Community Health Nursing 1

NCM 104
Trinal
MARY LOU G. MAMARIL, RN, MAN
 DEFINITION AND FOCUS

Philippines
Nursing

CHN HN
 OBJECTIVES
• After 20 minutes of this lecture the student
will be able:
• To understand the different definition of
community health nursing
• To identify the different roles and
responsibilities of a community health nurse.
 DEFINITION AND FOCUS

Philippines
Nursing

CHN HN
 CHN and PHN
Community Health
Nursing Public Health Nursing

Occupational Health
Nursing/ Company RHU, Health Centers
Nursing, School Health
Nursing

Community Health Nurse Public Health Nurse

 Definition and Focus
1. HEALTH
– A state of complete physical, mental,
and social well – being and not merely
the absence of disease or infirmity
(WHO)
 Definition and Focus
2. Social
- means of/ or relating to living together in
organized groups or similar close
aggregates (American Heritage College
Dictionary)
 Definition and Focus
3. Social health
- a community vitality, a positive interaction
among groups within the community with
the emphasis on health promotion and
illness prevention.
 Definition and Focus
4. Community/ Public Health Nursing
- is the synthesis of nursing practice and
public health practice.
 Definition and Focus
4. Community/ Public Health Nursing
- is associated with health and the
identification of populations at risk rather
than with an episodic response to patient
demand.
 Definition and Focus
5. Community Health Nursing
- practice, promotes, and preserves the
health of populations by integrating the
skills and knowledge relevant to both
nursing and public health. (ANA)
 Definition and Focus
5. Community Health Nursing
- the practice is comprehensive and
general, and is not limited to a particular
age or diagnostic group.
- it is continual, and is not limited to
episodic care

(Clark, 1999)
 NOTE:
Community Health Nursing Practice
- includes nursing directed to individuals,
families, and groups, the dominant
responsibility is to the population as a
whole.

(Clark,
1999)
 Definition and Focus
5. Community Health Nursing (CHN)
- is a unique blend of nursing and public
health practice aimed at developing and
enhancing health capabilities of people.
- it is involved in the entire spectrum of
health services for the community

(Dr. Ruth B. Freeman)

 Definition and Focus
5. Community Health Nursing (CHN)
a. field of nursing in which family and
communities are patients
b. Unique blend of nursing and public
health practice woven into human service
c. The hallmark of CHN is that it is
population or aggregate – focused.
(Tinkham and Voorhies, 1972)
 Definition and Focus
6. (CHN) and/ (PHN)
a. Special field of nursing that combines
skills of nursing public health . . .

(WORLD HEALTH ORGANIZATION, WHO)

 Definition and Focus
5. (CHN) and/ (PHN)
b. Function as part of total public health
programs for:
i. Promotion of health
ii. Improvement of condition
iii. Rehabilitation of illness and disability

(WORLD HEALTH ORGANIZATION, WHO)

 Definition and Focus
7. Public Health
(Classic definition)
- is the science and art of PREVENTING
DISEASE, PROLONGING LIFE, and,
PROMOTING HEALTH AND EFFICIENCY
through organized community effort for

(Winslow, 1920)
 CONTINUATION
the sanitation of the environment, the control
of community infections, the education of the
individual in principles of personal hygiene,
the organization of medical and nursing
service for the early diagnosis and preventive
treatment of disease, and the development of
the social machinery which will ensure to
every individual in the community a standard
of living adequate for the maintenance of
health. (Winslow, 1920)
COMMUNITY HEALTH NURSE

