HEALTH CARE DELIVERY SYSTEM
representatives of governments,
NCM 104 A employers and workers to jointly shape
policies and programs
WORLD HEALTH ORGANIZATION • Food and Agriculture Organization
• Nonpolitical agency of UN with (FAO)
headquarters in Geneva, Switzerland – aims to raise levels of nutrition
• Created April 7, 1948 and
• International governance of health standards of living, secure improvements
• Works to: promote health, keep the in food production and distribution,
world safe and serve the vulnerable, better the conditions of the rural people,
thus to ensure and contribute toward and expanding
that a billion more people have universal world economy and ensure freedom from
health coverage, to protect a billion more hunger
people from health emergencies, and • United Nations Educational,
provide a further billion people with Scientific, and Cultural
better health and well-being. Organization (UNESCO) –
• Current Director General: Dr. Tedros established in 1945; its purpose is
Adhanom Ghebreyesus to
• Deputy Director Generals of WHO: contribute to peace and security by
Soumya Swaminathan and Jane Ellison
promoting collaboration among nations
• Parent organization of WHO: United
Nations Economic and Social Council through education, science, and culture
• WHO’s budget in 2018-2019: 4.421 • International Civil Aviation
Billion Dollars Organization (ICAO) – charged with
• Founded by 51 members, and currently developing the principles and techniques
has of international air navigation, and
195 members, 2 of which are just observer fostering the planning and development
states (State of Palestine and Holy See of international air transport to ensure
which is the Vatican) the safe and orderly growth of
• The Executive Board has 34 members international civil aviation throughout the
and are elected for three-year terms. world
• Headquarters of regional offices • World Health Organization (WHO) –
o Western Pacific: Manila, Philippines objective is the attainment by all
▪ Officer in Charge: Dr. peoples of the highest possible level of
Rabindra Abeyasinghe health
o Europe: Copenhagen, Denmark • World Bank Group – its mission
o Africa: Brazzaville, Republic of evolved from the International Bank for
Congo Reconstruction and Development (IBRD)
o Southeast Asia: New Delhi, India as facilitator of post-war reconstruction
o Eastern Mediterranean: Cairo, and development to the present-day
Egypt mandate of worldwide poverty alleviation
o Americas: Washington, D.C. in close coordination with its five
affiliates that form the World Bank
Millennium Health Organization Group:
• MDG 1: to eradicate extreme o International
poverty and hunger Development Association (IDA)
• MDG 2: to achieve universal o International Finance Corporation
primary education (IFC)
• MDG 3: to promote gender equality
and empower women o Multilateral Guarantee Agency
• MDG 4: to reduce child mortality (MIGA)
• MDG 5: to improve maternal health o International Centre for the
• MDG 6: to combat HIV/AIDS, malaria, Settlement of Investment Disputes
and other diseases (ICSID)
• MDG 7: to ensure • International Monetary Fund (IMF) –
environmental sustainability organization of 187 countries that works
• MDG 8: to develop a global to foster global monetary cooperation,
partnership for development
secure financial stability, facilitate
16 Millennium Organization of international trade, promote high
Specialized Agencies of the United employment and sustainable economic
Nations growth, and reduce poverty
• Universal Postal Union (UPU) – the
• International Labor Organization aim of the Union is to secure the
(ILO) – founded in 1919, became the
first specialized organization and improvements of
[Link]
postal services, promote the development Union (ITU) – an intergovernmental
of international collaboration and organization that brings together
undertake, as far as possible, technical governments and industry to
assistance in postal matters requested by coordinate the establishment and
members countries operation of global
• International Telecommunications telecommunication
This studaygsoeunrcce ywasodfowtnhloeadeUd Nby 1i0n0001089343369;[Link] on 08-18-2022
[Link]n34eGtwMTo-r0k5s:00and services
[Link]
• World Meteorological international intellectual property (IP)
Organization (WMO) – the successor system that rewards creativity,
to the International Meteorological stimulates innovation and contributes to
Organization, which was established in economic development while
1873; formally came into existence in safeguarding the public interest
1950 and became a UN specialized • International Fund for
agency in 1951 Agricultural Development (IFAD) –
Purposes: an international financial institution
o Facilitate worldwide cooperation in and UN specialized
agency
poverty dedicated
in to eradicating
the establishment of networks of
stations for making
meteorological
observations, as well as
hydrological and other geophysical
observations related to
meteorology, and to promote the
establishment and maintenance of
centers charged with the provision
of meteorological and related
services
o Promote the establishment and
maintenance of systems for
rapid exchange of
meteorological and related
information
o Promote standardization of
meteorological and related
observations, and ensure the
uniform publication
of observations
and statistics
o Further the application of
meteorology to aviation,
shipping, water problems,
agriculture and other human
activities
o Promote activities in
operational hydrology and
further close cooperation
between meteorological and
hydrological services
o Encourage research and
training in meteorology and, as
appropriate, in related fields,
and assist in coordinating the
international aspects of such
research and training.
