DISASTER PROOF

COMMUNITY HEALTH
CENTER
Austria, Relly

Bedolido, Jorwen

Dela Cruz, John Carlos

Mallari, Edcel Luther

Reyes, Hazel Lhena

Tupaz, Lyka Marize

Villamor, Vaztian

Zapanta, Jowendell

October 2019
 Universal health coverage (UHC) means that all people and communities
can use the primitive, preventive, curative, rehabilitative and palliative health
services they need, of sufficient equality to be effective, while also ensuring that
the use of these services does not expose the user to financial hardship. This
definition of UHC embodies three (3) related objectives which are the: First one
is the “Equity in access to health services” – Everyone who needs services should
get them, not only those who can pay for them; Second is, the quality of health
services should be good enough to improve the health of those receiving
services; and lastly, people should be protected against financial-risk, ensuring
that the cost of using services does not put people at risk of financial harm. UHC
is firmly based on World Health Organization (WHO) constitution of 1948
declaring health a fundamental human right and on the Health for All agenda
set by the Alma Ata declaration in 1978. UHC cuts across all of the health-related
Sustainable Development Goals (SDGs) and brings hope of better health and
protection for the world’s poorest.
Healthcare in the Philippines is variable, ranging in quality from excellent to
dire. Hospitals in the major cities are generally of a high standard, while many
rural areas lack infrastructure and investment. Healthcare is provided through
both private and public hospitals in the Philippines. Although healthcare is
generally expensive for the average Filipino, expats may find it more affordable
than in their home country.
Local medical staff are well trained, especially in big cities. Many have
studied and practised medicine overseas, and speak English. The Philippines is
one of the biggest exporters of medical staff in the world, with many nurses and
doctors leaving the country to work abroad. While the remittances sent home
from these workers are an important contributor to the Philippines economy,
healthcare provision in the Philippines has been undermined by the departure
of so many medical professionals.
 All citizens are entitled to free healthcare under the Philippine Health
Insurance Corporation (PhilHealth) The scheme is government-controlled and
funded by local and national government subsidies, as well as by contributions
from employers and employees.
According to Investopedia stated by Jean Folger; the demand for
healthcare in Southeast Asia as a whole is rapidly increasing thanks to
population growth rates and “an epidemiological shift from infectious diseases
to a chronic disease pattern matching western markets.” According to a 2015
healthcare report from Deloitte, a tax, consulting and financial advisory services
firm. Most of Southeast Asia’s healthcare spending comes from the public sector,
and many of the region’s governments are under fiscal constraints that make it
difficult to meet growing needs of their citizens.
In the Philippines, the reports notes, the level of per-person healthcare
spending is one of the lowest among Southeast Asia’s major economies. At 4.6%,
the same holds true for spending as a proportion of GDP. Due to weal public
financing, that number is expected to drop to 4.5% by 2018. At the same time,
the nation’s healthcare spending is projected to increase an average of 8%
annually, from an estimated $12.5 billion in 2013 to $20 billion in 2018. To address
the growing need for improved healthcare coverage, the government in 2013
passed the Universal Healthcare Bill, which promises health insurance for all
Philippine nationals, especially the poor.
According to (WHO) World Health Organization 2019 Better health is central
to human happiness and well-being. It also makes an important contribution to
economic progress, as healthy populations live longer, are more productive,
and save more.
Many factors influence health status and a country's ability to provide
quality health services for its people. Ministries of health are important actors, but
so are other government departments, donor organizations, civil society groups
and communities themselves. For example: investments in roads can improve
access to health services; inflation targets can constrain health spending; and
civil service reform can create opportunities - or limits - to hiring more health
workers.
After we visited the areas of Barangay Cabalantian, we discovered that
many of the residents there are having a hard time recovering after a disaster,
just by their house’s structures you can obviously see how they are struggling to
rebuild what they had lost and to recover themselves from such traumatic
disaster. Based on the Map of Cabalantian, there is no existing Community
Health Centers in the area. So we are proposing a Disaster Proof Community
Health Centers that will serve as a hospital inside the Barangay. Primary health
care refers to the essential health care made accessible to individuals in a
community at costs that they can afford. The World Health Organization (WHO)
put forward the concept of primary health care that focuses more on the
importance of community participation by identifying some of the social,
economic, and environmental determinants. It includes the basic services
required for meeting one’s everyday health care needs like conducting a
regular check up with the family doctor or visiting low income health clinics.
Primary health care centers offer professional medical care for
individuals based on a locality or community before shifting them to more
advanced hospital-based care like the general specialist and super specialist.
In fact, primary health care forms the vital aspect of a country’s health system
while immensely assisting in the socio-economic development of the
community. All primary health care clinics tend to focus more on the quality of
the service offered while maintaining cost effectiveness.
The clinics that offer primary health care services usually include a team
approach that facilitates appropriate care to an individual. It has also
incorporated some of the latest aspects like the sharing of information among
health care providers while focusing on promoting the health, preventing illness,
and other chronic conditions. Moreover, primary health care also forges a new
connection and participation within the members of a community.
This Disaster Proof Health Centre will not only a life saver but also a budget
friendly centre, we have designed this Centre more like a Hospital because of its
completeness when it comes to different health specialization, and also, it is not
a huge kind of structure because this Centre will only have two floors: The ground
floor and the second floor. In front of our Centre is an Emergency Room for an
urgent treatment, if there is an accident or a patient’s life at risk, our emergency
room will always be open, and to mention our Emergency Medical Specialist;
These doctors make life-or-death decisions for sick and injured people, usually in an
emergency room alert and responsive Inside the Centre, There would be a lobby
and a front desk as a guide for information wherein it acts as a receiving area
where people will be asking for help or information. As you make your way inside,
there will be a lot of clinics that is specialized in various diseases, e.g.
Dermatologist, Paediatrician, OB Gynaecologist, Psychiatrist and a General
Practitioner. We are focusing more on the health of various people living in the
Barangay, their health is our number one priority
Upon research, a disaster proof building costs 100,000 US Dollars in the
United States of America, if we will continue to pursue this project, the estimated
cost of our disaster proof health center will be 5,159,000.00 Philippine peso. This
amount only covers the structure itself. To design an earthquake-proof building,
engineers need to reinforce the structure and counteract an earthquake’s
forces. Since earthquakes release energy that pushes on a building from one
direction, the strategy is to have the building push the opposite way. The
buildings is constructed on top of flexible pads that isolate the foundation from
the ground so when an earthquake hits, only the base moves while the structure
remains steady, this buildings also have tuned dampers attached to beams use
pistons and oil to convert the motion into heat and absorb shock. The structure
will also be built with concrete and plastic rings placed underneath to channel
shockwaves around the building. Instead of just counteracting forces,
researchers are experimenting with ways buildings can deflect and reroute the
energy from earthquakes altogether. Dubbed the “seismic invisibility cloak”, this
innovation involves creating a cloak of 100 concentric plastic and concrete rings
in and burying it at least three feet beneath the foundation of the building.
As seismic waves enter the rings, they are forced to move through to the
outer rings for easier travel. As a result, they are essentially channelled away from
the building and dissipated into the plates in the ground.
Therefore, this building will not only be a health center; treating patients
that is in need whenever there is a disaster. This building is also a safe and disaster
proof building that can be relied on. It may cost us more than what we are
capable of, it may be expensive to build such a structure like this, but we
guarantee the residents living in the Barangay Cabalantian that the service fee
of the practitioners that is working in the Health Centers will not be expensive,
and it will be beneficial to them, because we all know that our health comes
first, our lives is the most priceless thing on this world that not even a huge amount
of money can replace it.