Organization of Medical and Nursing Service

  1. A.C. 114-Roles & Functions/Responsibilities of PHN in the Rural Health Setting

    2. Categories:

    1. Administrative Role: process of administration
      1. 4 Major Management Processes: Planning, Organizing, Directing & Controlling
      2. 9 Integrated Traditional Management Processes:
        • Assessment----- integrated in Planning
        • Planning--------
        • Organizing----- integrated in Organizing
        • Staffing---------
        • Delegating----- integrated in Directing
        • Coordinating--
        • Recording & reporting (R/R)--
        • Budgetary → integrated in Controlling
        • Evaluation-----------------------

        Association of Nursing Services & Administrators of the Philippines (ANSAP): responsible for shortening the 9 Management Processes into 4 where members are all chief nurses of hospital (government & private)

    2. Technical Role:
      • PHN acts as a generalist or general practitioner
      • PHN can act as a physician except to prescribe medicines because only 3 persons are licensed to prescribe: Physician, Dentist & Veterinarian
      • PHN can act as a pharmacist which is made possible through the program “Oplan Walang Reseta” where PHN can dispense drugs in generics even without doctor’s order or prescription, regulated under RA 6675: Generics Act
      • PHN are allowed to assess, diagnose & provide appropriate treatment as in dispensing drugs & administering IVF
      • Other activities or functions (dependent, independent and interdependent) of PHN which implicates specific skills:
      1. Manager
      2. Clinician
      3. Health Educator
      4. Health Care Provider
      5. Community Organizer
      6. Environmentalist-matters related to environmental sanitation
      7. Epidemiologist-determine the pattern/distribution of diseases: epidemic, endemic, sporadic or pandemic
      8. Microscopist-acts like medical technologist as in DOTS
      9. i.Statistician-computes & reports morbidity, mortality & fertility to determine health status of the population
    3. Supportive Role: Characteristics/Qualifications of PHN
      1. Facilitator
      2. Motivator
      3. Counselor
      4. Coordinator
      5. Health Educator
      6. Supplementary/Complimentary
  2. E.O. 119-Reorganization of the Ministry of Health to Department of Health
    1. 1918-Creation of Board of Health (BOH)
    2. 1919-BOH was abolished & was changed to Bureau of Health
    3. September 21, 1972 to 1986-Declaration of Martial Law by President Ferdinand Marcos where all agencies of the government were given the title Ministry under PD 1081; MOH Secretary-Dr. Jesus Azurin
    4. February 25, 1986 to 1992-EDSA 1 under President Corazon Aquino where reorganization of MOH to Department of Health (DOH); DOH Secretary-Dr. Alfredo Benzon
    5. 1992 to 1998-under President Fidel Ramos; DOH Secretaries-Flavier, Galves Tan (5 months), Hilarion Ramiro (2 years), Carmencita Rheodica (1st lady secretary of DOH)
    6. 1998 to January 20, 2001-EDSA 2 under President Joseph Estrada; DOH Secretary-Dr. Estrella (2 months), Dr. Alberto Romualdez
    7. January 21, 2001 to Present-under President Gloria Macapagal-Arroyo; DOH Secretary- Dr. Manuel Dayrit, Dr. F. Duque

Basic Health Services under OPHS of DOH:

Basic Health Services of DOH:

Goal of DOH:

  1. Vision (Dream of DOH)→ Health for All Filipinos
    1. Formulated by former Secretary Flavier in 1993→ Health for All Year 2000 and Beyond
    2. Health under the Hands of the People 2020
    3. Health for All Filipinos as edited by Dr. Romualdez
  2. Mission: Principles to attain the vision of DOH
    1. Equity: equal health services for all-no discrimination
    2. Quality: DOH is after the quality of service not the quantity
      Philosophy of DOH: “Quality is above quantity”
    3. Accessibility: DOH utilize strategies for delivery of health services

Three Strategies in Delivering Health Services (ELEMENTS):

  1. Creation of Restructured Health Care Delivery System (RHCDS) regulated by PD 568 (1976)
  2. Management Information Systems regulated by r.a. 3753: Vital Health Statistics Law
  3. Primary Health Care (PHC) regulated by LOI 949 (1984): Legalization of Implementation of PHC in the Philippines

Creation of Restructured Health Care Delivery System (RHCDS)