Health Care Delivery System ❖ WHO assists national authorities as

● It is an organized plan of health they develop health policies and

services with a network of facilities plans, and helps governments work
and personnel who carry out the with development partners to align
task in rendering care to the external assistance with domestic
people. priorities.
❖ WHO also collects and
World Health Organization disseminates data on health so
● Is a specialized agency of the countries can plan health spending
United Nations responsible for and track progress.
international public health.
● Its main objective is “the
attainment by all peoples of the
highest possible level of health”
● Headquarters: Geneve, Switzerland

8 MDGs
● Are goals that UN member states
(193 member states) have agreed to
try to achieve by the year 2015
● The United Nations Millennium
Declaration, signed in September
● Diplomats met to form the United 2000, commits world leaders to
Nations in 1945, they discussed combat poverty, hunger, disease,
setting up a global health illiteracy, environmental
organization. degradation, and discrimination
● WHO’s constitution came into force against women.
on 7 April 1948 - a date we now ● Each MDG has targets set for 2015
celebrate every year as World and indicators to monitor progress
Health Day. from 1990 levels.

Goal: Indicators
★ To ensure that a billion more 1. Eradicate Extreme Poverty and
people have universal health Hunger
coverage ➢ Reduce by
half the
★ To protect a billion more people proportion
from health emergencies of people
living on less
★ To provide a further billion people than a dollar
with better health and well-being a day.
 ➢ Achieve full and productive 5. Improve Maternal Health
employment and decent targets and Indicators
work for all, including Target a: reduce by three quarters,
women and young people. between 1990 and 2015, the
➢ Reduce by half the maternal mortality ratio
proportion of people who Indicators:
suffer from hunger. ● Maternal mortality
ratio (MMR)
2. Achieve Universal Primary ● Proportion of births
Education attended by skilled
➢ Ensure that by personnel
2015, children
everywhere, Target b: achieve, by 2015, universal
boys and girls access to reproductive health
alike, will be Indicators:
able to complete a full ● contraceptive prevalence
course of primary schooling rate
● Adolescent birth rate
3. Promote gender equality and ● Antenatal care coverage (at
empower women least one visit and at least
➢ Eliminate four visits)
gender ● Unmet need for family
disparity in planning
primary and 6. Combat HIV/AIds, Malaria &
secondary Other Diseases
education, preferably by ● Halt and begin to reverse
2005, and in all levels of the spread of
education, no later than 2015 HIV/AIDS
● Achieve by 2010
4. Reduce Child Mortality universal access to
Target: reduce by treatment for
two-thirds, between HIV/AIDS for all that
1990 and 2015, the need it.
under-five mortality ● Halt and begin to reverse
rate the incidence of malaria and
Indicator: other major diseases
● Under-five
mortality rate
● Infant mortality rate
● Proportion of 1 year-old
children immunized against
measles
7. Ensure Environmental Target f: in cooperation with the
Sustainability private sector, make available
● Integrate the principles of benefits of new technologies,
sustainable development especially information and
into country communications.
policies and
programs and
reverse the loss The MDGs are superseded by
of the 17 Sustainable
environmental Development Goals
resources ● January 1, 2016 - The United
● Reduce Nations officially launch an
biodiversity loss, achieving, even more ambitious set of
by 2010, a significant goals.
reduction in the rate of loss ● 17 goals and 169 targets and
● Halve, by 2015 the indicators to wipe out
proportion of the population poverty, fight inequality and
without sustainable access tackle climate change over
to safe drinking water and the next 15 years
basic sanitation.
● Achieve, by 2020 a SDG Targets
significant improvement in
the lives of at least 100
1. End Poverty in all its forms
million slum dwellers
everywhere
8. Develop a Global Partnership
a. By 2030, eradicate extreme
for Development poverty for all people
Target a. : develop further an open, everywhere, currently
rule-based, predictable, measures as
non-discriminatory people living on
trading and financial less than 1.25
system dollar a day
Target b: address the b. By 2030, reduce
special needs of least at least by half
developed countries the proportion
Target c: address the of men, women,
special needs of landlocked and children of all ages
developing countries and small living in poverty in all its
island developing states dimensions. Implement
Target d: deal comprehensively nationally appropriate social
with the debt problems of protection systems and
developing countries measures for all, including
