Adopted from

Ma. Jenna Paje-Andres RMT, MPH

CPH Professor
 Overview of Session
The students are likewise
introduced to the different
health programs in the
Philippines that are being
implemented by the
Department of Health.
 Objectives
• At the end of the session, the
students shall be able to understand
the importance of the availability
and institutionalization of health
programs in the reduction of
mortality and morbidity rates of
common public health programs in
the country.
Primary Health Care (PHC) as an approach
to delivery of health care services
WHO defines PHC as essential health care
made universally accessible to
individuals and families in the
community by means acceptable to
them through their full participation
and at a cost that the community and
country can afford at every stage of
development
 Elements/Components of PHC
1. Environmental sanitation
2. Control of communicable disease
3. Immunization
4. Health Education
5. MCH and Family Planning
6. Adequate Food and Proper Nutrition
7.Provision of Medical Care and Emergency
Treatment
8. Treatment of Locally Endemic Diseases
9. Provision of Essential Drugs
Four Cornerstones
or Pillars in PHC

1. Active community participation

2. Intra and inter-sectoral linkages
3. Use of appropriate technology
4.Support mechanism made
available
LEVELS OF HEALTH CARE
REFERRAL SYSTEM
 1. Primary Level of Care
 It is health care provided by center
physicians, public health nurse, rural
midwives, barangay health workers,
traditional healers and others at the
barangay health stations and rural
health units.
 First contact between the community
members and the other levels of
health facility
 2. Secondary level of care
 Given by physicians with basic health
training. It is usually given in health facilities
privately owned or government operated
such as infirmaries, municipal and district
hospital and out-patient departments of
provincial hospitals.
 This serves as the referral center for the
primary health facilities. Secondary facilities
are capable of performing minor surgeries
and perform some simple laboratory
examinations
 3. Tertiary level of care
 Tertiary care is rendered by specialist
in health facilities including medical
centers as well as regional and
provincial hospitals and specialized
hospitals.
 Complicated cases and intensive care
requires tertiary care and all these
can be provided by the tertiary care
facility
 Concept of Community Health
• Working together tohelppeople
help themselves, not merely
survive butalso achieve to
maximum potential the
 Four priorities in Public Health
1. Survival of man
2.Prevention of condition which lead to
destruction or retardation of human
function and potential in the years of life
3.Achievement of human potential and
prevention of the loss of productivity of
young adults and those on the middle
period of life
4.Improvement of the quality of life,
especially in the later years
 STRUCTURE OF THE
PHILIPPINE HEALTH
CARE DELIVERY SYSTEM
 Health Resources
• Rural Health Unit (RHU) and their sub-centers
• Chest clinics, Malaria Eradication Units and
Schistosomiasis Control Unit
• Tuberculosis clinics and Hospitals of the
PTBs
• Private Clinics
• Clinics run by PMA
• Community Hospitals and Health services
Centers run by Philippine Medical Care
Commission (PMCC)
• Voluntary Health Facilities run by religious and
 Three divisions of Health Care
Delivery System

