Chapter 2 - The Philippine Health Care Delivery System
Definition of Terms
Health care delivery system
- includes all the people, institutions, and services that assist in care
coordination, patient flows, diagnosis, disease management, and promotion
of health maintenance programs
The Health Care Delivery System: Major Players
A. Public sector - is largely financed through a tax-based budgeting system at
both national and local levels and where health care is generally given free
at the point of service
1. National government agencies
- Department of Health (DOH) is mandated as the lead agency in health
- Philippine General Hospital are also part of this sector
2. Local government agencies
- Local Government Units (LGUs) run the local health system
- Provincial government manages provincial and district hospitals
- City/municipal government manages Rural Health Units (RHUs) and
Barangay Health Stations (BHSs)
B. Private sector - is largely market-oriented and where health care is paid
through user fees at the point of service
1. For-profit health providers
2. Non-profit health providers
Philippine Department of Health
A. Historical Background
Before The use of herbs and rituals for healing were widely practiced
1898
Jun 23, Department of Public Works, Education and Hygiene was
1898 created
Sep 29, General Orders No. 15 established the Board of Health for
1898 Manila
Jul 1, 1901 Board of Health for the Philippine Islands was created through
Act No. 157
Oct 26, The Insular Board of Health was abolished and was replaced by
1905 the Bureau of Health through Act No. 1407
1912 Act No. 2156, “Fajardo Act” consolidated the municipalities into
sanitary divisions and established the Health Fund
1915 Act No. 2468 transformed the Bureau of Health into a
commissioned service called the Philippine Health Service
Aug 2, Jones Law, “Philippine Autonomy Act” provided the highlight in
1916 the struggle of the Filipinos for independence from the
American rule
1932 Act No. 4007, “Reorganization Act of 1932” reverted back the
Philippine Service into the Bureau of Health
May 31, Commonwealth Act No. 430 created the Department of Public
1939 Health and Welfare, but was only completed through EO No.
317 on Jan 7, 1941
, 1942 Various reorganizations and issuances for the health and
welfare of the people were instituted and lasted until the
Americans came in 1945
Oct 4, 1947 EO No. 94 provided for the post war reorganization of the
Department of Health and Public Welfare
Jan 1, 1951 The Office of the President of the Sanitary District was
converted into a Rural Health Unit, carrying out 7 basic health
services
Feb 20, EO No. 288 provided for what is described as the "most
1958 sweeping" reorganization in the history of the Department
1970 The Restructured Health Care Delivery System was
conceptualized
Jun 2, 1978 With the proclamation of martial law, Presidential Decree 1397
renamed the Department of Health to the Ministry of Health
Dec 2, EO No. 851 signed by Pres. Marcos reorganized the Ministry of
1982 Health
Apr 13, EO No. 119, "Reorganizing the Ministry of Health" by Pres.