ROLES
AND
FUNCTIONS
 QUALIFICATIONS
• Bachelor of Science in Nursing
• Registered Nurse of the Philippines
 ROLES AND FUNCTIONS
1. Planner/Programmer
• Identifies needs, priorities, and problems of
individuals, families, and communities
• Formulates municipal health plan in the
absence of a medical doctor
• Interprets and implements nursing plan,
program policies, memoranda, and circular for
the concerned staff personnel
• Provides technical assistance to rural health
midwives in health matters
 ROLES AND FUNCTIONS
2. Provider of Nursing Care
• Provides direct nursing care to sick or disabled
in the home, clinic, school, or workplace
• Develops the family’s capability to take care of
the sick, disabled, or dependent member
 ROLES AND FUNCTIONS
3. Community Organizer
• Motivates and enhances community
participation in terms of planning,
organizing, implementing, and evaluating
health services
• Initiates and participates in community
development activities
 ROLES AND FUNCTIONS
4. Coordinator of Service
• Coordinates with individuals, families, and
groups for health related services provided
by various members of the health team
• Coordinates nursing program with other
health programs like environmental
sanitation, health education, dental health,
and mental health
 ROLES AND FUNCTIONS
5. Trainer/ Health Educator
• Identifies and interprets training needs of the
RHMs, Barangay Health Workers (BHW), and
hilots
• Conducts training for RHMs and hilots on
promotion and disease prevention
• Conducts pre and post-consultation conferences
for clinic clients; acts as a resource speaker on
health and health related services
• Initiates the use of tri-media (radio/TV, cinema
plugs, and print ads) for health education purposes
• Conducts pre-marital counseling
 ROLES AND FUNCTIONS
6. Health Monitor
• Detects deviation from health of individuals,
families, groups, and communities through
contacts/visits with them
 ROLES AND FUNCTIONS
7. Role Model
• Provides good example of healthful living to
the members of the community
 ROLES AND FUNCTIONS
8. Change Agent
• Motivates changes in health behavior in
individuals, families, groups, and communities
that also include lifestyle in order to promote
and maintain health
 ROLES AND FUNCTIONS
9. Recorder/Reporter/Statistician
• Prepares and submits required reports and
records
• Maintain adequate, accurate, and complete
recording and reporting
• Reviews, validates, consolidates, analyzes, and
interprets all records and reports
• Prepares statistical data/chart and other data
presentation
 ROLES AND FUNCTIONS
10. Researcher
• Participates in the conduct of survey studies
and researches on nursing and health-related
subjects
• Coordinates with government and non-
government organization in the
implementation of studies/research
 REFERENCES
• RNpedia (2022). Community Health Nurse
Roles and Functions.
https://www.rnpedia.com/nursing-notes/
community-health-nursing-notes/community-
health-nurse-roles-functions/
• Cuevas (2007) et al. Public Health Nursing in
the Philippines 10th Edition.
THE HEALTH CARE DELIVERY
SYSTEM
- PHILIPPINES -
MARY LOU G. MAMARIL, RN, MAN
TOPIC 2
BRIEF HISTORY OF COMMUNITY
HEALTH NURSING IN THE
PHILIPPINES
Learning Objectives:
• After the lecture the students will be able
to identify the important chronological