1.Government
2.Mixed Sectors
3.Private Sectors
GOVERNMENT

The primary government agency in

the field of health runs the bulk
of the government health
facilities is the Department of
Health
 DOH Responsibilities
1. Ensuring access to basic health services to all
Filipinos through the provision of quality health
care.
2. Formulation and development of national health
policies, guidelines, standards and manual
operation for health services and programs.
3. Issuance of rules and regulations, licenses and
accreditation.
4. Promulgation of the national standards, goals,
priorities and indicators.
5. Development of special health programs and
projects.
 HEALTH PROGRAMS
1. Adolescent and Youth Health and
Development Program (AYHDP)
• Reproductive health Sexuality , Reproductive
Tract infection (STD, HIV/AIDS)
• Responsible parenthood, Maternal and Child
health,
• Communicable diseases, Diarrhea, DHF,
Measles, Malaria
• Mental Health Substance use and abuse
2. Botika ng Barangay
• Refers to a drug outlet manage by a
legitimate community organization
(CO/non-government Organization (NGO)
and/or Local Government Unit (LGU), with
a trained operator and a supervising
pharmacist specifically established in
accordance with Administrative Order No.
144 s. 2004.
3. Promotion of Breast feeding program/
Mother and Baby Friendly Hospital
Initiative (MBFHI)
• The Mother and Baby Friendly Hospital
Initiative is the main strategy to transform
all hospitals with maternity and new born
services into facilities which fully protect,
promote, support breast feeding and
rooming-in practices
4. Cancer Control Program
• The Philippines Cancer Control Program,
begun in 1988, is an integrated approach
utilizing primary, secondary and tertiary
prevention in different regions of the country
at both hospital and community levels.
• Six lead Cancers (lung, breast, liver, cervix, oral
cavity, colon and rectum) are discussed.
5. Diabetes Control Program
• Diabetes is a serious chronic metabolic disease
characterized by an increase in blood sugar levels
associated with long term damage and failure or
organs functions, especially the eyes, the kidneys,
the nerves, the heart and blood vessels.
In diabetic, blood sugar reaches a dangerously high
level which leads to complications
 Blindness
 Kidney failure
 Stroke
 Heart attack
 Wounds that would not heal
 Impotence
What can you do to control your blood sugar?
1. Diet therapy
2. Exercise
3. Control your weight
4. Quit smoking
6. Dengue Control Program
• The thrust of the Dengue Control Program is
directed towards community-based prevention
and control in endemic areas
• Major strategy is advocacy and promotion,
particularly the Four O’clock Habit which was
adopted by most LGUs. This is a nationwide,
continuous and concerted effort to eliminate the
breeding places of Aedes aegypti.
7. Dental Health Program
• Comprehensive Dental Health program aims
to improve the quality of life of the people
through the attainment of the highest
possible oral health. Its objective is to
prevent and control dental diseases and
conditions like dental carries and
periodontal diseases thus reducing their
prevalence.
8. Emerging Disease Control Program
 Emerging infectious disease are newly identified
and previously unknown infection which cause
public health problems either locally or
internationally.
 These include diseases whose incidence in
humans have increased within the past two
decades or threaten to increase in the near future.
9. Environmental
Health
 Environmental health is concerned with
preventing illness through managing the
environment and by changing people’s
behavior to reduce exposure to biological
and non-biological agents of disease and
injury.
 It is concerned primarily with effects of the
environment to the health of the people.
10. Expanded program on Immunization
• The expanded program on immunization is
one of the DOH programs that has already
been institutionalized and adopted by all
LGUs in the region. Its objective is to reduce
infant mortality and morbidity through
decreasing the prevalence of six (6)
immunizable diseases (TB, diphtheria,
pertussis, tetanus, polio and measles.
11. Family Planning
A. Responsible Parenthood which
means that each family has the
right and duty to determine the
desired number of children
they might have and when they
might have them
B. Respect for life
C. Birth spacing refers to
interval between
pregnancies ( which is ideally
3-5 years)
12. Food and Waterborne Diseases Prevention
and Control Program(FWBDPCP)
 Established in 1997 but became fully operational
in year 2000 with the provision of a budget
amounting to PHP 551,000.00
 The program focuses on Cholera, typhoid fever,
hepatitis A and other food borne emerging
diseases.
13. Knock out Tigdas
• The Knock-out tigdas is s strategy to reduce
the number or pool of children at risk of
getting measles, or being susceptible to
measles and achieve 95% measles
circulation in all communities in 2008.
14. Leprosy Control program
• Leprosy Control program envisions eliminating
Leprosy as a human disease by 2020 and is
committed to eliminate leprosy as a public health
problem by attaining a national prevalence rate
(PR) of less than 1 per 10,000 populations by year
2000
15. Malaria Control Program
58 of 80 provinces: malaria endemic
Population at risk: 12 M
22 provinces: maintain malaria-free* status
2– 4 outbreaks per year
malaria-free: absence of
indigenous malaria case
16. National Filariasis Elimination Program
General Objectives:To reduce the Prevalence
Rate to <1/1000 population
17. National Mental Health Program
 It aims at integrating mental health within the total
health system, initially within the DOH system, and
local health system.
 It has initiated and sustained the integration
process within the hospital and public health
systems, both at the central and regional level.
 Furthermore, it aims at ensuring equity in the
availability, accessibility, appropriateness and
affordability of mental health and psychiatric
services in the country.
18. Newborn screening
• Newborn Screening (NBS) is a simple
procedure to find out if your baby has a
congenital metabolic disorder that may
lead to mental retardation and even death
if left untreated
19. Occupational Health Program

Vision/Mission Statement
• Health for all occupations in partnership with the
workers, employers, local government authorities
and other sectors in promoting self-sustaining
programs and improvement of workers’ health and
working environment.
• Program Objective and Targets: To promote and
protect the health and well being of the working
population thru improved health, better working
conditions and workers’ environment
20. Health development Program for Older
Persons
• The Program intends to promote and improve
the quality of life of older persons through the
establishments and provision of basic health
services for older persons, formulation of policies
and guidelines pertaining to older persons,
provision of information and health education to
the public, dedicated to older person and, the
conduct of basic and applied researches.
21. Pinoy MD Program “Gusto Kong Maging Doktor”
• A Medical scholarship Grant for Indigenous People,
Local Health Workers, Barangay Health workers,
Department of Health employees or their children.
This is a joint program of the Department of Health
(DOH), Philippine Charity Sweepstakes Office
(PCSO), and several State Universities and Medical
Schools
22. Prevention of Blindness Program
• To eliminate all avoidable blindness by
preventing and controlling diseases
through the development of human
resource, infrastructure, and appropriate
technology
23. Schistosomiasis Control Program
• Goal of the National Schistosomiasis
control program is to eliminate
Schistosomiasis as a public health problem
(Prevalence of 1% and below)
 24. National TB Control Program
 In 1996, WHO introduced the
Directly Observed Treatment Short
Course (DOTS) to ensure completion
of treatment
 The DOTS strategy depends on five
elements for its success:
 Microscope, Medicines,
Monitoring, DOT and
Political Commitment.
 If any of these elements are
missing, our ability to
consistency cure TB patients slips
through our fingers.
25. Republic Act 7719 :
“Blood Services Act of 1994”

The main Objectives are:

1. To promote and encourage voluntary blood
donation by the citizenry and to instill public
consciousness of the principle that blood
donation is a humanitarian act
2. To provide, adequate, safe, affordable and
equitable distribution of supply of blood and
blood products
 MIXED SECTORS
• PTS- Philippine Tuberculosis society
• PCS- Philippine Cancer Society
• PNRC- Philippine National Red Cross
• PMHA- Philippine Mental Health
Association
• PHA- Philippine Heart
Association
 PRIVATE SECTORS
1. Socialized Medicine- funded b general taxation,
emphasis on prevention
2. Compulsory Health insurance- law requires people
to subscribe to health insurance plan, usually
government sponsored; covers only curative and
rehabilitative medicine; preventive services
provided by government agencies
3. Voluntary Health insurance- government only
encourages people to subscribe to health insurance
4. Free Enterprise- people have to take care of their
medical needs.