The

Healthcare
Delivery
System
Community Health Nursing
CHNN211
 Health Organizations

INTERNATIONAL NATIONAL
 Who are we?

WHO is the directing and coordinating authority for health within the United Nations system.
It is responsible for providing leadership on global health matters, shaping the health
research agenda, setting norms and standards, articulating evidence-based policy options,
providing technical support to countries and monitoring and assessing health trends.

Established 7 April 1948. – a date we now celebrate every year as World Health Day.
Headquarters in Geneva, Switzerland
What we do?
WHO works worldwide to promote
health, keep the world safe, and
serve the vulnerable.
Our goal is to ensure that a billion
more people have universal health
coverage, to protect a billion more
people from health emergencies,
and provide a further billion
people with better health and
well-being.
Where we work?
We support Member States as
they coordinate the efforts of
multiple sectors of the
government and partners –
including bi- and multilaterals,
funds and foundations, civil society
organizations and private sector –
to attain their health objectives
and support their national health
policies and strategies.
How we are
governed?
The World Health Assembly is
attended by delegations from all
Member States, and determines
the policies of the Organization.
Who we work with?
We support Member States as
they coordinate the efforts of
multiple sectors of the
government and partners –
including bi- and multilaterals,
funds and foundations, civil society
organizations and private sector –
to attain their health objectives
and support their national health
policies and strategies.
Millennium Development Goals (MDGs)

On September 6 to 8, 2000, world leaders on UN General Assembly

participate in Millennium Summit. The result of the summit was a resolution
entitled United Nations Millennium Declaration. In this declaration, the world
leaders recognized their collective responsibility to uphold the principles of
human dignity, equality and equity at the global level.
The declaration expressed the commitment of the 191 member states,
including the Philippines, to reduce extreme poverty and achieve seven other
targets - now called the Millennium Development Goals (MDG’s) by the year
2015.

The following are the eight MDG’s and the targets corresponding to
health-related MDG’s 4,5, and 6:
Millennium Development Goals (MDGs)
 Sustainable Development Goals (MDGs)
• The United Nations Sustainable Development Goals (UN SDGs, also known as the
Global Goals) are 17 goals with 169 targets that all UN Member States have
agreed to work towards achieving by the year 2030.

• They set out a vision for a world free from poverty, hunger and disease.

• Health has a central place in SDG 3 “Ensure healthy lives and promote well-being
for all at all ages”, underpinned by 13 targets that cover a wide spectrum of WHO’s
work.

• Almost all of the other 16 goals are related to health or their achievement will
contribute to health indirectly.
 Sustainable Development Goals (MDGs)
• The SDGs aim to be relevant to all countries – poor, rich and middle-income – to
promote prosperity while protecting the environment and tackling climate change.
They have a strong focus on improving equity to meet the needs of women,
children and disadvantaged populations in particular so that “no one is left behind”.

• This agenda builds on the Millennium Development Goals (MDGs) which were 8
goals that UN Member States signed in September 2000 to achieve targets to
combat poverty, hunger, disease, illiteracy, environmental degradation and
discrimination against women by 2015.
Department of
Health
The Department of Health (DOH) holds
the over-all technical authority on
health as it is a national health
policy-maker and regulatory
institution.
 Department of Health

Mission Vision

To lead the country in the Filipinos are among the

development of a productive, healthiest people in Southeast
resilient, equitable and people- Asia by 2022, and Asia by 2040
centered health system
 Department of Health

Roles in the Health Sector Mandate

(1) leadership in health; To develop national plans,

(2) enabler and capacity builder; and technical standards, and
(3) administrator of specific services guidelines on health
 Devolution of Health Services
1987 Philippine Constitution
-Mandated the Congress to “enact a local government code which shall provide for a more responsive
and accountable local government structure instituted through a system of decentralization with
effective mechanisms of recall, initiative and referendum, allocate among the different local
government units their powers, responsibilities, and resources, and provide for the qualifications,
election, appointment and removal, term, salaries, powers and functions and duties of local officials,
and all other matters relating to the organization and operation of the local units (Section 3, Article X).”