events in the development of community
health nursing or public health nursing in
the Philippines.
 BRIEF HISTORY OF CHN/PHN
• 1901
 Act No. 157 of the Philippines
Commission – Created the Board of
Health for Manila.
Act No. 309 – Created the Provincial
and Municipal Boards of Health
 BRIEF HISTORY OF CHN/PHN
• 1905
 Act No. 1407 (Reorganization Act) –
Abolished the board of Health and
replaced by Bureau of Health under
Department of Interior.
 BRIEF HISTORY OF CHN/PHN
• 1912
 Philippine General Hospital under
Bureau of Health, sent 4 nurses to Cebu
to take care of mothers and babies, St.
Paul’s Hospital School of Nursing
assigned 2 nurses to do Home Visit (HV)
in Manila and to take care of outpatient
mothers and newborn in PGH.
 BRIEF HISTORY OF CHN/PHN
• 1912
 The Fajardo Act of 1912 – Creation
of Sanitary Division.
 BRIEF HISTORY OF CHN/PHN
• 1915
 Act 2462 (Reorganization Act) –
Created the Office of General
Inspection which organized Office of
the District Nursing (Dr. Rosario
Pastor – Head)
 BRIEF HISTORY OF CHN/PHN
• 1919
Ms. Carmen del Rosario – 1st
Filipino Nurse Supervisor under the
Bureau of Health, appointed 84
PHN’s assigned 5 health stations
 BRIEF HISTORY OF CHN/PHN
• 1954
Congress passed the RA 1082 –
RURAL HEALTH ACT
 BRIEF HISTORY OF CHN/PHN
• 1990 - 1992
 RA 7160 – The Local Government
Code was passed and implemented
“devolution” of power and authority
from national to local government
units,
 BRIEF HISTORY OF CHN/PHN
• January 1999
 Department Order No. 29
designated Mrs. Nelia F. Hizon
Nurse IV as Nursing Adviser
detailed at the Office of the Public
Health Services with undersecretary
Milagros Fernandez as Chief.
 BRIEF HISTORY OF CHN/PHN
• May 24, 1999
 EO No. 102 signed by President
Joseph E. Estrada – redirecting the
functions and operations of the DOH.
Most of the nursing positions at the
central office were either transffered
or devolved to other offices and
services.
 BRIEF HISTORY OF CHN/PHN
• September 2000
 Philippine is the signatory to United
Nations Millennium Declaration
during the World Summit to attain the
8 Millennium Development Goals
(MDG’s).
 BRIEF HISTORY OF CHN/PHN
1999-2004
• 1999
The Health Sector Reform
Agenda(HRSA) was launched and
develop to describe major strategies,
organizational and policy changes and
public investments to improve HCDS,
delivered, regulated and financed.
 BRIEF HISTORY OF CHN/PHN
• 2005
EO No. 366 – a plan to rationalize or
streamline the bureaucracy which
includes the DOH.
 BRIEF HISTORY OF CHN/PHN
• 1999 - 2010
The Health Sector Reform
Agenda(HRSA)
Implementation of Framework
FOURmula One (F1) in 2005
Universal Health Care in 2010
 BRIEF HISTORY OF CHN/PHN
• 2010
Universal Health Care –
 to achieve the health system goals –
better health outcomes sustained
health financing and responsive
health system to have an equitable
access to health care.
 BRIEF HISTORY OF CHN/PHN
• 2010
Universal Health Care
Focus – Economically disadvantage
Filipino
Philippine Health Insurance
Corporation (PhilHealth) – to have
access to affordable and quality
health services
 REFERENCES
• CASTRO (2012) Community Health Nursing
and Community Health Development, 1st
Edition, Jade Bookstore
• Agulo, (2021) Video Prsentation
MILLENNIUM/SUSTAINABLE
Development Goals
(MDG’s)/ (SDG’S)

