Study Set Content:
MAJOR STRATEGIES OF PRIMARY HEALTH CARE
Elevating health to a comprehensive and sustained national effort.
2. Promoting and Supporting Community Managed Health Care
3. Increasing Efficiencies in the Health Sector
4. Advancing Essential National Health Research
- Attaining Health for all Filipino will require expanding participation in health and health related programs whether as service provider or beneficiary. Empowerment to parents, families and communities to make decisions of their health is really the desired outcome.
- Advocacy must be directed to National and Local policy making to elicit support and commitment to major health concerns through legislations, budgetary and logistical considerations.
Elevating health to a comprehensive and sustained national effort.
The health in the hands of the people brings the government closest to the people. It necessitates aprocess of capacity building of communities and organization to plan,
implement and evaluate health programs at their levels.
2. Promoting and Supporting Community Managed Health Care
Using appropriate technology will make services and resources required for their delivery, effective, affordable, accessible and culturally acceptable. The development of human resources must correspond to the actual needs of the nation and the policies it upholds such as PHC. The DOH will continue to support and assist both public and private institutions particularly in faculty development, enhancement of relevant curricula and development of standard teaching materials.
3. Increasing Efficiencies in the Health Sector
Essential National Health Research (ENHR) is an integrated strategy for organizing and managing research using intersectoral, multi-disciplinary and scientific approach to health programming and delivery.
4. Advancing Essential National Health Research
ELEMENTS OF PRIMARY HEALTH CARE
1. Education for Health
2. Locally Endemic Disease Control
3. Expanded Program on Immunization
4. Maternal and Child Health and Family Planning
5. Environmental Sanitation and Promotion of Safe Water Supply
6. Nutrition and Promotion of Adequate Food Supply
7. Treatment of Communicable Diseases and Common Illness
8. Supply of Essential Drugs
The control of endemic disease focuses on the prevention of its occurrence to reduce morbidity rate. Example Malaria Control and Schistosomiasis Control
2. Locally Endemic Disease Control
Is one of the potent methodologies for information dissemination. It promotes the partnership of both the family members and health workers in the promotion of health as well as prevention of illness.
1. Education for Health
The mother and child are the most delicate members of the community. So the protection of the mother and child to illness and other risks would ensure good health for the community. The goal of Family Planning includes spacing of children and responsible parenthood.
4. Maternal and Child Health and Family Planning
This program exists to control the occurrence of preventable illnesses especially of children below 6 years old. Immunizations on poliomyelitis, measles, tetanus, diphtheria and other preventable disease are given for free by the government and ongoing program of the DOH
3. Expanded Program on Immunization
Environmental Sanitation is defined as the study of all factors in the man’s environment, which exercise or may exercise deleterious effect on his well-being and survival. Water is a basic need for life and one factor in man’s environment. Water is necessary for the maintenance of healthy lifestyle. Safe Water and Sanitation is necessary for basic promotion of health.
5. Environmental Sanitation and Promotion of Safe Water Supply
The diseases spread through direct contact pose a great risk to those who can be infected. Tuberculosis is one of the communicable diseases continuously occupies the top ten causes of death. Most communicable diseases are also preventable. The Government focuses on the prevention, control and treatment of these illnesses.
7. Treatment of Communicable Diseases and Common Illness
- This focuses on the information campaign on the utilization and acquisition of drugs.
- In response to this campaign, the GENERIC ACT of the Philippines is enacted. It includes the following drugs: Cotrimoxazole, Paracetamol, Amoxycillin, Oresol, Nifedipine, Rifampicin, INH (isoniazid) and Pyrazinamide, Ethambutol, Streptomycin, Albendazole, Quinine
Supply of Essential drugs
Extended Elements in the 21st Century
- Expended options of immunizations.
- Reproductive health needs.
- Provision of essential technologies afor health.
- Health promotion.
- Prevention and control of non-communicable diseases.
- Food safety and the provision of selected food supplements.
- Poor staffing and shortage of health personnel
- Inadequate technology and equipment
- Poor condition of infrastructure/infrastructure gap, especially in the rural areas
- Concentrated focus on curative health services rather than preventive and promotive health care services.
- Challenging geographic distribution
- Poor quality of health care services
- Lack of financial support in health care programs
- Lack of community participation
- Poor distribution of health workers/health workers concentrated on the urban areas.
- Lack of intersectoral collaboratio
Challenges of Primary Health Care
- Encouraging community participation through rapport building, effective communication and sharing objectives and benefits of PHC.
- Developing quality assurance mechanisms through the development of various indicators and standards.
- Development of clinical guidelines including the implementation of Essential drugs list
- Allocating resources as per the need of the central, provincial/state and local level.
- Develop a planning process to define objectives and set targets by giving priority on those families and communities most at risk.
- Promoting problem-orientated research in health management system.
- Creating pathways to give health higher priority on the agenda of district development and collaboration of health departments to perform its role in health activities.
- Develop guidelines and framework that specify the roles and responsibilities of the provincial states.
MITIGATION MEASURES FOR ENSURING EFFECTIVE PHC
- Delivery of SAFE, EFFECTIVE and QUALITY personal and non-personal health interventions to those who need them, when are where needed, with minimum waste of resources.
HEALTH CARE SYSTEM AS DEFINED BY WHO
Health Care System goals
GOAL
- Health, absolute level across the entire population and equity across socioeconomic groups
- Social and financial risk protection in health
- Responsiveness and people centeredness
- Efficiency
limited access to health care
Rural
Lower socioeconomic status
Urban
