Class notes
CHN (COMMUNITY HEALTH CENTER) - CLASS NOTES
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CHN- Outside the hospital
- Common healthy patient
- Health Education/ Teaching (Primary responsibility)
Focus:
Health promotion and Illness prevention
Health promotion Illness prevention
Inc. level of health Maintain health
Healthy -> healthier Healthy -> healthy
Healthy lifestyle = healthy living Speci c protection
Ottawa Charter - rst convention on Health
promotion (1986 in Canada) = healthy lifestyle
Goal of CHN: OLOF (Optimum leave of functioning) a.k.a High level wellness
Goal of PHC: Help the people achieved self reliance.
Goal of COPAR: CHD (Community Health Development) - social transformation
Determinants of Health -> factors that makes a person healthy or not. (Ecosystem it
can in uence OLOF)
• Etc. Socioeconomic
DOH: National Authority for Health ( any matter related to health)
E.O. 102 - 3 main function (LEA)
1. Leadership in health
- Setting policies for health - etc. mask
2. Enable and Capacity builder
- Creating new strategies and training for health
3. Administrative Function
- Managing tertiary facility (specialty services)
PHCOS: Phil. Health Care Delivery System
1. Primary - Accessible
a. Basic health care services
a. Barangay Health status - Satellite Station (midwife only)
b. Health center (RHU) - Main primary facility (complete healthcare
team)
1. Public health midwife: Frontliner
2. Public health nurse: Supervisor (coach)
3. Rural health physicians (Health o cer): Manager (overall
activities in the center)
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, 4. Medtech: Lab
5. Sanitary inspector: environmental sanitation
6. Dentist: Dental health program
2. Secondary- common medical and surgical procedure
a. Provincial Health
b. Regional
a. Minor Surgery
3. Tertiary - Advanced -DOH
a. Regular hospital
b. National regular center
c. Specialty hospital - Heart center, kidney institute, etc.
R.A. 7160 - Local government (LGU manages the primary & 2ndary)
- Transfer of power
- Before DOH : Formulate & Implement -> DOH: Formulate & LGU: Implement
1. Decentralization
2. Devolution
Provincial Government Municipal City Government
Chairman: Gov. (Handles 2nd facilities) Chairman: Mayor ( manages primary facilities)
Final approval
Vice chairman: PHO - Doctor Vice Chairman: MHO /CHO (Municipal health
o cer/ City) Doctor
DOH: 320B budget
NOH: National objective Health - Goal of DOH - improve health of the citizen - lists of
national health goals
• Evaluate in every 3 years
HSRA: Health Sector Reform Agenda - overriding goal of the DOH.
• F1 - Fourmula 1 (one) for health - 4 elements (ex. Pres. Arroyo)
• AHA - Aquino Health Agenda - theme: Pang kalahatang kalusugan (pres. N.
Aquino)
• F1 plus - Fourmula 1 plus 1- Them: Boosting Universal Health Care (pres. Duterte)
- 5 PILLARS
1. Health Financing - better investment for health
a. National health insurance program (Philhealth)
b. R.A 11223 - Universal Health Care Law -All lipinos are
automatically enrolled in Philhealth
c. Case Rate - per diagnosis
2. Health Regulation - RAQ - a ordable and quality health care services
3. Health Service Delivery - Accessible and available health services
a. Dttb - Doctors to the Barrios Program
b. NDP - Nurse Deployment Program (salary grade 15: 36k/month)
4. Good Governance - Stakeholders - Transparent, Accountable and
E cient (TAE)
5. Performance Accountability - Outcome base approach - “Pika e ective”
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