By: Mary Lou G. Mamaril, RN, MAN

Topic 3
Millennium Development Goals
(MDG’s) 2015
SUSTAINABLE Development
Goals (SDG’s)
HEALTH DIRECTION
 LEARNING OBJECTIVES
After 20 minutes of lecture the students will
be able to:

1. Compare the different goals, targets,

and indicators used by Millennium
Development Goals and Sustainable
Development Goals.
 LEARNING OBJECTIVES
2. Identify the different barriers in
achieving its goals and its
potential solution to the problem.
 8 GOALS
21 TARGETS
60 INDICATORS
Millennium Development Goals
(MDG’s) 2015
•Globally, the number of deaths of children
under 5 years of age fell from 12.7 million in
1990 to 6.3 million in 2013.

•In developing countries, the percentage of

underweight children under 5 years old
dropped from 28% in 1990 to 17% in 2013.

•Globally, new HIV infections declined by 38%

between 2001 and 2013.
• Existing cases of tuberculosis are declining, along
with deaths among HIV-negative tuberculosis
cases.

• In 2010, the world met the United Nations

Millennium Development Goals target on access
to safe drinking-water, as measured by the proxy
indicator of access to improved drinking-water
sources, but more needs to be done to achieve
the sanitation target.
GOAL 1: ERADICATE EXTREME POVERTY AND
HUNGER

 Target 1.C. Halve, between

1990 and 2015, the proportion
of people who suffer from
hunger
GOAL 1: ERADICATE EXTREME POVERTY AND
HUNGER
Under nutrition which includes fetal growth
restriction, stunting, wasting and deficiencies
of vitamin A and zinc, along with suboptimal
breastfeeding; is the underlying cause of
death in an estimated 45% of all deaths
among children under 5 years of age.
 The proportion of underweight children in
developing countries has declined from 28%
to 17% between 1990 and 2013.
This rate of progress is close to the rate
required to meet the MDG target, however
improvements have been unevenly
distributed between and within different
regions.
GOAL 2: ACHIEVE UNIVERSAL
PRIMARY EDUACATION
• Global Education (
by Max Roser and Esteban Ortiz-Ospina)
 https://ourworldindata.org/global-
education
GOAL 3: PROMOTE GENDER EQUALITY AND
EMPOWER WOMEN
• Global Gender Gap Report 2022
(© 2022 World Economic Forum)
 https://www.weforum.org/reports/global-ge
nder-gap-report-2022/digest/

 Gender parity is not recovering,

according to the Global Gender Gap
Report 2022.
 It will take another 132 years to close
the global gender gap.
 women's workforce outcomes are
suffering and the risk of global gender
GOAL 4: REDUCE CHILD
MORTALITY
 Target 4.A. Reduce by two-thirds,
between 1990 and 2015, the under-
five mortality rate
GOAL 4: REDUCE CHILD
MORTALITY
 Globally, significant progress has been made
in reducing mortality in children under 5 years
of age
 More countries are now achieving high levels
of immunization coverage; in 2013, 66% of
Member States reached at least 90%
coverage.
 In 2013, global measles immunization
coverage was 84% among children aged 12–
23 months.
 During 2000–2013, estimated measles deaths
decreased by 74% from 481 000 to 124 000.
GOAL 5: IMPROVE MATERNAL
HEALTH
 Target 5.A. Reduce by three
quarters, between 1990 and 2015,
the maternal mortality ratio
 Target 5.B. Achieve, by 2015,
universal access to reproductive
health
GOAL 5: IMPROVE MATERNAL
HEALTH
 The proportion of women receiving antenatal
care at least once during pregnancy was about
83% for the period 2007–2014, but for the
recommended minimum of 4 or more visits
the corresponding figure drops to around 64%.
 The proportion of births attended by skilled
personnel – crucial for reducing perinatal,
neonatal and maternal deaths – is above 90%
in 3 of the 6 WHO regions. However, increased
coverage is needed in certain regions, such as
the WHO African Region where the figure was
still only 51%.
GOAL 6: COMBAT HIV/AIDS, MALARIA AND
OTHER DISEASES

 Target 6A. Have halted by 2015 and

begun to reverse the spread of
HIV/AIDS
 Target 6B. Achieve, by 2010,
universal access to treatment for
HIV/AIDS for all those who need it.
 Target 6C. Have halted by 2015 and
begun to reverse the incidence of
malaria and other major diseases
GOAL 7: ENSURE ENVIRONMENTAL
SUSTAINABILITY

 Target 7C: By 2015, halve the proportion

of people without sustainable access to
safe drinking water and basic sanitation

 The world has now met the MDG

target relating to access to safe
drinking-water.
 In 2012, 90% of the population used
an improved source of drinking-
water compared with 76% in 1990.
GOAL 8: DEVELOP A GLOBAL PARTNERSHIP
FOR DEVELOPMENT

