ChnOverviewPHN - Copy

8/22/2019 ChnOverviewPHN - Copy

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OVERVIEW OF PUBLIC

HEALTH NURSING INTHE PHILIPPINES


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INTRODUCTION:

PHN in the Phils. evolved alongside theinstitutional development of the DOH,

the govt agency mandated to protect

& promote peoples health and thebiggest employer of health workers


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Global and Country Health

Imperatives

Changes on Public Health System

1. Shifts in demographic & epidemiological trends in

diseases, including the emergence and re-

emergence of new diseases and in the prevalenceof risk and protective factors

2. New technologies for health care, communication,

and information

3. Existing and emerging environmental hazards

some associated with globalization

4. Health reforms


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Millenium Development Goal

The global community decided to adopt a common vision ofpoverty reduction and sustainable development in Sept. 2000based on the fundamental values of freedom, equality,solidarity, tolerance, health, respect for nature, and sharedresponsibility

1. Eradicate extreme poverty & hunger2. Achieve universal primary education

3. Promote gender equality & empowerment

4. Reduce child mortality

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Improve maternal health6. Combat HIV/AIDS, malaria & other diseases

7. Environmental sustainability

8. Develop a global partnership for development


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The Health Sector Reform Agenda (HRSA)

implemented through FOURmula ONE and

operationalized in the National Objectives

for Health 2005 to 2010 spells out the

program imperatives of the health sector. All

these are in lie with MDG and the Medium-

Term Development Plan of the country


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Evolution of the Public Health

Nursing in the Philippines

HEALTH

A state ofcomplete physical, mental, andsocial well-being, not merely the absence

of disease or infirmity (WHO).


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DETERMINANTS OF HEALTH

1. Income & social status

2. Education3. Physical environment

4. Employment & working conditions

5. Social support networks

6. Culture

7. Genetics

8. Personal behavior & coping skills

9. Health services

10. Gender

The Optimum Level of Functioning of IFG being influenced byseveral factors in the eco-system


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PUBLIC HEALTH

The art of applying science in

the context o f po l it ics so as to

reduce inequal i t ies in health

whi le ensur ing the best heal th for

the greatest number.


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Essential Public Health Functions:

1. Health situation monitoring & analysis

2. Epidemiological surveillance/disease prevention &control

3. Development of policies & planning in public health

4. Strategic management of health systems & services

for population health gain5. Regulation & enforcement to protect public health

6. Human resources development & planning in publichealth

7. Health promotion, social participation &

empowerment8. Ensuring the quality of personal & population based

health services

9. Research, development, and implementation ofinnovative public health solutions


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PUBLIC HEALTH NURSING

A special field of nursing that combines the

skills of nursing, public health, and some

phases of social assistance and functions

as part of the total public healthprogramme for the promotion of health,

the improvement of the conditions in the

social and physical environment,rehabilitation of illness and disability.

(WHO)


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COMMUNITY HEALTH NURSING

A service rendered by a professional nurse

with communities, groups, families,

individuals at home, health centers, in

clinics, in schools, in places of work forthe promotion of health, prevention of

illness, care of the sick at home and

rehabilitation.


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Public Health Nursing in the Philippines

Public Health Nurses (PHNs) Refer to the nurses in the local/national health

departments orpublic schools whether their officialposition title Public Health Nurse or Nurse or schoolnurse

Public Health Nursing

Refers to the practice of nursing in national andlocal government health departments (whichincludes health centers and rural health units), andpublic schools. It is community health nursingpracticed in the public health sector.


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READ: Historical Background of Public HealthNursing


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THE PHILIPPINE HEALTH

CARE DELIVERY SYSTEM

Two Sectors:

The Public Sector which is largely financedthrough a tax-based budgeting system at both

national and local levels and where health care isgenerally given free at the point of service(although socialized user fees have been introducedin recent years for certain types of services)

The Private Sector (for profit and non-profitproviders), which is largely market-oriented andwhere health care is paid through user fees atthe point of service


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The Public Sector

National Level DOH lead agency in health

Regional field office specialty hospitals, regionalhospitals, and medical centers

Provincial health teamsDOH reps Local Health boards involved in communicable disease

control

PGH

Local Health system run by LGUs Provincial & district hospitalsprovl govt

Health Centers/RHUs & BHSscity/municipal govt

Local Health Board chaired by LCE


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The Private Sector

For Profit and Non-profit health providers

Providing health services in clinics and

hospitals, health insurance, manufacture

of medicines, vaccines, medical supplies,equipment, and other health and nutrition

products, research and development,

human source development and otherhealth-related services


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Philippine Department of

Health

The principal health agency in the Philippines

Responsible forensuring access to basicpublic health services to all Filipinosthrough the provision of quality health careand regulation of providers of health goodsand services

Read:Historical background of the DOH


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DOH Vision:The Leader of Health for

All in the Philippines.

