THE NATIONAL HEALTH PLAN

long term directional plan for health covering 1995-2020.

emanated from multi-sectoral effort involving various disciplines and sectors

from the government, private and non-government sector, peoples
organization and other health-oriented groups

provides coordinating mechanism for all levels of planning within and outside
the health sector.

Indicates general direction and broad strategies for and effective and efficient
health care system

blue print followed by DOH

defines problems, policies, strategies and targets

VISION:
Health for all Filipinos by year 2000 and Health in the hands of the people
by the year 2020
- This means attaining a level of health that will enable them to lead a
progressively improving socially and economically productive life. This health
challenge will be met through the implementation of programs by a health
system structured in accordance with the principles of PHC
MISSION:
Providing quality health care to improve the quality of life for all Filipinos especially
the poor
NATIONAL OBJECTIVES FOR HEALTH:
1. Basic principles to achieve improvements in health
- Universal access in basic health services must be ensured
- Health and nutrition of vulnerable groups must be prioritized
- The epidemiological shift from infectious to degenerative diseases must be
managed
2. Improve the general health status of the population
- Reduce IMR, CMR, MMR, FR
3. Reduce morbidity, mortality, disability and complications from:
- Diarrhea, pneumonia, tuberculosis, hepatitis B, dental, diabetes, cancer,
dengue, accidents, IDA, mental disorders, parasitism, STDs, kidney diseases
4. Eliminate the following hands
- Schistosomiasis, malaria, filariasis, leprosy, rabies, vaccine-preventable
diseases measles, tetanus, diphtheria, pertusis, vit A deficiency, polio
5. Promote healthy lifestyle

Healthy diet and nutrition, physical activity and fitness, personal hygiene,
mental health and less stressful lifestyle, smoking and substance abuse,
violent and risk-taking behaviors
6. Promote health and nutrition of families and special groups
- Neonatal, child, infant, adolescent, child, youth, adult, womens, indigenous,
migrants, disabled
7. Promote environmental health and sustainable development
Homes, school, workplaces, establishment, communities, cities, towns
POLICIES:
1. IEC programs will be implemented
raise the awareness of the public
2. An update of the legislative agenda for health, nutrition and family planning
3. Integration of the efforts in the HNFP
- to maximize resources in the delivery of services through the efforts of
coordinative mechanisms at both national and local levels
4. Partnership between public and private sectors will be strengthened and
institutionalized
- To effectively utilize and monitor private resources for the sector
5. Enhancement of the status and role of the women as program beneficiaries
and program implementers will be pursued
- Enable to substancially participate in the development process
THE NATIONAL HEALTH SITUATION
1. The 4 leading causes of morbidity are CD, the 5 th is HPN
2. Deaths are mainly due to non-CDs
3. Infant mortality rate, although declining, is still high compared with those
neighboring countries
4. Nutritional problems and parasitism are common among children
5. Outbreaks of malaria, dengue, measles, cholera, typhoid, hepatits A and
diarrhea were investigated
Factors contributing to limited capacity of the countrys health care:
1. Poor health care financing
2. Inappropriate health service delivery system
3. Brain drain
4. Excessively high price of medicine
5. Inadequate enforcement of regulatory mechanisms
6. Insufficient effort expended on prevention and control of new diseases
HEALTH GOALS AND TARGETS

OVERALL GOAL:

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To enable the Filipino population to achieve a level of health that:

Will allow them to lead a socially and economically productive life
With longer life expectancy
Low infant mortality
Low maternal mortality
Less disability

Indicators of successful attainment of this goal:

1. Well-nourished population
2. Safe drinking water for all
3. Sanitary disposal of human and animal waste
4. Minimal environmental population and hazards
5. CDs no longer a problem
6. Chronic diseases are under control
7. Psychosocial well-being and lifestyle
8. Absence of pockets of ill-health
9. Regulation of fertility to ensure better health and social well-being
10.Access to appropriate health care for all

Broad objectives (1995-2020)

1. To promote equity in health status among all segments of the
society
2. To address specific health problems of the population
3. To upgrade the status and transform the HCDS into one that is
responsive, dynamic, highly efficient and effective in providing
solutions to the changing health needs of the population
4. To promote active and sustained peoples participation in health
care

Health Plans Towards Health In The Hands Of The People In The Year
2020
1. Major Health Plan

23 IN 93
Health for more in 94

Think health Health Link

5 in 95

2. Priority Program in Year 2000

Plan 50
Plan 500

Womens health

Childrens health

Healthy Lifestyle

Prevention & Control of Infectious Disease

3. Priority Program in the Year 2005

Ligtas Buntis Campaign

Mag healthy Lifestlye tayo

TB Network

Blood Donation Program (RA 7719)

