OBJECTIVES:

Discuss the Health Programs of DOH Discuss the Goals of DOH

Identify the Issues and Concerns in the Implementation of DOH Programs

Identify DOH Responses to Health Programs

DEPARTMENT OF HEALTH

VISION, MISSION, GOALS AND THRUSTS

VISION

The Department of Health is

the Leader of Health for All in the Philippines

Vision by 2030 A global leader for attaining better health outcomes, competitive and responsive health care system, and equitable health financing.

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MISSION

Guarantee equitable, sustainable, and quality health for all Filipinos, especially the poor, and to lead the quest for excellence in health

DEPARTMENT OF HEALTH PROFILE

DOH is the principal health agency in the Phil. It is responsible for ensuring access to basic public health services to all Filipinos through the provision of quality health care and regulation of providers of health goods and services.

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ATTACHED AGENCIES
PHIL. HEALTH INSURANCE CORPORATION(PHIC) DANGEROUS DRUGS BOARD

PHIL INSTITUTE INSTITUTE OF TRADITIONAL AND ALTERNATIVE HEALTH CARE PHIL. NATIONAL AIDS COUNCIL

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GOALS (NOH)
1. Improve the general health status of the population
Reduce Infant Mortality Rate

Reduce Child Mortality Rate

Reduce Maternal Mortality Rate Reduce Total Fertility Rate

Increase Life Expectancy and the quality of life years

GOALS (NOH)
2. Reduce morbidity, mortality, disability and complications from the following diseases and disorders.
Diarrheas and other food and water-borne diseases like typhoid, cholera and hepatitis A

Pneumonias and acute respiratory infections Tuberculosis, etc.

GOALS (NOH)

3. Eliminate some diseases as public health problems. Schistosomiasis, Malaria, Filariasis, Leprosy, Rabies, Vaccine Preventable diseases: measles, tetanus, diptheria and pertussis, Vitamin A deficiency and Iodine deficiency disorders

GOALS (NOH)
4. Eradicate Poliomyelitis 5. Promote healthy lifestyle - Promote healthy diet and nutrition
- Promote physical activity and fitness - Promote personal hygiene

- Promote mental health and less stressful

life - Prevent smoking and substance abuse

- Prevent violent and risk-taking behaviors

GOALS (NOH)
6. Promote the health and nutrition of families and special population - Neonatal and infant health, Childrens health,
adolescent and youth health, adult health, womens health, health of older persons, health of indigenous persons, violent and risk-taking behaviors, health of overseas Filipino workers, health of differently abled persons, health of the rural poor, health of the urban poor

LEADING CAUSES OF MORBIDITY

Number and Rate/ 100,000 Pop. Phil. 2003. 1. Acute Lower RTI 674,386 615,692 604,107 861.2 786.2 771.2 No. Rate

& Pneumonia 2. Diarrhea 3. Bronchitis/ Bronchiolitis 4. Influenza 5. Hypertension 6. TB Respiratory 7. Diseases of the heart 8. Malaria 9. Chickenpox 10. Measles

431,216 325,390 92,079 30,398 28549 26,137 25,535

550.6 415.5 117.6 38.8 36.5 33.4 32.6

1. Acute Lower Respiratory Tract Infection and Pneumonia** 2. Bronchitis/Bronchiolitis 3. Acute watery diarrhea 4. Influenza

690,566

809.9

616,041 603,287 406,237

722.5 707.6 476.5

5. Hypertension
6. TB Respiratory 7. Diseases of the Heart 8. Malaria 9. Chicken Pox

382,662
114,360 43,898 36,090 30,063 20,107
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448.8
134.1 51.5 42.3 36.3 23.6

10. Dengue fever

Ten Leading Causes of Mortality 2000 No. & Rate / 100,000 Population Diseases
1. 2. Diseases of the Heart Diseases of the Vascular System

No.
60,417 48,271

Rate
79.1 63.2

3.
4. 5. 6. 7. 8.

Malignant Neoplasm
Pneumonia Accidents Tuberculosis COPD Certain conditions originating

36,414
32,414 32,355 27,557 15,098 15,098 10,747 7,963

46.7
42.7 42.4 36.1 19.8 19.8 14.1 10.4

In the perinatal period 9. Diabetes Mellitus 10. Nephritis, Nephrotic syndrome

1. Diseases of the Heart 2. Diseases of the Vascular System 3. Malignant Neoplasms

83,081 55,466 43,043

95.5 63.8 49.5

4. Accidents** 5. Pneumonia
6. Tuberculosis, all forms 7. Chronic lower respiratory diseases 8. Diabetes Mellitus 9.Certain conditions originating in the perinatal period 10. Nephritis, nephrotic syndrome and nephrosis
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36,162 34,958
25,860 21,216 20,239 12,334

41.6 40.2
29.7 24.4 23.3 14.2

11,981

13.8

GOALS (NOH)
7. Promote environmental health and sustainable development - Health Homes - Healthy schools - Healthy workplaces and establishments - Healthy communities, towns and cities

THE DOH THRUSTS

GOOD GOVERNANCE IN HEALTH
1 PREVENT DISEASE & EARLY DEATH Citizens avoid illness and live their expected life span ASSURE 2 QUALITY OF HEALTH SERVICES Patients are satisfied with health services EXPAND 3 HEALTH INSURANCE The family has relief from financial burden of illness 4 ADDRESS EQUITY ISSUE The poor in underserved areas get services at par with other areas

Quality assurance program of the DOH in partnership with the LGUs to promote quality health services at the frontline health units through recognition and reward of quality performance.

