CHN

Goals of FOURmula ONE for Health

1. Better Health Outcomes 2. More Responsive health Systems 3. Equitable Health Care Financing

Vision by 2030

A global leader for attaining better health outcomes, competitive and responsive care system, and equitable health financing. New: The DOH is the Leader, Staunch Advocate and model in promoting health of all in the philippines. Old: Health for all Filipino's.

Republic Act 2382

A person shall be considered as engaged in the practice of medicine (a) who shall, for compensation, fee, salary or reward in any form, paid to him directly or through another, or even without the same, physical examine any person, and diagnose, treat, operate or prescribe any remedy for any human disease, injury, deformity, physical, mental or physical condition or anylment, real or imaginary, regardless of the nature of the remedy or treatment administered, prescribed or recommended; or (b) who shall, by means of signs, cards, advertisements, written or printed matter, or through the radio, television or any other means of communication, either offer or undertake by any means or method to diagnose, treat, operate or prescribe any remedy for any human disease, injury, deformity, physical, mental or physical condition; or (c) who shall use the title M.D. after his name.

Republic 8172

ASIN

Republic Act 9173

Act declaring the policy of the State to assume responsibility for the protection and improvement of the nursing profession by instituting measures that will result in relevant nursing education, humane working conditions, better career prospects and a dignified existence of our nurses.

Republic Act 1082

Act that called for the employment of more physicians, dentists, nurses, midwives and sanitary inspectors will live in the rural areas where they are assigned to raise health condition of the barrio people and thus help abate the still high incidence of preventable diseases in the country and a whole.

Rationale for Health Sector Reform

Although there has been a significant improvement in the health status of Filipino's for the last 50 years, the following conditions are still seen among the population: Slowing down in the reduction in the IMR and the MMR. Persistence of large variations in health status across the population groups and geographic areas. High burden from infectious diseases. Rising burden from chronic and degenerative diseases. Unattended emerging health risks from environmental and work related factors. Burden disease is heaviest on the poor.

Presidential Decree 148

Amending RA 679 (Woman and Child Labor Law) states that the employee's age shall be 16 years old.

Republic Act 7492

An Act to Maximize the Contribution of Senior Citizens to Nation Building, Grant Benefits and Special Privilege.

Republic Act 7170

An act authorizing the legacy or donation of all or part of a human body after death for specified purposes.

Republic Act 8423

An act creating the Philippine institute of traditional and alternative health care (PITAHC) to accelerate the development of traditional and alternative health care in the Philippines, providing for a traditional and alternative health care development fund and for other purposes.

Republic Act 9262

An act defining violence against women and their children, providing for protective measures for victims, prescribing penalties therefore, and for other purposes.

Republic Act 7883

An act granting benefits and incentives to accredited BHWs for voluntary health services rendered to the community. Incentives and Benefits: a. Hazard Allowance b. Subsistence Allowance c. Training and education and career enrichment programs (TECEPS)- the DOH in accordance with the Department of Education, and other concerned agencies and non-government organizations shall provide opportunities for the following: Educational programs Continuing education, study and exposure tours, training, grants, field immersion, scholarships Scholarship benefits Special training programs d. Civil service eligibility e. Free legal services f. Preferential access to loan

Republic Act 7719

An act promoting voluntary blood donation, providing for an adequate supply of safe blood regulating banks, and providing penalties for violation thereof.

Republic Act 8504

An act promulgating policies and prescribing measures for the prevention and control of HIV/AIDS in the Philippines, instituting a nationwide HIV/AIDS information and educational program, establishing a comprehensive HIV/AIDS monitoring system, strengthening the Philippine National AIDS Council, and for other purposes.

Republic Act 9211

An act regulating the packaging, use, sale, distribution and advertisements of tobacco products and for other purposes.

Republic Act 6675

An act to promote, require and ensure the production of an adequate supply, distribution, use and acceptance of drugs and medicines identified by the generic names.

List of Notifiable Diseases/Syndromes

Category I (Immediately Notifiable): Acute Flaccid Paralysis Adverse Event Following Immunization (AEFI) Anthrax Human Avian Influenza Measles Meningococcal Disease Neonatal Tetanus Paralytic Shellfish Poisoning Rabies Severe Acute Respiratory Syndrome (SARS) Outbreaks Clusters of diseases Unusual diseases or threats Category II (Weekly Notifiable): Acute Bloody Diarrhea Acute Encephalitis Syndrome Acute Hemorrhagic Fever Syndrome Acute Viral Hepatitis Bacterial Meningitis Cholera Dengue Diphtheria Influenza-like Illness Leptospirosis Malaria Non-Neonatal Tetanus Pertussis Typhoid and Paratyphoid Fever

MTPDP

Chapter 12 of the MTPDP 2004-2010 spells out the priority strategies to meet the needs of the poor. The following health priorities were identified: 1. Reduction of the cost of medicines. 2. Expansion of health insurance particularly for indigents through premium subsidy. 3. Strengthening national and local health systems through the implementation of the Health Sector Reform Agenda. 4. Improvement of health care management system. 5. Improvement of health and productivity R and D. 6. Establishment of drug treatment and rehabilitation centers and expansion of existing ones.

