WHO Health System Framework Quiz

Study Notes

The WHO framework outlines six building blocks for a functional healthcare system
These blocks include service delivery, health workforce, information, medical products, financing, and leadership/governance
Each building block supports the others and impacts overall goals like improved health, responsiveness, and efficiency

Organizes and manages inputs and services to ensure access, quality, safety, and continuity of care across various health conditions, locations, and timeframes
Aims for effective, safe, and high-quality care to those in need with minimal waste
Includes prevention, treatment, or rehabilitation delivered in diverse locations (home, community, workplace, health facilities)
Different types of service delivery include individual-based services (personal healthcare focused on specific recipients), and population-based services (non-personal, addressing health in groups, e.g., health promotion)
The organization of a provider network is crucial for efficient service delivery. This involves care from primary to tertiary providers across the region (city or province level).

Includes individuals (service providers, management, and support) dedicated to protecting and improving health.
A well-performing health workforce has sufficient competent, responsive, and productive staff fairly distributed
Their level of skill, mix, and gender diversity influence health outcomes and service coverage
Measures to improve the health workforce include: workforce planning, training programs, entry and exit management, and effective distribution and performance of existing workers.
A national HRH master plan guides production, regulation, recruitment, retraining, and retention efforts.
Data on HRH (Healthcare Resource Human) professional licenses renewed in 2020 show numbers and categories

Focuses on using information, intelligence, and research to enhance health systems and respond to epidemics
This involves generating, strategically using, and developing health information and surveillance systems (standardized tools, and instruments), and compiling international health statistics
Decision-makers must have reliable, up-to-date health information at different levels, both for routine situations and emergencies. This includes data on health determinants, health system performance, and health status

Ensures equitable access to essential, high-quality medical products, vaccines, and technologies that are safe, effective, cost-effective, and scientifically sound.

Secures adequate funds to ensure people have access to healthcare services, thus avoiding financial hardship or impoverishment
Effective financing involves raising sufficient and sustainable funds to create insurance pools needed for health services
Improving efficiency, reducing out-of-pocket payments, and promoting social protection are key components of a strong health financing system
Major sources of health funding in the Philippines include government (taxes, shared income), social health insurance (NHIP premiums), and private insurance (PHI, HMOs, etc.)

Stewardship, a complex yet vital building block, involves overseeing and guiding the entire health system (public and private), with a focus on protecting the public interest through governmental actions related to health.
It requires balancing competing political and technical needs, involving policy guidance, intelligence oversight, collaboration/coalition building, regulation, and system design focused on accountability.
Different entities (Department of Health, Philippine Health Insurance Corporation, Local Government units, CHED/Higher Education Institutions, and the private sector) play roles in this process

Strengthening the six building blocks and managing their interactions is vital for equitable and sustained health improvements.
This involves determining how to evaluate progress and implement improvements, allocate resources, and monitor systems performance.
Securing further investment in health systems depends on ability to show progress. Resource allocation must aim at greatest need. Monitoring is essential to follow changes and trends.