Contents

Health Care System (HCS)..................2

Goal of HCS.....................................2
Urban and Rural Health......................2
Levels of HC facilities..........................2
Health care providers.........................2
Determinants of Health......................2
Evident base of health determinants..3
Primary Health Care (PHC)..................3
Goals oh PHC...................................3
Alma-ata Declaration of 1978..........3
Guiding principles in PHC................3
National Immunization Program in the Philippines 3
 Secondary level
- Serves as a referral center for
Health Care System (HCS) the primary health facilities.
- A health system consists of all - This is given in infirmaries,
organizations, people, and municipal and district hospitals
actions whose primary intent is and out-patient departments of
to promote, restore or maintain provincial hospital.
health. - Secondary facilities are capable
of performing minor surgeries
Goal of HCS
and perform some simple
- The WHO is promoting a goal of
laboratory examinations.
universal health care:
- To ensure that all people obtain Tertiary level
the health services they need
without suffering financial - Referral center for the
hardship when paying for them secondary care facilities.
- rendered by specialists in health
facilities including medical
Urban and Rural Health centers as well as regional and
As most future urban growth will take provincial hospitals, and
place in developing cities, the world specialized hospital.
today has a unique opportunity to - complicated cases and intensive
guide urbanization and other major care requires tertiary care.
urban development trends in a way - ex: Philippine heart center and
that protects and promotes health. st. luke’s medical center
Individuals living in rural areas are
different from those in urban areas,
and rural areas often suffer from a lack
of access to healthcare. Health care providers
- doctors - administrative
Levels of HC facilities - nurses staff
- pharmacis - technologists
ts and technicians
- therapists

Determinants of Health

Primary level
- Is usually the first contact
between the community
members and the other levels of
health facility; barangay health
stations and rural health units.
 1. income and social status – - -was declared during the First
the greater the gap between International Conference on PHC
the richest and poorest people, held in USSR on September
the greater the differences in 1978 by WHO
health.
2. education – low education Goals oh PHC
levels are linked with poor - The attainment of better of
health, more stress and lower health services.
self-confidence. - Reducing exclusion and social
3. physical environment – safe disparities in health (universal
surroundings contribute to good coverage reforms)
health. - Organizing health services
4. social support networks – around people’s needs and
culture, customs, beliefs, expectations (service delivery
traditions affect health. reforms)
5. genetics – inheritance plays a - Integrating health into all
part in determination lifespan, sectors (public policy reforms)
healthiness and the likelihood of - Pursuing collaborative models of
developing certain illnesses policy dialogue (leadership
6. health services – access and reforms)
use of services that prevent and - Increasing stakeholder
treat disease influences health participation
7. gender – men and women
suffer from different types of
diseases at different ages Alma-ata Declaration of 1978
- As a major milestone of the
Evident base of health twentieth century in the field of
public health, and it identified
determinants PHC as the key to the
1. transport 6. industry attainment of the goal of Health
2. food and 7. urbanizati for All.
agriculture on
3. housing 8. water Guiding principles in PHC
4. waste 9. radiation - Equitable distribution of health
5. energy [Link]
services
and health
- Active community participation
and involvement in the
Primary Health Care (PHC) planning, implementation of
- as essential health care made health services
universally accessible to - The use of appropriate
individuals and families in the technology in the delivery of
community by means health services.
acceptable to them through - Focus on health promotion and
their full participation and at a disease prevention
cost that the community and - A multi-sectoral approach to
country can afford at every community health development
stage of development
 National Immunization - Measles elimination – 2 dose
measles containing vaccine
Program in the Philippines (MCV):
- 1976 o MCV1 (monovalent
- Six vaccine-preventable measles) at 9-11 months old
diseases: o MCV2 (MMR) at 12-15
Tuberculosis, poliomyelitis, months old
diphtheria, tetanus, pertussis - Maternal and Neonatal
and measles Tetanus Elimination
- Control of other common
Mandates: RA 10152
vaccine-preventable
“mandatory infants and
diseases (Diphtheria, pertussis,
children health
hepatitis B and meningitis/
immunization act of 2011”
encephalitis secondary to H.
signed by Pres. Benigno Aquino
influenza type B
III (2010) – the mandatory
- Hepatitis B control – RA
includes basis immunization for
10152, this bill provided for all
children under 5 including other
infants to be given the birth
types that will be determined by
dose of the HepB vaccine within
the DOH
24 hours of birth
Strategies: - Vaccine and cold chain
o Conduct of Routine Immunization management
for Infants/ Children/ Women - Introduction to new vaccines
through the reaching Every
Barangay (REB) strategy
o Supplemental Immunization
Activity (SIA) – are used to reach
children who have not been
vaccinated or have not developed
sufficient immunity after prev.
vaccination
o Strengthening Vaccine-Preventable
Diseases Surveillance
o Procurement of adequate and
potent vaccines and needles and
syringes to all health facilities
nationwide

Status of implementation
- All health facilities have at least
one health staff trained on REB
- Polio eradication – the
Philippines has sustained its
polio-free status since October
2000