1.2 Enhancement (CHN)

• DOH Vision: "Filipinos are among the healthiest people in Southeast Asia by 2022 & Asia by 2040."
• Life expectancy - basis of determining the healthiest people/country
• Japan, Hongkong, Macau - healthiest in Asia (ave 85 yrs old)
• DOH Mission: "To lead the country in the development of Productive, Resilient, Equitable, People-centered (PREP)\ health system for Universal Healthcare"
• Dr. Teodoro J. Herbosa - DOH Secretary
• DOH Program:

  FOURmula One - 2005-2010 by Duque
• DOH Program:

  Kalusugan Pangkalahatan - 2011-2015 by Ona
• DOH Program:

  Duterte Health Agenta - 2016 by Ubial
• DOH Program:

  FOURmula One Plus - 2017-2022 by Duque
• 5 Pillars of FOURmula One Plus:

  1. Health Financing (Philhealth)
  2. Health Regulation (affordable & quality services)
  3. Health Service Delivery (accessible & available)
  4. Good governance (accountable & efficient)
  5. Performance accountability (outcome-based approach)
• RA 7160 - (Local Government Code of 1991) devolution & decentralization; health autonomy from DOH (national) to LGU (local)
• Composition of Interlocal Health Zone:

  1. People (100,000 - 500,000)
  2. Boundaries (health districts)
  3. Health facilities (health centers & hospitals)
  4. Health workers
• Philippine Healthcare Delivery System (PHCDS):

  Primary - basic healthcare services, rural health unit, health centers, barangay health station, simple cases, CHN
• Midwife - only healthcare professional in barangay health station
• Philippine Healthcare Delivery System (PHCDS):

  Secondary - common medical & surgical cases (minor), provincial hospital, district hospital, emergency hospital
• Philippine Healthcare Delivery System (PHCDS):

  Tertiary - regional hospital, national hospital, medical centers, specialty hospital
• 1 physician : 20,000

  1 Public health nurse : 5,000

  1 Public health midwife : 5,000

  1 Public health dentist : 50,000

  1 Rural sanitation inspector : 20,000

  1 Medtech : 20,000

  1 Physical therapist : 20,000

  1 Rural Health Unit : 20,000

  1 Basic Health Station : 5,000
• Primary care - interventions to cure a certain disease; first level of care; community level

  (e.g. pangunahing lunas sa fever)
• Primary health care - health in the hands of the people; total approach to health care including:

  • active community participation
  • partnership
  • improving health in community
  • access to basic health
• Primary Health care: MIDWIFE

  • Multi-sectoral policies
  • Integrated health services
  • Determinants of health
  • Whole-of-government approach
  • Interventions that encompass entire life course
  • Focusing on equity
  • Empowering individuals & communities for increased participation
• Traditional Cornerstones / Pillars of Primary Healthcare: I <3 USA

  • Inter- & Intra- sectoral linkages
  • Use of appropriate technology
  • Support mechanism available
  • Active community participation
• Core Values of Primary Healthcare: YE SSSER

  • Social justice
  • Solidarity
  • Self-reliance
  • Equity
  • Respect to human dignity/rights
• Essential services in Primary Healthcare: ESSENTIAL

  • Essential medicines/drugs
  • Sanitation
  • Safe water supply
  • Endemic disease control & management
  • Nutrition
  • Treatment to simple conditions
  • Immunization
  • Access for mother & child health services
  • Learning through health education
• PD 856 - Sanitation Code (clean food, water, toiletry, garbage disposal)
• PD 825 - Anti-littering law
• RA 9003 - EcOlOgical Solid Waste Management Act (waste segregation & weekly schedule of garbage collection)
• RA 8749 - Clean Air Act
• RA 9275 - Clean Water Act (water has 5 letters)
• EO 26 - National Smoking Ban (in all public places)
• RA 10611 - Food Safety Act (right source, preparation, cooking, storage)
• Safe Water Sources:

  Level 1:

  • point source / developed spring
  • tuburan, bukal, balon
  • not for drinking
  • rural areas
  • not >250m from farthest house
  • 40-40L of water
• Safe Water Sources:

  Level 2:

  • communal faucet (100 household) / stand-post (4-6 household)
  • pose de bomba
  • not for drinking
  • rural areas where houses are clustered
  • not >25m from farthest house
  • 40-80L of water
• Safe Water Sources:

  Level 3:

  • waterworks system
  • linya ng gripo
  • for densely populated urban areas
  • at least 1 faucet per household
• Food Safety:

  • Right source
  • Right preparation
  • Right cooking
  • Right storage
• If in doubt, boil water for at least 2 mins before drinking.
• 70 degrees C - optimum temperature for cooking
• Food should not be left at room temperature for >2 hours.
• Microbes grow easily at 10 - 60 degrees C.

  • Store hot food: at least 60 degrees C
  • Store cold food: ≤ 10 degrees C
• RA 10152 - Mandatory Basic Immunization Law
• Mandatory Immunizations:

  1. BCG
  2. Hepatitis B
  3. Pentavalent
  4. OPV
  5. MMR
  6. IPV
  7. PCV