LICEO DE CAGAYAN UNIVERSITY

COLLEGE OF MEDICINE
PCM
BY: Dr. Simer E. Belacho
 BEFORE INTEGRATION
DOH

REGIONAL
HOSPITAL RHO

PROVINCIAL DISTRICT PROVINCIAL CITY HEALTH

HEALTH HOSPITAL HOSPITAL OFFICE
OFFICE
RURAL
HEALTH
UNITS BHS
BHS
 1981 INTEGRATION
DOH

Regional
RHO
Hospital

IPHO CHO

DISTRICT
HOSPITAL
BHS
RHU’S

BHS
 DOH

REGIONAL REGIONAL
HOSPITAL HEALTH OFFICE

CITY GOVERNOR MUNICIPAL

MAYOR MAYOR

IPHO
CHO RHU’S
PROVINCIAL
HOSPITAL
BHS
DISTRICT BHS
HOSPITAL
FOR CHARTERED CITIES LIKE CDO

CITY
MAYOR

CITY
CITY
HEALTH
HOSPITAL
OFFICE

HEALTH
CENTER
Before Devolution, the national health system consisted of
three-tiered system under the direct control of the DOH
1. Tertiary Hospitals at the National and Regional levels
2. Provincial and District Hospitals
3. City and Municipal Health Centers and Barangay Health
Centers
WITH DEVOLUTION
The DOH managed the
1. Tertiary Medical Centers at the regional levels
2. Specialty Hospitals
3. Re-nationalized Provincial Hospitals
The Province Run the Provincial and District Hospitals

The LGU of the municipalities and cities run the rural health
units and city health offices
Role of the LGU in the Municipalities and Cities:
1. Health Promotion and Preventive Units
2. Stewards of the Local Health System
3. Required to formulate and enforce local policies and
ordinances related to health, nutrition, sanitation and other
health related matters in accordance with national policies
and standards
4. They are also in charge of creating an environment
conducive for establishing partnerships with all sectors at
the local level
Role of DOH after Devolution
The DOH was made the “Servicer of Servicers” by
1. Developing Health Policies and Programs
2. Enhancing partners capacity through technical assistance
3. Leveraging performance for priority health programs
among these partners
4. Developing and Enforcing regulatory policies and standards
5. Providing specific programs that affect large segments of
the population
6. Providing specialized and tertiary level of care