History : Conceptualized at Alma- Ata, Russia on Sept

6-12, 1978 to seek the way to promote health for all.

Overall Goal : Am improved state of health and quality

of life for all people thru self- reliance and self-
determination

Concept : Essential healthcare made universally

accessible to individuals and families in the community by
means acceptable to them through their full participation
❑The need for urgent action by all governments, all health
and development workers, and the world commnity to
protect and promote the health of ALL people. (by the year
2000)

❑ 1978 : it was the FIRST international declaration

underlining the importance of PRIMARY HEALTH CARE.
1. Must be community based with full participation and
involvement of the people
2. Must be related to the socioeconomic development of
the local community
3. Must be geared to self-reliance towards attaining an
adequate level of health.
4. Services must be available to all communities,
accessible to people, affordable at community level.
1. Education on prevailing health problems and the
methods of preventing and controlling them
2. Promotion of adequate food supply and proper nutrition
3. Basic sanitation and promotion of an adequate supply of
safe water.
4. Maternal and child cate including family planning
5. Immunization against major infectious diseases
6. Prevention and control of locally endemic diseases
7. Appropriate treatment of common diseases and injuries
8. Provision of essential drugs and herbal medicine
9. Promotion of mental health
10. Prevention of oral - dental disease and promotion of
dental hygiene
11. Access and utilization of hospital care as centers of
wellness.
1. Preventive Health Care
2. Promotive Health Care
3. Curative Health Care
4. Rehabilitative Health Care
5. Supportive Health Care
1. Equitable distribution
2. Focus on prevention
3. Community Participation or Involvement - the community must
share the responsibility and paarticipate in the following aspects of
activity:
✓ Defining the health related needs and problems
✓ Identifying realistic solutions to priority problems
✓ Organizing/ mobilizing its resources for health activities
✓ Evaluating the results of health activities
4. Multi-sectoral Approach
✓ Intersectoral linkages - integration of health plans with those for total
community development
✓ Intrasectoral linkages - within DOH
5. Use of Appropriat Technology - use of methods procedures,
techniques, equipment/ materials that are not only scientifically sound
but also suitable to the community; socially and environmentally
acceptable level of service or quality product at the least economic cost.
6. Support Mechanism - the need for human resources, financial
resources and material resources
1. 1st level : Awareness
• advocacy and social preparations to make the community aware
of PHC and its advantages
2. 2nd level : Organization
• community and its organization can develop by identifying
commands
3. 3rd level : Project Implementation
• what projects to pursue, what resources are needed and where to
obtain resources
4. 4th level : Maintenance and Sustainability
• towards self-determination and self- reliance
1. Village or Grassroots Health Workers
• They are the first contacts
• Trained community health workers, health volunteers,
traditional birth attendants
2. Intermediate Level of Health Workers
• Provide support to frontline health workers
• General practitioners or their assistants, public health nurses,
midwives
3. First line Level Personnel
• Physicians with specialties, Nurses, Dentists, Pharmacists
• It is a dynamic process of engaging people in community
action for a common goal.
• Components :
• Advocacy
• Information, communication and Education
• Training
• Community Organizing
• Networking
 RESPONSIBILITY OF MOBILIZATION
LEVEL PARTY RESPONSIBLE
National Level Secretary of health/ Deputy of Public Health
Regional Level Regional Health Director
Provincial Level Provincial Health Director
District Level Chief of District hospital
Municipal Level Municipal Health Officer
Barangay Level Rural Midwives/ Public Health Nurse/ Physician
of the City Health Department
DIMENSION TRADITIONAL PRIMARY HEALTH CARE
Goal Absence of disease Development of preventive health care
Focus of care The sick The well and early sick
Setting for services Urban- based hospital, clinics, homes Rural based satellite clinics

People Passive recipients of health care Active recipients in health care development

Health is an integral part of socioeconomic

Structure Health is isolated from other sectors
Process Decision making is from top to down
Curative services based on modern
medicine Sophisticated technology
Technology
Doctor dominated
Outcome Reliance on Health Professionals
development
Decision making is from bottom-up
Promotive and progressive services blending
traditional with modern medicine
Acceptance of indigenous practitioners
Appropriate technology for frontline care
Self-reliance Locally and economically
productive Self-help
1. PRIMARY HEALTH CARE
□ The first contact between the individual and the health system
□ Essential health care (PHC) is provided
□ A majority of prevailing health problems can be satisfactorily managed
□ Closest to the people
□ Provided by primary health centers
2. SECONDARY HEALTH CARE
□ More complex problems are dealth with
□ Comprise is curative services
□ Provided by the district hospital
□ The first referral level
3. TERTIARY HEALTH CARE