 Target 8E. In cooperation with

pharmaceutical companies,
provide access to affordable
essential medicines in
developing countries
 Effective treatments for the
majority of the global chronic
disease burden exist, yet
universal access remains out-of-
reach.
 WORLD HEALTH ORGANIZATION (2018)
1. WHO works with partners to support
national efforts to achieve the health-
related MDGs.
2. WHO assists national authorities as they
develop health policies and plans, and
helps governments work with
development partners to align external
assistance with domestic priorities.
3. WHO also collects and disseminates data
on health so countries can plan health
spending and track progress.
 WHO’s activities include:
• setting prevention and treatment
guidelines and other global norms and
standards;
• providing technical support to countries to
implement guidelines;
• analyzing social and economic factors and
highlighting the broader risks and
opportunities for health
 Reference
• WORLD HEALTH ORGANIZATION (WHO),
(2018). Millennium Development Goals
(MDGs)
 https://www.who.int/news-room/fact-
sheets/detail/millennium-development-goals-
(mdgs)
SUSTAINABLE Development
Goals (SDG’s)
SUSTAINABLE Development Goals
(SDG’s)
17 GOALS
169 TARGETS
304 INDICATORS
SUSTAINABLE Development
Goals (SDG’s)
 SUSTAINABLE Development Goals
(SDG’s)

• The Sustainable Development Goals (SDGs)

aim to transform our world. They are a call to
action to end poverty and inequality, protect
the planet, and ensure that all people enjoy
health, justice and prosperity. It is critical
that no one is left behind.

WORLD HEALTH ORGANIZATIO (WHO)

SUSTAINABLE Development Goals (SDG’s)
 The 2030 Agenda and its Goals offer a comprehensive
vision for sustainable development that:
• Is global, rather than limited to “developing” countries as
was the case with the Millennium Development Goals
(MDGs);
• is based on values such as equity and respect for
human rights;
• relies on approaches such as sustainable financing,
scientific research and innovation, and monitoring and
evaluation;
• requires a new way of working, involving intersectoral
action by multiple stakeholders;
• aims to strengthen health systems towards universal
health coverage (UHC).
WORLD HEALTH ORGANIZATIO (WHO)
GOAL 1: END POVERTY IN ALL ITS
FORMS EVERYWHERE
 GOAL 2: END HUNGER, ACHIEVE FOOD
SECURITY AND IMPROVED NUTRITION AND
PROMOTE SUSTAINABLE AGRICULTURE
 GOAL 3: ENSURE HEALTHY LIVES AND
PROMOTE WELL- BEING FOR ALL AT ALL
AGES
GOAL 4: ENSURE INCLUSIVE AND EQUITABLE
QUALITY EDUCATION AND PROMOTE
LIFELONG LEARNING OPPORTUNITIES FOR
ALL
GOAL 5: ACHIEVE GENDER EQUALITY AND
EMPOWER ALL WOMEN AND GIRLS
 GOAL 6: ENSURE AVAILABILITY AND
SUSTAINABLE MANAGEMENT OF WATER AND
SANITATION FOR ALL
GOAL 7: ENSURE ACCESS TO AFFORDABLE,
RELIABLE, SUSTAINABLE AND MODERN
ENERGY FOR ALL
GOAL 8: PROMOTE SUSTAINED, INCLUSIVE
AND SUSTAINABLE ECONOMIC GROWTH,
FULL AND PRODUCTIVE EMPLOYMENT AND
DECENT WORK FOR ALL
GOAL 9: BUILD RESILIENT INFRASTRUCTURE,
PROMOTE INCLUSIVE AND SUSTAINABLE
INDUSTRIALIZATION AND FOSTER
INNOVATION
GOAL 10: REDUCE INEQUALITY WITHIN
AND AMONG COUNTRIES
GOAL 11: MAKE CITIES AND HUMAN
SETTLEMENTS INCLUSIVE, SAFE,
RESILIENT AND SUSTAINABLE
GOAL 12: ENSURE SUSTAINABLE
CONSUMTION AND PRODUCTION
PATTERNS
GOAL 13: TAKE URGENT ACTION TO
COMBAT CLIMATE CHANGE AND ITS
IMPACTS
GOAL14: CONSERVE AND SUSTAINABLY USE
THE OCEANS, SEAS AND MARINE
RESOURCES FOR SUSTAINABLE
DEVELOPMENT
 GOAL15:PROTECT, RESTORE AND PROMOTE
SUSTAINABLE USE OF TERRESTRIAL ECOSYSTEMS,
SUSTAINABLY MANAGE FORESTS, COMBAT
DESERTIFICATION, AND HALT AND REVERSE LAND
DEGRADATION AND HALT BIODIVERSITY LOSS
 GOAL16: PROMOTE PEACEFUL AND INCLUSIVE
SOCIETIES FOR SUSTAINABLE DEVELOPMENT,
PROVIDE ACCESS TO JUSTICE FOR ALL AND BUILD
EFFECTIVE, ACCOUNTABLE AND INCLUSIVE
INSTITUTIONS AT ALL LEVELS
 GOAL17: STRENGTHEN THE MEANS OF
IMPLEMENTATION AND REVITALIZE THE GLOBAL
PARTNERSHIP FOR SUSTAINABLE DEVELOPMENT
 REFERENCES
• UNITED NATION (2022)
https://sdgs.un.org/goals
• WORLD ECONOMIC FORUM (2021).
Why is the world of work so closely
linked to the UN'S Sustainable
Development Goals?
© 2022 World Economic Forum
https://www.weforum.org/agenda/2021/09/
why-is-the-world-of-work-so-closely-
linked-to-the-un-sustainable-development-
goals/
DEPARTMENT OF HEALTH
(DOH)

