CPHM

• Community health


  Medical intervention or approach which is concerned with the health of the whole population
• Two broad areas of preventive medicine


  • Public Health
  • Risk Factor Evaluation
• Public Health


  • Programs and activities directed at community level and will benefit everyone or individuals who are not currently under the care of a physician
• Ten essential public health services

  • Monitor health status to identify community health problems
  • Diagnose and investigate health problems and health hazards in the community
  • Inform, educate and empower people about health issues
  • Mobilize community partnerships to identify and solve health problems
  • Develop policies and plans that support individual and community health efforts
  • Enforce laws and regulations that protect health and ensure safety
  • Link people to needed personal health services and assure the provision of health care when otherwise unavailable
  • Assure a competent public health and personal healthcare workforce
  • Evaluate effectiveness, accessibility and quality of personal and population-based health services
  • Research for new insights and innovative solutions to health problems
• Risk Factor Evaluation


  • Directed at individuals who are currently under the care of physician who evaluates them for high-risk factors that can cause disease
• Health


  Preventing disease, Prolonging life, Promoting health and efficiency, Holistic, Successful defense of the host
• Disease


  Failure of the body defense mechanism
• Aspects of health


  • Physical Health
  • Mental Health
  • Social Health
• Determinants of health

  • Income and social status
  • Education
  • Physical environment
  • Employment and working conditions
  • Social support networks
  • Culture
  • Genetics
  • Personal behavior and coping skills
  • Health services
  • Gender
• Health care delivery system


  A network of health facilities and personnel which carries out the task of rendering health care to the people
• Health care system


  A complex set of organizations interacting to provide an array of health services
• Primary Health Care (PHC)

  An approach to delivery of health care services, Universally accessible to individuals and families in the community
• Elements/Components of PHC


  • Environmental sanitation
  • Control of communicable disease
  • Immunization
  • Health Education
  • Family Planning
  • Adequate Food and Proper Nutrition
  • Provision of Medical Care and Emergency Treatment
  • Treatment of Locally Endemic Diseases
  • Provision of Essential Drugs
• Four Cornerstones/Pillars in PHC

  • Active community participation
  • Intra and inter-sectoral linkages
  • Use of appropriate technology
  • Support mechanism made available
• Levels of Health Care Referral System

  • Primary Level of Care
  • Secondary level of care
  • Tertiary level of care
• Primary Level of Care

  Center physicians, public health nurses, rural midwives, barangay health workers, and others at the barangay health stations and rural health units
• Secondary level of care


  Infirmaries, municipal and out-patient departments of provincial hospitals, referral center for the primary health facilities, minor surgeries & simple lab exam
• Tertiary level of care


  Medical centers as well as regional and provincial hospitals and specialized hospitals, Complicated cases and intensive care requires tertiary care
• Concept of Community Health

  Working together to help people help themselves, not merely to survive but also achieve the maximum potential
• Four priorities in Public Health

  • Survival of man
  • Prevention of condition which lead to destruction or retardation of human function and potential
  • Achievement of human potential and prevention of the loss of productivity of young adults
  • Improvement of the quality of life
• 3 divisions of HealthCare Delivery System

  • Government
  • Mixed Sectors
  • Private Sectors
• Government (DOH)


  Can be national (DOH) or local (LGUs), The Mission of the DOH is partnership with the people to ensure equity, quality and access to health care by making services available, arousing community awareness, mobilizing resources, and promoting the means to better health
• Responsibilities of the DOH

  • Ensuring access to basic health services to all Filipinos
  • National health policies, guidelines, standards and manual operation for health services and programs
  • Issuance of rules and regulations, licenses and accreditation
  • Promulgation of the national standards, goals, priorities and indicators
  • Development of special health programs and projects
• Health Programs


  • Adolescent and Youth Health and Development Program (AYHDP)
  • Botika ng Barangay (BNB)
  • Promotion of Breast-feeding program/ Mother and Baby Friendly Hospital Initiative (MBFHI)
  • Cancer Control Program
  • Diabetes Control Program
  • Dengue Control Program
  • Dental Health Program
  • Emerging Disease Control Program
  • Environmental Health
  • Expanded program on Immunization
  • Family Planning
  • Food and Waterborne Diseases Prevention and Control Program (FWBDPCP)
  • Knockout Tigdas
  • National Leprosy Control. Program (NLCP)
  • National Malaria Control Program
  • National Filariasis Elimination Program
  • National Mental Health Program
  • Newborn screening (NBS)
  • Occupational Health Program
  • Health development Program for Older Persons
  • Pinoy MD Program "Gusto Kong Maging Doktor"
  • Prevention of Blindness Program
  • Schistosomiasis Control Program
  • National TB Control Program
  • Republic Act 7719 is otherwise known as "Blood Services Act of 1994"
• Mixed Sectors


  Coexistence of public and private sector, e.g. PTS, PCS, PNRC, PMHA, PHA
• Private Sectors


  Hospital, health insurance, manufacturer of medicines and vaccines, clinics and other related health services