THE
HEALTH CARE
DELIVERY SYSTEM
“ The totality of all policies, facilities,
equipment, products, human resource and
services which address the health needs,
problems and concern of the people. It is
large, complex, multi-level and multidisciplinary.”
HEALTH SYSTEM
 is the interrelated ways in which a country organizes
available resources for the maintenance and
improvement of the health of its citizens and
commitments.
 Interrelated components
 Homes
 Educational institutions
 Workplaces
 Communities
 Health sector
 Other related sectors.
WORLD
HEALTH
ORGANIZATION
WHO
 It is a specialized agency of the United Nations
that provides global leadership on health matters.
 In the Philippines, health services are provided by:
 Government
 Private sectors (Profit& Nonprofit)/Nongovernmental organizations or
NGOs.
 DOH- gives direction on the national level
Local Government Code (R.A. 7160)
 local govt units (LGUs) should have
operating mechanisms to meet the
priority needs and service
requirements of their community.
April 7 each year- World Health Day
CORE FUNCTIONS OF WHO
 Providing leadership on matters critical to health and
engaging in partnerships where joint action is needed.
 Shaping the research agenda and stimulating the
generation, translation, and dissemination of valuable
knowledge.
 Setting forms and standards and promoting and
monitoring their implementations.
 Articulating ethical and evidence-based policy options.
 Providing technical support, catalyzing change, and
building sustainable institutional capacity.
PHILIPPINE
HEALTH CARE
DELIVERY SYSTEM
 DOH serves as the main governing body of health
services in the country.
 DOH provides guidance and technical assistance to
LGUs through the Center for Health Development in
each of the 17 regions.
 Provincial governments are responsible for the
administration of provincial and district hospitals.
 Municipal and city governments are in charge of
primary care through Rural Health Units (RHUs) or
health centers.
 Barangay health stations (BHSs) /Satellite outposts
provide health services in the periphery of the
municipality or City HEALTH CARE.
DEPARTMENT OF HEALTH (DOH)
 Filipino: Kagawaran ng Kalusugan
 is the executive department of the Government of
the Philippines responsible for ensuring access to
basic public health services by all Filipinos
through the provision of quality health care and the
regulation of all health services and products.
 It is the government's over-all technical authority
on health.
 DOH Headquarters
 San Lazaro Compound, along Rizal Avenue in
Manila.
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Secretary of Health
Teodoro J. Herbosa (2023)
nominated by the President of the Philippines
confirmed by the Commission on Appointments
member of the Cabinet.
VISION BY 2030
“A global leader for attaining better health outcomes,
competitive and responsive health care system, and
equitable health financing.”
MISSION
“To guarantee equitable, sustainable and quality
health for all people in the Cordillera Region, especially
the poor, and to lead the quest for excellence in health.”,
QUALITY POLICY
The Department of Health, as the nation’s leader in
health, is committed to guarantee equitable, accessible
and quality health services for all Filipinos.
We at the DOH, together with our partners, shall
ensure the highest standards of health care in
compliance with statutory and regulatory requirements
And shall continually improve our quality
management systems to the satisfaction of our citizens.
MAJOR FUNCTIONS
 Ensure equal access to basic health services
 Ensure formulation of national policies for proper
division of labor and proper coordination of
operations among the government agency jurisdiction
 Ensure a minimum level of implementation nationwide
of services regarded as public health goods
 Plan and establish arrangements for the public health
system to achieve economic scale
 Maintain a medium of regulation and standards to
protect consumers and guide providers
NATIONAL HEALTH OBJECTIVES
 Improve
 Reduce
the general health status of the population.
the morbidity, mortality, disability and complications
 Eliminate
the following diseases as public health problems
(schistosomiasis, malaria, filariasis, leprosy, rabies, measles,
tetanus, diphtheria, pertussis, vitamin A deficiency, iodine
deficiency
 Eradicate
 Promote
poliomyelitis
healthy lifestyle
 Promote
health and nutrition of families and special
populations
 Promote
environmental health and sustainable development
BASIC PRINCIPLES TO ACHIEVE IMPROVEMENT OF
HEALTH
Ensure universal access to basic health services
(equity and accessibility)
Epidemiological shift from infectious to
degenerative disease must be managed.
