pharmaceutical healthcare

• Health care delivery system

  The totality of all policies, facilities, equipment, products, human resources and services which address the health needs, problems and concerns of the people. It is large, complex, multilevel and multi-disciplinary

  
• The health care delivery system is catering for all - all involved
• Three strategies in delivering health services (elements)

  1. Creation of Restructured Health Care Delivery System (RHCDS) regulated by PD 56 (1972)

  2. Management Information Systems regulated by R.A. 3753: Vital Health Statistics Law

  3. Primary Health Care (PHC) regulated by LOI 949 (1984): Legalization if Implementation of PHC in the Philippines

  
• Agencies in the Restructured Health Care Delivery System (RHCDS)

  • RHO or Regional Health Office (National Health Agency)
  • Or existing national agencies like PGH
  • Or specialized agencies like Heart Center for Asia, NKTI
  • MHO & PHO (Municipal/Provincial Health Office)
  • BHS and RHU (Barangay Health Station/Rural Health Unit)

  
• Primary health care


  Prevention of illness or promotion of health, "Hindi pa dumadating, ini-stop na natin"
• Levels of prevention


  • Primary Level: Health promotion and illness prevention
  • Secondary Level: Prevention of complications through early diagnosis and treatment
  • Tertiary Level: Prevention of disability
• Referral system in levels of the health care

  • Barangay Health Station (BHS) is under the management of Rural Health Midwife (RHM)
  • Rural Health Unit (RHU) is under the management or supervision of PHN
  • Public Health Nurse (PHN) caters to 1;10,000 population acts as managers in the implementation of the policies and activities of RHU, directly under the supervision of MHO (who acts as administrator)
• Sentrong Sigla Movement (SSM)


  A joint project of the DOH and LGU with the main goal/strategy of certifying health centers that are able to comply with the standards set by the DOH to provide the best healthcare to everybody
• Four pillars of the Sentrong Sigla Movement

  • Health Promotion
  • Granted Facilities
  • Technical Assistance
  • Awards: Cash, Plaque, Certificate
• Goal of the Sentrong Sigla Movement: Quality health – quality health care, services and facilities
• Objectives of the Sentrong Sigla Movement

  Better and more effective collaboration between DOH and LGUs, where DOH is the provider of technical and financial assistance and LGU is the prime developer of health systems and direct implementer of health programs
• Sentrong Sigla Certification


  One of the components and strategies of the Sentrong Sigla Movement

  
• Sentrong Sigla Quality Assurance Program (SSQAP)


  Goal: To make DOH and LGUs active partners in providing quality health services
• Key strategies of the Sentrong Sigla Quality Assurance Program

  • Certification / Recognition Program (CRP)
  • Continuous Quality Improvement (CQI)
• In 1999, QAP was renamed the Sentrong Sigla ("Center of Vitality") Movement (SSM)
• Specific objectives of the Sentrong Sigla Movement

  • Institutionalization of QA
  • SS certification targeting 50% of facilities in 2003 and 60% in 2004
  • QA
  • Grants and technical assistance
  • Awards
  • Health Promotions
• Recognition of achieving good quality shall be the main incentive of SS certification
• Advocacy and social mobilization activities should be used to enhance the value of prestige and recognition
• Other incentives shall not be overemphasized and should only be secondary to recognition
• Quality improvement is an unending process