1987 Aquino saw a major change in the structure of the ministry
Oct 10, RA 7160, “Local Government Code” provided for the
1991 decentralization of the entire government which brought about
a major shift in the DOH
May 24, EO No. 1 02 "Redirecting the Functions and Operations of the
1999 Department of Health" by Pres. Estrada granted the DOH to
proceed with its Rationalization and Streamlining Plan
1999-2004 Development of the Health Sector Reform Agenda
2005 Development of a plan to rationalize the bureaucracy
ongoing
B. Roles and Functions
▪ Leadership in health
▪ Enabler and capacity builder
▪ Administrator of specific services
C. Vision and Mission
▪ The Department of Health (DOH) is the leader, staunch advocate and
model in promoting health for all in the Philippines
▪ Guarantee equitable, sustainable and quality health for all Filipinos,
especially the poor and shall lead the quest for excellence in health
Goal: Health Sector Reform Agenda (HSRA)
A. Rationale for Health Sector Reform
1. The following conditions are still seen among the population:
- Slowing down in the reduction in the Infant Mortality Rate (IMR) and the
Maternal Mortality Rate (MMR)
- 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 health risks from environmental and work related
factors
Definition of Terms
Health care delivery system
- includes all the people, institutions, and services that assist in care
coordination, patient flows, diagnosis, disease management, and promotion
of health maintenance programs
The Health Care Delivery System: Major Players
A. Public sector - is largely financed through a tax-based budgeting system at
both national and local levels and where health care is generally given free
at the point of service
1. National government agencies
- Department of Health (DOH) is mandated as the lead agency in health
- Philippine General Hospital are also part of this sector
2. Local government agencies
- Local Government Units (LGUs) run the local health system
- Provincial government manages provincial and district hospitals
- City/municipal government manages Rural Health Units (RHUs) and
Barangay Health Stations (BHSs)
B. Private sector - is largely market-oriented and where health care is paid
through user fees at the point of service
1. For-profit health providers
2. Non-profit health providers
Philippine Department of Health
A. Historical Background
Before The use of herbs and rituals for healing were widely practiced
1898
Jun 23, Department of Public Works, Education and Hygiene was
1898 created
Sep 29, General Orders No. 15 established the Board of Health for
1898 Manila
Jul 1, 1901 Board of Health for the Philippine Islands was created through
Act No. 157
Oct 26, The Insular Board of Health was abolished and was replaced by
1905 the Bureau of Health through Act No. 1407
1912 Act No. 2156, “Fajardo Act” consolidated the municipalities into
sanitary divisions and established the Health Fund
1915 Act No. 2468 transformed the Bureau of Health into a
commissioned service called the Philippine Health Service
Aug 2, Jones Law, “Philippine Autonomy Act” provided the highlight in
1916 the struggle of the Filipinos for independence from the
American rule
1932 Act No. 4007, “Reorganization Act of 1932” reverted back the
Philippine Service into the Bureau of Health
May 31, Commonwealth Act No. 430 created the Department of Public
1939 Health and Welfare, but was only completed through EO No.
317 on Jan 7, 1941
, 1942 Various reorganizations and issuances for the health and
welfare of the people were instituted and lasted until the
Americans came in 1945
Oct 4, 1947 EO No. 94 provided for the post war reorganization of the
Department of Health and Public Welfare
Jan 1, 1951 The Office of the President of the Sanitary District was
converted into a Rural Health Unit, carrying out 7 basic health
services
Feb 20, EO No. 288 provided for what is described as the "most
1958 sweeping" reorganization in the history of the Department
1970 The Restructured Health Care Delivery System was
conceptualized
Jun 2, 1978 With the proclamation of martial law, Presidential Decree 1397
renamed the Department of Health to the Ministry of Health
Dec 2, EO No. 851 signed by Pres. Marcos reorganized the Ministry of
1982 Health
Apr 13, EO No. 119, "Reorganizing the Ministry of Health" by Pres.
1987 Aquino saw a major change in the structure of the ministry
Oct 10, RA 7160, “Local Government Code” provided for the
1991 decentralization of the entire government which brought about
a major shift in the DOH
May 24, EO No. 1 02 "Redirecting the Functions and Operations of the
1999 Department of Health" by Pres. Estrada granted the DOH to
proceed with its Rationalization and Streamlining Plan
1999-2004 Development of the Health Sector Reform Agenda
2005 Development of a plan to rationalize the bureaucracy
ongoing
B. Roles and Functions
▪ Leadership in health
▪ Enabler and capacity builder
▪ Administrator of specific services
C. Vision and Mission
▪ The Department of Health (DOH) is the leader, staunch advocate and
model in promoting health for all in the Philippines
▪ Guarantee equitable, sustainable and quality health for all Filipinos,
especially the poor and shall lead the quest for excellence in health
Goal: Health Sector Reform Agenda (HSRA)
A. Rationale for Health Sector Reform
1. The following conditions are still seen among the population:
- Slowing down in the reduction in the Infant Mortality Rate (IMR) and the
Maternal Mortality Rate (MMR)
- 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 health risks from environmental and work related
factors
