CHAPTER 1: Introduction

1.1.

Background of the Study

Health is one of the most priority and integral part of our life and in our
society. Providing good nutrition and quality healthcare are vital for achieving
healthy lifestyle. Many factors influence health status, most of provinces are not
sufficient in terms of availability of medicines and medical supplies and health
care facilities such as hospital and medical center. Some communities are not
giving focus on or not measure the importance of implementing and advocating
wellness.
Wellness is a physical and mental health which has been applied in many
ways. It will help us to maintain and build a healthy living and social networks to
achieve

vibrant

and

healthier

city/municipalities/town. Applying

wellness

approach in healthcare facilities will provide lifelong health and a sense of

direction, which we become aware of, and creates a world-view, a more
successful existence. Create an active and comprehensive qualities of healthcare
with harmonious environment will promote harmony, discovery, learning, synergy,
and sustainability to the community.
The Rizal province enjoys a natural beauty of nature and a perfect setting
for investments, business establishments and settlements. It is one of the
neighboring provinces of Metro Manila and the second most densely populated in
the CALABARZON region with 2,113 persons per square kilometer. It is more
than six times that of the Philippines and almost thrice that of CALABARZONs.
One of the fast-growing municipal in Rizal is Binangonan with 2.90%
APGR (Actual Population Growth Rate). Because of its increasing population,
this will require increased investments in infrastructure and services in order to

maintain the relatively high living standards that residents of Binangonan and its
nearby municipalities currently enjoy. The establishment of tertiary hospital with
adequate modern facilities which serve a comprehensive medical and
diagnosis/surgical treatment with wellness services is one of the big demands
and needed to intensify in terms of healthcare services and development of the
Binangonan. It will not just reduce the rate of mortality and morbidity of the
community but also to achieve quality of life and enhance the well-being and
health status of the residents.
1.1.1. Philippines Health Service Delivery
Many factors influence health status and a country's ability to provide
quality health services for its people. Based on the Philippines Health Service
Delivery Profile 2012, the top five causes of death include heart and
cerebrovascular diseases, malignant neoplasm, pneumonia, and tuberculosis.
The top five causes of morbidity include acute respiratory infection, (ALRTI)
Acute Lower Respiratory Tract Infection and pneumonia, bronchitis, hypertension
and acute watery diarrhea. Health Functions are largely devoted to provinces and
municipalities. The Local Government Code (1991) outlines the roles of different
levels in healthcare, including barangay (village), municipality and province. The
Aquino Health Agenda: Achieving Universal Health Care for All Filipinos is the
Philippines Governments continuing commitment to health sector reform and
achieving the Millennium Development Goals (MDGs). The National Objectives
for Health (2011-2016) sets all the health program goals, strategies, performance
indicators and targets that lead the health sector towards achieving its primary
goal of Kalusugan Pangkalahatan (KP), or Universal Health Care.
http://www.wpro.who.int/health_services service_delivery_profile_philippines.pdf /

1.1.2. Health and Wellness Industry

Former President Gloria Macapagal-Arroyo issued Executive Order No.
372 on October 18, 2004 that created a public-private partnership (PPP) task
force for the development of globally competitive Philippine service industries.
The Health and Wellness industry belongs to the services sector. Establishments
belonging to the industry, therefore, are engaged in: 1. Hospital care and
treatment, 2. Specialty clinics, 3. Wellness and Spa Centers, 4. Retirement and
Rehabilitative Care. (http://www.dlsu.edu.ph/research/centers/aki/participant/trainings/workingPapers/2015)
The Spa Industry is a core part of Wellness sector in the Philippines, and
the countrys government. Many hospitals in the Philippines also have wellness
centers on-site (e.g., for acupuncture, yoga, meditation, nutrition, massage,
herbal products). These often provide after-care for medical tourists. The Filipino
government has supported these developments by encouraging the medical
community to understand and support the healing and preventative aspects of
spa and alternative therapies.
http://www.globalspaandwellnesssummit.org/images/stories/pdf/spas_wellness_medical_tourism_report.pdf

By virtue of EO 571, issued in October 2006, the National Competitiveness

Council (NCC) was created. The PPP Task Force was subsumed under the NCC,
making tourism focused on Health Wellness and Recreation (HW&R), one of the
eight industries to be developed and promoted as globally competitive industries.
http://zuellig.aim.edu/files/download/215 (MEDICAL TOURISM: A GROWTH STRATEGY A MULTIDIMENSIONAL VIEW ON MEDICAL TOURISM)

