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