Prepared by: Bergado, Melvin Villena, Angelica Cassandra BSN 3-1 OBJECTIVES At the end of the chapter, the students should be able to : Know the historical devt of Department of Health(DOH) Understand the function & responsibility of the different offices under the DOH Know the budget and its appropriation Know and identify the different Administrative Order and Republic Act that governs DOH system Know the different programs of government to improve health status of the Filipinos.
The DOH is the agency of the govt entrusted to formulate and implement the policy pertaining to health. It is also responsible to oversee the operations of govt controlled hospitals. The goal of the DOH through govt hospitals is to develop an effective network of Jauloties which are available, accesible, acceptable, and affordable. The DOH hospitals will not only be a curative care but also a venue for preventive medicine. THREE CLASSIFICATION OF GOVERNMENT HOSPITALS Primary Level Secondary Level Tertiary Level PRIMARY LEVEL Composed of municipal and Medicare Hospitals, which have facilities and capabilities for first, contact emergency care and Hospitalization for simple cases. SECONDARY LEVEL Consist of District Hospitals with capabilities and facilities for medical cases requiring hospitalization. It also has the expertise of trained specialties TERTIARY LEVEL Composed of : - Specialty Centers - Specialized Hospitals - Medical Centers - Regional Hospitals - - Provincial or General Hospitals Have capabilities and facilities for providing medical care to cases requiring sophisticated diagnostic and therapeutic equipment and the expertise of trained specialist THE DOH HOSPITAL SYSTEM CLASSIFICATION NUMBER BED CAPACITY Specialty 4 953 Special 7 7,750 Medical Centers 22 5,483 Regional 14 3,950 Provincial 74 7,695 District 276 10,385 Municipal 60 605 Medicare 87 1,250 Sanitaria 8 4,920 Research 2 50 Total 554 43,041
Responsible for the formulation of regulatory policies and standards over the various areas of concern in the health sector. Health sentinel Providing maximum security against the entry and spread of quarantinable and other dreadful diseases. Jurisdiction and main area of responsibility are the ports and airports/ sub-ports scattered throughout the country. Mandated to formulate and implement plans, programs, policies, standards and technique related to the management, improvement and quality control of hospitals operations. RADIATION HEALTH SERVICE (RHS) ENVISIONS Radiation health and safety for all Filipinos by the year 2000 Aims to ensure the safe and rational use of radiation technologies. HOSPITAL MAINTENANCE SERVICE (HMS) Mandated to formulate and implement plans, programs, policies, standards and techniques that would ensure the proper maintenance of equipment in the Department of Health Hospitals. HEALTH INFRASTRUCTURE SERVICE (HIS) Formulate and promotes policies, standards and guidelines in the physical planning, design and maintenance of hospitals and other health facilities of the national and local governments. Lobbied and advocated for the passage of health bills into legislative like: a) National Diabetes Act of 1996 (R.A. No. 8191) b) Special Law on Counterfeit Drugs (R.A. No. 8203) Maintained linkage with HPDS and Policy and legislative Coordinators (PLCs) at DOH through the conduct of regular consultative meetings and provisions of updates on policy initiatives and health legislation proposals. Teambuilding activities with external offices like Committees on Health and Liaison Offices of both House of representative and Senate. Mid-year review of various health bills from both Houses of Congress to monitor status and lobby for its passage. Facilitated the conduct of coordination of Health Committees of both Houses of Congress and DOH Offices or Services concerned to mobilize support for the passage of priority bills Example: Traditional Medicine Act. National Mental Health Act and etc. Monitored status of DOH budget in Congress. 7 th plenary Meeting of the Legislative Liaison System of the Executive Branch of the Government held last Nov. 15 at the Philippine Heart Center. Three-day workshop on legislative processes, position paper drafting and technical writing last December in Baguio City in cooperation with the U.P. Law Center. It is the regulatory agency mandated t ensure the safety, efficacy, quality and purity of processed food, drugs, diagnostic reagents, medical devices, cosmetics and hazardous susbtances. Develop and formulate plans, standards and policies for the establishment, licensing and accommodations of laboratories, blood banks and entitles handling biological products; to provide consultative training and advisory services to public and private laboratories; and to conduct studies and researches. The regulatory agency for hospitals, clinics and other health facilities. It recommends accreditations/ issuance of license of health facilities (excepts for removal of licenses of primary and secondary level of hospitals which had been delegated to the regional health offices). Ensures the delivery of quality health services by affecting compliance with the standards and technical requirements prescribed by the DOH for licensure of hospitals and dental prosthetics laboratories (DPLS) and accreditation of medical examinations of overseas contract workers (OCWS) and seafarers. Mandated to formulate policies for safe, efficacious, quality medicines at an affordable cost. The promotion of healthy lifestyles emphasizes the anti-smoking campaign, regular physical activity and weight control. Includes healthy diet and nutrition, stress management and regular health check-up. AIMS TO: 1. Raise the awareness of the Filipinos on the need to practice healthier lifestyles. 2. Raise the consciousness of policy makers on the need to provide the Filipinos with an environment supportive of healthy lifestyle. Healthy lifestyle- a way of life which promotes and protects ones health and well being. The campaign promotes the following messages: 1. Dont smoke 2. Regular exercise 3. Eat a healthy diet everyday 4. Watch your weight/ Weight control 5. Manage stress 6. Regular health check up