Target e: in cooperation with floors, and by 2030 achieve
pharmaceutical companies, provide substantial coverage of the
access to affordable essential drugs poor and the vulnerable.
in developing countries
 c. By 2030, ensure that all increase productivity and
men and women, in production that help maintain
particular the poor and the ecosystems
vulnerable, have equal rights e. By 2030, maintain genetic diversity
to economic resources as of seeds, cultivated plants and
well as access to basic farmed and domesticated animals
services. and their related wild species.
d. By 2030, build the resilience
of the poor and those in 3. Ensure healthy lives and promote
vulnerable situations and well-being for all at all ages
reduce their exposure and
vulnerability to
climate-related extreme
events and other, economic,
social and environmental
shocks and disasters.
2. End hunger, achieve food security
and improved nutrition and promote a. By 2030, reduce the global
sustainable agriculture maternal mortality ratio to less than
70 per 100,000 live births
b. By 2030, end preventable deaths of
newborns and children under 5
years of age
c. By 2030, end the epidemics of
AIDS, tuberculosis, malaria and
neglected tropical diseases and
a. By 2030, end hunger and ensure combat hepatitis, water-borne
access by all people, to safe, diseases and other communicable
nutritious and sufficient food all diseases
year round. d. By 2030, reduce by one third
b. By 2030, end all forms of premature mortality from
malnutrition, including achieving non-communicable disease
by 2025 the internationally agreed through prevention and treatment
targets on stunting and wasting in and promote mental health and
children under 5 years of age. well-being
c. By 2030, double the agricultural e. Strengthen the prevention and
productivity and incomes of treatment of substance abuse,
small-scale food producers, in including narcotic drug abuse and
particular women, indigenous harmful use of alcohol
people, family farmers, pastoralists f. By 2020, halve the number of
and fishers, including through global deaths and injuries from
secure and equal access to land, road traffic accidents
other productive resources. g. By 2030, ensure universal access to
d. By 2030, ensure sustainable food reproductive health-care services,
production systems and implement including family planning,
resilient agricultural practices that information and education, and the
 integration of reproductive health e. By 2030, ensure that all youth and
into national strategies and a substantial proportion of adults
programmes. achieve literacy and numeracy.
h. Achieve universal health coverage f. By 2030, ensure that all learners
including financial risk protection, acquire knowledge and skills
access to quality essential health needed to promote sustainable
care services and access to safe, development, including among
effective, quality and affordable other, through education for
essential medicine and vaccines sustainable development and
i. By 2030, substantially reduce the sustainable lifestyles
number of deaths and illnesses
from hazardous chemicals and air, 5. Achieve gender equality and
water, and soil pollution and empower all women and girls
contamination.
4. Ensure Inclusive and equitable
quality education and promote
lifelong learning opportunities for all

a. End all forms of discrimination

against women everywhere.
b. Eliminate all forms of violence
against women in the public and
a. By 2030,ensure that all girls and private spheres, including raficking
boys complete free, equitable and and sexual and other types of
quality primary and secondary exploitation
education leading to relevant Goal - c. Recognize the value unpaid care
4 effective learning outcomes. and domestic work through the
b. By 2030, ensure that all girls and provision of public services,
boys have access to quality early d. Eliminate harmful practices such
childhood development, care and asc child, early and forced marriage
primary education so that they are and female genital mutilation
ready for primary education e. Ensure women’s full and effective
c. By 2030, ensure equal access for all participation and equal
women and men to affordable and opportunities for leadership at all
quality technical, vocational, and levels of decision-making in
tertiary education. political, economic and public life.
d. By 2030, eliminate gender f. Ensure universal access to sexual
disparities in education and ensure and reproductive health and rights
equal access to all levels of g. Undertake reforms to give women
education rights to economic resources, as
well as access to ownership and
control over land and other forms of
property.
6. Ensure availability and sustainable 7. Ensure access to affordable,
management of water and sanitation reliable, sustainable and modern
for all energy for all

