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</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</p> Signup and view all the answers

    Which province was not mentioned as being declared filariasis free?

    <p>Bohol</p> Signup and view all the answers

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

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

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

    <p>Malaria</p> Signup and view all the answers

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

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

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

    <p>Schistosomiasis</p> Signup and view all the answers

    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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    Description

    Explore the critical components of health sector reform initiated in 2005 with contributions from Briones, Canlas, Ferrer, and Wu. This quiz covers governance, service provision, financing, and resource generation while addressing 21st-century challenges in healthcare. Gain insights into reforms necessary for ensuring equitable health services and promoting self-reliance in the South-East Asia region.

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