BY: MARY LOU G. MAMARIL, RN, MAN

TOPIC - 4
 LEARNING OBJECTIVES
At the end of 25 minutes lecture, th students
will be able to:
1. Understand the vision – mission
statement, roles, and its core values of
the Philippine Health Department.
2. Identify the different agencies and
councils attached to the DOH for policy
and program coordination.
 VISION AND MISSION
VISION
- Filipinos are among the healthiest people
in Southeast Asia by 2022, and Asia by
2040.
MISSION
- To lead the country in the development of
a productive, resilient, equitable and
people – centred health system.
 DEPARTMENT OF HEALTH
(DOH)
DOH
- Holds the over-all technical authority
on health as it is a national health
policy – maker and regulatory
institution.
 DEPARTMENT OF HEALTH
(DOH)
DOH MAJOR ROLES
1. Leadership in health
2. Enabler and capacity builder
3. Administrator of specific services
 DEPARTMENT OF HEALTH
(DOH)
DOH CORE VALUES
1. Integrity
2. Excellence
3. Compassion and Respect for human dignity
4. Commitment
5. Professionalism
6. Teamwork
7. Stewardship of the health of the people
 DEPARTMENT OF HEALTH
(DOH)
DOH
- its abbreviation
- called in Filipino as: “Kagawaran ng Kalusugan”
 DEPARTMENT OF HEALTH
(DOH)
DOH Secretary of Health
- Maria Rosario Vergeire, MD
- From: July 14, 2022 - Present
 DEPARTMENT OF HEALTH
(DOH)
DOH
- headed by Secretary of Health with
- 6 undersecretaries
- 6 assistant secretaries
- 12 bureaus
 DEPARTMENT OF HEALTH
(DOH)
DOH 6 undersecretaries
• Undersecretary For Health Regulation
• Undersecretary For Field Implementation And
Management
• Undersecretary For Health Service Development
• Undersecretary For Technical Services
• Undersecretary For Policy And Health System
• Undersecretary For Administration, Finance And
Procurement
 DEPARTMENT OF HEALTH
(DOH)
DOH 6 Assistant Secretaries
• Assistant Secretary for Technical Services
• Assistant Secretary for Administration, Finance
and Procurement
• Assistant Secretary for Special Concerns
• Assistant Secretary for Health Regulation
• Assistant Secretary for Field Implementation
and Management
• Assistant Secretary for Mindanao Cluster
 DEPARTMENT OF HEALTH
(DOH)
DOH 12 Bureaus
• Epidemiology Bureau (formerly National
Epidemiology Center)
• Bureau of Health Devices and Technology
• Bureau of Health Facilities and Services
• Bureau of International Health Cooperation
• Bureau of Local Health Systems Development
• Bureau of Quarantine
 DEPARTMENT OF HEALTH
(DOH)
DOH 12 Bureaus
• Disease Prevention and Control Bureau
(formerly National Center for Disease
Prevention and Control)
• Food and Drug Administration
• Health Emergency Management Bureau
• Health Facility Development Bureau (formerly
National; Center For Health Facilities