Republic Act of 7846

Compulsory immunization for hepatitis for infants and children below 8 years old.

National

DOH (head agency in health). Regional Field office in every region and maintains specialty hospitals, regional hospitals, and centers. It also maintains provincial health teams made up of DOH representatives to the local health boards and personnel involved in the communicable disease control. PGH

Republic Act 3573

Declared that all communicable disease shall be reported to the nearest health station and that any person may be inoculated administered or inject with prophylactic preparations, no person shall refuse as to hinder or obstruct these protective measures deemed advisable by the secretary of health or the authorized representatives.

Goal: HSRA

Describes the major strategies, organizational and policy changes and public investments needed to improve the way health care is delivered, regulated and financed.

Republic Act 4073

Except when disease requires institutional treatment, no person afflicted with leprosy shall be confined in a leprosarium.

Presidential Decree 965

Family Planning and responsible parenthood instructions prior to issuance of marriage license.

FORMULA ONE for health

Framework for implementation of HSRA. It intends to implement critical interventions as a single package backed by effective management infrastructure and financing arrangements following a sector wide approach. It is directed to ensuring accessible, affordable quality health care especially for the more disadvantage and vulnerable sectors of the populations.

Mission

Guarantee equitable, sustainable and quality health for all Filipino's, especially the poor and shall lead the quest for excellence in health.

The Philippine Health Care Delivery System

In order for the nurse to function effectively, she has to understand the health care delivery system wherein she is working because it influences her status and functions. She needs to properly relate with the dynamics of the political, organizational structure surrounding her position in the health care delivery system.

The reasons why the above conditions are still seen among the population

Inappropriate health delivery system as shown by an inefficient and poorly targeted hospital system, ineffective mechanism for providing public health programs on top of health human resources maldistribution. Inadequate regulatory mechanisms for health services resulting to poor quality health care, high cost of privately provided health services, high cost of drugs and presence of low quality of drugs in the market. Poor health care financing and inefficient sourcing or generation of funds for health care.

Enabler and Capacity Builder

Innovate new strategies in health to improve the effectiveness of health programs, initiate public discussions on health issues and undertaking and disseminate policy research outputs to ensure informed public participation in policy decision making. Exercise oversight functions and monitoring and evaluation of national health plans, programs and policies. Ensure the highest achievable standards of quality health care, health promotion and health protection.

UHC

Is the "provision to every Filipino for the highest possible quality of health care that is accessible, efficient, equitably distributed, adequately funded, fairly financed, and appropriately used by an informed and empowered public". It is a government mandate aiming to ensure that every Filipino shall receive affordable and quality health benefits.

Health Care Delivery System

It is the totality of all policies, infrastructures, facilities, equipment, products, human resources and services that address the health needs, problems and concerns of all people.

Republic Act 1891

It strengthened health and dental services in the rural areas and created rural health units of eight categories of staffing pattern according to population groups of municipalities to be based on a more equitable and scientific distribution of the ratio of personnel to population.

Local

LGU's (Local Government Unit) Provincial and District Hospitals. Health centers/Rural Health Units. Barangay Health Stations.

Private

Largely Market-oriented Health care is paid through user fees at the point of service. Composed of both commercial and business organizations, non-business organizations.

Public

Largely financed through a tax-based budgeting system. Health care is generally given free at the point of service.

Roles and Functions (mandated by Executive Order 102)

Leader in Health Enabler and Capacity Builder Administrator of Specific Services

Administrator of Specific Services

Manage selected national health facilities and hospitals with modern and advance facilities that shall serve as national referral centers and selected health facilities at sub-national levels that are referral centers for local health systems. Administer direct services for emergent health concerns that require new complicated technologies that it deems necessary for public welfare; administer special components of specific programs like tuberculosis, schistosomiasis, HIV-AIDS. Administer health emergency response services, including referral and working system for trauma, injuries and catastrophic events, in cases of epidemic and other widespread public danger, upon the direction of the President and in consultation with concerned LGU. A nurse can have the role of the doctor when given permission by the Secretary of Health in case of epidemic emergency.

Local Heath Board

Mandated to propose annual budgetary allocations for the operation and maintenance of their own health facilities. Function is mainly to serve as advisory body to the local executive and the sangguinian or local legislative council on health related matters.