□ Other specialist care

□ Provided by regional/ central level institutions
□ Provide training programs
1. Appropriateness 9. Completeness
2. Availability 10. Comprehensiveness
3. Adequacy 11. Continuity
4. Accessibility
5. Acceptability
6. Affordability
7. Accountability
8. Assessibility
1. CENTERS FOR DISEASE CONTROL
▪ To provide surveillance and investigation of epidemic diseases
▪ To promote disease - control program
▪ To provide expert laborator/ assistance to state and local
health departments
▪ To promote immunization and health education programs
2. FOOD AND DRUG ADMINISTRATION
▪ Enforce the laws that regulate interstate transport and quality of
drugs and foods.
▪ Test products, set standards for production and quality control
and judges claims of safety and efficacy.
3. ENVIRONMENTAL PROTECTION AGENCY
▪ Responsible for the protection and promotion of environmental
quality.
▪ Sets guidelines for solid waste disposal, for hazardous waste
control, for recovery of resources from wastes.
1. Government services/Public
2. Private Sectors
a. Services in clinic and hospital
b. Drug research and Manufacturing
c. Provision of medical supplies
d. Health insurance coverage
e. Human resource development
CONCEPT OF MANAGED CARE

MANAGED CARE
• An organized system of health care delivery, offering a comprehensive set of
benefits, in which members are voluntarily enrolled, and paying for a fixed prepaid
period

A. Health Maintenance Organization

❑ Prepaid services
❑ It is an agreement entered wherein the organization will shoulder the comprehensive
health services to patient enrolled in their plan
❑ Physician received fixed amount to provide specifically defined care and services
❑ Fixed payment per enrollee is received regardless of use.

B. Preferred Provider Organizations

❑ System that comprises a panel of health care providers and includes physicians,
hospitals, diagnostic centers, and other entities to form a contractual health team
concept
❑ Fee schedule for each service is negotiated and agreed upon before the service is
provided
❑ Cost effective health care is encouraged
MILLENIUM DEVELOPMENT GOALS
➢ Are eight goals that all 191 UN Member
states have agreed to try yo achieve by the
year 2015.
➢ The United Nations Millenium Declaration,
signed in September 2000 commits world
leaders to combat poverty, hunger, disease,
illiteracy, environmental degradation, and
discrimination against women.
MILLENIUM DEVELOPMENT GOALS
➢ Some Achievements:
✓ Globally, the HIV, TB and malaria epidemics were turned
around
✓ Child mortality decreased by 53% - a great achievement,
but fell short of the 67% target
✓ Deaths related to pregnancy and chilbirth (maternal
mortality) fell by more than 40% but short of the 75%
target
✓ Between 1990 and 2015, the global prevelanence of
underweight among children aged less than 5 declined
from 25% to 14%.
MDG 1: ERADICATE EXTREME POVERTY AND HUNGER
MDG 2: ACHIEVE UNIVERSAL PRIMARY EDUCATION
MDG 3: PROMOTE GENDER EQUALITY AND EMPOWER
WOMEN
MDG 4: REDUCE CHILD MORTALITY
MDG 5: IMPROVE MATERNAL HEALTH
MDG 6: COMBAT HIV/AIDS, MALARIA AND OTHER
DISEASES
MDG 7: ENSURE ENVIRONMENTAL SUSTAINABILITY
MDG 8: DEVELOP A GLOBAL PARTNERSHIP
DEVELOPMENT
 SUSTAINABLE DEVELOPMENT GOALS
• In Sepmtember 2015, more than 150 world leaders
gathered at United Nations Headquarters to formally adopt
the new post - 2015 development agenda - a global plan
of action for the next 15 years (2030)
• 17 Sustainable Development Goals (SDGs) and 169 targets
• SDGs seek to build on the MDGs and complete what these did
not achieve, particularly on improving equity to meet the needs of
women, children and the poorest, most disadvantaged people
 SUSTAINABLE DEVELOPMENT GOALS
• UN, WHO all partner organizations recommit to the full realization
of all the MDGs, in particular by providing focused and scaled-up
assistance to least- developed countries and other countries in
special situations.
• Aim to tackle emerging challenges including the growing impact of
non-communicable diseases, like diabetes and heart disease, and
the changing social and enviromental determinants that affect
health, such as increasing urbanization, pollution and climate
change
1 End poverty in all its forms everywhere
2 End hunger, achieve food security and improved nutrition and promote sustained
agriculture
3 Ensure healthy lives and promote well-being for all at all ages
4 Ensure inclusive and equitable quality education and promote lifelong learning
opportunities for all
5 Achieve gender equality and empower all women and girls
6 Ensure availability and sustainable management of water and sanitation for all
7 Ensure access to affordable, relaible, sustainable and modern energy for all
8 Promote sustained, inclusive and sustained economic growth, full and productive
employment and decent work for all
9 Build resilient infrastracture, promote inclusive and sustainable industrialization and
foster innovation
10 Reduce inequality within and among countries
11 Make cities and humans settlements inclusive, safe, resilient, and sustainable
12 Ensure sustainable consumption and production patterns
13 Take urgent action to ombat climate change and its impacts
14 Conserve and sustainably use the oceans, seas and marine resources for
sustainable development