Target Audiences: Primary Audiences: 1. All family members grandparents, parents, sons and daughters belonging to C-D-E economics classes in urban areas. 2. Five (5) healthy messages Adults to elderly for exercise Schoolchildren for healthy diet Mothers and daughters for watch your weight Teenagers for Dont smoke Working adults for manage stress 3. Profile of the family members are as follows: Grandparents: 60 years old and above Father: 40-45 years old Mother: 30-35 years old Teenage son: 13-15 years old Preteen daughter: 9-12 years old Health care central to the concept of development and that a health policy of conscious intervention through public agencies is required in order to reach certain basic health objectives. GMA 50% The name of the Department of Health (DOH) undertaking to effect the SONA pledge of President Gloria Macapagal-Arroyo. Primary goal of the project is to ensure that affordable, high quality, safe and effective drugs and medicines are always available, especially to the poor. Short-term (2001- 2002 SONA) 1. Continue the importation, high quality, safe, effective and affordable drugs and medicines for as long as the prices in the country remain high. 2. Expands, as an appropriate the list of drugs and medicines for importation. 3. Increase the number of outlets. Medium and Long-term (SONA 2002 and beyond) 1. Promote the use of generic drugs and medicines. 2. Ensure continuous supply of high quality, safe, effective and affordable drugs and medicines, whether imported or locally manufactured. 3. Develop reimbursement scheme for medicines with PhilHealth. 4. Work with the pharmaceutical industry/ organizations/ companies for them to reduce significantly the prices of drugs and medicines. 5. Work with local retail industry for them to pass on to the consumers the low price of drugs and medicines, and 6. Wage war versus substandard drugs. WHO ARE INVOLVED?? A. Public 1. Department of Health a) Bureau of Foods and Drugs b) Philippine Health Insurance Corporation 2. Department of Trade and Industry a) Philippine International Trade Corporations b) Philippine Health Insurance Corporation 3. National Food Authority 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 Filipinos, especially the poor, and to lead the quest for excellence in health.
THE DOH SECRETARY one of the top surgeons of the country specializing in the field of vascular and transplant surgery. A graduate of the University of Philippines underwent surgical training in the United States and the United Kingdom. certified by both the Philippine and American Board of Surgery
THE DOH SECRETARY recipient of numerous national and international awards 1. Ten Outstanding Young Men (TOYM) Award in Medicine in 1979 2. Most Outstanding Alumnus of the College of Medicine 3. most distinguished alumnus of the University of the Philippines 4. first and only Filipino Surgeon to be awarded the Honorary Fellowship of the American College of Surgeons in 2012 THE DOH SECRETARY As Secretary of Health, he has devoted relentlessly to the mission of attaining Kalusugan Pangkalahatan or Universal Health Care for Filipinos In his first year, 5.3 million families or about 25 million Filipinos have been enrolled in PhilHealth. Under his administration, two landmark health reforms have been passed, namely the Tobacco and Alcohol Excise Tax Reform Act of 2012 and the Responsible Parenthood and Reproductive Health Act of 2012. DIFFERENT LAWS AND POLICIES ON HEALTH Republic Act 8187 Paternity Leave Act of 1995 Republic Act 8203 Special Law on Counterfeit Drugs Republic Act 8282 Social Security Law of 1997 (amended RA 1161) Republic Act 8291 Government Service Insurance System Act of 1997 (amended PD 1146) Republic Act 8344 Hospital Doctors to treat emergency cases referred for treatment Republic Act 8423 Philippine Institute of Traditional and Alternative Medicine Republic Act 8424 Personal tax Exemption Republic Act 8749 The Philippine Clean Air Act of 1999 Republic Act 8981 PRC Modernization Act of 2000 Republic Act 9165 Comprehensive Dangerous Drugs Act 2002 Republic Act 9173 Philippine Nursing Act of 2002 Republic Act 9288 Newborn Screening Act
EXECUTIVE ORDER an order issued by the executive branch of the government in order to implement a constructional mandate or a statutory provision. Executive Order 51 The Milk Code Executive Order 174 National Drug Policy on Availability, Affordability, Safe, Effective and Good Quality drugs to all Executive Order 180 Government Workers Collective Bargaining Rights Guidelines on the right to Organize of government employee. Executive Order 203 List of regular holidays and special holidays Executive Order 209 The Family Code (amended by RA 6809) Executive Order 226 Command responsibility Executive Order 503 Provides for the rules and regulations implementing the transfer of personnel, assets, liabilities and records of national agencies whose functions are to be devoted to the local government units. Executive Order 857 Compulsory Dollar Remittance Law
Other Important Information Administrative Order 114 Revised/updated the roles and functions of the Municipal Health Officers, Public Health Nurses and Rural Midwives ILO Convention 149 Provides the improvement of life and work conditions of nursing personnel.