a. By 2030, achieve universal and

equitable access to safe and a. By 2030, ensure universal access to
affordable drinking water for all affordable, reliable, and modern
b. By 2030, achieve access to energy services.
adequate and equitable sanitation b. By 2030, increase, substantially the
and hygiene for all and end open share of renewable energy in the
defecation global energy mix
c. By 2030, improve water quality by c. By 2030, double the global rate of
reducing pollution, eliminating improvement in energy efficiency
dumping and minimizing release of
hazardous chemicals and materials, 8. Promote sustained, inclusive and
halving the proportion of untreated sustainable economic growth, full
wastewater and productive employment and
d. By 2030, substantially increase decent work for all
water-use efficiency across all
sectors and ensure sustainable
withdrawals and supply of
freshwater to address water scarcity
and substantially reduce the
number of people suffering from
water scarcity.
e. By 2030, implement integrated
water resources management at all
levels, including through
transboundary cooperation as a. Sustain per capita economic
appropriate. growth in accordance with national
f. By 2020, protect and restore circumstances
water-related ecosystems, b. Achieve higher levels of economic
including mountains, forests, productivity through diversification,
wetlands, rivers, aquifers, and lakes. technological upgrading and
innovation
 c. Promote development-oriented a. Develop quality, reliable,
policies that support productive sustainable and resilient
activities, decent job creation, infrastructure to support economic
entrepreneurship, and encourage development
formalization and growth of small b. Promote inclusive and sustainable
and medium sized enterprises. industrialization and by 2030,
d. Improve progressively, through significantly raise industry’s share of
2030, global resource efficiency in employment and gross domestic
consumption and production By product.
2030, achieve full and productive c. Increase the access of small-scale
employment and decent work for industrial and other enterprises, in
all women and men particular in developing countries
e. By 2020, substantially reduce the to financial services including
proportion of youth not in affordable credit and their
employment not in employment, integration into value chains and
education or training. markets
f. Take immediate and effective d. By 2030, upgrade infrastructure
measures to eradicate forced labor, and retrofit industries to make
modern slavery, and human them sustainable with increased
trafficking and secure prohibition of resource-use efficiency and greeted
the worst forms of child labor, by adoption of clean and
2025 end child labor in all its forms. environmentally sound
g. Protect labor rights and promote technologies
safe and secure working e. Enhance scientific research,
environments for all workers upgrade technological capabilities
h. By 2030, devise and implement of the industrial sector in all
policies to promote sustainable countries. Particular in developing
tourism that creates jobs and countries
promotes local culture and
products 10. Reduce inequality within and
i. Strengthen the capacity of among countries
domestic institutions to encourage
and expand access to banking,
insurance, and financial services for
all