• International Maritime
Organization (IMO) – UN specialized
agency responsible for the safety of life
at sea, maritime security and the
protection of the marine environment
through prevention of sea pollution
caused by ships; facilitates cooperation
among governments to achieve the
highest practicable standards of
maritime safety and security, and
efficiency in navigation.
• World Intellectual Property
Organization (WIPO) – dedicated to
developing a balanced and accessible
[Link]
established in 1977 as one of the major Sustainable Development Goals
outcomes of the 1974 World Food
• Goal no. 1: No Poverty – Economic
Conference
growth must inclusive to provide
• United Nations Industrial sustainable jobs and promote equality.
Development Organization • Goal no. 2: Zero Hunger – The food
(UNIDO) – UN specialized agency and agriculture sector offer key
mandated to promote industrial solutions for
development and international development, and is central for hunger
industrial cooperation and poverty eradication.
• World Tourism Organization • Goal no. 3 Good Health and Well-
(UNWTO) – UN's specialized agency in Being –
the field of tourism Ensuring healthy lives and promoting
o Through the promotion and the
development of responsible, well-being for all at all ages is essential
sustainable and universally to sustainable development.
accessible tourism, it provides • Goal no. 4: Quality Education –
leadership and support to the Obtaining a quality education is the
foundation to
tourism sector in the
improving people’s lives and sustainable
advancement of sustainable
development.
policies, practices and actions • Goal no. 5: Gender Equality –
o Endeavors to maximize tourism's Gender equality is not only a
contribution to socio-economic fundamental human
growth, job creation, right, but a necessary foundation for a
development, environmental peaceful, prosperous, and sustainable
conservation, cultural enrichment world.
and international understanding, • Goal no. 6: Clean Water and
while minimizing negative social Sanitation –
or environmental impacts Clean, accessible water for all is an
o It pays particular attention to the essential
interests of developing countries part of the world we want to live in.
• International Atomic Energy • Goal no. 7: Affordable and Clean
Agency (IAEA) – intergovernmental
organization for Energy
scientific and technical cooperation in – Energy is central to nearly every major
challenge and opportunity.
the field of nuclear technology; seeks to
• Goal no. 8: Decent Work and
promote the peaceful use of nuclear Economic
energy and to inhibit its use for military
purposes
This study source was downloaded by 100000833392052 from [Link] on 08-18-2022 [Link] GMT -
05:00 Grow Sustainable economic growth
rural areas of developing countries; will
[Link]
require societies to create the conditions • Expanded Program on Immunization
that allow people to have quality jobs. • Environmental Health Program
• Goal no. 9: Industry, Innovation, • Malaria Control Program
and Infrastructure – Investments
in Historical background
infrastructure is crucial to achieving
sustainable development.
• Goal no. 10: Reduced Inequalities –
To reduce inequalities, policies should
be
universal in principle, paying attention to
the needs of disadvantaged and
marginalized populations.
• Goal no. 11: Sustainable Cities and
Communities – There needs to be a
future where cities provide opportunities
for all, with
access to basic services, energy,
housing, transportation, and more.
• Goal no. 12: Responsible
Consumption and Production –
Responsible consumption
and production.
• Goal no. 13: Climate Action –
Climate change is a global challenge that
affects everyone, everywhere.
• Goal no. 14: Life Below Water –
Careful management of this essential
global resource is a key feature of a
sustainable future.
• Goal no. 15: Life on Land –
Sustainably manage forests, combat
desertification, halt and reverse land
degradation, halt
biodiversity loss.
