ALMA-ATADECLARATION - fundamental human right that is the attainment of the highest possible level of health
PRIMARY HEALTH CARE - states that primary health care is essential health care based on scientifically sound and socially acceptable methods.
Health Care system - refers to an organized plan of health services
Health care delivery - It is the rendering of health care services to the people
Health care delivery system - the network of health facilities and personnel which carries out the task of rendering health care to the people
Philippine Health Care system - a complex set of organizations interacting to provide an array of health services to the Philippines.
ENUMERATE: PRIMARY HEALTHCARE'S basic essential elements and objectives.
Health Care System
Health Care Delivery
Health Care DeliverySystem
Philippine HealthCare system
KEY ELEMENTS OF PRIMARY HEALTH CARE SYSTEM TO ACHIEVE THE GOALL
Universal coverage to reduceexclusion and socialdisparities in health
. Servicedeliveryorganized around people'sneeds and expectations
Publicpolicy that integrateshealthinto all sectors
Leadership that enhancescollaborative models of policy dialouge
Increasedstakeholderparticipation
ESSENTIAL ELEMENTS OF PRIMARY HEALTH CARE
EDUCATION CONCERNING PREVAILING HEALTH PROBLEMS
Locally endemic disease prevention
Expanded program of immunization
Maternal and child healthcare including family planning
Essentialdrugarrangements
adequatesupply of basicnutrition
Treatment of communicable and non-communicable disease and promotion of mental health
Safewater and sanitation
Other elements of primary health care
Expended optionof immunizations
reproductive health needs
Provision of essential technologies for health
Health promotion
Prevention and control of non-communicable diseases
Food safety and provision of selected food supplements
A primary system based on primary health care will:
Build on the alma-ata principles of equity, universal access, community participation, and intersectoral approaches
Take account of broader population health issues
Create the conditions of broader population health issues
Organize integrated and seamless care
Continously evaluate and strive to improve performance
Principles of primary health care
Improvement in the level of health care of the community
Favorable population growth structure
Reduction in the prevalence of preventable, communicable, and other diseases
Reduction in morbidity and mortality rates
Extension of essential health services with priority given to the underserved sectors
Improvement in basic sanitation
Development of the capability of the community aimed at self-reliance
Maximizing the contribution of the other sectors for the social and economic development
Equitable distribution of health care
Community participation
Multi-Sectional approach
Use of appropriate technology
Management of Primary health care
Planning
Organizing
Staffing
Controlling
Directing
Planning - Managers usually required to set direction and determine what needs to be accomplished.
Organizing - refers to the management function on designing the organization or the specific division, unit or service for which the manager is responsible.
Staffing - This function refers to acquiring and retaining human resources. It also refers to developing and maintaining the workforce through various strategies and tactics
Controlling - this function refers to monitoring staff activities and performance and taking the appropriate action to increase performance.
Directing - its focus is to initiate action in the organization through effective leadership and motivation of, and communication with other subordinates
Authority - is the manager's formal and legitimate right to make decisions, issue orders, and allocate resources to achieve organizationally desired outcomes
Responsibility - an employees duty to perform assigned task or activities
Accountability - means that those with authority and responsibility must report and justify task outcomes to those above them in the chain of command.
Types of authority
Line authority
Functional Authority
Staff authority
Line authority - Managers have the formal power to direct and control immediate subordinates.
Superior - issues order and responsible for the result
Functional authority - where the managers have the formal power over specific subset
Staff authority - granted to staff specialist in their areas of expertise.
Centralization - the location of decision-making authority near top organizational levels
Decentralization - the location of decision making-authority near lower organizational levels
Formalization - the written documentation to responsible positions identified in a management plan
Staffing - refers to the assignment of individuals to responsible positions indentified in a management plan.
The primary function of department of health - is the promotion, protection, preservation, or restoration of health of the poeple through the provision and delivery
Mission of DOH, in partnership wth the people:
To making the serviceavailable
by arousing communityawareness
by mobilizing resources
by promoting the means to better health
Levels of Health Care facilities
Primary level of health care Facilities
Secondary level of health care facilities
Tertiary level of health care facilities
Primary level of health care facilities - this includes rural health units, their sub-centers, chest clinics, malaria eradication units, schistosomiasis control units operated by the DOH
Secondary level of health care facilities- these are smaller, non-departamentalized hospitals, including emergency and regional hospitals in which services to patients with symptomatic stages of the disease
Tertiary level of health care facilities - These are medical ccenters that offer highly technological and sophisticated services
Factors on the various categories of Health workers among countries and communities
Available health manpower
local health needs and problems
Political and financial feasibility
Village or Grassroot health workers - they are the first contacts of the community and initial links of health care
Intermediate level Health worker - These workers represent the first source of professional health care
First line hospital personnel - They provide backup health services for cases that require hospitalization