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8/2/2019 Phil Health Care Delivery System
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PHILIPPINEHEALTH
CARE DELIVERY
SYSTEM
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The
PHILIPPINES
v 7, 100 ISLANDS
v 1, 700 LGUs
v 1 UNITARY/NATIONALGOVERNMENT
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ThePHILIPPINES
The State recognizes HEALTH as a basichuman right. It protects and promotes theright to health of the people and instills
health consciousness among them. Althoughthe provision is guaranteed by 1987Constitution (Article II, Section 15) and thehealth care system in the Philippines isgenerally extensive, access to healthservices, especially by the poor is stillhampered by high cost, physical and socio-cultural barriers.
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The
PHILIPPINESTo address these concerns, reforms in the countrys
health care system have been instituted in the past 30years:
the adoption ofPrimary Health Care in 1979
the integration ofpublic health and Hospital servicesin 1983 (EO 851) the enactment of the Generics Act of 1988 (RA 6675) the devolution of health services to LGUs as mandatedby the Local Government Code of 1991 (RA 7160) the enactment of the National Health Insurance Act of1995 (RA 7875) the launching ofHealth Sector Reform Agenda (HSRA)by DOH, to function as a major policy framework and
strategy to improve the way health care is delivered,re ulated and financed.
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The
PHILIPPINESThe Philippines has a dual health systemconsisting of:o PUBLIC SECTOR = financed through tax-
based budgeting= health care is given free at thepoint of service
= consists of DOH, LGUs and othernational government agencies
providing health services
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The
PHILIPPINESThe Philippines has a dual health system
consisting of:
o PRIVATE SECTOR = consists of for-profit andnon- profit providers
= market-oriented= health care is paid through user
fees at the point of service= includes health services in clinics
and hospitals, health insurance,
manufacture and distribution ofmedicines, medical supplies,
equipment and other health andnutrition products, research and
devt
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GENERAL HEALTH
STATUSOf the FILIPINOSLIFE EXPECTANCY : 68.6 yearsfemale: 71.28 male: 66.03
COUNTRY
LIFE EXPECTANCY IN
YEARSPHILIPPINES 70
THAILAND 70
MALAYSIA 73
SOUTH KOREA 75
JAPAN 81
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GENERAL HEALTHSTATUS
Of the FILIPINOSTOTAL FERTILITY RATE = average number of births that a
woman would have at the end of herreproductive life
COUNTRY TFR
PHILIPPINES 3.4
THAILAND 2.0
MALAYSIA 3.0
SOUTH KOREA 1.5
JAPAN 1.4
oTFR highest in Asiao varies w/ education URBAN- 3 children/woman RURAL- 4.7children/woman
without/elem grad:5/woman
high school grad:4/woman college grad: 3/woman
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MORBIDITY
*THE RATE OF
DISEASE ORPROPORTION OFDISEASED
PERSONS IN ALOCALITY
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PROPORTION
OR RATE OFDEATHS IN A
POPULATION
MORTALITY
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GENERAL HEALTHSTATUS
Of the FILIPINOSINFANT MORTALITY RATEo Philippines high compared to Thailand, Singapore,Brunei and Japano varies with socioeconomic and demographic factors
RURAL 40.2URBAN 340.9METRO MANILA lowest
EASTERN VISAYAS highest
o High IMR= low educational status= no antenatal and postnatal care
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CAUSE
MALE FEMALE BOTH SEXES
Rate** Rate** Number Rate*
1. Pneumonias 931.1 881.7 734,581 924.0
2. Diarrheas 881.1 842.7 726,310 913.6
3. Bronchitis/Bronchiolitis 748.1 798.8 629,968 792.4
4. Influenza 565.9 622.7 484,388 609.3
5. Hypertension 339.8 427.3 304,690 383.2
6. TB Respiratory 161.0 113.6 114,221 143.7
7. Diseases of the Heart 58.2 67.0 52,237 65.7
8. Malaria 53.5 42.6 39,994 50.3
9. Chickenpox 33.8 35.6 28,600 36.0
10. Measles 30.5 29.0 24,639 31.0
TEN LEADING CAUSES OF MORBIDITYNo. & Rate/100,000 Population
PHILIPPINES, 2002
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CauseMale Female
Both Sexes
Number Rate Percent*
1. Heart Diseases 39,502 30,636 70,138 88.2 17.7
2. Vascular SystemDiseases
27,536 21,983 49,519 62.3 12.5
3. MalignantNeoplasm 20,440 18,381 38,821 48.8 9.8
4. Pneumonia 16,729 17,489 34,218 43.0 8.6
5. Accidents 27,448 6,169 33,617 42.3 8.5
TEN LEADING CAUSES OF MORTALITY BY SEXNumber, Rate/100,000 Population & Percentage
Philippines, 2002
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PRINCIPLES TOIMPROVED HEALTH:
1. Universal access to basic health services mustbe ensured
PHYSICAL BARRIERS - geographical location
patternsFINANCIAL FACTORS
2. The Health and nutrition of vulnerable groups
must be prioritized.3. The epidemiologic shift from infections todegenerative must be managed.
4. The performance of the HEALTH SECTOR mustbe enhanced
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DEPARTMENT OFHEALTH(DOH)
o
Lead Agencyo mandate is to provide national policy direction anddevelop national plans, technical standards andguidelines on healtho has regional field office in regions
VisionThe leader of health for all in the Philippines
Mission Guarantee equitable, sustainable and qualityhealth for all Filipinos, especially the poor, and
to lead the quest for excellence in health.
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GOALS
:1. Improve the general healthstatus of the population:= Reduce infant mortality rate
= Reduce child mortality rate= Reduce total fertility rate
= Increase life expectancy and qualityof life years
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GOALS:2.Reduce morbidity, mortality,
disability and complications from thefollowing diseases and disorders:
= Diarrheas and other food andwater = borne diseases liketyphoid, cholera and hepatitis A= Pneumonia and acute respiratory
infections= Tuberculosis, etc
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:3. Eliminate the followingdiseases as public healthproblems.
= Schistosomiasis, malaria,filariasis, Rabies, Leprosy
= Vaccine preventable diseases:measles, tetanus, diphtheriaand pertussis= Vitamin A deficiency and iron
deficiency diseases
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GOALS
:4. Eradicate poliomyelitis5. Promote Healthy life style
=Promote healthy diet and nutrition=Promote physical activity andfitness
=Promote personal hygiene=Promote mental health &lessstressful life=Prevent smoking & substance
abuse
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GOALS
:6. Promote the Health and Nutrition offamilies & special population= Neonatal & infant health
= Childrens health= Adolescent and youth health= Adults health= Womens health= Health of older people
= Health of indigenous people= Health of overseas Filipino workers= Health of the disabled persons= Health of the rural and urban poor