Excavating the

Department of
Health
Group 4
Main Concerns
of the Agency
Main Objective
- Main objective for the Philippines’ in
terms of health was to ensure that the
entire county will have access to health
services
- Kalusugang Pangkalahatan (KP) or
Universal Healthcare
Three Goals of Universal Health
1. To protect an individual’s financial risk
when it comes to health
2. To develop and innovate a health
system that will be amenable to Filipinos
3. To develop better results and become
more effective
Millenial Development Goals
1. Eradicate extreme poverty and hunger
- Reduce malnutrition
2. Reduce child mortality
3. Reduce maternal deaths
4. Stop the spread of infectious diseases
5. Improve environmental sustainability
- Increased access to safe water and
hygienic and sanitary conditions for a
household toilet
 Main Policies
and Programs
To Reduce Child Mortality
Adolescent and Youth Heaalth
Program (ADYHP)
- Provide implementation guidelines for
youth health care services
- Conduct researches, information
collection, monitoring, and evaluation
on diseases
To Reduce Child Mortality
Adolescent and Youth Heaalth
Program (ADYHP)
- MAIN GOAL: improvement on
accessibility of quality youth health
services in each regional and provincial
sectors
To Eradicate Extreme
Poverty and Hunger
Family Planning
- One major cause of poverty is the lack
of family planning
- MAIN GOAL: help couples or individuals
achieve their desired family size within
the context of responsible parenthood
and improve their reproductive health
To Reduce Maternal Deaths
Safe Motherhood Program
- MAIN GOAL: make pregnancy and
childhood birth safer by providing not
only cost effective, but also quality
health services for mothers
To Stop the Spread of
Infectious Diseases
Iligtas sa Tigdas ang Pinas
- MAIN GOAL: stop the spread of measles
- Measles immunization vaccine for 9-11
months infants
- Door to door vaccination
To Improve Environmental
Sustainability
Inter-Agency Committee on
Environmental Health (IACEH)
- MAIN GOAL: reduce environmental
related diseases, disabilities, and
deaths by minimizing the hazards and
risk in a specific area
To Improve Environmental
Sustainability
Inter-Agency Committee on
Environmental Health (IACEH)
- Five Sectoral Task Force:
1. IACEH Task Force on Water
2. IACEH Task Force on Solid Waste
3. IACEH Task Force on Toxic Chemicals
4. IACEH Task Force on Air
5. IACEH Task Force on Occupational Health
 Scientific and
Historical Bases
Adolescent and Youth
Health Programs (AYHP)
- Cause of death of young people:
40% non-communicable diseases
- Sociocultural factors:
1. Demographic factors
2. Attitudes
3. Lifestyles
4. Sense of values
5. Norms and behaviours of adolescents
Adolescent and Youth
Health Programs (AYHP)
Demographic Factors:
- Population Growth Rate
- Causes state to expand its education,
health and employment which makes
it harder to allocate resources
- Reinforces deeper marginalization
and deprivation of different sectors
Adolescent and Youth
Health Programs (AYHP)
Demographic Factors:
- Decrease of local employment
- Caused young people to be exploited
and take low paying jobs
- More than 6,000 workers in the
teenage sector works overseas with
low pay
Adolescent and Youth
Health Programs (AYHP)
Demographic Factors:
- Health risk behaviors of the youth
- Only 23% never had pre-marital sex
- 57% of first sex experience was
unplanned
- 70-80% were unprotected
Adolescent and Youth
Health Programs (AYHP)
Demographic Factors:
- Health risk behaviors of the youth
- According to 2002 Young Adult
Fertility and Sexuality Survey (15-24
year olds)
- 20.9% were smoking
- 41.4% were drinking
- 2.4% were taking in drugs
Adolescent and Youth
Health Programs (AYHP)
Demographic Factors:
- Health risk behaviors of the youth
- According to 2000 Baseline Survey for
the National Objectives for Health
- Only 45% of adolescents consult
health centers
- Only 19% consult government
physicians
Adolescent and Youth
Health Programs (AYHP)
Demographic Factors:
- Health risk behaviors of the youth
- Low contraceptive use (20%)
- Abortion and unmet need for
contraception
- Risk of HIV/AIDS due to unprotected
sex
Family Planning
- Intends to reduce the MMR (measles,
mumps, and rubella), IMR (infant
mortality rate), and TFR (total fertility
rate) rates and increase the
contraceptive prevalence from 45.6% in