DTOMIS

Ligtas Tigdas Campaign

Murang Gamot

Anti Tobacco Signature Campaign

Doctors to the Barrios Program

Food Fortification Program

Sentrong Sigla Movement

4. National Health Events for 2006

JANUARY

National Cancer Consciousness Week - (16-22)

FEBRUARY

Heart Month
Dental Health Month

Responsible Parenthood Campaign National Health Insurance Program

MARCH

Women's Health Month

Rabies Awareness Month

Burn Injury Prevention Month

Responsible Parenthood Campaign

Colon and Rectal Cancer Awareness Month

World TB Day - (24)

APRIL

Cancer in Children Awareness Month

World Health Day - (7)

Bright Child Week Phase I

Garantisadong Pambata (11-17)

MAY

Natural Family Planning Month

Cervical Cancer Awareness Month

AIDS Candlelight Memorial Day - (21)

World No Tobacco Day - (31)

JUNE

Dengue Awareness Month

No Smoking Month

National Kidney Month

Prostate Cancer Awareness Month

JULY

Nutrition Month
National Blood Donation Month

National Disaster Consciousness Month

AUGUST

National Lung Month

National Tuberculosis Awareness Month

Sight-Saving Month

Family Planning Month

Lung Cancer Awareness Month

SEPTEMBER

Generics Awareness Month

Liver Cancer Awareness Month
OCTOBER

National Children's Month

Breast Cancer Awareness Month

National Newborn Screening Week (3-9)

Bright Child Week Phase II Garantisadong Pambata (10-16)

NOVEMBER

Filariasis Awareness Month

Cancer Pain Management Awareness Month

Traditional and Alternative Health Care Month

Campaign on Violence against Women and Children

DECEMBER

Firecracker Injury Prevention Campaign:

OPLAN IWAS PAPUTOK

THE PHILIPPINE HEALTH CARE DELIVERY SYSTEM

TERMS:
1. SYSTEM
- A set of interrelated and independent parts that form a complex whole, and
of these parts can be viewed as a subsystem with its own set of interrelated
and independent parts
2. HEALTH SYSTEM
- Is the interrelated ways in which a country organizes available resources for
the maintenance and improvement of the health of the citizens and
communities
3. HEALTH CARE SYSTEM
- An organize plan of health services
4. HEALTH CARE DELIVERY
- Rendering health care services to the people
5. HEALTH CARE DELIVERY SYSTEM

The network of health facilities and personnel which carries out the task of
rendering health care to the people
6. PHILIPPINE HEALTH CARE SYSTEM
- Is a complex set of organizations interacting to provide an array of health
services
Characteristics Of Health Care Delivery System
1. The system should encompass the entire population on the basis of equality
and responsibility
2. It should include components from the health sectors and from the sectors
whose interrelated actions contribute to health
3. The essential elements of PHC should be delivered as the first point of
contact between the individuals and the health system
4. The other level of system should support the first contact level to permit it to
provide the aforementioned essential elements on a continuing basis
5. At intermediate levels, more 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 management expertise, highly specialized care, teaching for
specialized staff
COMPONENTS OF THE HEALTH DELIVERY SYSTEM
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
- Operated by the Center for Health Development clinics by the government,
private and NGOs
- RHU, BHS, chest clinics, malaria eradication units, community hospitals,
private practitioners, health centers
2. SECONDARY LEVEL FACILITIES
- Offer services to clients with symptomatic stages of disease which require
moderately specialized knowledge and technical resources for adequate
treatment
- Provincial/City Health Services and Hospitals, Emergency and District
Hospitals
3. TERTIARY LEVEL FACILITIES
- Include the highly technological and sophisticated services offered by medical
centers and large hospitals

Specialized institutions/hospitals
For clients afflicted with diseases which seriously threaten their health and
which require highly technical and specialized knowledge, facilities and
personnel to treat effectively
National and regional health services, medical centers, teaching and training
hospitals

Levels Of Health Care

1.
PROMOTIVE pertains to health practices geared towards
promotion and maintenance of health
2.
PREVENTION prevention of the occurrence of disease
3. CURATIVE treatment of disease and prevention of possible occurrence of
complications
4. REHABILITATIVE utilization of the remaining capacity of an individual to its
maximum level
THE PHILIPPINE HEALTH CARE SYSTEM
A. STRUCTURE OF THE HEALTH SECTOR
- Composed of the government, private, peoples organization, NGO
1. GOVERNMENT
- DOH, PGH, Medicare, Phil Health, Military Hospitals, DND, Medical and Dental
services of DepEd, National Nutritional Council
a. LGU
With the devolution, the responsibility for health promotion and
protection has become shared one between the LGUs and DOH. Their
concerns are:
o To strengthen the local government capability to manage and finance
the services devolved to them
o How general and technical support can be institutionalized so that in
spite of the severance of the administrative authority of DOH over field
operating units, integrated and comprehensive health services through
well- functioning network of health facilities of varying capabilities can
be realized
b. DOH
- The principle government agency mandated by the Constitution for health
promotion and protection
Prior to the implementation of the LGC/Devolution Code (RA 7160), it
has direct authority over the municipality, city, provincial health and hospital
services and medical services.
Municipal and city health services->mayor; provincial->government