Executive 209

Marriage is a special contract of permanent union between a man and a woman entered into in accordance with law for the establishment of conjugal and family life

Letter of Instruction 949 (October 19, 1979)

Minister of Health and all officials and personnel of the Ministry of Health to: 1. Design, develop and implement programs which will: 1.1. Focus on health Development at the community level particularly in rural areas. 1.2. Effectively utilize these systems in order to control or eradicate the immediate and specific health problems confronting Filipino communities. 1.3.Redirect and re-orient the organization of al its agencies at the central level so as to provide efficient and adequate administrative, planning and other support services for health development. 2. Review all projected expenditures within the Ministry's budget including those pro projects funded from external sources, with the end in view of ensuring that the Ministry's financial resources are distributed according to priorities dictated by this Letter of Instructions.

Non-Commercial

Non-profit oriented. Orientation to social development, relief and rehabilitation, community organizing. Socio-civic groups (medical missions). Religious organizations/foundations.

Republic Act 6425

Penalizes the Sale, Administration, Delivery, Distribution and Transportation of Prohibited Drugs. Dangerous Drugs are: 1. "Prohibited drug," which includes opium and its active components and derivatives, such as heroin and morphine; coca leaf and its derivatives, principally cocaine; alpha and beta eucaine, hallucinogenic drugs, such as mescaline, lysergic acid diethylamide (LSD) and other substances producing similar effects; Indian hemp and its derivatives; all preparations made from any of the foregoing and other drugs, whether natural or synthetic, with the physiological effects of a narcotic drug; or 2. "Regulated drug" which includes self-inducing sedatives, such as secobarbital, phenobarbital, pentobarbital, barbital, and amobarbital and any other drug which contains a salt or a derivative, a salt of barbituric acid; any salt, isomer, or salt of an isomer, of amphetamine, such as benedrine or dexedrine, or any drug which produces a physiological action similar to amphetamine, and hypnotic drugs, such as methoqualone or any other compound producing similar physiological effects.

Commercial/Business

Profit-oriented. Manufacturing companies of medicines, vaccines, medical supplies, equipment and other health and nutrition products. Advertising agencies. Private practitioners Private institutions. Private health insurance. Private doctors. HMO (Health maintenance Organization)

Republic Act 7875

Provides for a universal compulsory health insurance program in the country.

Presidential Decree 856

Provides for control of all factor in man's environment that affect health including the quality of water, food, milk, control of insect, animals, carriers, transmitters of disease sanitary and recreation facilities, noise, unpleasant odors and control of nuisance.

Republic Act 9502

Provides for measures to ensure affordable and quality medicines. Among these measure is the "generics only" requirement. All government health personnel, including nurses, shall prescribe, dispense, transact, and administer using only the generic name of medicines.

Executive Order 503

Provides for the rules and regulations implementing the transfer of personnel, assets, liabilities, and records of national government agencies whose functions are to be devolved to the local government units.

Republic Act 9255

Provides illegitimate children to use the surname of their fathers.

Presidential Decree 825

Provides penalty for improper garbage disposal of garbage and other forms of uncleanliness. All garbage, filth and other waste matters, shall be placed in the proper receptacles for the disposition thereof by garbage collectors.

Republic Act 7600

Provides that babies born in private and government hospitals should be roomed in with their mothers to promote breast feeding.

Republic Act 4226

Requires all hospitals in the Philippines to be licensed before it can offer to serve the community.

Presidential Decree 996

Requires compulsory immunization for all children below 8 years of age against six childhood immunizable disease.

Leader in Health

Serve as the national and regulatory institution of health sectors involved in social welfare and development will anchor their thrust and directions for health. Provide leadership in the formulation, monitoring, and evaluation of national health policies, plans and programs. Serves as advocate in the adoption of health policies, plans and programs to address national and sectoral programs.

National Objectives for Health 2005 to 2010

Sets target and the critical indicators, current strategies based on field experiences and laying down new avenues for improved interventions.

Republic Act 6758

Standardizes the salaries of government employees which include nursing personnel.

MDGs (Millennium Development Goals)

Target: Reduce global poverty and hunger 1. Eradicate extreme poverty and hunger. 2. Achieve universal primary education. 3. Promote gender equality and empower women. 4. Reduce child mortality. 5. Improve maternal health. 6. Combat HIV/AIDS, malaria and other diseases. 7. Ensure environmental sustainability. 8. Develop a global partnership for development.

Republic Act 6365

The Congress of the Philippines hereby declares that for the purpose of furthering the national development, increasing the share of each Filipino in the fruits of economic progress and meeting the grave social and economic challenge of a high rate of population growth, a national program of family planning which respects the religious beliefs of the individuals involved shall be undertaken.

Republic Act 9288

The National Newborn Screening System shall ensure that every baby born in the Philippines is offered the opportunity to undergo newborn screening and thus be spared from heritable conditions that can lead to mental retardation and death if undetected and untreated.