1998 and the proportion of modern
family planning
Safe Motherhood Program
- Pregnancy and childbirth are among the
leading causes for death, disease and
disability in women of reproductive age
in developing countries
- Challenges for the DOH:
- High maternal mortality ratio
- Increasing neonatal deaths
- Unmet need for reproductive health services
- Weak maternal care delivery system
Iligtas sa Tigdas ang Pinas
- 1987 DOH EPI Report
- Three mass measles immunization
campaigns were conducted in 1998,
2004, and 2007
- 95% area coverage per round
- annual coverage for infants only hits
67-92% for ages 9-11 years old
Inter-Agency Committee on
Environmental Health (IACEH)
Water Supply Sanitation:
- 3 levels:
- Level I: Point Source
- Level II: Communal Faucet System
or stand-post
- Level III: Waterworks System or
Individual House Connections
Inter-Agency Committee on
Environmental Health (IACEH)
- Environmental hazards are the cause of
25% of diseases worldwide
- 13 million deaths can be prevented through
implementation of the program
- ⅓ of the children under 5 years old have
diseases caused by unclean or unsafe
water and air pollution
- 4 million children of the same age can be
saved if this is resolved or prevented
Inter-Agency Committee on
Environmental Health (IACEH)
- Main diseases caused by environmental
factors:
- Diarrhoeal disease
- Lower respiratory infections
- Unintentional injuries
- Malaria
- Environmental factors influence 85 of 102
categories of diseases and injuries
Time Horizons
of Policies
- Annual Operational Plan or AOP
- Yearly implementation of the PIPH
- Medium term development plan
- Some plans date up to a few years while
others can date up to a few decades
- Most, if not all, policies are aimed for
long term purposes
 Sociocultural
Context of Subjects
- Several of the policies created by the
Department of Health are tailored
toward the Filipino people. These
policies address common social and
health issues most Filipinos are victims
of
- Examples:
- RA No. 10666: “Children’s Safety on
Motorcycles Act of 2015”
- RA No. 10643: “Graphic Health
Warnings Law”
- RA No. 8749: “Philippine Clean Air Act
of 1999”
 Scientific and
Historical Data
(that could have been used)
- DOH still lacks policies necessary for
society
- Health Research Brief
- Examples of studies done by the DOH
(Health Research Brief 2017):
- “25 Years of Health Policy and
Systems Research (HPSR: Lessons for
the Philippines”
- “Non-Communicable Diseases: A Case
of Profit-Driven Epidemics”
- “Overuse and Underuse of Medical
Services”
 Recommendations
through STS and Other Courses
- Policies must be guided by credible and
up-to-date information
- Policies should undergo careful
deliberation
- Policies must be open to change
Conclusion
 References
2011-2016 National Objectives for Health, Health Sector Reform Agenda Monographs. Manila, Republic of the Philippines – Department of Health, 2011 (DOH HSRA Monograph No. 12)
Infogs for ppt slides:
https://www.doh.gov.ph/node/13884
https://www.doh.gov.ph/node/13883
https://www.doh.gov.ph/node/13866

2017 Health Research Brief. Department of Health Republic of the Philippines. Department of Health, July
Buse, K, S Tanaka, and S Hawkes
2017 NON-COMMUNICABLE DISEASES : A CASE OF PROFIT-DRIVEN EPIDEMICS. Ed. Lilibeth David, Kenneth Ronquillo, and Beverly Lorraine Ho. Health Research Brief. Department of Health, July
English, K.M., and B Pourbohloul
2017 25 YEARS OF HEALTH POLICY AND SYSTEMS RESEARCH (HPSR) : LESSONS FOR THE PHILIPPINES. Ed. David Lilibeth, Kenneth Ronquillo, and Beverly Lorraine Ho. Health Research Brief. Department of Health
Republic of the Philippines, July
Glasziou et al, and Brownlee et al
2017 OVERUSE AND UNDERUSE OF MEDICAL SERVICES. Ed. Lilibeth David, Kenneth Ronquillo, and Beverly Lorraine Ho. Health Research Brief. Department of Health, July
N.a.
1999 Republic Act No. 8749, Electronic document,
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N.a.
2013 Republic Act No. 10643, Electronic document,
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2017 Number of young smokers on the rise—poll, Electronic document,
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2017 AIR POLLUTION: A PUBLIC HEALTH CONCERN IN THE PHILIPPINES, Electronic document,
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