Questions and Answers
Which of the following concepts ensures that health services are non-discriminatory and physically accessible?
Quality in health services means only that the services must be safe and effective.
False
What must health care centers be in order to accommodate the specific needs of diverse population groups?
People-centered
Health facilities must adhere to international standards of medical ethics, which include ______ and confidentiality.
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Which of the following is NOT one of the intersecting features of accessibility?
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Acceptability in health care means strictly adhering to national laws.
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List one of the main components that constitute the concept of availability in healthcare.
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Match the principles of health as a human right with their definitions:
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What major act in 1954 led to the establishment of a Rural Health Unit in every municipality?
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The Fajardo Act created sanitary divisions composed of five to six municipalities.
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Who was the first secretary of the Department of Public Health and Welfare in 1941?
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In 1986, the Ministry of Health became the ________.
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Match the following years with their significant public health milestones:
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Which event significantly interrupted Public Health Nursing services in the Philippines?
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The healthcare delivery system in the Philippines is classified into four levels: primary, secondary, tertiary, and quaternary.
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What significant change occurred in the Philippine healthcare system in 1970?
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What year was the Local Government Code (R.A. 7160) enacted, mandating the devolution of basic services to local government units?
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The Health Sector Reform Agenda was launched in 2005.
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What health framework was launched in 2005 to provide an implementation structure for health reforms?
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The ________ Health Care program was introduced in 2010 to revise the F1 framework.
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Match the legislative acts with their descriptions:
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Which agency is responsible for protecting and promoting people's health in the Philippines?
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Public health nursing in the Philippines developed independently of the Department of Health.
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What global health shift has influenced the role of public health nurses in the Philippines?
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Study Notes
Historical Development of Public Health in the Philippines
- Jose Fabella became the first Secretary of the Department of Public Health and Welfare (DPHW) in 1941.
- In 1947, the Department of Health (DOH) was reorganized into bureaus, granting city health departments a bureau-level administration.
- The Rural Health Unit Act (R.A. 1082) was enacted in 1954, mandating a Rural Health Unit (RHU) in every municipality to enhance healthcare access.
Initiatives and Legislative Milestones
- The Fajardo Act of 1912 established sanitary divisions covering one to four municipalities.
- Public Health Nursing services faced interruptions due to World War II starting December 8, 1941.
- R.A. 1891 was passed in 1957 to ensure equitable distribution of health personnel, strengthening dental services in rural areas.
- Regional health offices were created in 1958 as part of decentralization efforts, introducing the role of Regional Health Officer.
Evolution of Health Systems and Policies
- A national health plan was formulated in 1975, restructuring the healthcare delivery system.
- The Ministry of Health was transformed into the Department of Health (DOH) in 1986.
- In 1970, the healthcare delivery system was classified into primary, secondary, and tertiary levels, laying the foundation for the current system.
Health as a Human Right
- Health services must be available, ensuring adequate operational public health systems and programs.
- Accessibility entails non-discriminatory, economically, and physically accessible health facilities and goods.
- Acceptability focuses on culturally appropriate and gender-sensitive healthcare, promoting people-centered services that adhere to ethics like informed consent and confidentiality.
- Quality implies that health services and commodities must meet established medical standards; they should be safe, effective, timely, equitable, integrated, and efficient.
Recent Developments in Public Health Policy
- The Local Government Code (R.A. 7160) of 1991 mandated the devolution of health services to local government units, establishing local health boards.
- The Health Sector Reform Agenda was launched in 1999, aiming for comprehensive reforms in health care.
- The FOURmula One (F1) health framework was introduced in 2005 to guide the reform agenda and was revised in 2010 to launch Universal Health Care.
Impacts on Public Health Nursing
- The evolution of the DOH and public health systems reflects responsiveness to contemporary health challenges.
- Public Health Nursing (PHN) has adapted to global health imperatives and emerged as a leader in health promotion and advocacy within the Philippines.
- The development of the PHN profession coincides with the institutional growth of the DOH and the role of health workers in promoting public health.
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Description
Explore the significant milestones in the evolution of public health nursing in the Philippines, starting from the establishment of key legislations such as the Fajardo Act and the Rural Health Unit Act. Discover the roles of pioneers like Jose Fabella in shaping public health administration. This quiz will test your knowledge on the historical developments and legislative changes in public health nursing.
