Republic of the Philippines CAGAYAN STATE UNIVERSITY Andrews Campus, Caritan, Tuguegarao City, Cagayan MASTER IN PUBLIC HEALTH SHERYL JOY S. SUMEDCA SUBJECT: SEMINAR IN PUBLIC HEALTH DATE: June 6, 2023. FINAL EXAM INSTRUCTIONS: Answer the following questions. Your output should be handwritten on a long bond paper. The total number of pages should NOT exceed 15. Capture clear images of your output and send to; lambonemma@gmail.com Deadline for submission JUNE 10, 2023. 1. Are branded medicines more effective than generic medicines? Explain your answer. Both branded and generic medicines contain the same active pharmaceutical ingredients (APIs), and therefore they are chemically identical and should have the same therapeutic effects. The main difference between them is that branded medicines are developed and marketed by pharmaceutical companies that invest significant resources in research and development, clinical trials, and marketing, while generic medicines are produced and sold by other companies after the patent for the branded medicine has expired. Despite the chemical equivalence between branded and generic medicines, some people may perceive branded medicines as being more effective because of the marketing and branding efforts of the pharmaceutical companies. However, this perception is not supported by scientific evidence, and regulatory agencies such as the Food and Drug Administration (FDA) require generic medicines to meet the same standards of quality, safety, and efficacy as branded medicines. In summary, both branded and generic medicines can be equally effective, but some people may prefer one over the other based on factors such as brand recognition, price, or availability. It is always important to follow the advice of a healthcare professional and to carefully read and follow the instructions on the label of any medicine. Republic of the Philippines CAGAYAN STATE UNIVERSITY Andrews Campus, Caritan, Tuguegarao City, Cagayan 2. Discuss the barriers to easy access to medicines in some parts of the country. there are several barriers to easy access to medicines in some parts of the Philippines, including: 1. High Cost: The cost of medicines can be a significant barrier to access for many people, especially those who are living in poverty or in rural areas. Branded medicines can be expensive, and even generic medicines may be priced beyond the reach of many people. 2. Limited Availability: In some parts of the Philippines, there may be limited availability of medicines. This can be due to a variety of factors, such as inadequate distribution systems, insufficient funding, or inadequate healthcare infrastructure. 3. Distance and Transportation: People living in remote areas may have difficulty accessing medicines due to the distance they need to travel to reach a pharmacy or healthcare facility. Transportation can also be a challenge, particularly during inclement weather or in areas with poor road infrastructure. 4. Lack of Information: Some people may not be aware of the medicines they need or how to use them properly. This can be due to a lack of education or information about health and medicine, or a lack of access to healthcare professionals. 5. Language Barriers: Language barriers can also be a challenge in some parts of the Philippines, particularly for people who speak indigenous languages or dialects. This can make it difficult for them to understand instructions on medicine labels or to communicate with healthcare professionals. To address these barriers, efforts are being made to improve healthcare infrastructure, increase funding for healthcare, and expand access to affordable medicines. Efforts should be made to improve health education and to provide information about medicines in local languages to ensure that people have the knowledge they need to use medicines safely and effectively. 3. i. Is there any difference between climate change and global warming? Explain your answer. Climate change and global warming are related concepts, but they are not the same thing. Global warming refers to the long-term increase in global average temperatures, primarily due to the release of greenhouse gases into the atmosphere. These gases, such as carbon dioxide, trap heat from the sun and cause the Earth's atmosphere to warm up. Climate change, on the other hand, refers to the long-term changes in the patterns of temperature, precipitation, and other weather-related factors that occur because of global warming. Climate change can lead to more frequent and severe weather events, Republic of the Philippines CAGAYAN STATE UNIVERSITY Andrews Campus, Caritan, Tuguegarao City, Cagayan such as hurricanes, droughts, and floods, as well as changes in ecosystems and wildlife habitats. In other words, global warming is one of the main drivers of climate change, but climate change encompasses a broader range of changes beyond just temperature. It is important to note that climate change is a complex and multifaceted phenomenon that involves many different factors, including natural processes and human activities, in addition to global warming. Overall, while global warming and climate change are related concepts, they represent different aspects of the same overarching issue of the Earth's changing climate. ii. Give five causes of global warming. - - Burning coal, oil and gas produces carbon dioxide and nitrous oxide. Cutting down forests (deforestation). Trees help to regulate the climate by absorbing CO2 from the atmosphere. When they are cut down, that beneficial effect is lost and the carbon stored in the trees is released into the atmosphere, adding to the greenhouse effect. Increasing livestock farming. Cows and sheep produce large amounts of methane when they digest their food. Fertilizers containing nitrogen produce nitrous oxide emissions. Fluorinated gases are emitted from equipment and products that use these gases. Such emissions have a very strong warming effect, up to 23 000 times greater than CO2. 