.) o Agriculture extension, forest management, health
services, barangay roads and social welfare
3 Major Roles of DOH responsibility given to local government units
o Administrative autonomy (raise local revenues,
Leadership in health
borrow and determine types of local expenditure)
Enabler and capacity builder(Provide trainings, etc.)
Administrator of specific services (Services that would Aims
specifically cater to the needs of the Filipinos)
Increase resource base for primary care
Mandate of DOH o shift resources from central to peripheral locations
Expand decision making space of middle and lower level
Develop national plans, technical standards, and guidelines managers
on health o increase responsiveness of sub national authorities
to local health needs and situations

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FCM DEPARTMENT OF HEALTH (Kagawaran ng Kalusugan) Lecture 3 Module 1

Enhance efficiency and effectiveness of health services PROGRAM FOR THE ELDERLY WOULD YOU STILL
management through prompt and appropriate middle level BE ECONOMICALLY PRODUCTIVE OR NOT? (NO,
management decision-making AALAGAAN NG MGA NAGWOWORK YUNG SICK.)
Governments have a responsibility for the health of their
people. MGA SQUATTERS NA NAGSQUAT,
PINAPAGAWAN NG BAHAY
Primary health care is the key to attaining this target as part
of development in the spirit of social justice.

4 As of Primary Health Care

Accessible
Available
Acceptable
Affordable

3 Aspects of Primary Health

Cure
Prevention
Issues Promotion
Lack of sufficient financial commitment and capability
Political priority setting over health needs priority setting 8 Essential elements of PHC
Lack of sufficient revenue base for operational costs Health education
Loss of cohesion in health referral system Treatment of locally endemic diseases
Need for collaboration and coordination for health of different Expanded Program on Immunization KASAMA SA EPI
LGUs OPV,DPT, MEASLES, HEPATITIS(VACCINES)
Maternal and Child Health
Source: J. Grundy, V. Healy, L. Gorgolon, E. Sandig, 2003 Provision of Essential DrugsUNDER DOH MAY
PHILIPPINE NATIONAL DRUG FORMULARY.(?)
PRIMARY HEALTH CARE Nutrition
HINDI SIYA YUNG MEDICAL TOURISM, EXECUTIVE CHECK Treatment of communicable and non-communicable
UP TAPOS MAY OVERNIGHT STAY SA HOTEL AND diseases PANTAY NA SILA IN TERMS OF
BREAKFAST FOR TWO... PREVALENCE.KAYA GUMAGAWA NA NG PACKAGES
Essential health care based on: DIN FOR NCDS
o Practical Safe water and good waste disposal
o Scientifically sound
o Socially acceptable methods
Technologically made universally accessible to individuals
4 Pillars of PHC
and families Active Community Participation
Through full community participation at a cost they can Intra and Inter-sectoral linkages
afford Use of appropriate technology
In the spirit of self reliance and self determination Support mechanism made available

Primary Health Care vs.Primary Care Community Participation in PHC

DAPAT MADIFFERENTIATE NIYO YAN DALAWA, SO Enable service users to participate in decisions about their
MASASAGOT NIYO YAN SA EXAM health SHOULD BE OWNED BY COMMUNITY SO IT CAN
BE SUSTAINED BY COMMUNITY.
Primary Health Care Primary Care Ensure that services are responsive to identified needs
Special focus on low Common concept in Positively contribute to
resource countries industrialized o Health outcomes
Level AND philosophy countries o Building of trust between users and service
providers
of care Level of care
o Identifying the needs of the most marginalised
Principles of social 1st point of access
communities
justice and equity Personalized, with
Continuum of participation
Requires community continuity of servies
o Information
participation and Provided by health
o Consultation
political support professionals
o Partnership
o Full delegation and control
Source: C. Haq, T. Hall, D. Thompson, J. Bryant, 2009
Source: J. Pillinger, 2010
Alma ata conference: 1978
Goal of health for all by 2000 Methods to promote and maintain community participation
Joint project planning
Declaration of Alma Ata
Key persons to coordinate and manage project
Health, which is a state of complete physical, mental and Mapping of community resources
social well-being....is a fundamental human right
Information sharing
SINO YUNG ITITREAT MO YUNG GOOD CITIZEN O
Recruitment of local community volunteers volunteers
MAMAMATAY TAO? (na bleeding to death.)
YOU NEED COMMUNITY VOLUNTEERS TO
The attainment of the highest possible level of health is MANAGE SO WHEN YOU LEAVE MAY PAPALIT.
a most important world-wide social goal...

WALA PANG IDENTIFIED CASE EBOLA SA
Training and capacity building of community
COUNTRY PERO AGIT NA YUNG MGA TAO. MAY
representatives
MGA TRAINING NA
The promotion and protection of the health of the people Community consultations
is essential to sustained economic and social o To assess community health needs
development and contributes to a better quality of life o For information sharing
and to world peace. IF YOU DONT HAVE A GOOD o With local groups and agencies about the most
appropriate representative structure
st
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FCM DEPARTMENT OF HEALTH (Kagawaran ng Kalusugan) Lecture 3 Module 1

Development of community health forums

Partnership with relevant agencies MGA SENIOR
CITIZEN, TRICYCLE DRIVERS, BASKETBALL
ASSOCIATIONS
Strategy to sustain community participation

Source: J. Pillinger, 2010

st
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