Health Sector Reform Overview

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Questions and Answers

What are the four main core functions of the health system?

  • Policy Making, Service Provision, Resource Allocation, Governance
  • Governance, Provision, Financing, Resource generation (correct)
  • Governance, Service Development, Financing, Resource generation
  • Management, Provision, Community Engagement, Regulation

Which initiative aimed to enhance access to low-cost quality essential medicines?

  • Disease Free Zone Initiative
  • Botika ng Baranggay (correct)
  • MDRP Implementation (correct)
  • Health Facilities Program

What was one of the key challenges identified for health development in the South East Asia Region?

  • Increasing the number of healthcare facilities
  • Reducing inequities in health (correct)
  • Improving luxury health services
  • Promoting private health insurance

Which pillar is NOT a part of the strategic framework for health reforms formulated by DOH?

<p>Health Promotion (D)</p> Signup and view all the answers

What significant outcome was achieved by the Disease Free Zone Initiative?

<p>Elimination of priority public health diseases in endemic provinces (D)</p> Signup and view all the answers

Which province was not mentioned as being declared filariasis free?

<p>Bohol (B)</p> Signup and view all the answers

What was one of the Millennium Development Goals focused on by the DOH?

<p>Improve Maternal Health (A)</p> Signup and view all the answers

Which of the following diseases did the DOH prioritize for elimination in endemic provinces?

<p>Malaria (D)</p> Signup and view all the answers

What is the primary aim of the Government Hospital Upgrading Project?

<p>To upgrade health facilities (D)</p> Signup and view all the answers

What disease has Bohol maintained a zero-case status for five years?

<p>Schistosomiasis (D)</p> Signup and view all the answers

Flashcards

Health Sector Reform

The process of changing health policies and how health systems work to improve health outcomes.

Four Core Functions of a Health System

The four core functions of a health system are: Governance, Provision, Financing, and Resource Generation. Like the pillars holding up a building, these functions ensure a health system runs smoothly.

What is MDRP?

MDRP stands for Maximum Drug Retail Price. It's a policy that sets a maximum price for medicines, making them more affordable for people.

What is Botika ng Barangay?

Botika ng Barangay is a community pharmacy program in the Philippines. It makes essential medicines available in local communities, making access easier for people.

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What is F1: FOURmula One for Health?

A strategic framework for health reforms in the Philippines focusing on four pillars: Service Delivery, Health Care Financing, Health Governance, and Regulation. It aims to achieve national health objectives and Millennium Development Goals.

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Disease Free Zone Initiative

An initiative by the DOH to eliminate specific diseases in specific regions, aiming to achieve a "Disease Free Zone" status.

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Upgrading Barangay Health Stations (BHS) and Rural Health Units (RHUs)

Upgrading Barangay Health Stations (BHS) and Rural Health Units (RHUs) to improve access to emergency care, especially for mothers and newborns, and reduce maternal mortality.

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Government Hospital Upgrading Project

A project focusing on improving healthcare services through the rationalization and critical upgrading of health facilities across the country.

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Strategy Force

A task force established by the DOH to focus on achieving Millennium Development Goals (MDGs) 4 and 5, related to reducing child mortality and improving maternal health.

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Millennium Development Goals (MDGs)

A set of eight international development goals adopted by the United Nations in 2000, aimed at improving the lives of people in developing countries.

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Study Notes

2005 FOURmula One (F1) for Health

  • Initiated in 2005 by Briones, Canlas, Ferrer, and Wu
  • Focused on health sector reform

Health Sector Reform

  • Defined as designing and implementing significant changes in health policies and institutional arrangements within health sectors.
  • Four core functions of the health system: governance, provision, financing, and resource generation
  • Challenges in the 21st century include: reducing health inequities, promoting self-reliance, ensuring basic health services to all, and upholding health ethics.

Key Points in Health Sector Reform

  • Need for health sector reform (healthcare financing, service provision, resource generation, governance)
  • Strategic support for change

WHO South-East Asia Region (WHO SEAR)

  • Adopted a declaration on health development in 1997 for the South East Asia Region.
  • Foremost challenges: Reducing health inequities, promoting health + self-reliance, ensuring basic health services to all, and upholding health ethics

F1: FOURmula One for Health

  • A strategic framework for health reforms formulated by DOH (Department of Health)
  • Uses four pillars: service delivery, health care financing, health governance, and regulation
  • Aims to achieve national objectives for health, aligning with the Millennium Development Goals for Health.

Latest Update (2009)

  • DOH Secretary Francisco T. Duque led the efforts in 2009
  • Increased access to essential medicines, including the Disease Free Zone Initiative
  • Government Hospital Upgrading (HFEP), aiming to improve health services
  • Maternal, Neonatal, and Child Health and Nutrition Strategy Force, focused on MDGs 4 and 5

Disease Free Zone Initiative

  • DOH worked towards eliminating priority public health diseases in endemic provinces
  • Successes include declaring provinces rabies-free, filariasis-free, and reducing leprosy prevalence
  • Twenty-two (22) provinces declared malaria-free
    • Benguet, Cavite, etc., Siquijor, Camiguin, and Surigao del Norte
  • Bohol sustained zero cases of schistosomiasis for five consecutive years

Increased Access

  • Implemented the Maximum Drug Retail Price (MDRP) on August 15, 2005
  • Established and formalized implementation of Botika ng Baranggay outlets
  • Provided drug regimen packages worth 100 pesos or less, ensuring quality and safety

Maternal, Neonatal and Child Health and Nutrition Strategy Force

  • Focused on achieving MDGs 4 (reduce child mortality) and MDG 5 (improve maternal health)
  • DOH established this task force for achieving these goals.

Government Hospital Upgrading Project (HFEP)

  • Project focused on upgrading health facilities to improve health services
  • Rationalization and upgrade of facilities aimed to improve access to comprehensive emergency care, reduce overcrowding in large hospitals
  • Upgraded barangay health stations (BHS) to rural health units (RHUs) to provide emergency care for mothers and newborn infants, thus reducing maternal mortality

References

  • Includes guideline documents, reports, and university lecture notes associated with the FOURmula One for Health initiative

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