Health for All Filipinos and Health in theHands of the People by the year 2020

DOH Mission:Guarantee equitable,

sustainable and quality health for all

Filipinos, especially the poor, and to

lead the quest for excellence in health.


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DOH Roles and Functions

1. Leadership in Health

2. Enabler and Capacity Builder

3. Administrator of Specific Services


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1. Leadership in Health

Serve as the national policy & regulatoryinstitution fr. which the LGUs, NGOs, & othermembers of the health sector involved in socialwelfare & devt will anchor their thrusts & directions

for health Provide leadership in the formulation, monitoring

& evaluation of national health policies, plans &programs. The DOH shall spearhead sectoralplanning & policy formulation & assessment at the

national & regional levels Serve as advocate in the adoption of health

policies, plans & programs to address national &sectoral concerns


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2. Enabler & Capacity Builder

Innovate new strategies in health to improve theeffectiveness of health programs, initiate publicdiscussion on health issues and undertaking anddisseminate policy research outputs to ensureinformed public participation in policy decision-making

Exercise oversight function, monitoring & evaluationof national health plans, programs & policies

Ensure the highest achievable standards ofquality health care, health promotion & healthprotection


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3. Administrator of Specific Services

Manage selected national health facilities & hospitalswith modern and advanced facilities that shall serve as

national referral centers & selected health facilities atsub-national levels that are referral centers for localhealth systems.

Administer direct services for emergent health

concerns that require new complicated technologiesthat it deems necessary for public welfare; administerspecial components of specific programs like TB,schistosomiasis, HIV-AIDS, in as much as it willbenefit and affect large segments of the population.

Administer health emergency response services,including referral & networking system for trauma,injuries and catastrophic events, in cases of epidemicand other widespread public danger, upon the

direction of the President and in consultation withconcerned LGU.


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GOAL: Health Sector Reform Agenda

HSRA is the overriding goal of the DOH

Support mechanisms will be through soundorganizational development, strong policies,

systems and procedures, capable human

resources and adequate financial resources


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Rationale for Health Sector Reform

Slowing down in the reduction in the IMR and theMMR

Persistence of large variations in health status

across population groups and geographic areas

High burden from infectious diseases

Rising burden from chronic and degenerative

diseases

Unattended emerging heath risks fromenvironmental and work related factors

Burden of disease is heaviest on the poor


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This is explained by:

Inappropriate health delivery system as shown by an

efficient and poorly targeted hospital system,ineffective mechanism for providing public health

programs on top of health human resources

maldistribution.

Inadequate regulatory mechanism for healthservices resulting to poor quality of 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


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Framework for Implementation of HRSA:

FOURmula ONE for Health

Designed to implement critical interventions

as single package backed by effective

management infrastructure and financingarrangements following a sectorwide

approach


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Over-all Goals and Objectives

The implementation of FOURmula ONE for

Health shall be directed towards achievingthe following end goals, in consonance with

the health system goals identified by the

WHO, the MDGs and the Medium TermPhilippine Development Plan covering

2005-2020

1. Better health outcome

2. More responsive health systems

3. Equitable health care financing


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FOURmula ONE components

1. Health financing the goal of thishealth reform area is to foster greater,

better and sustained investments in

health. The Philippine HealthInsurance corporation through the

National Health Insurance Program

and the DOH.


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2. Health regulation the

goal is to ensure the

quality and affordability of

health goods and services


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3. Health service delivery thegoal is to improve and ensure

the accessibility &availability of basic andessential health care in both

public & private facilities andservices


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4. Good governance the

goal is to enhance healthsystem performance at

the national and local

levels


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The National Health Insurance Program supports

each off the elements in terms of:

Financing as it reduces the financial burdenplaced on Filipinos by health care costs;

Governance as it is a prudent purchaser of health

care thereby influencing the health care market and

related institutions; Regulationas the NHIPs role in accreditation and

payments based on quality acts as a driver for

improved performance in the health sector

Service delivery as the NHIP demands faircompensation for the costs of care directed at

providing essential goods and services in health


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Summary

Health is an integral part of the development.

The practice of community health nursing is

greatly influenced by its context - the health

of the people, socio-cultural, economic and

political environment and the health care

delivery system


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The government has taken a leadership role

in establishing national health objectives and

supporting the public health standards. WithFOURmula ONE for Health as the present

implementation framework of the DOH, it is

yet another concrete manifestation that all

partners in health are working closely

together to ensure acceptable, affordable,

and accessible quality health care for all

Filipino people. The Philippines is probablythe only country in the world with a

constitution that guarantees the right of

people to health


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thank you!!!

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