health leadership and governance

• what - define the disease events and/or its determinants
• who - descriptions of demographic characteristics
• when - seasonality of certain diseases, incubation periods, and exposuresposing risk to others
• leadership and governance - essential or crucial part of health system
• where - geographical extent
• 6 building blocks of health system

  leadership and governance

  health human resource

  access to medicine and technology

  health service delivery

  health information

  health financing
• stewardship - also called leadership and governance of health systems
• stewardship - arguably the most complex but critical building block
• it's about the role of government in health and its relation to other actors whose activities impact on health
• stewardship - involves overseeing and guiding the whole health system, private as well as public, in order to protect the public interest
• stewardship - requires both political and technical action
• there is no blueprint for effective health leadership and governance
• from WHO, leadership and governance is the "wheel in the middle of the wheel". it drives the rest of the building blocks. without it, the rest of the building blocks won't work
• philippine health care system - developed health system
• decentralized - devolved set up
• each level f administrative division is referred to as local government unit (LGU)
• there are at least 4 levels of administrative division
• the president of the republic being the over-all chief executive overseas these administrative regions
• the administrative regions

  province

  city

  municipality

  barangay
• autonomous regions - special administrative division
• two autonomous regions

  Cordillera Autonomous Region (CAR)

  Autonomous Region for Muslim Mindanao (ARMM)
• cities - categorized in annual income
• pre decentralization - the health system in the philippines
• Philippine RA 7160 or Local Government Code of 1991 - according to this, a local health board must be established in every province, city, and municipality
• provincial health board

  governor - chairman

  provincial health officer - vice chairman
• city health board

  city mayor - chairman

  city health officer - vice chairman
• municipal health board

  municipal mayor - chairman

  municipal health officer - vice chairman
• functions of local health board

  propose annual budgetary allocations

  serve as an advisory committee to the council concerned on health matters

  consistent with technical and administrative standards and create committees which shall advise local health agencies
• a leader-driven change process can proceed in ff steps. the leader...


  recognizes the problem and make a response

  formulates a vision

  consolidates his/her resources

  takes the lead

  communicates the vision

  ensures skills and knowledge are transferred to others