Enhance the performance of the health sector
(Quality vs. Quantity)
Ensure the prioritization of the health and nutrition
of vulnerable groups
PRIMARY STRATEGIES TO ACHIEVE HEALTH
GOALS
Support for the frontline health workers and local system
development
Assurance of health care
Increasing investment in primary health care
Development of national standards and objectives for
health
 Dental health program
 Osteoporosis prevention
 Health education and community organizing
 Primary health care
 Reproductive health
 Older person health services
 Guidelines for good nutrition
 Respiratory Infection Control
 Alternative Health care
 Maternal and Child care
Sentrong sigla movement
AGENCIES ATTACHED TO DOH
•Philippine Institute of Traditional and Alternative
Health Care
•Philippine Health Insurance Corporation
•Philippine National AIDS Council
•Commission on Population
•National Nutrition Council
DOH Hospitals
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Amang Rodriguez Medical Center
Dr. Jose Fabella Memorial Hospital
Corazon Locsin Montelibano Memorial Regional Hospital
East Avenue Medical Center
José R. Reyes Memorial Medical Center
National Center for Mental Health
National Children's Hospital
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
Specialty Hospitals
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Lung Center of the Philippines
National Kidney and Transplant Institute
Philippine Children's Medical Center
Philippine Heart Center
Reproductive Health Clinic (9 branches)
SENTRONG SIGLA MOVEMENT
(SSM)was established by DOH with LGUs having a logo of a
Sun with 8 Rays and composed of 4 Pillars:
o Health Promotion
o Granted Facilities
o Technical Assistance
o Awards: Cash, plaque, certificate
is a quality improvement initiative through a
certification/recognition program.
Health facilities are certified based on a set of standards
SS also promotes continuous quality improvement as a
complementing strategy
CHARACTERISTICS OF HEALTH CARE
SYSTEM BASED ON PHC
1.The system should encompasses the entire
population on the basis of equality and
responsibility.
2.It should include components from the health
sector and from the sectors whose interrelated
actions contribute to health.
3.The essential elements of PHC should be delivered
at the first point of contact between individuals and
health system.
4. The other levels of system should support the first
contact level to permit it to provide the
aforementioned essential elements on a continuing
basis.
5. An intermediate levels made complex problems
should be dealt with more skilled and specialized
care as well as logistic support.
6. The central level should coordinate all parts of the
system and provide planning and manage expertise;
highly specialized care, teaching for specialized
staff.
LEVELS OF HEALTH CARE FACILITIES
1.PRIMARY LEVEL FACILITIES
 health services at this level are offered to
individuals in fair health and clients with diseases in
the early symptomatic stages.
 Prevention of illness or promotion of health
 RHU
 CHO
 Sub centers
 Chest clinics
 Malaria medication units, etc.
2. SECONDARY LEVEL FACILITIES
 offer services to clients with symptomatic stages of
the disease which require moderately specialized
knowledge and technical resources for adequate
treatment.
 Curative
 Emergency district hospitals
 Provincial city health services.
3. TERTIARY LEVEL FACILITIES
 High technological and sophisticated services offered
by medical centers and large hospitals.
 Specialized Hospitals/ Institutions
 Rehabilitative
THE RURAL HEALTH UNIT(RHU)
 commonly known as a health center
 Primary level health facility in the municipality .
 Focus: Promotive and preventive health services and
the supervision of BHSs under its jurisdiction.
 recommended ratio of RHU to catchment population –
1 RHU:20,000 population
REFERRAL SYSTEM in LEVEL OF HEALTH CARE
 Barangay Health Stations (BHS)
 under the management of Rural Health Midwife (RHM)
 Rural Health Unit (RHU)
 under the management or supervision of Public Health
Nurse (PHN)
 caters to 1:10,000 population,
 acts as managers in implementing the policies
and activities of RHU
 directly under the supervision of MHO
(municipal Health Officer)- acts as administrator.
