The Health Care Delivery System

Rosita Dulay Vianzon

Instructor COHN 1, SY 2022-2023 1ST SEM
 Introduction

 Every Filipino has the fundamental human

and constitutional right to health.
 1987 Philippine Constitution Art. II, Sec. 15

 Department of Health (DOH) - the lead

agency mandated by the government to be
responsible for the protection and promotion
of health to every Filipino.
Introduction (cont.)

 Public Health Nurse - must fully understand

the DOH:
 Vision – “Health for all Filipinos” and
 Mission – “Guarantee equitable,
sustainable and quality health for all
Filipinos especially the poor, and to lead
the quest for excellence in health.”
 The World Health
Organization is a specialized
agency of the United Nations
responsible for international
public health.
 Working with 194 Member
States across 6 regions and
on the ground in 150+
locations, the WHO team
works to improve everyone’s
ability to enjoy good health
and well-being
Brief History of WHO
 The World Health Organization was created in 1948 to
coordinate health affairs within the United Nations
system. Its initial priorities were malaria,
tuberculosis, venereal disease and other
communicable diseases, plus women and
children’s health, nutrition and sanitation. From the
start, it worked with member countries to identify and
address public health issues, support health research
and issue guidelines. It also classified diseases.
 WHO

1948 - World Health Organization was creation by

the United Nation Diplomats as a global
organization.
April 7, 1948 - WHO constitution came into force
April 7 - celebrated each year as World Health Day
(WHO,2013a).
Philippines - a member of the Western Pacific Region
– with office in Manila  
WHO Objective: Attainment by all peoples of the
highest possible level of health.
(WHO, 2006)
Country not a member of WHO?
 The WHO has 194 member states: every country
except Liechtenstein which is a member of the United
Nations but not of its global health agency.
 The Executive Board at its 150th session in January 2022 -
Dr Tedros Adhanom Ghebreyesus for the post of Director-
General of WHO
 2022 World health Day theme -Our Planet, Our Health
 WHO's global office - Geneva, Switzerland
 Millennium Development Goal

 September 6-8, 2000 – United Nations Millennium

Declaration (UN,2013) during the Millennium
Summit participated by the world leaders of the
United General Assembly

 Collective responsibility: to uphold the principles of human

dignity, equality and equity at the global level.
 The commitment of the Philippines &191 members
states to reduce extreme poverty and achieve seven
other targets- now called the Millennium Development
Goals (MDGs) by the year 2015.
Millennium Development Goals (MDGs) by the year 2015
Why did the MDGs fail?
 Weak governance and mismanagement remain
key concerns at all levels. The lack of a transparent
performance-assessment system, limited efforts to
harness the potential of the private sector and the
weak regulation of healthcare delivery also
contributed to the slow progress of the MDGs
 Sustainable Development Goals

September 25, 2015 - Sustainable Development Goals

(SDG) or the Global Goals was launched- built on
MDGs
September 2016 - Sustainable Development Summit
official launch of the bold and transformative 2030
Agenda adopted by world leaders at the United
Nations.
New Agenda - calls on countries to begin efforts to
achieve 17 Sustainable Development Goals (SDGs)
over the next 15 years.
 Sustainable Development Goals (cont.)

“The seventeen Sustainable Development Goals:

shared vision of humanity and a social contract

between the world's leaders and the people,”
(UN Secretary-General Ban Ki-moon)
“They are a to-do list for people and planet, and a
blueprint for success.”
aspiring to achieve a new set of global goals by 2030
where ‘no one is left behind’.
Why did MDGs change to SDGs?
 Unlike the MDGs, which only targets the developing
countries, the SDGs apply to all countries whether
rich, middle or poor countries. The SDGs are also
nationally-owned and country-led, wherein each
country is given the freedom to establish a national
framework in achieving the SDGs.
 17 Goals to Transform our World

The SDGs -
 a call for action by all countries – poor, rich and middle-
income – to promote prosperity while protecting the
planet.
 recognize that ending poverty must go hand-in-hand
with strategies that build economic growth, and
 address a range of social needs including education,
health, social protection, and job opportunities, while
tackling climate change and environmental protection.
 17 Goals to Transform our World

 the goals provide a critical framework for COVID-19

recovery.
While the MDGs achieved significant developments over the
past 15 years, persistent gaps have been evident and
progress has been uneven across regions and UN member
states.
The MDG Report 2015 concludes: targeted efforts are needed
to fill in the gaps and reach the most vulnerable people for many
developing countries, including least developed countries
(LDCs), small island developing States (SIDS) and other
low- income countries.
 MDG reported gaps - 2015

 Access to essential medicines at affordable prices remains

highly problematic
many households squeezed out of the market due to
high prices and limited availability
 a major digital divide, with more people offline than online
and particularly poor access in sub-Saharan Africa.
- PCHRD. MDG to sustainable Development Goals: Is there
enough emphasis on health?.
https://www.pchrd.dost.gov.ph/index.php/events/4945-
mdg-to-sustainable-development-goals-is-there-enough-
emphasis-on-health