• Goal no. 16: Peace, Justice, and
Strong Institutions – Access to
justice for all, and building effective,
accountable institutions at all levels.
• Goal no. 17: Partnerships –
Revitalize the global partnership for
sustainable development.
PHILIPPINE DEPARTMENT OF HEALTH
• Established by Americans in September
1898
• Vision: Filipinos are among the
healthiest people in Southeast Asia by
2022, and Asia
by 2040
• Mission: To lead the country in
the development of a
productive, resilient,
equitable, and people-centered
health system
• Secretary of DOH: Dr. Francisco T.
Duque III (appointed by President
Rodrigo Duterte on
October 26, 2017)
7 Main Programs of DOH
• Dengue Prevention and Control Program
• Dental Health Program
• Emerging and Re-emerging
Infectious Disease Program
• Filariasis Elimination Program
[Link]
1898 1906
• June 23 – creation of Department of • Act no. 1487 of the Philippine
Public Works, Education, and Hygiene Commission – repealing Act no. 307
(now the Department of Public Works wherein the Provincial Board of Health
& Highways, gave way to the Office of the
Department of Education, Culture & District Health Officer
Sports, and Department of Health,
respectively) through the proclamation 1912
of President Emilio Aguinaldo • Act no. 2156 – Fajardo Act; authorized
• September 29 – establishment of the the consolidation of municipalities into
Board of Health for the City of Manila sanitary
under General Orders no. 15 division and established what is now
known as the “Health Fund”
1899-1905
• Abolition of the Board of Health and 1915
appointment of Dr. Guy L. Edie as the • Changing the name of the Bureau of
first Commissioner of Public Health Health to the Philippine Health Service,
• Act no. 157 of the Philippine Commission which was later on changed to its former
– creation of the Board of Health for
the name
Philippine Islands; also acted as the 1932
Board of Health for the city of Manila
• Act nos. 307, 308, and 309 – • Act no. 4007 – Reorganization Act of
establishment of the Provincial and 1932; created the Office of the
Municipal Boards of Health, Commissioner of Health and Public
completing the health organization in Welfare, the Philippine
accordance with the territorial division of General Hospital, and the five examining
the Islands boards (medical, pharmaceutical, dental,
• Act no. 1407 – Reorganization Act; optical, and nursing)
abolition of the Board of Health and its
functions and 1941
activities were taken over by the Bureau
of Health • January 1 – creation of the Department
of Health and Public Welfare as
provided for in
This study source was downloaded by 100000833392052 from [Link] on 08-18-2022 [Link]xGeMcuT t-0iv5:e00 Order no. 317, series
of 1941
[Link]
• The department was under the Secretary o National Comprehensive Maternal
of Health and Public Welfare and also
included the Bureau of Quarantine and Child Health/Family Planning
o The health department of Program
chartered cities o National Nutrition Program
o The provincial, city, and municipal o National Schistosomiasis
hospitals Control Commission, among
197 others
2
o Dispensaries and clinics, the • September 24 – through the Letter of
public markets and Implementation no. 8, pursuant to the
slaughterhouses Presidential Decree no.1, DOH was
o The health resorts renamed
o All charitable and relief agencies Ministry of Health
• The Philippine General Hospital was • National Cancer Center and Radiation
detached from the Department and Health Service were created
transferred to the Office of the President • The Ministry was divided into 12
of the Philippines regions covering several provinces and
cities under a regional health director
1947 • Attached offices:
o Philippine Medical Care
• Executive Order no. 94, series of 1947 –
reorganization of government offices Commission
with the transfer of the Bureau of Public o Dangerous Drugs Board
Welfare to the o National Nutrition Council
Office of the President o Population Commission
• The Department was renamed o National Schistosomiasis
Department of Health (DOH) Control Council
1950 o Tondo General Hospital
• Executive Order no. 392, series of 1950
– DOH gained additional functions 1982
brought
about by the transfer of the Institution of • Executive Order no. 851 – Health
Nutrition, together with the Division of Education and Manpower Development
Service was created, and the Bureau
Biological Research and the Division of of Food and Drugs
Food Technology from the Institute of assumed the functions of the Food and
Science, and the Public Schools Medical Drug Administration
and Dental Services from the Office of
the President and the Bureau of Public 1986
School respectively to the DOH.