4. Does global warming have any negative impact on health? Yes or No. Explain. Yes, global warming can have negative impacts on health. As the planet warms, we can expect to see more frequent heatwaves, which can lead to heat-related illnesses such as dehydration, heat exhaustion, and heat stroke. Rising temperatures can also increase the spread of diseases carried by mosquitoes and ticks, such as malaria, dengue fever, and Lyme disease. Additionally, air pollution can worsen because of global warming, leading to respiratory problems. So, it's important to take action to address global warming and protect our health. 5. What were some of the measures introduced by the government as a way of controlling the spread of COVID-19 in the country?. How effective were/ are these measures.? The Philippine government has implemented various measures to control the spread of COVID-19 in the country. These include community quarantines, travel restrictions, mandatory wearing of face masks, social distancing guidelines, and enhanced testing and contact tracing. Republic of the Philippines CAGAYAN STATE UNIVERSITY Andrews Campus, Caritan, Tuguegarao City, Cagayan The community quarantines, which were initially implemented in March 2020, helped slow down the transmission of the virus and gave the government time to prepare its healthcare system and improve its response to the pandemic. Travel restrictions, on the other hand, helped prevent the entry of new cases from other countries. The mandatory wearing of face masks and social distancing guidelines also played a critical role in reducing the spread of the virus. The government also ramped up its testing and contact tracing efforts, which helped identify and isolate infected individuals and their close contacts. Overall, these measures have been effective in reducing the number of COVID-19 cases in the country. However, there have been some challenges in terms of implementation and compliance, especially in some areas with high population density. The government continues to monitor the situation closely and adjust its measures accordingly to ensure the safety and well-being of its citizens. 6. i. What is healthcare Technology? Healthcare technology, also known as healthtech, refers to the use of technology and innovation to enhance healthcare delivery, improve patient outcomes, and lower healthcare costs. This includes a wide range of innovations, such as electronic health records, telemedicine, wearable devices, mobile health apps, artificial intelligence, and robotics. Healthcare technology has the potential to revolutionize the healthcare industry by improving access to care, enhancing patient engagement, and empowering healthcare providers with real-time data and decision-making support. For example, telemedicine enables patients to receive medical consultations remotely, while wearable devices can monitor vital signs and track health metrics. Artificial intelligence and machine learning can analyze large datasets to identify disease patterns and develop personalized treatment plans. Overall, healthcare technology has the potential to transform the way healthcare is delivered and improve health outcomes for patients, making it an exciting and rapidly growing field. ii. Discuss five importance of technology in health. Republic of the Philippines CAGAYAN STATE UNIVERSITY Andrews Campus, Caritan, Tuguegarao City, Cagayan - - - - - The five important ways technology is impacting the field of health:Improved patient care: Technology has made it easier for healthcare professionals to monitor patients remotely, provide telemedicine services, and even use predictive analytics to prevent health issues. This leads to better outcomes for patients and more efficient care. Accelerated research: Medical researchers are using technology like AI to analyze large amounts of data and identify patterns that can help them develop new treatments and cures. This has the potential to speed up the drug development process and bring new treatments to patients faster. Enhanced communication: With electronic medical records and patient portals, patients can easily access their health information and communicate with their healthcare providers. This leads to more informed patients who are better equipped to take control of their health. Better training and education: Technology is also being used to train healthcare professionals and students. Medical simulations and virtual reality tools help students learn in a hands-on, interactive way, while remote training sessions make it easier for healthcare professionals to stay up-to-date on the latest advances in their field. Increased efficiency: Technology has streamlined many of the administrative tasks that healthcare professionals must perform. From scheduling appointments to processing insurance claims, technology has made it easier for healthcare providers to focus on what they 7. i. What is health financing? Health financing refers to the way in which financial resources are mobilized, allocated, and used to purchase health care goods and services. It encompasses a wide range of activities, including the collection of funds, pooling of resources, and allocation of those resources to ensure that they are used efficiently and effectively to improve health outcomes. Health financing is critical to achieving universal health coverage and ensuring that everyone has access to the health services they need, without suffering financial hardship. ii. What is the impact of health financing on health outcomes in the Philippines? In the Philippines, health financing has a significant impact on health outcomes. The country has made significant progress in recent years, but there are still challenges, particularly in terms of access to health care for lower-income or marginalized populations. Health financing can help to address these challenges