UNIVERSAL HEALTH CARE Universal Health Care and Its Aim Universal Health Care (UHC), also referred to as Kalusugan Pangkalahatan (KP), is the provision to every Filipino of the highest possible quality of health care that is accessible, efficient, equitably distributed, adequately funded, fairly financed, and appropriately used by an informed and empowered public. 1 The Aquino administration puts it as the availability and accessibility of health services and necessities for all Filipinos. It is a government mandate aiming to ensure that every Filipino shall receive affordable and quality health benefits.This involves providing adequate resources health human resources, health facilities, and health financing.
UHCs Three Thrusts
To attain UHC, three strategic thrusts are to be pursued, namely: 1) Financial risk protection through expansion in enrollment and benefit delivery of the National Health Insurance Program (NHIP); 2) Improved access to quality hospitals and health care facilities; and 3) Attainment of health-related Millennium Development Goals (MDGs).
Financial Risk Protection
Protection from the financial impacts of health care is attained by making any Filipino eligible to enroll, to know their entitlements and responsibilities, to avail of health services, and to be reimbursed by PhilHealth with regard to health care expenditures. PhilHealth operations are to be redirected towards enhancing national and regional health insurance system. The NHIP enrollment shall be rapidly expanded to improve population coverage. The outpatient and inpatient services shall be intensively promoted. Moreover, the use of information technology shall be maximized to speed up PhilHealth claims processing. Improved Access to Quality Hospitals and Health Care Facilities Improved access to quality hospitals and health facilities shall be achieved in a number of creative approaches. First, the quality of government-owned and operated hospitals and health facilities is to be upgraded to accommodate larger capacity, to attend to all types of emergencies, and to handle non-communicable diseases. The Health Facility Enhancement Program (HFEP) shall provide funds to improve facility preparedness for trauma and other emergencies. The aim of HFEP was to upgrade 20% of DOH-retained hospitals, 46% of provincial hospitals, 46% of district hospitals, and 51% of rural health units (RHUs) by end of 2011.
Financial efforts shall be provided to allow immediate rehabilitation and construction of critical health facilities. In addition to that, treatment packs for hypertension and diabetes shall be obtained and distributed to RHUs. The DOH licensure and PhilHealth accreditation for hospitals and health facilities shall be streamlined and unified.
Attainment of Health-related MDGs Further efforts and additional resources are to be applied on public health programs to reduce maternal and child mortality, morbidity and mortality from Tuberculosis and Malaria, and incidence of HIV/AIDS. Localities shall be prepared for the emerging disease trends, as well as the prevention and control of non-communicable diseases.
The organization of Community Health Teams (CHTs) in each priority population area is one way to achieve health-related MDGs. CHTs are groups of volunteers, who will assist families with their health needs, provide health information, and facilitate communication with other health providers. RNheals nurses will be trained to become trainers and supervisors to coordinate with community-level workers and CHTs. By the end of 2011, it is targeted that there will be 20,000 CHTs and 10,000 RNheals. Another effort will be the provision of necessary services using the life cycle approach. These services include family planning, ante-natal care, delivery in health facilities, newborn care, and the Garantisadong Pambata package. Better coordination among government agencies, such as DOH, DepEd, DSWD, and DILG, would also be essential for the achievement of these MDGs.