9. Build resilient infrastructure,

promote inclusive and sustainable
industrialization and foster
innovation
a. By 2030, progressively achieve and
sustain income growth of the
bottom 40 percent of the
population at a rate higher than the
national average
 b. By 2030, empower and promote all, improving road safety, notably
the social, economic and political by expanding public transport
inclusion of all, irrespective of age, c. By 2030, enhance inclusive and
sex, disability, race, ethnicity, origin, sustainable urbanization and
religion or economic or other status capacity for participatory,
c. 3 Ensure equal opportunity and integrated and sustainable human
reduce inequalities of outcome, settlement planning and
d. Adopt policies, especially fiscal, management in all countries
wage and social protection policies, d. Strengthen efforts to protect and
and progressively achieve greater safeguard the world’s cultural and
equality natural heritage
e. Improve the regulation and
monitoring of global financial 11. Ensure sustainable consumption
markets and institutions and and production patterns
strengthen the implementation of
such regulations
f. Ensure enhanced representation
and voice for developing countries
in decision-making in global
international economic and
financial institutions
g. Facilitate orderly, safe, regular and a. Implement the 10-year framework
responsible migration and mobility of programmes on sustainable
of people, including through the consumption and production, all
implementation of planned and countries taking action, with
well-managed migration policies developed countries taking the
lead
11. Make cities and human b. By 2030, achieve the sustainable
management and efficient use of
settlements inclusive, safe, resilient,
natural resources
and sustainable
c. By 2030, halve per capita global
food waste at the retail and
consumer levels and reduce food
losses along production and supply
chains, including post-harvest
losses
d. By 2020, achieve the
environmentally sound
a. By 2030, ensure access for all to management of chemicals and all
adequate, safe and affordable wastes throughout their life cycle,
housing and basic services and and significantly reduce their
upgrade slums release to air, water and soil in order
b. By 2030, provide access to safe, to minimize their adverse impacts
affordable, accessible and on human health and environment
sustainable transport systems for
13. Take urgent action to combat g. By 2030, increase the economic
climate change and its impacts benefits to small island developing
a. Strengthen resilience and adaptive states and least developed
capacity to climate related hazards countries from the sustainable use
and natural disasters in all countries of marine resources
b. Integrate climate change measures
into national policies, strategies and 15. Protect , restore, and promote
planning sustainable use of terrestrial
c. Improve education, ecosystems, sustainably manage
awareness-raising and human and forests, combat desertification and
institutional capacity on climate halt land degradation and halt
change mitigation, adaptation,
biodiversity loss.
impact reduction and early warning

14. Conserve and sustainably use the

oceans, seas and marine resources
for sustainable development

a. By 2020, ensure the conservation,

restoration and sustainable use of
terrestrial and inland freshwater
a. By 2025, prevent and significantly ecosystems and their services, in
reduce marine pollution of all kinds particular forests, wetlands,
b. By 2020, sustainably manage and mountains and drylands
protect marine and coastal b. By 2020, promote the
ecosystems to avoid significant implementation of sustainable
adverse impacts. management of all types of forests,
c. Minimize and address the impacts halt deforestation, restore degraded
of ocean acidification, including forests and substantially increase
through enhanced scientific afforestation and reforestation
cooperation globally
d. By 2020, effectively regulate c. By 2030, combat desertification,
harvesting and end overfishing, restore degraded land and soil,
illegal, unreported and unregulated d. By 2030, ensure the conservation
fishing and destructive fishing of mountain ecosystems, including
practices their biodiversity,
e. By 2020, conserve at least 10 e. Take urgent and significant action
percent of coastal and marine areas to reduce the degradation of
f. By 2020, prohibit certain forms of natural habitats, halt the loss of
fisheries subsidies which contribute biodiversity and, by 2020, protect
to overcapacity and overfishing, and prevent the extinction of
threatened species
 f. Promote fair and equitable sharing f. Develop effective, accountable and
of the benefits arising from the transparent institutions at all levels
utilization of genetic resources and g. Ensure responsive, inclusive,
promote appropriate access to such participatory and representative
resources, as internationally agreed decision making at all levels
g. Take urgent action to end poaching h. Broaden and strengthen the
and trafficking of protected species participation of developing
of flora and fauna countries in the institutions of
h. By 2020, introduce measures to global governance
prevent the introduction and i. By 2030, provide legal identity for
significantly reduce the impact of all, including birth registration
invasive alien species on land and j. Ensure public access to information
water ecosystems and protect fundamental freedoms,
i. By 2020, integrate ecosystem and in accordance with national
biodiversity values into national and legislation and international
local planning, development agreements
processes, poverty reduction
strategies and accounts 17. Strengthen the means of
implementation and revitalize the
16. Promote peaceful and inclusive global partnership for sustainable
societies for sustainable development
development, provide access to
justice for all and build effective,
accountable and inclusive
institutions at all levels.