• Within the DOH, certain changes were • Ministry of Health became Department of
also effected through the transfer of the Health again
Division
of Health Education and Information from 1987
the Bureau of Health to the Department • Executive Order no. 119 – another
proper, in exchange for which the Drug reorganization which placed under the
Inspection Division was transferred to the Secretary of Health five offices headed
former office form the latter by an
• Conversion of the Section of Tuberculosis undersecretary and an assistant
into a Division of Tuberculosis, directly secretary
under the Office of the Secretary o Chief of Staff
• Conversion of the Division of o Public Health Services
Laboratories into an Office of Public
Health Research Laboratory o Hospital and Facilities Services
o Standard and Regulations
1958 o Management Service
• Creation of eight regional health offices 1992
and two Undersecretaries of Health:
Undersecretary of Health and the • Republic Act no. 7160 – Local
Medical Services, and the Undersecretary Government Code
of Special Services • DOH changed its role from one
of implementation to one of governance
1971 • Significant change:
o Branching out of the Office of
• Creation of: the
o Food and Drug Administration Public Health Services to form the
o Bureau of Intelligence Center Office for Special Concerns
[Link]
o Two big offices merged to become the Office of Hospital Facilities,
Standards,
a n d
MasadolawrniloaadEedrabyd1ic00a0t0i0o83n33S92e0r5v2 [Link] on 08-18-2022 [Link] GMT -0
This study souorce w 5: 00
Regulation
o Bureau of Dental Health Service
[Link]
o Special projects were highlighted • 13 convergence sites or the advance
like the NID implementation areas have been
established
o National Micronutrient Campaign
o Disaster Management 2003
o Urban Health and Nutrition Project
• One-Script Systems Improvement
o Traditional Medicine
Program (AO 50. S. 2003) – established
o Doctors to the Barrios Program to orchestrate unity, synchronicity, and
o “Let’s DOH it!” became a focused targeting of
national battle cry priority public health programs that
would provide the biggest impact by
199
attaining equity, efficiency, access, and
9
quality health care in the country
• Executive Order no. 102 – functions • A major breakthrough was achieved in
and operations of DOH was directed to providing fiscal autonomy to 68 DOH
become consistent with the provisions retained hospitals with the approval of
of a special
Administrative Code 1987 and R.A. 7160 provision of FY 2003 GAA which
• Health Sector Reform Agenda of the authorized 100% retention and the use
Philippines, 1999-2004 was launched of hospital income for upgrading of
The reforms are: health facilities and services
o Provide fiscal autonomy to
government hospitals 2005
o Secure funding for priority health
• FOURMula ONE for Health (F1) –
programs launched as the health sectors’ blue print
o Promote the development of local for the implementation of reforms to
health systems and ensure its bring about
effective performance better health outcomes, more responsive
o Strengthen the capacities of health systems, and more equitable
health regulatory agencies health care financing
o Expand coverage of the National • Province-wide Investment Plans for
Health Insurance Programs Health – were developed in 16
• National Objectives for Health 1999- provinces as the basis
2004 was launched – states the of F1 implementation in these sites
Philippines’
objectives for the eradication and control 2006
of infectious diseases commonly • Presidential Anti-Graft Commission –
affecting the people, major chronic recognized and awarded DOH as the
illnesses, and injuries that compromise number one government agency in
lives of the productive sector fighting
o Encourages promotion of healthy corruption
lifestyle and health-seeking • Topped the Pulse Asia 3rd Quarter Survey
behaviors to prevent or control as the number one government agency
in terms of over-all performance
certain debilitating illnesses and
life- threatening diseases
2000
• Institutionalization of Health Sector
Reform Agenda (HSRA)
o Endorsed for approval by the
National Government Agencies,
national and local stakeholders in
health, and partners in the
international community
o Has become the major framework
for policies and investments of the
health sector
2001
• July 13 – Administrative Order no. 37,
contained the guidelines on the
operationalization of the HSRA
implementation plan was signed by Sec.
[Link]
This studMy asonuruceewl aDs daoywrniltoaded by 100000833392052 from [Link] on 08-18-2022 [Link] GMT -05:00
[Link]
