TOPIC 1-6

• state of complete physical, mental and social wellbeing and not merely the absence of disease.

  health (accdg to WHO)
• Consists of all organization, people and actions whose primary interest is to promote, restore, or maintain health

  Health Systems
• first point of contact a person has with health system whenever they have a health problem

  PHC
• most inclusive, equitable, and costeffective way to achieve universal health coverage

  PHC
• PHC is the most inclusive, equitable, and costeffective way to achieve?

  universal health coverage
• provision of health services, including diagnosis, treatment of a health condition, and support in managing long-term healthcare, including chronic conditions.

  PHC
• ▶Institution that delivers primary care services which are usually the first point of contact with a health professional.

  primary care facility
• give the list of healthcare providers


  Physician

  Nurses

  Midwives

  Dentists

  Pharmacists

  Community Health Workers (Barangay Nutrition Scholars, Barangay Health Workers)
• accdg to this, All people, everywhere, have the right to achieve the highest attainable level of health.

  PHC
• means all Filipinos are guaranteed equitable access to quality and affordable health care goods and services, and protected against financial risk

  UHC
• RA 11223 or


  Universal Health Care Act
• RA 11223 was signed on


  FEB 20, 2019
• What are the 4 pillars of PHC


  Community Participation

  Intersectoral Coordination

  Support Mechanisms made available

  Appropriate Technology
• pillar of PHC which involves:

  Identify the health needs of the community. Involvement in planning, organizing, decisionmaking, and implementation of health programs, sponsored by the government or NGO.

  Community Participation
• pillar of PHC which involves:

  Involvement of NGOs, private sectors, and public sectors

  Intersectoral Coordination
• pillar of PHC which involves:

  adaptable and acceptable


  Appropriate technology
• pillar of PHC which involves:

  Adequate number and distribution of trained physicians, nurses, community health workers, and others working as a health team and supported at the local and referral levels.

  Support Mechanisms made available
• Challenges in implementation of PHC

  1. poor infrastructure

  2. challenging geographical distribution

  3. lack of finances

  4. lack of well-trained health professionals

  5. poor quality health-care services

  6. focus on curative rather than promotive and preventive health services

  7. poor allotment of health-care workforce to serve in the rural locality

  8. lack of intersectoral collaboration
• explain Universal Health Coverage


  - reorient health systems to PHC because most (90%) of UHC's interventions can be done thru PHC

  - based on 1948 WHO Constitution

  - health promotion to prevention, protection, treatment, and rehabilitation, and palliative care
• what is the foundation of Universal health coverage?

  PHC
• which constitution is Universal Health Coverage based on?

  1948 WHO Constitution
• Ensure every Filipino is healthy, protected from health hazards and risks, and has access to affordable, quality, and readily available health service that is suitable to their needs.

  universal health care
• means all Filipinos are guaranteed equitable access to quality and affordable health care goods and services,and are protected against financial risk

  universal health care
• Give all the elements of PHC


  1. Health Education

  2. Promotion of food supply and proper nutrition

  3. Access to safe water, hygiene (?), and proper sanitation

  4. Maternal and Child Health and Family Planning (FP)

  5. Immunization against major infectious diseases

  6. Appropriate Treatment for common diseases and injuries

  7. Provision of essential drugs

  8. Prevention and control of locally endemic disease
• Information dissemination to increase their knowledge and promote a healthy lifestyle.

  Health education
• Poor diets: being driven by systems that are failing to?

  provide children with adequate diets, space to play and exercise.
• ______ Filipino children die daily from malnutrition with_____ children not getting past their fifth birthday.

  95; 27 every 1,000
• 95 Filipino children die daily from malnutrition with 27 every 1,000 children not getting past their fifth birthday (SOURCE?)

  United Nations International Children's Emergency Fund Philippines
• critical for maintaining life and promoting good health


  access to sufficient amounts of safe and nutritious food
• refers to the health of women during pregnancy, childbirth and the postnatal period

  Maternal Health
• how many children die annually before their fifth birthday in PH

  60,000
• o In the Philippines, over 60,000 children die annually before their fifth birthday because of?

  premature birth

  infections

  intra-partum complications
• requires that all children under five years old be given basic immunization against vaccine-preventable diseases.

  RA 10152
• Controlling these diseases requires


  regular screening and treatment by skilled healthcare workers using appropriate health technology
• DOH Programs for prevention and control of locally endemic diseases


  Malaria Control and Elimination Program

  Dengue Prevention and Control Program

  Schistosomiasis Control and Elimination Program
• Disease is constantly present in a population with relatively low spread.

  endemic disease
• A sudden increase in cases spreading through a large population

  epidemic disease
• Epidemic that has spread over several countries or continents, usually affecting a large number of people.

  pandemic
• top 5 diseases that cause death in PH

  Ischaemic Heart Disease

  Neoplasms

  Cerebrovascular Disease

  Diabetes Mellitus

  Hypertensive Diseases
• contains the list of essential medicines that can be procured by the government

  Philippine National Formulary