PUBLIC HEALTH WORKERS (PHW)/RURAL HEALTH
UNIT PERSONNEL
Municipal Health Officer(MHO) or Rural Health Physician
 Heads the health services at the municipal level and
carries out the following Roles:
o Administrator of the RHU
 Prepares municipal health plans and budget
 Monitors the implementation of basic health
services
 Management of the RHU staffs.
o Community Physician
 Conducts epidemiological studies
 Formulates health education campaigns on disease
prevention
 Prepares and implements control measures or
rehabilitation plans
o Medico legal Officer
Public Health Nurse (PHN)
 Registered Nurse
- Supervises and guides all RHM in the municipality
- Prepares annual report of the municipality for submission to
the Provincial Health Office
- Utilizes nursing process in responding to health needs for
health education and promotion of individuals, families and
community
- Collaborates with the other members of the health team,
government agencies, private businesses, NGOs, and people’s
organizations to address the community’s health problems.
Rural Health Midwife (RHM) – Registered midwife
- Manages the BHS and supervises and trains the BHWs
- Provides midwifery services and executes health care
programs and activities for women of reproductive age,
including family planning counseling and services
- Conducts patient assessment and diagnosis for referral or
further management.
- Performs health information, education, and communication
services
- Organized community
- Facilitates barangay health planning and other community
health services.
Rural Sanitary inspector
 must be a sanitary engineer
- Ensuring a healthy physical environment in the
municipality.
- This entails advocacy, monitoring, and regulatory
activities such as inspection of water supply and
unhygienic household conditions.
Dentist
Nutritionist
Medical Technologist
Pharmacist
HEALTH AS MULTIFACTORIAL
PHENOMENON
1.HEALTHY WORKPLACES – clean, orderly, well-ventilated,
adequately lighted, smoke-free, and adequately secured.
2.HEALTHY BARRIOS – people work together towards
attaining sustainable improvement in their lives and
aspirations.
3.HEALTHY PRISON – clean and safe detection with
adequate facilities and services address the physical,
mental, spiritual, social, and economic needs of inmates.
4. HEALTHY HOMES – where responsible parents provide
household members with a sanitary environmental where
GOD reigns supreme.
5. HEALTHY CITIES – promote safety, order, and
cleanliness through structural and manpower support.
6. HEALTHY RESORT – a place providing rest, recreation,
relaxation, and wholesome entertainment that is clean, safe,
accessible, and affordable.
7. HEALTHY HOSPITALS – one that provides
comprehensive care.
8. HEALTHY VEHICLES – clean, safe, comfortable, wellventilated, and in good running condition manned by reliable and
dependable licensed operators who are physically and mentally
fit.
9. HEALTHY STREETS – Shed have: well-maintained roads and a
public waiting area, well-marked traffic signs and pedestrian
crossing lane, clean and obstruction-free sidewalks, free or minimal
traffic problems, fight air production by being a part of the clean
and green initiative, proper and visible street names, fight air
production by being part of the clean and green initiative and with
adequate and strict law enforcement.
10. HEALTHY HOTELS – a clean and pleasant place that
provides comfort, and security, conforms to set guidelines and
promotes a healthy lifestyle.
11. HEALTHY SCHOOLS – one that provides health instruction
through classroom learning and non-curricular activities and
maintains adequate services.
12. HEALTHY EATING PLACE – should comply with sanitary
standards.
13. HEALTHY MOVIE HOUSES – safe/have competent and
friendly employees; comply with sanitary standards.
14. HEALTHY PORTS – clean, spacious, and secure with facilities
for public waiting areas, passenger terminals, sanitary food shops
public toilets, etc.
1.HEALTHY MARKETS – there is enough water supply, drainage,
and maintained toilet facilities; quality food is sold within reach of
the common people; market vendors, buyers, supervisory team,
and sanitary inspectors are working together for a well-organized
and honest market system.
THE END!
THANK YOU!