>Roles
o Ensuring equal aspects to basic health services
o Ensuring the formulation of national health policies for proper division of labor
and proper coordination of operations among government agency jurisdiction
o Ensuring a minimum level of implementation of nationwide services regarded
as public health goods
o Planning and establishing arrangements for the public health system to
achieve economies of scale
o Maintaining a medium of regulations and standards to protect consumers and
guide providers
2. THE PRIVATE SUBSECTOR
- Consists of:
a. Commercial and business organizations
Have a clear profit orientation and include manufacturing companies
and advertising agencies, private practitioners and private institutions
(private hospitals, HMO, Medical/Allied Medical schools)
b. Non-commercial organizations
Oriented towards social development, relief and rehabilitation,
community organizing
Includes the socio-civic groups, religious organizations and foundations
Involvement of private sector
o Inputs provision which covers supplies and equipments
o Service delivery which includes a whole range of activities from case
finding/treatment and follow-up, counseling, environmental sanitation,
to manufacture and sale of health-related goods
o Support activities mostly in the form of research, personnel training,
project monitoring, and evaluation, and development of IEC materials
o Financial assistance that usually comes in the form of grants from
multilateral and bilateral agencies
3. NGO
- Important role in local and national development with emphasis on policy and
program reforms and people empowerment
- Assumes the roles of catalysts, advocates, facilitators, enablers in people
development
- Directly involved in health care and reforming the present HCDS
COMMUNITIES, FAMILIES AND INDIVIDUALS
o improving habits that actualize responsibility for health

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increasing self-care that illustrates peoples self-reliance in areas not

genuinely requiring professional help
more educated communities, increasing the demand for health
services, both in quantity and quality
the emphasis on the new paradigm of wellness representative
medicine and holistic care

B. HEALTH FACILITIES
- Are physical infrastructures that offer health services
1.
-

HOSPITAL
Government or private
Primary, secondary, tertiary
Quality hospital:
Equipped with functioning physical facilities and equipments
Has an effective organization and producers system
High quality managerial resource
Able to adapt and meet changing demands for hospital care

2. HEALTH CENTER AND BARANGAY HEALTH STATIONS (BHS)

- Government facilities that are primarily responsible for the delivery of basic
health services to communities
- First point of contact between the majority of the poor people and the health
ayatem
3. PRIVATE CLINICS AND LABORATORIES
- Provide services to significant proportion of the population, particularly those
belonging in the middle and upper income classes
- Most of these facilities are concentrated in urban areas where they are highly
in-demand
C. HEALTH SERVICES
Types:
o Promotive, preventive, curative, rehabilitative

GO: all types of servicessx

PRIVATE SECTORS: more on direct personal care that are curative and
rehabilitative in nature
HOSPITAL SERVICES: usually curative and rehabilitative
PRIMARY HEALTH CARE
1. For infants and children FIC, CDD, CARI, nutrient supplementation
2. For youth and adolescents National Program
3. For Women MCH, Safe Motherhood, Responsible Parenthood

4. For elderly reduce degenerative diseases

5. For workers
6. For special communities indigenous, victims of calamities/conflicts
D. HEALTH HUMAN RESOURCE DEVELOPMENT
- HHR is the totality of the skills, knowledge and capabilities available for
national health development
- HHR triad activities:
o Planning enables the health system to rationalize the production and
management of health personnel
o Production dependent on all levels of the educational system, from
primary to the university level
o Management dependent on the nature and character of the health
system, the institutions offering continuing education, current
programs of the professional associations and pervading professional
attitudes
E. HEALTH CARE FINANCING
- From the government
- WHO recommends 5% of the countrys GNP shall be for health. However, it
was only placed on through the following:
1. Government third party schemes
a. Medicare program
b. PhilHealth
c. Employees Compensation Commission (ECC)
2. Private sources
a. Out-of-pocket
b. Health Management Organizations (HMO) payments
3. Company-financed health benefits
4. Community-generated resources and donations of cash/material and
technical services from donors
5. External sources
a. WHO
b. UNICEF
c. USAID
d. World Bank