Finance:
a. Strengthen domestic resource
mobilization, including through
international support to developing
a. Significantly reduce all forms of countries, to improve domestic
violence and related death rates capacity for tax and other revenue
everywhere collection
b. End abuse, exploitation, trafficking b. Developed countries to implement
and all forms of violence against fully their official development
and torture of children assistance commitments,
c. Promote the rule of law at the c. Mobilize additional financial
national and international levels resources for developing countries
and ensure equal access to justice from multiple sources
for all d. Assist developing countries in
d. By 2030, significantly reduce illicit attaining long-term debt
financial and arms flows, sustainability through coordinated
e. Substantially reduce corruption and policies aimed at fostering debt
bribery in all their forms financing, debt relief and debt
 restructuring, as appropriate, and c. Realize timely implementation of
address the external debt of highly duty-free and quota-free market
indebted poor countries to reduce access on a lasting basis for all least
debt distress developed countries, consistent
e. Adopt and implement investment with World Trade Organization
promotion regimes for least decisions
developed countries Systemic Issues:
Technology: a. 3 Enhance global macroeconomic
a. Enhance North-South, South-South stability, including through policy
and triangular regional and coordination and policy coherence
international cooperation on and b. Enhance policy coherence for
access to science, technology and sustainable development
innovation and enhance c. Respect each country’s policy space
knowledge sharing on mutually and leadership to establish and
agreed terms implement policies for poverty
b. Promote the development, transfer, eradication and sustainable
dissemination and diffusion of development
environmentally sound
technologies to developing The Philippine Health Care
countries on favorable terms,
Delivery System
c. Fully operationalize the technology
bank and science, technology and
innovation capacity-building 2 sectors
mechanism for least developed 1. Public sector
countries by 2017 and enhance the ● Tax-based budgeting
use of enabling technology, in system at both national and
particular information and local levels where healthcare
communications technology is generally given free.
Capacity Building: 2. Private Sector
a. Enhance international support for ● For profit and non-profit
implementing effective and providers where largely
targeted capacity building in market-oriented and where
developing countries to support healthcare is paid through
national plans to implement all the user fees.
sustainable development goals
Trade:
a. Promote a universal, rules-based,
open, non-discriminatory and
equitable multilateral trading
system under the World Trade
Organization
b. Significantly increase the exports of
developing countries, in particular
with a view to doubling the least
developed countries’ share of
global exports by 2020
Philippine Department of Health Classification of Health Facilities
(DOH) (DOH AO - 2012-0012)
● Holds the overall technical authority
on health as it is a national Administration Order No. 2011-0020
health-policy maker and regulatory ● “Streamlining of Licensure and
institution. Accreditation of Hospitals”
Major roles in the health sector Administration Order No. 2012-0012
➢ Leadership in health ● “New Classification of Hospitals and
➢ Enabler and capacity builder Other Health Facilities
➢ Administrator of specific services,
its mandate is to develop national
plans, technical standards, and
guidelines on health
Vision
- Filipinos are among the healthiest
people in Southeast asia by 2022,
and Asia by 2040
Mission
- To elad country in the development
of a productive, resilient, equitable
and people-centered health system

Devolution of Health Services

● 1991
● RA 7160 “Local Government code”
● Local government is now
responsible to operate local health
services

LEVELS OF HEALTH CARE AND

REFERRAL SYSTEM
What is the Philippine Health
Agenda

● Aspired to create a society in

which Filipinos have the means to
lead healthy and productive lives,
and have a health system where
Filipinos feel respected, valued and
empowered in all of their
interactions with the system.