Republic Act 8976

The State recognizes that food fortification is vital where there is demonstrated need to increase the intake of an essential nutrient by one or more population groups, as manifested in dietary, biochemical or clinical evidences of deficiency. Food fortification is considered important in the promotion of optimal health and to compensate for the loss of nutrients due to processing and/or storage of food. food fortification, therefore, shall carried out to compensate for the inadequacies in Filipino diet, based on present-day needs as measured using the most recent Recommended Dietary Allowances (RDA).

Republic Act 8749

The State shall pursue a policy of balancing development and environmental protection. To Achieve this end, the frame work for sustainable development shall be pursued. It shall be the policy of the State to: a. Formulate a holistic national program of air pollution management that shall be implemented by the government through proper delegation and effective coordination of functions and activities; b. Encourage cooperation and self-regulation among citizens and industries through the application of market-based instruments; c. Focus primarily on pollution prevention rather than on control and provide for a comprehensive management program for air pollution d. Promote public information and education and to encourage the participation of an informed and active public in air quality planning and monitoring; and e. Formulate and enforce a system of accountability for short and long-term adverse environmental impact of a project, program or activity. This shall include the setting up of a funding or guarantee mechanism for clean-up and environmental rehabilitation and compensation for personal damages.

Philippine Department of Heath

The lead government agency mandated to protect the health of the people. Formerly known as: Bureau of Health (American regime) Philippine Health Service (ACT. No. 2468 in 1905). DOH-Ministry of Health

The following are the implications of the above situation

There is poor coverage of public health primary care services. There is inequitable access (physical and financial) to personal health care services. There is low quality and high cost of both public and personal health care.

Republic Act 7305

This act aims to promote and improve the social and economic well-being of the health workers, their living and working conditions and terms of employment; to develop their skills and capabilities in order that they will be more responsive and better equipped to deliver health projects and programs; and to encourage those with proper qualifications and excellent abilities to join and remain in government service.

Republic Act 6713 (March 25, 1983)

This code upholds a time honored principle that public office is a public trust. It is the policy of the state to promote high standards of ethics in public office. Public officials and employees shall at all times be accountable to the people and shall discharge their duties with utmost responsibility, integrity, competence, and loyalty, act with patriotism and justice, lead modest lives, and uphold public interest over personal interest.

Republic Act 7160 of 1991

This involves the devolution of powers, functions and responsibilities to the local government both rural and urban.

UHC's Three Thrusts

To attain UHC, three strategic thrusts are to be pursues, namely: 1. Financial risk protection through expansion in enrollment and benefit delivery of the National Health Insurance Program (NGIP). 2. Improved access to quality hospitals and health care facilities. 3. Attainment of health-related Millennium Development Goals (MDG's).

Conditions preventing one from donating blood

a. Diabetes b. Cancer c. Hyperthyroidism d. Cardiovascular Diseases e. Sever Psychiatric Disorder f. Epilepsy/Convulsion g. severe Bronchitis and other lung disorders such as TB h. AIDS, Syphilis and other sexually transmitted diseases (past and present) i. Malaria j. Kidney and liver diseases, such as hepatitis k. Prolonged bleeding l. Use of prohibited drugs

Salient Points

a. HIV/AIDS Education in the Workplace All government and private employees shall be provided with standardized basic information and instruction on HIV and AIDs. HIV/AIDS education shall be integrated into orientation, training, continuing education, HR dev't programs, etc. Each employer shall develop, implement, evaluate and fund a workplace HIV and AIDS education and information program. In collaboration with the DOH, DOLE shall oversee the anti-HIV/AIDS campaign in all private companies. b. Prohibition on Compulsory HIV Testing c. Medical Confidentiality d. Disclosure to Sexual Partners e. Workplace Discrimination

Objectives of the Health Sector

a. Improve the general health status of the population. b. Reduce morbidity and mortality of certain diseases. c. Eliminate certain diseases as public health problems. d. Promote healthy lifestyle and environmental health. e. Protect vulnerable groups with special health and nutrition needs. f. Strengthen national and local health systems to ensure better health service delivery. g. Pursue public health and hospital reforms. h. Reduce the cost and ensure the quality of essential drugs. i. Institute health regulatory reforms to ensure quality and safety of health goods and services. j. Strengthen health governance and management support systems. k. Institute safety nets for the vulnerable and marginalized groups. l. Expand the coverage of social health insurance. m. Improve efficiency in the allocation, production and utilization of resources for health.

Salient Points

a. Married Public Health Workers b. Discrimination Prohibited c. No understaffing/Overloading of Health Staff d. Normal Hours of Work e. Working During Rest Day f. Night-Shift Differential g. Additional Compensations -Hazard Allowance -Subsistence Allowance -Longevity Pay -Laundry Allowance -Remote Assignment Allowance h. Right to organize or join organization