THE NATIONAL HEALTH PLAN long term directional plan for health covering 1995-2020.

emanated from multi-sectoral effort involving various disciplines and sectors from the government, private and non-government sector, peoples organization and other health-oriented groups provides coordinating mechanism for all levels of planning within and outside the health sector. Indicates general direction and broad strategies for and effective and efficient health care system blue print followed by DOH defines problems, policies, strategies and targets

VISION: Health for all Filipinos by year 2000 and Health in the hands of the people by the year 2020 - This means attaining a level of health that will enable them to lead a progressively improving socially and economically productive life. This health challenge will be met through the implementation of programs by a health system structured in accordance with the principles of PHC MISSION: Providing quality health care to improve the quality of life for all Filipinos especially the poor NATIONAL OBJECTIVES FOR HEALTH: 1. Basic principles to achieve improvements in health - Universal access in basic health services must be ensured - Health and nutrition of vulnerable groups must be prioritized - The epidemiological shift from infectious to degenerative diseases must be managed 2. Improve the general health status of the population - Reduce IMR, CMR, MMR, FR 3. Reduce morbidity, mortality, disability and complications from: - Diarrhea, pneumonia, tuberculosis, hepatitis B, dental, diabetes, cancer, dengue, accidents, IDA, mental disorders, parasitism, STDs, kidney diseases 4. Eliminate the following hands - Schistosomiasis, malaria, filariasis, leprosy, rabies, vaccine-preventable diseases measles, tetanus, diphtheria, pertusis, vit A deficiency, polio 5. Promote healthy lifestyle

Healthy diet and nutrition, physical activity and fitness, personal hygiene, mental health and less stressful lifestyle, smoking and substance abuse, violent and risk-taking behaviors 6. Promote health and nutrition of families and special groups - Neonatal, child, infant, adolescent, child, youth, adult, womens, indigenous, migrants, disabled 7. Promote environmental health and sustainable development Homes, school, workplaces, establishment, communities, cities, towns POLICIES: 1. IEC programs will be implemented raise the awareness of the public 2. An update of the legislative agenda for health, nutrition and family planning 3. Integration of the efforts in the HNFP - to maximize resources in the delivery of services through the efforts of coordinative mechanisms at both national and local levels 4. Partnership between public and private sectors will be strengthened and institutionalized - To effectively utilize and monitor private resources for the sector 5. Enhancement of the status and role of the women as program beneficiaries and program implementers will be pursued - Enable to substancially participate in the development process THE NATIONAL HEALTH SITUATION 1. The 4 leading causes of morbidity are CD, the 5th is HPN 2. Deaths are mainly due to non-CDs 3. Infant mortality rate, although declining, is still high compared with those neighboring countries 4. Nutritional problems and parasitism are common among children 5. Outbreaks of malaria, dengue, measles, cholera, typhoid, hepatits A and diarrhea were investigated Factors contributing to limited capacity of the countrys health care: 1. Poor health care financing 2. Inappropriate health service delivery system 3. Brain drain 4. Excessively high price of medicine 5. Inadequate enforcement of regulatory mechanisms 6. Insufficient effort expended on prevention and control of new diseases

THE PHILIPPINE HEALTH CARE DELIVERY SYSTEM TERMS: 1. SYSTEM - A set of interrelated and independent parts that form a complex whole, and of these parts can be viewed as a subsystem with its own set of interrelated and independent parts 2. HEALTH SYSTEM - Is the interrelated ways in which a country organizes available resources for the maintenance and improvement of the health of the citizens and communities 3. HEALTH CARE SYSTEM - An organize plan of health services 4. HEALTH CARE DELIVERY - Rendering health care services to the people 5. HEALTH CARE DELIVERY SYSTEM - The network of health facilities and personnel which carries out the task of rendering health care to the people 6. PHILIPPINE HEALTH CARE SYSTEM - Is a complex set of organizations interacting to provide an array of health services Characteristics Of Health Care Delivery System 1. The system should encompass the entire population on the basis of equality and responsibility 2. It should include components from the health sectors and from the sectors whose interrelated actions contribute to health 3. The essential elements of PHC should be delivered as the first point of contact between the individuals and the health system 4. The other level of system should support the first contact level to permit it to provide the aforementioned essential elements on a continuing basis 5. At intermediate levels, more complex problems should be dealt with more skilled and specialized care as well as logistic support 6. The central level should coordinate all parts of the system and provide planning and management expertise, highly specialized care, teaching for specialized staff COMPONENTS OF THE HEALTH DELIVERY SYSTEM

Levels of health care facilities 1. PRIMARY LEVEL FACILITIES - Health services at this level are offered to individuals in fair health and clients with diseases in the early symptomatic stages - Operated by the Center for Health Development clinics by the government, private and NGOs - RHU, BHS, chest clinics, malaria eradication units, community hospitals, private practitioners, health centers 2. SECONDARY LEVEL FACILITIES - Offer services to clients with symptomatic stages of disease which require moderately specialized knowledge and technical resources for adequate treatment - Provincial/City Health Services and Hospitals, Emergency and District Hospitals 3. TERTIARY LEVEL FACILITIES - Include the highly technological and sophisticated services offered by medical centers and large hospitals - Specialized institutions/hospitals - For clients afflicted with diseases which seriously threaten their health and which require highly technical and specialized knowledge, facilities and personnel to treat effectively - National and regional health services, medical centers, teaching and training hospitals Levels Of Health Care 1. PROMOTIVE pertains to health practices geared towards promotion and maintenance of health 2. PREVENTION prevention of the occurrence of disease 3. CURATIVE treatment of disease and prevention of possible occurrence of complications 4. REHABILITATIVE utilization of the remaining capacity of an individual to its maximum level THE PHILIPPINE HEALTH CARE SYSTEM A. STRUCTURE OF THE HEALTH SECTOR - Composed of the government, private, peoples organization, NGO 1. GOVERNMENT

