PHILIPPINE HEALTH CARE DELIVERY

SYSTEM

Mary Ann E. Lopez MAN RN LPT

WHO Core Functions

Objective: the attainment by all peoples of the highest

possible level of health (WHO, 2006)

1. Provide leadership and engage in partnerships on

matters of health
2. Shape research agenda and promote knowledge
• 5 goals: Capacity, Priorities, Standards,
Translation and Organization
WHO Core Functions

3. Set and monitor standards

4. Provide technical support, catalyze change and build
sustainable capacity
 Millennium Development Goals

Resulted from Millennium Summit – Sept. 6-8, 2000

Collective responsibility to uphold the principles of
human dignity, equality and equity at the global level

Reduce extreme poverty and achieve seven other

targets by 2015
In September 2015, the General Assembly adopted the
2030 Agenda for Sustainable Development that includes 17
Sustainable Development Goals (SDGs). Building on the
principle of “leaving no one behind”, the new Agenda
emphasizes a holistic approach to achieving sustainable
development for all.
 GOAL 1: NO POVERTY

Poverty may cause disability

through malnutrition, poor
healthcare, and dangerous
living conditions.
Goal 2: Zero Hunger

End hunger, achieve

food security and
improved nutrition and
promote sustainable
agriculture
Goal 3: Good Health and Well-being

Ensure healthy lives and

promote well-being for
all at all ages
Goal 4: Quality Education

Ensure inclusive and

equitable quality
education and promote
lifelong learning
opportunities for all
Goal 5: Gender Equality
Achieve gender equality
and empower all
women and girls
Goal 6: Clean Water and Sanitation
Ensure availability and
sustainable
management of water
and sanitation for all
Goal 7: Affordable and Clean Energy
Ensure access to
affordable, reliable,
sustainable and modern
energy for all
Goal 8: Decent Work and Economic
Growth
Promote sustained,
inclusive and
sustainable economic
growth, full and
productive employment
and decent work for all
Goal 9: Industry, Innovation and
Infrastructure
Build resilient
infrastructure, promote
inclusive and
sustainable
industrialization and
foster innovation
Goal 10: Reduce Inequalities
Reduce inequality within
and among countries
Goal 11: Sustainable Cities and
Communities
Make cities and human
settlements inclusive,
safe, resilient and
sustainable
Goal 12: Responsible Consumption
and Production
Ensure sustainable
consumption and
production patterns
Goal 13: Climate Action
Take urgent action to
combat climate change
and its impacts
Goal 14: Life Below Water
Conserve and
sustainably use the
oceans, seas and
marine resources for
sustainable
development
Goal 15: Life On Land
Protect, restore and
promote sustainable use
of terrestrial ecosystems,
sustainably manage
forests, combat
desertification, and halt
and reverse land
degradation and halt
biodiversity loss
•
Goal 16: Peace, Justice and Strong
Institutions
Promote peaceful and
inclusive societies for
sustainable
development, provide
access to justice for all
and build effective,
accountable and
inclusive institutions at
all levels
Goal 17: Partnerships for the Goals
Strengthen the means
of implementation and
revitalize the global
partnership for
sustainable
development
 DEPARTMENT OF HEALTH (DOH)

National agency mandated to lead the health

sector towards assuring quality health care for all
Filipinos

VISION: to be a global leader for attaining better

health outcomes, competitive and responsive
health care system, and equitable health
financing.
 DEPARTMENT OF HEALTH (DOH)

MISSION: to guarantee equitable, sustainable and

quality health for all Filipinos, especially the poor,
and to lead the quest for excellence in health
DEPARTMENT OF HEALTH

ROLES AND FUNCTIONS

(as mandated by EO 102)

• LEADERSHIP IN HEALTH. Serves as national

policy maker
• ENABLER AND CAPACITY BUILDER. Innovate
new strategies in health to improve effectiveness
of health programs.
• ADMINISTRATOR OF SPECIFIC SERVICES.
Manages selected national health facilities and
hospitals with modern and advanced facilities that
serves as national referral centers
 PRIMARY HEALTH CARE

Mary Ann E. Lopez, MAN, RN, LPT

 SEVEN ELEMENTS OF PRIMARY HEALTH
CARE
Health education regarding disease prevention and
cure
Proper food supply and nutrition
Adequate supply of safe drinking water and sanitation
maternal and child health care
Immunizations
Control of endemic diseases
Provision of essential drugs
primary health care system should provide the
entire population
Relevant
Acceptable
Affordable
effective services
Comprehensive services that provide for primary,
secondary, and tertiary care and prevention

Active community involvement in the planning and

delivery of services

Integration of health services with development activities

to ensure that complete nutritional, educational,
occupational, environmental, and safe housing needs are
met.
History of PHC

Alma Ata Conference of Sept. 6 -12, 1978

Alma Ata Declarations of PHC
– Health as Basic Fundamental Right
– Global Burden of Health inequalities
– Economic and Social Development
– Government responsibility
LOI 949, PHC adopted in the Philippines
Health defined by the WHO

In the PHC declaration, the WHO defined health as “a

state of complete physical, mental and social wellbeing,
and not merely the absence of disease or infirmity”
PHC DEFINED
Alma Ata Declaration: PHC “is
essential health care based on practical, scientifically
sound and socially acceptable methods and
technology made UNIVERSALLY ACCESSIBLE TO
INDIVIDUALS AND FAMILIES IN THE COMMUNITY
through their full participation and at a cost that the
community and country can afford to maintain at every
stage of their development in the spirit of self-reliance
and self-determination”.
HEALTH FOR ALL: Universal Goal of PHC

• Health for all means an acceptable level of health for all the
people of the world through community and individual self-
reliance.

This policy agenda of “health for all by the

year 2000” technically, was a global strategy
employed in achieving three main objectives:

(1) promotion of healthy lifestyles,

(2) prevention of diseases, and
(3) therapy for existing conditions.
KEY PRINCIPLES OF PHC
• Accessibility, affordability, acceptability, and
availability
• Support mechanisms
• Multisectoral approach
• Community participation
• Equitable distribution of health resources
• Appropriate technology
PHC is not Primary Care
Point of PHC Primary Care
Comparison

Focus Client Family and Individual

Community

Focus of Care Promotive / Preventive Curative

Decision-Making Community-centered / Health Worker driven

Process consultative,
participative
 Point of PHC Primary Care
Comparison

Outcome Self-reliance / self Reliance on health

help professional to
restore/ regain health

Setting of Services Rural-based satellite Mostly urban based

clinics, community clinics and hospitals
health centers

Goal Development and Absence of disease

preventive care
Sept 6-12, 1978, WHO & UNICEF sponsored the
PHC in Alma Ata, Russia (Alma Ata Conference
[AACD] ).

Goal, Health for All for the Year 2000 & beyond to
develop self-reliance.

1993, DOH: Health for All Filipinos by Juan Flavier

Oct 19, 1979, LOI 949 signed by Pres. Marcos

adopting PHC in the Philippines
 FOUR CORNERSTONES/ PILLARS OF
PRIMARY HEALTH CARE

◼ COMMUNITY PARTICIPATION
◼ INTER/INTRASECTORAL COOPERATION
AND LINKAGES
◼ USE OF APPROPRIATE TECHNOLOGY
◼ SUPPORT SYSTEM
 THE END

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