NCM 104: COMMUNITY

HEALTH NURSING 1
 NCM 104: COMMUNITY
HEALTH NURSING 1

3.3 THE HEALTH CARE DELIVERY SYSTEM

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• HEALTH CARE SYSTEM - an organized plan of health services (Miller-Keane, 1987)

•
• HEALTH CARE DELIVERY - rendering health care services to the people (Williams-
Tungpalan, 1981).
•
• HEALTH CARE DELIVERY SYSTEM (Williams-Tungpalan, 1981) - the network of
health facilities and personnel which carries out the task of rendering health care to
the people.
•
• PHILIPPINE HEALTH CARE SYSTEM - is a complex set of organizations interacting
to provide an array of health services (Dizon, 1977).
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• HEALTH SYSTEM – a health system comprises of all the

organizations, institutions, and resources devoted to producing
actions whose primary intent is to improve health.
• The fours main functions of a health system are:
• Service provision,
• Resource generation,
• Financing, and
• Stewardship
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3.4 COMPONENTS OF THE HEALTH DELIVERY SYSTEM

Programmes Main Activities Eligible Population

1. Tuberculosis control  Case finding

o Sputum examination  Symptomatic case
o X-ray examination  Family contacts
 Epidemiological investigation  Diagnosed cases
 Treatment  Infants and pre-school entrants
 BCG vaccination

2. Malaria control  Insecticide spraying  Houses in endemic areas

 Case finding( blood smear examination)  Population in endemic areas
 Treatment  Diagnosed cases & suspected pt.
 Prophylaxis  People going into endemic areas
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Schistosomiasis Control  Case finding( stool examination)  All individuals 1 year & above in
 Treatment endemic areas
 Toilet construction  Ova positive areas
 All houses

Expanded Program on Immunization  Immunization  Infants and school entrants

 BCG  Infants( starting 1 ½ months of age)
 DPT and Polio  Infants 9-12 months of age
 Measles  Pregnant women
 Tetanus Toxoid  Children in sentinel sites
 Monitoring
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5. Control of Diarrheal Epidemiological Investigation  Cases & child family contact

Diseases

6. Maternal And Child Health  Pre-natal care  Pregnant women

 Attendance at birth  Women in labor
 Post-natal care  Newly delivered women
 Well-baby clinic  Children under 6 y/o
 Health supervision
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7. Nutrition Nutrition surveillance( weight for age  Children 0-6 years

measurement)
Case mgt. Malnourished children
Food supervision 
Micro-nutrient supplementation  Malnourished Pre-schoolers
Vitamin A  Children w/ deficiency
-
Iodine manifestation
-
Iron  Population in Goiter endemic areas
-
 Anemic children and Pre-Schoolers

8. Family Planning  Mother craft Classes  Mothers

 Counseling  Marriage License applicants
 Pregnant women & newly delivered
 Advise on/or provision of ones
contraceptives( drugs/devices)  Interested parties
 Sterilization  Interested parties
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9. Environmental Health  Sanitaryinspection/supervision  Food establishments

 Waste disposal  Households / Food
Establishments
 Promotion of toilet construction  Family heads whose houses have
no toilets
 Control of food handlers  Food handlers

10. School Health  Sanitary supervision  School facilities & premises

 Medical examination  School children
 Dental examination
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11. Dental Health  Pre-natal dental consultation  Pregnant women

 Dental health education  Pregnant women & mothers
 Promotion of correct tooth  School children
brushing
 Fluoridation  Water supply
 Application of pits and fissures  School children w/ caries of
 Dental treatment( filling & permanent tooth
extraction)  Morbid cases