Health System
Gender equality
- consist of all organizations, people, and actions whose
primary intent is to promote, restore or maintain health
- (WHO, 2007) 6 building blocks or components:
1. service delivery
2. health workforce
3. information
4. medical products, vaccines, and technologies
5. financing
6. leadership and governance or stewardship
Healthcare Delivery System
- a network of health facilities and personnel which carries
out the task of rendering health care to the people
World Health Organization (WHO)
- specialized agency of United Nations (UN)
- provides global leadership on health matters
- WHO constitution: the attainment by all people of the
highest possible level of health (WHO, 2006)
- core functions:
> Providing leadership on matters critical to health and
engaging in partnerships where joint actions are needed
> Shaping the research agenda and stimulating the
generation, translation, and disseminating valuable
knowledge
> Setting norms and standards and promoting and
monitoring their implementation
> Articulating ethical and evidence-based policy options
> Providing technical support, catalyzing change and
building sustainable institutional capacity
Past decade, WHO with DOH
- development and provision of services towards the
attainment of health-related Millennium Development
Goals (MDGs)
- (2000) Millennium Development Goals
- (2016) Sustainable Development Goals
- The SDGs cover a broad range of social and economical
development issues. Those include poverty, hunger, health,
education, climate change, gender equality, water,
sanitation, energy, environment, and social justice
Millennium Development Goals (MDGs)
1. Reduce poverty and social exclusion
2. Achieve universal primary education
3. Promote gender equality and empower women
4. Reduce child mortality
5. Improve maternal health
6. Combat HIV/AIDS and Tuberculosis
7. Ensure environment sustainability
8. Partnership for development
Sustainable Development Goals (SDGs)
1. No poverty
2. Zero hunger
3. Good-health and well-being
4. Quality education
5.
6. Clean water and sanitation
7. Affordable and clean
8. Decent work and Economic growth
9. Industry, Innovation, and Infrastructure
10. Reduced inequality
11. Sustainable cities and communities
12. Responsible consumption and production
13. Climate action
14. Life below water
15. Life on Land
16. Peace and Justice Strong Institutions
17. Partnerships to achieve the goal
SDG Goal 3
- ensure healthy lives and promote well-being for all at all
ages
- prevention and treatment, education, immunization,
campaigns, and sexual and reproductive healthcare
- commitment to end the epidemics od AIDS, tuberculosis,
malaria and other communicable diseases by 2030
- aim: achieve universal health coverage, and provide
access to safe and affordable medicines, and vaccines for
all. Supporting research and development for vaccines is an
essential part of this process as well
THE PHILIPPINE HEALTHCARE DELIVERY SYSTEM
Department of Health (DOH)
- main governing body of health services in the country
- provides guidance and technical assistance to LGUs
through the center for Health Development in each of the
17 regions
- mandates to develop national plans, technical standards,
and guidelines on health
- the provider of special tertiary healthcare services and
technical assistance to health providers and stakeholders
- holds the overall technical authority on health as it is a
national health policy-maker and regulatory institution
- major roles:
1. leadership in health
2. enabler and capacity builder
3. administrator of specific services
Provincial Government
- responsible for administration of provincial and district
hospitals
Municipal and City Government
- in charge of the primary care
- Rural Health Unit (RHU) / Health Center
- Satellite Outputs- Barangay Health Stations (BHS)
Private Sector
- composed of for-profit and non-profit agencies
- provides all levels of services and accounts for a large
segment of health service providers in the country
FINANCING OF HEALTH SERVICES
> Government (National and Local)  Consulting specialists in Medicine, Pediatrics,
> Private sources Obstetrics-Gynecology, Surgery
> Social Health Insurance  Emergency and Outpatient Services
 Isolation facility
R.A. 7875  Surgical/Maternity facilities
- National Health Insurance Act of 1995  Dental Clinic
- creation of PhilHealth
- aims for the universal health coverage for all Filipino Level 2
citizens  Level 1 plus
- tax-exempt government corporation attached to the DOH
 Departmentalized clinical services
for policy coordination and guidance
 Respiratory unit
 General ICU
DOH Administrative Order 2012-0012
Rules and Regulations Governing the New Classification of  High-risk pregnancy
Hospitals and Other Health Facilities in the Philippines  NICU

Hospital Other Health Facilities Level 3

General A. Primary Care Facility  Level 2 plus
Level 1 B. Custodial Care Facility  Teaching/training with accredited residency training
Level 2 C. Diagnostic/Therapeutic Facility program in 4 major clinical services
Level 3  Physical medicine and rehabilitation unit
Specialty D. Specialized Outpatient Facility  Ambulatory Surgical Clinic
 Dialysis Clinic
General Hospitals
- provides services for all kinds of illnesses, injuries, or
deformities

Specialty Hospitals
- offers services for a specific disease or condition or types
of patient (children, elderly, women) ANCILLARY SERVICES
Level 1
 Secondary clinical lab
 Blood station
Primary Care Facility  First level X-ray
- first-contact health care facility that offers basic services  Pharmacy
including emergency services and provision for normal
deliveries Level 2
- Basic Emergency Obstetric Neonatal Care  Tertiary clinical lab
- Rural Health Unit  2nd level X-ray with mobile unit

Custodial Care Facility Level 3

- provides long-term care to patients with chronic
conditions requiring ongoing health and nursing care due to
impairment and a reduced degree of independence in ADLs
and patients in need of rehabilitation
Diagnostic/Therapeutic Facility
- for the examination of the human body, specimens from
the human body for the diagnosis, sometime treatment of
disease or water for drinking water analysis
Specialized Outpatient Facility
- performs highly specialized procedures on an outpatient
basis
NEW CLASSIFICATION OF GENERAL HOSPITALS
Clinical Services for Inpatients
Level 1
 Tertiary clinical lab with histopathology
 Blood bank
 3rd level X-ray
Rural Health Unit (RHU)
- known as health center
- primary level health care facility in the municipality
- focus: preventive and promotive health services and the
supervision of BHS under its jurisdiction
- 1 RHU: 20,000 population
R.A. 7160
- Local Government Code
- genuine and meaningful local autonomy
- enable local government to attain their fullest
development as self-reliant communities and make them
more effective partners in the attainment of national goals
- creation of the Provincial Health Board and
City/Municipal Health Boards

Devolution
- power is given to provinces and city/municipality
- national government confers power and authority upon
the various LGUs to perform specific functions and
responsibilities
- advantage: allowed local leaders to have a greater hand in
the future of communities
- disadvantage: fragmentation of the health care delivery
system in the Philippines