by ensuring that financial resources are available to support the provision of health services and that these services are accessible to all. Republic of the Philippines CAGAYAN STATE UNIVERSITY Andrews Campus, Caritan, Tuguegarao City, Cagayan One key initiative in the Philippines is the National Health Insurance Program (NHIP)/ PhilHealth, which aims to provide universal health coverage to all Filipinos. The NHIP is funded through a combination of contributions from individuals, employers, and the government, and it covers a wide range of health services, including both preventive and curative care. Studies have shown that the NHIP/PhilHealth has had a positive impact on health outcomes in the Philippines. For example, a 2018 study found that the NHIP was associated with a significant reduction in mortality rates among children under the age of five. Other studies have shown that the NHIP has helped to improve access to health services and reduce out-of-pocket expenditures for health care, particularly for low-income households. Overall, health financing plays a crucial role in improving health outcomes in the Philippines, and initiatives like the NHIP are making a significant difference in the lives of Filipinos. 8. What is the main problem about health financing in the Philippines? The main problem with health financing in the Philippines is the unequal distribution of resources and access to healthcare services. Many Filipinos, especially those living in poverty-stricken areas, do not have access to basic healthcare services due to financial constraints and lack of resources. Additionally, the limited government budget for healthcare also contributes to the issue. This often forces patients to pay for their medical expenses out-of-pocket, leading to financial hardships and even bankruptcy for some. 9. i. Give the various categories of safety officers with their corresponding responsibilities. In the Philippines, there are several categories of safety officers with varying responsibilities: Safety Officers (SO) - responsible for implementing and enforcing safety rules and regulations within the company or organization. Health and Safety Officers (HSO) - responsible for implementing and monitoring occupational health and safety programs in the workplace, such as hazard identification, risk assessment, and control measures.(RSI, CHO) Environmental Safety Officers (ESO) - responsible for monitoring and ensuring compliance with environmental regulations and requirements. Republic of the Philippines CAGAYAN STATE UNIVERSITY Andrews Campus, Caritan, Tuguegarao City, Cagayan Fire Safety Officers (FSO) - responsible for ensuring the safety of people and property from fire hazards. They conduct fire safety inspections, develop emergency preparedness plans, and provide fire safety training. (BFP,CDRRM) Security Safety Officers (SSO) - responsible for ensuring the safety and security of employees, visitors, and assets. They develop and implement security plans and procedures, conduct regular security assessments, and provide security awareness training. (PNP,AFP,POSO etc) Overall, safety officers play a critical role in ensuring the health, safety, and well-being of employees and the public in various industries and settings. ii. Discuss six basic steps in risk management. the six basic steps in risk management: 1. Identify the risks: The first step is to identify all the potential risks that could impact your project or organization. 2. Analyze the risks: After you've identified the risks, you need to analyze them. Determine the likelihood of each risk occurring and the potential impact it could have. 3. Evaluate the risks: Once you've analyzed the risks, you need to evaluate them. Determine which risks are the most critical and prioritize them accordingly. 4. Treat the risks: After you've identified, analyzed, and evaluated the risks, it's time to treat them. This could mean taking steps to mitigate the risks or transferring the risk to another party. 5. Monitor the risks: After you've treated the risks, you need to monitor them. Keep an eye on the risks to ensure that your risk management plan is working as intended. 6. Review and update the risk management plan: Finally, you need to review and update your risk management plan regularly. Risks can change over time, so it's important to stay up to date on the latest developments and adjust your plan accordingly. 10. Discuss why the need for universal healthcare in the Philippines? The need for universal healthcare in the Philippines is essential for several reasons. Firstly, a significant percentage of the population in the Philippines is living below the poverty line, and access to healthcare is a major challenge for them. With universal healthcare, everyone has access to essential health services, regardless of their financial status. This ensures that everyone is getting the best medical care available, and no one is left behind. Republic of the Philippines CAGAYAN STATE UNIVERSITY Andrews Campus, Caritan, Tuguegarao City, Cagayan Secondly, the healthcare system in the Philippines is fragmented, with different healthcare providers having different systems and processes. This can make it difficult for patients to navigate the system, leading to gaps in care and poor health outcomes. With a universal healthcare system, there is a standardized approach to healthcare delivery, ensuring that patients get the best possible care. Thirdly, the COVID-19 pandemic has highlighted the importance of having a robust and accessible healthcare system. Universal healthcare would provide a means to ensure that everyone has access to the healthcare they need during a pandemic or any other health emergency. In summary, universal healthcare in the Philippines is essential to ensure that everyone has access to quality healthcare services, to standardize healthcare delivery, and to be better prepared for future health emergencies.