1.2. Problem Setting

1.2.1. Statement of the Problem
The Rizal province, Provincial Health Office (PHO) intensified the
importance of taking care of anyone's health, fitness and wellness among
children, parents, adults and the elderly. It is one of the provinces that have an

outstanding performance for implementing and serving a healthy living in the

community. Binangonan ranks the fifth biggest town in the province in terms of
area. The Municipal Health Office (MHO) caters to health needs of people of
Binangonan. Its primary function is to ensure that basic health services are
delivered to its constituents. It provides preventive, curative and sometimes
rehabilitative medical services.
However, Rizal province is one of the most densely populated regions in
the country, principally because it is the closest region to Metro Manila as well as
Binangonan. Binangonan has forty (40) barangays comprising the municipality;
each barangay has its own Barangay Health Station which is supervised by four
(4) Rural Health Units (RHU) serving as the mother health center.
Due to its increasing population and lack of accessible healthcare and
inadequate modern facilities that equipped with technology in preventing
diseases, which causes the increasing rate of morbidity and mortality of
Binangonan Rizal, and the goal of Municipal Health Sector, which provide
affordable, accessible and quality health care services especially to indigent
people and improve health indicators atleast 10 percent, a proposed tertiary
hospital, Binagonan Medical & Wellness Center is strategically located to serve
as community health care facilities to the people of Binangonan and nearby
municipalities. It will be a benchmark in the province of Rizal in which they will
recognize the place as a comprehensive quality of healthcare facilities and high
productivity in health service sector. It will be an essential part to achieve quality
of life and enhance the wellbeing and health status of the residents.

1.2.2. Scope and Limitation of the Study

SCOPE OF THE STUDY

The Researcher studied the needs of the people and the environment that
brought about the requirements in establishing the project. This project study
aims to cover the following:
USERS: The programs, treatments, consultations, training services, education,
minor and major surgical operations are all welcome in Binangonan
residents/community

from

all

ages

and

vocations

and

to

its

nearby

municipalities/provinces.
FUNCTION/SERVICES: The Medical-Wellness Centre in Binangonan is a
Tertiary Hospital in which it will hold and focuses on implementing and serving a
medical diagnosis and therapeutic approach in healthcare and other leading
health issues in the community such as Myocardial Infarction, Cardio-Vascular
Disease, Cerebrovascular accident (CVA) and Acute upper respiratory infection
(AURI) and wounds all kinds. It will provide Complementary and Alternative
medicines/services, therapeutic & healthy recreational activities and fitness &
Sports, Paralympics (PWD activities), healthcare case management, physical
and wellness screening/assessment and other medical and diagnostic/surgical
treatment. Also, it will support the health services and programs of Binangonan
Municipal Health Office.
LIMITATION OF THE STUDY: The proposed project will be limited on its
functions, services, facilities and also on emergency cases and in general
medicine.

1.2.3. Assumption
The researcher assumes that the project is an essential part for
achieving healthy community to the people of Binangonan and to
the other neighboring municipalities.
It assumes that this project/study will contribute to healthy living and
builds a better place and social networks in their community and will
lower the case rate of mortality and morbidity.
It assumes that all barangays comprising the municipality,
especially the indigent people/distressed family will have quality
health care services which are sufficient to the needs of residents.
It assumes that the project will effectively boost up the problem in
Healthcare facilities/services especially the lack of tertiary hospital.
It assumes that the proposal will increase the tourism rate of
Binangonan prior to its propinquity to nearby municipalities/cities.
It assumes that through system analysis and proper management it
can generate income for the municipality and can provide job
opportunities for people in Binangonan and nearby municipalities.
The project assumes that more than just income, Binangonan may
be known not just for its new healthcare center but it will be a
benchmark in the province of Rizal in which they will recognize the
place as a comprehensive quality of healthcare facilities and high
productivity in health service sector.
1.2.4. Project Goal
To create a new and comprehensive healthcare facility and
strengthen the productivity in health service and enhance the wellbeing of every people of all ages and vocations in terms of social,
mental, physical, spiritual, psychological and medical state.
1.2.5. Objectives of the Study

 To build an establishment that offers accommodation with skin care and

body services such as fitness, personal training and nutrition consulting
and healthy recreational activities.
To conduct meaningful health care and wellness programs that will
encourage everyone to participate, support and recognize.
To serve a better quality of life and health services that can help or change
them into well-being/wellness; avoid illness/disease.
To promote therapeutic and service excellence in healthcare that will help
them to balance their mind, body and spirit with nourishment. and ;
To provide comprehensive quality of healthcare services/facilities that will
be a benchmark in the province of Rizal.
1.2.6. Significance of the Study
To the Country: The proposed project, Medical-Wellness Center will
contribute a multi-dimensional view in the strategically growth and stability of
health system in our country. It will enhance and develop a more vibrant and
healthier community and promote a quality and excellent healthcare in the
Philippines. Also, this project will serve a comprehensive and high productivity
health service to the Local and Foreign people.
To the Province/Municipality: The proposed project will be a benchmark
in the province of Rizal especially to the Municipality of Binangonan, by providing
comprehensive quality of healthcare services/facilities. Also it will strengthen the
health and development system of the municipality by promoting wellness.
To the Site: The proposed project, Wellness-Medical Center will enhance
the quality of well-being of people in every barangay or community by giving them
knowledge and opportunity to prevent and avoid illness or disease, to promote
and develop healthy lifestyle.