DOH, PGH, Medicare, Phil Health, Military Hospitals, DND, Medical and Dental services of DepEd, National Nutritional Council a. LGU With the devolution, the responsibility for health promotion and protection has become shared one between the LGUs and DOH. Their concerns are: o To strengthen the local government capability to manage and finance the services devolved to them o How general and technical support can be institutionalized so that in spite of the severance of the administrative authority of DOH over field operating units, integrated and comprehensive health services through well- functioning network of health facilities of varying capabilities can be realized b. DOH - The principle government agency mandated by the Constitution for health promotion and protection Prior to the implementation of the LGC/Devolution Code (RA 7160), it has direct authority over the municipality, city, provincial health and hospital services and medical services. Municipal and city health services->mayor; provincial->government

>Roles o Ensuring equal aspects to basic health services o Ensuring the formulation of national health policies for proper division of labor and proper coordination of operations among government agency jurisdiction o Ensuring a minimum level of implementation of nationwide services regarded as public health goods o Planning and establishing arrangements for the public health system to achieve economies of scale o Maintaining a medium of regulations and standards to protect consumers and guide providers 2. THE PRIVATE SUBSECTOR - Consists of: a. Commercial and business organizations Have a clear profit orientation and include manufacturing companies and advertising agencies, private practitioners and private institutions (private hospitals, HMO, Medical/Allied Medical schools) b. Non-commercial organizations

Oriented towards social development, relief and rehabilitation, community organizing Includes the socio-civic groups, religious organizations and foundations Involvement of private sector o Inputs provision which covers supplies and equipments o Service delivery which includes a whole range of activities from case finding/treatment and follow-up, counseling, environmental sanitation, to manufacture and sale of health-related goods o Support activities mostly in the form of research, personnel training, project monitoring, and evaluation, and development of IEC materials o Financial assistance that usually comes in the form of grants from multilateral and bilateral agencies 3. NGO - Important role in local and national development with emphasis on policy and program reforms and people empowerment - Assumes the roles of catalysts, advocates, facilitators, enablers in people development - Directly involved in health care and reforming the present HCDS COMMUNITIES, FAMILIES AND INDIVIDUALS o improving habits that actualize responsibility for health o increasing self-care that illustrates peoples self-reliance in areas not genuinely requiring professional help o more educated communities, increasing the demand for health services, both in quantity and quality o the emphasis on the new paradigm of wellness representative medicine and holistic care B. HEALTH FACILITIES - Are physical infrastructures that offer health services 1. HOSPITAL Government or private Primary, secondary, tertiary Quality hospital: Equipped with functioning physical facilities and equipments Has an effective organization and producers system High quality managerial resource Able to adapt and meet changing demands for hospital care

2. HEALTH CENTER AND BARANGAY HEALTH STATIONS (BHS)

Government facilities that are primarily responsible for the delivery of basic health services to communities First point of contact between the majority of the poor people and the health ayatem

3. PRIVATE CLINICS AND LABORATORIES - Provide services to significant proportion of the population, particularly those belonging in the middle and upper income classes - Most of these facilities are concentrated in urban areas where they are highly in-demand C. HEALTH SERVICES Types: o Promotive, preventive, curative, rehabilitative GO: all types of servicessx PRIVATE SECTORS: more on direct personal care that are curative and rehabilitative in nature HOSPITAL SERVICES: usually curative and rehabilitative PRIMARY HEALTH CARE 1. For infants and children FIC, CDD, CARI, nutrient supplementation 2. For youth and adolescents National Program 3. For Women MCH, Safe Motherhood, Responsible Parenthood 4. For elderly reduce degenerative diseases 5. For workers 6. For special communities indigenous, victims of calamities/conflicts

D. HEALTH HUMAN RESOURCE DEVELOPMENT - HHR is the totality of the skills, knowledge and capabilities available for national health development - HHR triad activities: o Planning enables the health system to rationalize the production and management of health personnel o Production dependent on all levels of the educational system, from primary to the university level o Management dependent on the nature and character of the health system, the institutions offering continuing education, current programs of the professional associations and pervading professional attitudes E. HEALTH CARE FINANCING - From the government

WHO recommends 5% of the countrys GNP shall be for health. However, it was only placed on through the following: 1. Government third party schemes a. Medicare program b. PhilHealth c. Employees Compensation Commission (ECC) 2. Private sources a. Out-of-pocket b. Health Management Organizations (HMO) payments 3. Company-financed health benefits 4. Community-generated resources and donations of cash/material and technical services from donors 5. External sources a. WHO b. UNICEF c. USAID d. World Bank

HEALTH GOALS AND TARGETS o o o o o OVERALL GOAL: To enable the Filipino population to achieve a level of health that: Will allow them to lead a socially and economically productive life With longer life expectancy Low infant mortality Low maternal mortality Less disability Indicators of successful attainment of this goal: 1. Well-nourished population 2. Safe drinking water for all 3. Sanitary disposal of human and animal waste 4. Minimal environmental population and hazards 5. CDs no longer a problem 6. Chronic diseases are under control 7. Psychosocial well-being and lifestyle 8. Absence of pockets of ill-health 9. Regulation of fertility to ensure better health and social well-being 10.Access to appropriate health care for all Broad objectives (1995-2020)

1. To promote equity in health status among all segments of the society 2. To address specific health problems of the population 3. To upgrade the status and transform the HCDS into one that is responsive, dynamic, highly efficient and effective in providing solutions to the changing health needs of the population 4. To promote active and sustained peoples participation in health care