CHN - PHILIPPINE HEALTH CARE DELIVERY SYSTEM PHILIPPINE HEALTH CARE DELIVERY SYSTEM I.

Laws affecting CHN practice in the Philippines R.A. 7160 - or the LOCAL GOVERNMENT CODE ~ devolution of powers, functions and responsibilities to the

local government both rural & urban. *The Code aims to transform local government units into self-reliant communities and active partners *each province, city and municipality has a ( LHB ) ____propose annual __for the operation and maintenance of their own health facilities.

Devolution of Health Services *devolution delegating of power/ responsibilities from a superior to a subordinate Department of Health

Office of the provincial governor Local Government Unit -Devolved Structure

Local Government Units - Devolved Structure

Composition of LHB Provincial Level 1. Governor - chair

2. Provincial Health Officer vice chair 3. Chair , Committee on Health of Sangguniang Panlalawigan 4. DOH rep. 5. NGO rep.

EO 102 MALACAANG MANILA BY THE PRESIDENT OF THE PHILIPPINES EXECUTIVE ORDER NO. 102 Redirecting the functions and operations of the department of health WHEREAS, the Department of Health, hereafter referred to as DOH, has been transformed from being the sole provider of health services, to being a provider of specific health services and technical assistance provider for health, as a result of the devolution of basic services to local NATIONAL HEALTH SITUATION Fourmula One intends to implement critical interventions as a single backed by effective management infrastructure and financing arrangements following a sector wide approach Goals of Fourmula One for Health

1) 2) 3)

Better Health Outcomes More responsive health systems. Equitable Health Care financing

4 (Four) elements of Fourmula One strategy: 1) Health Financing to foster greater & better & sustained

investments in health 2) Health Regulation to ensure affordability & quality of health

goods & services 3) Health Service delivery to improve & ensure accessibility &

availability of essential health care in both public & private facilities & services 4) Good Governance to enhance health care system performance

at the national & local levels.

Programs for the prevention of other non-communicable diseases I. Prevention of Blindness Program * Program Title * Visual Health * Bureau (Office)* Degenerative Disease Office (DDO), National Center for Disease Prevention and Control (NCDPC)

National health program implemented by the Degenerative Disease Office with strong collaboration with NGO's (National Committee for Sight Prevention) and other government agencies for the elimination of avoidable blindness. Target population - __older persons____ / Working-age group / Adolescents and Schoolchildren

Vision healthy vision for every Filipino through eye health promotion and disease prevention

Mission To eliminate all avoidable blindness by prevention and controlling diseases through the development of human resource, infrastructure, and appropriate technology.

II. National Mental Health Program It aims at integrating mental health within the total health system, initially within the DOH system, and the local health system it aims at ensuring equity in the availability, accessibility, appropriateness and affordability of mental health and psychiatric services in the country. Priority Areas of Concern substance abuse disaster and crisis management Women and children and other vulnerable groups Traditional mental illnesses (schizophrenia,

depression and anxiety) Epilepsy and other neurological disorders Overseas Filipino workers II. Prevention and Control of Kidney Disease Acute or Rapidly Progressive Renal Failure : A sudden decline in

renal function resulting from the failure of the renal circulation or by glomerular or tubular damage causing the accumulation of substances that is normally eliminated in the urine in the body fluids leading to disruption in homeostatic, endocrine, and metabolic functions. Acute Nephritis: A severe inflammation of the kidney caused by

infection, degenerative disease, or disease of the blood vessels. Chronic Renal Failure: A progressive deterioration of renal function

that ends as uremia and its complications unless dialysis or kidney transplant is performed.

Neprolithiasis: A disorder characterized by the presence of calculi

in the kidney. Nephrotic Syndrome: A clinical disorder of excessive leakage of

plasma proteins into the urine because of increased permeability of the glomerular capillary membrane Urinary Tract Infection: A disease caused by the presence of

pathogenic microorganisms in the urinary tract with or without signs and symptoms. Renal Tubular Defects: An abnormal condition in the reabsorption

of selected materials back into the blood and secretion, collection, and conduction of urine.

Urinary Tract Obstruction: A condition wherein the urine flow is

blocked or clogged.

IV. Community-Based Rehabilitation Program *A creative application of the primary health care approach in rehabilitation services, which involves measures taken at the community level to use and build on the resources of the community with the community people, including impaired, disabled and handicapped persons as well. Goal: To improve the quality of life and increase productivity of disabled and handicapped persons as well. Aim: _to reduce the prevalence of disability __ through prevention, early detection and provision of rehabilitation services at the community level.

Sentrong Sigla Movement (SSM) Sentrong Sigla Movement -a certification recognition program which develops and promotes standards for health facilities Joint effort between:

1___DOH____- provides technical and financial assistance packages for health care

2. __LGUs______ direct implementers of health programs & prime developers of health centers and hospitals making services accessible to every Filipino

Pillars of SSM 1. Quality Assurance 2. Grant and Technical Assistance 3. Health Promotion 4. Awards Expected Outcome: SSM _Empowered__individuals adopting healthy lifestyle, improved healthseeking behavior and well-being & increased demand for quality health services Institutions will develop policies, provide quality services , institute system for surveillance/ merits and advocate for laws Programs: SSM EPI Disease Surveillance CARI CDD Nutrition/ Micronutrient SupplementationRice iron; Oil and sugar Vit. A; Flour-Vit. A & iron; Salt- iodine *Food Fortification :

Other CHN Practice Settings I. Occupational Health - the application of public health, medical and engineering practice for the purpose of conserving, restoring the health and effectiveness of

workers thru their places of employment A. Occupational Health Nursing - the application of nursing principles and procedures in providing health service to employees in their place of work by means of: Prompt and efficient nursing care of the ill and impaired participation in teaching health and safety practices on the job cooperation with plant department administrators keeping the Health clinic and staff ready to handle emergencies advising workers in the utilization of community and welfare services Objectives of OHN To __assist, maintain and promote positive health and laborers and employer__ thru early detection and prevention of occupational diseases and hazards of industrial processes and by coordinating and cooperating with activities of other community health and welfare services Nurses Role in OHN 1. Assists/participates in developing an___ adequate health program__ for workers and laborers including sound health education activities 2. Encourages periodic P.E 3. Cooperates with occupational medical programs in the _prevention of accidents__ as well as in the promotion of good working atmosphere and relationships in the place of work 4. Helps in __teaching others in giving good nursing care__ to the sick or handicapped in their own homes

II. School Health Nursing School Health Triad : 1. Service 2. education 3. environment Mission of School Health Program: __To maximize potential for learning and participation in the educational process_ by promoting optimum health of school-age children and adolescents

School Health Team: Psychologist/ Counselor Teacher Nutritionist Nurse Social Workers Maintenance Personnel School Health Nurses Roles: Educator CONSULTANT /RESEARCHER STUDENT, FAMILY AND STAFF ADVOCATE/CHANGE AGENT Health Screener Health Care Provider Common Health Concerns of Schoolchildren: 1. Drug and alcohol abuse 2. STDs/ STI (Sexually transmitted disease? Sexually transmitted Infections) 3. Teenage Pregnancies 4. Mental Health

5. Dermatological Disorders- pimples/acne, fungal infections, allergies 6. Respiratory Conditions- asthma, URTI 7. Nutrition 8. Dental Health

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