To the People: People will get a right exercise; right supplements, right
treatment, right mind-set and right health services, to enrich a productive life and
nourishment which is vital for everyones wellness.
To Architecture: The study will be useful and inspiring project which
implement and advocate healthy lifestyle or wellness in each individual or group.
It will enrich the understanding in building or creating plans and layout/facilities
according to the site needs, not just for the sake of just creating but also for the
sake of creating a good study/plan where functionality, efficiency and significance
is greatly considered.
1.2.7. Definition of Terms
Alternative Medical Systems- An umbrella term for a number of practices
beyond the scope of conventional medicine. These forms of alternative medicine
are built upon a complete system of ideas and practice and may have evolved in
Western or non-Western cultures.
Biological Based Therapy- Biologically based therapies use naturally occurring
substances and include individual biologic therapies (such as using shark
cartilage to treat cancer and glucosamine to treat osteoarthritis), diet therapy,
herbal medicine, orthomolecular medicine, and chelation therapy.
Complementary and Alternative Medicine- Complementary medicine is
treatments that are used along with standard medical treatments but are not
considered to be standard treatments. Alternative medicine is treatments that are
used instead of standard medical treatments.
Diagnostic Imaging- A variety of machines and techniques can create pictures
of the structures and activities inside your body. They include X-rays, CT scans,
Nuclear medicine scans, MRI scans and Ultrasound.

Emergency Medicine- formerly known in some countries as accident and

emergency medicine is the medical specialty involving care for undifferentiated
and unscheduled patients with illnesses or injuries requiring immediate medical
attention.
Energy Therapy- is the gentle art of clearing cellular memory through the human
energy field promoting health, balance and relaxation. Energy therapy is based
on the concept of connection between the physical, emotional, mental and
spiritual realms of our lives found in many holistic healing methods.
Internal Medicine- The medical specialty dedicated to the diagnosis and medical
treatment of adults. Subspecialties of internal medicine include allergy and
immunology, cardiology (heart diseases), endocrinology (hormone disorders),
hematology (blood disorders), infectious diseases, gastroenterology (diseases of
the gut), nephrology (kidney diseases), oncology (cancer), pulmonology (lung
disorders), and rheumat-ology (arthritis and musculoskeletal disorders).
Manipulative and Body Based Methods- Manipulative and body-based
therapies treat various conditions through bodily manipulation. These therapies
include chiropractic, massage, rolfing, reflexology, and postural reeducation.
Massotherapy- Massage therapy is the manipulation of body tissues to promote
wellness and reduce pain and stress. It involves a variety of light-touch and deeptouch techniques, from stroking and kneading to applying pressure to specific
points.
Maternal Healthcare- is the health of women during pregnancy, childbirth, and
the postpartum period. It encompasses the health care dimensions of family
planning, preconception, prenatal, and postnatal care in order to reduce maternal
morbidity and mortality.

Medical- the provision by a physician of services related to the maintenance of

health, prevention of illness, and treatment of illness or injury.
Mind Body Intervention- as those practices that "employ a variety of techniques
designed to facilitate the mind's capacity to affect bodily function and symptoms",
and include guided imagery, guided meditation and forms of meditative praxis,
hypnosis and hypnotherapy, prayer, as well as art therapy, music therapy, and
dance therapy.
Obstetrics and Gynecology- is the most complete and reliable source of
information on current developments in women's health care. OB is short for
obstetrics or for an obstetrician, a physician who delivers babies. GYN is short for
gynecology or for a gynecologist, a physician who specializes in treating diseases
of the female reproductive organs.
Osteopathic- is a type of alternative medicine. It is a health care system of
diagnosis and treatment that emphasizes the relationship between structure and
function in the body, and the ways it can be affected through manipulative therapy
and other treatment modalities
Outpatient- is a patient who receives medical treatment without being admitted
to a hospital.
Pathology & Laboratory- is a medical specialty that is concerned with the
diagnosis of disease based on the laboratory analysis of bodily fluids such as
blood and urine, as well as tissues, using the tools of chemistry, clinical
microbiology, hematology and molecular pathology.
Pediatrics- is the branch of medicine that deals with the medical care of infants,
children, and adolescents, and the age limit usually ranges from birth up to 18
years of age.

Physical Medicine & Rehabilitation- is a branch of medicine that aims to

enhance and restore functional ability and quality of life to those with physical
impairments or disabilities.
Service Delivery Networks- This responds to calls for frameworks recognizing
that dyadic service encounters are embedded in the series of experiences
customers have with complementary providers as part of the journey to achieve
their desired goals.
Surgery- is a technology consisting of a physical intervention on tissues. As a
general rule, a procedure is considered surgical when it involves cutting of a
patient's tissues or closure of a previously sustained wound.
Therapeutic activity- refers to the successful prevention, diagnosis and
treatment of physical and mental illnesses; improvement of symptoms of
illnesses; as well as beneficial alteration or regulation of the physical and mental
status of the body.
Wellness- is generally used to mean a healthy balance of the mind, body and
spirit that results in an overall feeling of well-being.