Development)
 DEPARTMENT OF HEALTH
(DOH)
DOH 12 Bureaus
• Health Human Resources Development
Bureau
• Health Policy Development and Planning
Bureau
 DEPARTMENT OF HEALTH
(DOH)
AGENCIES AND COUNCILS ATTACHED
FOR POLICY AND PROGRAM COORDINATION
 Local Water Utilities Administration
 National Nutrition Council (NNC)
 Philippine Health Insurance Corporation
(PHIC)
 Philippine Institute for Traditional and Alterntive
Health Care (PITAHC)
 DEPARTMENT OF HEALTH
(DOH)
AGENCIES AND COUNCILS ATTACHED
FOR POLICY AND PROGRAM COORDINATION
 Philippine International Traiding Corporation –
Pharma (PITC – Pharma)
 Philippine National AIDS Council (AIDS)
 DEPARTMENT OF HEALTH
(DOH)
HOSPITALS DIRECTLY UNDER DOH
 Amang Rodrigues Medical Center
 Dr. Jose Fabella Memorial Hospital
 Corazon Locsin Montelibano Memorial
Regional Hospital
 East Avenue Medical Center
 Jose R. Reyes Memorial Medical Center
 National Center for Mental Health
 National Children’s Hospital
 DEPARTMENT OF HEALTH
(DOH)
HOSPITALS DIRECTLY UNDER DOH
 Philippine Orthopedic Center
 Quirino Memorial Medical Center
 Research Institute for Tropical Medicine
 Rizal Medical Center
 San Lazaro Hospital
 Tondo Medical Center
 Baguio General Hospital and Medical Center
 DEPARTMENT OF HEALTH
(DOH)
SPECIALTY HOSPITALS
DIRECTLY UNDER DOH
 Lung Center of the Philippines
 National Kidney and Transplant Institute
 Philippine Children’s Medical Center
 Philippine Heart Center
 Reproductive Health Clinic (9 branches)
 HISTORY OF DOH
A. AMERICAN ERA
- September 29, 1898
- creation of Military Board of Health
- Dr. Frank S. Bourns – President
- Dr. C.L. Mullins – Assistant Surgeon
- Dr. L. M. Maus – First Civilian Health
Commissioner
(1901)
 HISTORY OF DOH
A. AMERICAN ERA
 1901 – creation of Bureau of
Governmental Laboratories
 1905 – Dean Worcester
- Built UP College of Medicine
and Surgery, with Johns
Hopkins University serving
as a
blueprint
 HISTORY OF DOH
A. AMERICAN ERA
 1909 – Introduction of nursing student
instruction
(Philippine Normal School)
 1915 – Bureau of Health was
reorganized and renamed
into
PHILIPPINE HEALTH
SERVICE
 HISTORY OF DOH
A. AMERICAN ERA
 1919 – Dr. Vincent De Jesus
(became the first Filipino to
head the Health Portfolio
 HISTORY OF DOH
A. AMERICAN ERA
 1933 – Philippine Health Service
- reverted its name into:
 Bureau of Health.
 The Health Messenger
 Community Health and Social Centers
 Barangay Health Centers
 HISTORY OF DOH
A. AMERICAN ERA
 1933 –
 Governor – General Frank Murphy
– United States High Commissioner
 Dr. Jose Fabella
– Chief of the Bureau of Health
 HISTORY OF DOH
A. AMERICAN ERA
 1933 –
 Dr. Jose Fabella
– Chief of the Bureau of Health (established)
 11 community and social health
centers
 38 hospitals