Republic Act No. 7160

-Local Government Code of 1991
-From a highly centralized system of health service delivery with the Department of Health (DOH) as
the sole provider, the Code mandated the devolution1 to local government units (LGUs)2 of many of
the functions previously discharged by DOH. Health devolution or decentralization of health services
was initially geared towards efficiency and effectiveness of health service delivery by reallocating
decision-making capability and resources to LGUs (Grundy et al. 2003; Galvez-Tan et al. 2010)
 Devolution of Health Services
Primary Health Care Philippine Local
(PHC) Health System
The Philippine’s local health systems were established on PHC
principles, which is basically “Health in the Hands of the People”
Decentralization is a
core element of the Health devolution has empowered LGUs and people by allowing
implementation of the them to participate in policy and decision-making that concerns
Primary Health Care delivery and quality of health care.
(PHC).
LGUs takes great responsibility in the delivery of basic services and
-ensures that essential
in the operation of facilities in areas that include primary health
health care is “made
care and hospital care/services.
universally accessible
to individuals and
DOH assumed the role as the “national technical authority on
families in the
health.” It is expected to “ensure the highest achievable standards
community “
of quality health care, health promotion and health protection” that
LGUs, NGOs, private organizations, and civil society should uphold.
 New Classification of Hospitals and
Other Health Facilities in the Philippines
A.O. No. 2012 – 0012

Classification of Hospitals According to Functional Capacity:

A. General Hospital
Provides medical and surgical care to the sick and injured and
maternity care and shall have as minimum, the following clinical
services: medicine, pediatrics, obstetrics and gynecology, surgery
and anesthesia, emergency services, out-patient and ancillary
services.

B. Specialty Hospital
Specializes in a particular disease or condition or in one type of
patient.
 New Classification of Hospitals and
Other Health Facilities in the Philippines

Examples of SPECIALTY HOSPITALS

Particular Disease Particular Organ/s Particular Group of

Patients
National Orthopedic Lung Center Philippine Children’s
Hospital Medical Center
National Center for Philippine Heart National Children’s
Mental Health Center Hospital
San Lazaro Hospital National Kidney and Dr. Jose Fabella
Transplant Institute Memorial Hospital
 New Classification of Hospitals and
Other Health Facilities in the Philippines
A.O. No. 2012 – 0012

Classification of Hospitals According to Trauma Capability:

Guidelines formulated by PCS

A. Trauma-Capable Facility
A DOH licensed hospital designated as a trauma center.

B. Trauma-Receiving Facility
A DOH licensed hospital within the trauma service area which
receives trauma patients for transport to the point of care or a
trauma center.
Classifications of General Hospitals

OLD NEW
LEVEL 1 RE-CLASSIFY TO
OTHER HEALTH
FACILITIES
LEVEL 2 LEVEL 1
LEVEL 3 LEVEL 2
LEVEL 4 LEVEL 3
 General Level 1 Level 2 Level 3
Clinical Services and Consulting Specialists in: Level 1 plus all: Level 2 plus all:
Facilities for In- Medicine Pediatrics OB-
Departmentalized Clinical Teaching/ training with accredited
Patients GYNE Surgery
Services residency training program in the 4
major clinical services
Emergency and Out- patient Respiratory Unit Physical Medicine and
Services Rehabilitation Unit
Isolation Facilities General ICU
Surgical/ Maternity Facilities High Risk Pregnancy Unit Ambulatory Surgical Clinic
Dental Clinic NICU Dialysis Clinic
Ancillary Services Secondary Clinical Tertiary Clinical Laboratory Tertiary lab with histopathology
Laboratory
Blood Station Blood Station Blood Bank
1st Level X-ray 2nd Level X-ray with mobile unit 3rd Level X-ray
Pharmacy
 NEW CLASSIFICATION OF OTHER HEALTH FACILITIES
A B C D

Primary Care Custodial Care Diagnostic/ Therapeutic Specialized Out- Patient

Facility Facility Facility Facility
With In-patient Psychiatric Care Facility Laboratories: Dialysis Clinic (DC)
Beds: • Clinical Lab/ HIV
• Infirmary/ • Blood Service Facilities
Dispensary • Drug Test Lab Ambulatory Surgical Clinic
• Birthing Home • NB Screening Lab (ASC)
• Water Lab
Without Beds: Drug Abuse Treatment Ionizing Machines as X- In-Vitro Fertilization (IVF)
• Medical Out- and Rehabilitation ray, CT scan, Centers
patient Clinics Center (DATRC) mammography and others
• OFW Clinics
• Dental Clinics
Sanitarium/ Non-Ionizing Machines as Radiation Oncology Facility
Leprosarium ultrasound, MRI and others
Nursing Home Nuclear Medicine Oncology Center/ Clinic
 NEW CLASSIFICATION

HOSPITALS OTHER HEALTH

FACILITIES
GENERAL A. Primary Care Facility
• Level 1
• Level 2
• Level 3 B. Custodial Care
(Teaching/Training) Facility
C. Diagnostic /
Therapeutic Facility
SPECIALTY D. Specialized Out-
Patient Facility
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