15 Protect, restore and promote sustainable use of terrestrial ecosystems,

sustainably manage forests, combat desertification, and halt and reverse land
degradation and halt biodiversity loss

16 Promote peacefuland inclusive societies for sustainable development, provide

access to justice for all and build effective, accountable and inclusive institutions at
all levels

17 Strengthen the means of implementation and revitalize the global partnership for
sutainable development
• Vision statement : Health for all Filipinos
• Mission statement : To ensure accessibility and Quality
of health care to improve the quality of life of all Filipinos,
especially the poor.
• Objectives :
» Better health outcome (through the statistical indicators)
» More Responsive Health System (through the devolution of
health services to LGU)
» More equitable health care Financing (through Philhealth
management)
• DOH residual Function :
• Function as an oversight supervision through
monitoring and evaluation
• Formulation of standards and guidelines
 ALL FOR HEALTH TOWARDS
HEALTH FOR ALL
GOALS:
1. Financial Protection from high cost of health care
2. Best possible Health Outcomes with no disparity
3. Responsiveness - Filipinos feel respected, valued,
and empowered in all of their interaction with the health
system
 ALL FOR HEALTH TOWARDS
HEALTH FOR ALL
VALUES:
1. Equitable and inclusive to all
2. Transparent and accountable
3. Uses resources efficiently
4. Provides high quality services
ALL FOR HEALTH TOWARDS
HEALTH FOR ALL
 ALL FOR HEALTH TOWARDS
HEALTH FOR ALL
THREE GUARANTEES:
1. Services For Both Well and Sick: All Life Stages and Triple
Burden of Disease
A. Communicable Diseases - HIV/AIDS, TB, Malaria, Dengue,
Lepto, Ebola, Zika
B. Non-Communicable Diseases, Including malnutrition
C. Diseases of Rapid Urbanization and Industrialization - Injuries,
Substance abuse, MEntal Illness, Pandemics, Travel Medicine,
and health consequences of climate change/ disaster
 ALL FOR HEALTH TOWARDS
HEALTH FOR ALL
2. Service Delivery Network: Functional Network of Health
Facilitied, which are:
➢ Fully Functional - complete equipment, medicines, and
health professional (Mega-hospitals)
➢ Compliant with Clinical Practice Guidelines
➢ Available 24/7 and even during disasters
➢Practicing gatekeeping
➢ Located close to the people - mobile clinic or subsidized
transportation cost
➢ Enhanced by Telemedicine
 ALL FOR HEALTH TOWARDS
HEALTH FOR ALL
3. Universal Health Insurance: Financial Freedom when
accessing services
D. Simplify Philhealth Rules
» No Balance Billing for the poor in basic accommodation
» Fixed Co-Payment for non-basic accommodation

E. Philhealth as the Main revenue source for all healthcare facilities

➢ Expand benefits to cover comprehensive range of services with high support value
➢ Contracting networks of providers

F. Philhealth as the gateway to free or affordable care

❑ All Filipinos as members
❑ Formal Sector Premium paid through payroll and nonformal sector premium through tax subsidy