 215 puericulture centers
 374 sanitary divisions
 1, 535 dispensaries
 72 laboratories
 HISTORY OF DOH
A. AMERICAN ERA
 1940 – Bureau of Health was
reorganized into the
Department of Health and
Public Welfare.
 HISTORY OF DOH
B. JAPANESE ERA
 The National Government was dissolve
and replaced it with the central
administrative Organization of the
Japanese Army.
 Health was relegated to the
Department of Education, Health and
Public Welfare under Commissioner
Claro M. Recto.
 HISTORY OF DOH
C. POST WORLD WAR II
 President Manuel Roxas signed
Executive Order (E.O.) No. 94
 Dr. Antonio C. Villarama as appointed
Secretary of DOH
 Bureau of Hospitals
 Bureau of Quarantine
 HISTORY OF DOH
C. POST WORLD WAR II
 1948 – Institute of Nutrition was
created February 20, 1958, Executive
Order 288 (partial decentralization of
powers)
 From 1975 to mid – eighties
- 4 specialty hospitals were built in
succession.
 HISTORY OF DOH
• 4 SPECIALTY HOSPITALS
1. The Philippine Heart Center was established on
February 14, 1975 with Dr. Avelino Aventura as
Director.
2. 1979 - Philippine Children’s Medical Center was
built
3. 1983 – National Kidney and Transplant Institute
4. 1984 – Lung Center of the Philippines, constructed
under the guidance of Health Ministry, Dr. Enrique
Garcia.
 HISTORY OF DOH
C. POST WORLD WAR II
 1978 – Shift of Government DOH
transformed into Ministry of Health
 Dr. Clemente S. Gatmaitan as the first
health minister.
 HISTORY OF DOH
C. POST WORLD WAR II
 1987 – DOH was created and the
present Minister became the Secretary
of Health
 Dr. Alfredo R. A. Bengzon
 HISTORY OF DOH
C. POST WORLD WAR II
 December 17, 2016 – Health Secretary
Paulyn Jean Rossel – Ubial announced
the in 2017 the Government will start
paying the hospital bills and medicines
of poor Filipinos.
 HISTORY OF DOH
C. POST WORLD WAR II
 2017 – Senator Loren Legarda, chair of
the Senate committee on finance said
that proposed P 3.35 – trillion as
national budget for 2017 will provide
healthcare assistance to all Filipinos
 REFERENCES
A. For Local Health System and
Devolution of Health Services –

https://pidswebs.pids.gov.ph/CDN/PUB
LICATIONS/pidsdps1836.pdf
B. Classification of Health Facilities
(DOH AO – 0012A)

https://hfsrb.doh.gov.ph/wp-content/upl
oads/2021/05/AO-2012-0012.pdf
 PHILIPPINE HEALTH
AGENDA
AMBISYON NATIN 2040

BY: MARY LOU G. MAMARIL, RN, MAN

TOPIC 5
 LEARNING OBJECTIVE:
At the end of the lecture the student
will be able to:
1. Identify the goals, values, guarantees and
its strategies in achieving the Philippine
Health Agenda 2022.
2. Identify the different inequalities in health
outcomes.
 REFERENCE
• https://doh.gov.ph/sites/default/files/
publications/Philippine%20Health
%20Agenda_Dec1_1.pdf