LIGTAS BUNTIS 2005

Principal Objectives of the Ligtas Buntis 2005 Campaign from the point of view of DOH are engaged in family planning services and promotion because we are primarily interested in the health of women and children, wholesome families, and bright children.

Public Health
1. Child Health (Bright Child Program)
(a) Immunization (nationwide measles campaign to increase coverage to 90-95%) (b) Interconnectedness of advocacy and enforcement of Food Fortification (Asin Law and Vit. A) (c ) Breastfeeding

2. Womens/Maternal Health - Safe Motherhood - Mainstreaming of Natural Family Planning - Advocacy for Voluntary Surgical Sterilization

- Making available a whole spectrum of family

planning services for the couples

Philippine Food Fortification Program Is the government`s response to the growing micronutrient malnutrition, which have been prevalent in the Philippines for the past several years. Food Fortification is the addition of Sangkap Pinoy or micronutrients such as vitamin A, Iron and Iodine to food.
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For the purpose of preventing or correcting a demonstrated deficiency with one or more nutrients in the population or specific population groups.

Sangkap Pinoy are vitamins and minerals required by the body in very small quantities. These are essential in maintaining a strong, healthy and active body,
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3. Communicable Diseases - World Class TB Program - Other cost-effective programs focused on other eventualities and diseases such as: * Dengue, epidemics (food and water), filariasis, leprosy, malaria, emerging diseases (SARS, AI), Disaster and Emergency Management 4. Healthy Lifestyles and Environmental Health
- Expansion of the healthy lifestyle program to include limiting risks and hazards

Public Health

5. Advocacy and Prevention of Substance Abuse and Management of the Drug Abuse through Screening and Rehabilitation

Local Health System

- Sentrong Sigla certification - establishment of Inter-local health zones and convergence sites

Convergence Areas

Hospital
Corporatization Quality care Patient Safety

Health Care Financing

National Health Insurance Program (NHIP)

Health Regulation
1. Drug Price Reduction

2. BFAD restructuring to improve services

- reduce the price of quality drugs by 50% - increase outlets for quality drugs at reduced prices

DOH MAJOR FUNCTIONS

Hospital Service Public Health Service Health Regulation Services and Administration

Inappropriate health service delivery system

Poor coverage of public health care

Poor health care financing

ISSUES and CONCERNS IN THE IMPLEMENTATION of HEALTH PROGRAMS

Low quality of care Inequitable access to personal care

Inadequate health regulatory mechanism

RESPONSES OF DOH to HEALTH PROGRAMS

Eradicate extreme poverty and hunger Achieve universal primary education Reduce child mortality
Improve maternal Health Combat HIV/ AIDS Ensure environmental sustainability Develop a global partnership Provide access to affordable essential drugs

DOH MANDATE

To provide assistance to LGUs, NGUs and other members of the health sectors in implementing programs, projects and services for the provision of health care services to every filipino.

FOURMULA ONE
Fourmula one for health is the implementation framework for health sector reforms. It is designed to implement infrastructure and financing arrangements Health financing to secure more, better sustained investments in health to provide equity and improve health outcomes esp. the poor. Health regulation assuring access to quality and affordable health products, devices, facilities & services. Health service delivery improving the accessibility & availability of basic & essential health care for all. Good governance improve health system performance at the National & Local sector to improve governance.

The Adolescent Health Program The Adolescents Youth and Heath Development Programs was established in 2001 under the oversight of the Department of Health in partnership with other government agencies with adolescent concerns and other stakeholdres. The program is targeting youth ages 10 24, and the program provides comprehensive implementation guidelines for youth-friendly comprehensive health care and services on multiple levelsnational, HPDPB- Alma regional, provincial/city, and municipal.

Botika ng Barangay (BnB) - refers to a drug outlet managed by a legitimate community organization (CO) / non-government organization (NGO) and/or the Local Government Unit (LGU), with a trained operator and a supervising pharmacist specifically established in accordance with this Order.

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Breastfeeding TSEK On February 23, 2011, the Department of Health (DOH) launched the exclusive breastfeeding campaign dubbed Breastfeeding TSEK: (Tama, Sapat, Eksklusibo). The primary target of this campaign is the new and expectant mothers in urban areas. This campaign encourages mothers to exclusively breastfeed their babies from birth up to 6 months. Exclusive breastfeeding means that for the first six months from birth, nothing except breast milk will be given to babies. Moreover, the campaign aims to establish a supportive community, as well as to promote public consciousness on the health benefits of breastfeeding. Among the many health benefits of breastfeeding are lower risk of diarrhea, pneumonia, and chronic illnesses.
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Blood Donation Program Republic Act No. 7719, also known as the National Blood Services Act of 1994, promotes voluntary blood donation to provide sufficient supply of safe blood and to regulate blood banks. This act aims to inculcate public awareness that blood donation is a humanitarian act.
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Dental Health Program Emerging and Re-emerging Infectious Disease Program Emerging and re-emerging infections (e.g., SARS, meningococcemia, Avian Influenza or bird flu, A (H1N1) virus infection) threaten countries all over the world.The program aims to: 1. Reduce public health impact of emerging and reemerging infectious diseases; and 2. Strengthen surveillance, preparedness, and response to emerging and re-emerging infectious diseases.

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Environmental Health Reduction of environmental and occupational related diseases, disabilities and deaths through health promotion and mitigation of hazards and risks in the environment and worksplaces.
Expanded Program on Immunization The Expanded Program on Immunization (EPI) was established in 1976 to ensure that infants/children and mothers have access to routinely recommended infant/childhood vaccines. Six vaccine-preventable diseases were initially included in the EPI: tuberculosis, poliomyelitis, diphtheria, tetanus, pertussis and measles. In 1986, 21.3% fully immunized children less than fourteen months of age based on the EPI Comprehensive Program review.
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Essential Newborn Care Goals: To reduce neonatal mortality rates by 2/3 from 1990 levels Family Planning A national mandated priority public health program to attain the country's national health development: a health intervention program and an important tool for the improvement of the health and welfare of mothers, children and other members of the family. It also provides information and services for the couples of reproductive age to plan their family according to their beliefs and circumstances through legally and medically acceptable family planning methods.
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Food and Waterborne Diseases Prevention and Control Program

Food Fortification Program Objectives: 1. To provide the basis for the need for a food fortification program in the Philippines: The Micronutrient Malnutrition Problem 2. To discuss various types of food fortification strategies 3. To provide an update on the current situation of food fortification in the Philippines

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Garantisadong Pambata Comprehensive and integrated package of services and communication on health, nutrition and environment for children available everyday at various settings such as home, school, health facilities and communities by government and non-government organizations, private sectors and civic groups.

Health and Well-being of Older Persons

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INFANT AND YOUNG CHILD FEEDING It aimed to improve the nutritional status and health of children especially the under-three and consequently reduce infant and under-five mortality.

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Integrated Management of Childhood Illness (IMCI) Reduce death and frequency and severity of illness and disability, and Contribute to improved growth and development

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MALARIA CONTROL PROGRAM

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NATIONAL TUBERCULOSIS CONTROL PROGRAM NATURAL FAMILY PLANNING NATIONAL FILARIASIS ELIMINATION PROGRAM NATIONAL RABIES PREVENTION AND CONTROL PROGRAM NEWBORN SCREENING NATIONAL HIV/STI PREVENTION PROGRAM NATIONAL MENTAL HEALTH PROGRAM NATIONAL DENGUE PREVENTION AND CONTROL PROGRAM NATIONAL PREVENTION OF BLINDNESS HPDPB- Alma PROGRAM

Occupational Health Program Health for all occupations in partnership with the workers, employers, local government authorities and other sectors in promoting self-sustaining programs and improvement of workers' health and working environment.
Persons with Disabilities This Order defines and establishes the strategic and operational framework for the development, implementation and monitoring of an effective, and efficient, promotive, preventive, curative, rehabilitative and palliative health services from conception, birth, growth, maturity and in terminal phase in the life of PWDs

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Pinoy MD Program A Medical Scholarship Grant for Indigenous People, Local Health Workers, Barangay Health Workers, Department of Health Employees or their children. This is a jJoint program of the Department of Health (DOH), Philippine Charity Sweepstakes Office (PCSO), and several State Universities and Medical Schools. Philippine Medical Tourism Program "The global leader in providing quality health care for all through universal health care"

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SALINTUBIG Program - Sagana at Ligtas na Tubig Para sa Lahat 1. To increase water service for the waterless population 2. To reduce incidence of water-borne and sanitation related diseases 3. To improved access of the poor to sanitation services

SCHISTOSOMIASIS CONTROL PROGRAM

SOIL TRANSMITTED HELMINTH CONTROL

PROGRAM
SMOKING CESSATION PROGRAM
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Unang Yakap (Essential Newborn Care: Protocol for New Life) ENC is a simple cost-effective newborn care intervention that can improve neonatal as well as maternal care. IT is an evidence-based intervintion that emphasizes a core sequence of actions, performed methodically (step -by-step); is organized so that essential time bound interventions are not interrupted; and fills a gap for a package of bundled interventions in a guideline format.

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Violence and Injury Prevention Program To establish a national policy and strategic framework for injury prevention activities for DOH and other government agencies, local government units (LGUs), non-government organizations (NGOs), communities, and individuals. Women's Health and Safe Motherhood Project

Women and Children Protection Program

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