Objectives:

• Providing leadership
• Shaping the research
 5 goals
 Capacity
 Prioritize
 Standards
 Translation
 Organization
Sustainable Development Goals (SDGs)

Imagine the world in 2030, fully inclusive of persons with disabilities

In September 2015, the General Assembly adopted the 2030 Agenda for Sustainable Development that
includes 17 Sustainable Development Goals (SDGs). Building on the principle of “leaving no one behind”,
the new Agenda emphasizes a holistic approach to achieving sustainable development for all.

The SDGs also explicitly include disability and persons with disabilities 11 times. Disability is referenced
in multiple parts of the SDGs, specifically in the parts related to education, growth and employment,
inequality, accessibility of human settlements, as well as data collection and the monitoring of the SDGs.
Although, the word “disability” is not cited directly in all goals, the goals are indeed relevant to ensure
the inclusion and development of persons with disabilities.

The newly implemented 2030 Agenda for Sustainable Development holds a deep promise for persons
with disabilities everywhere.

The year 2016 marks the first year of the implementation of the SDGs. At this critical point,
#Envision2030 will work to promote the mainstreaming of disability and the implementation of the
SDGs throughout its 15-year lifespan with objectives to:

 Raise awareness of the 2030 Agenda and the achievement of the SDGs for persons with
disabilities;
 Promote an active dialogue among stakeholders on the SDGs with a view to create a better
world for persons with disabilities; and
 Establish an ongoing live web resource on each SDG and disability.
The campaign invites all interested parties in sharing their vision of the world in 2030 to be inclusive of
persons with disabilities.
The 17 sustainable development goals (SDGs) to transform our world:
GOAL 1: No Poverty
GOAL 2: Zero Hunger
GOAL 3: Good Health and Well-being
GOAL 4: Quality Education
GOAL 5: Gender Equality
GOAL 6: Clean Water and Sanitation
GOAL 7: Affordable and Clean Energy
GOAL 8: Decent Work and Economic Growth
GOAL 9: Industry, Innovation and Infrastructure
GOAL 10: Reduced Inequality
GOAL 11: Sustainable Cities and Communities
GOAL 12: Responsible Consumption and Production
GOAL 13: Climate Action
GOAL 14: Life Below Water
GOAL 15: Life on Land
GOAL 16: Peace and Justice Strong Institutions
GOAL 17: Partnerships to achieve the Goal

History of Health Care Delivery System

Health care system is an organized plan of health services. The rendering of health care services to the
people is called health care delivery system. Thus, health care delivery system is the network of health
facilities and personnel which carries out the task of rendering health care to the people. In the
Philippines health care system is complex set of organizations interacting to provide an array of health
services.
In the Philippines the components of the health care delivery system as mandate of the Department of
Health (DOH) is to be responsible for the following: formulation and development of national health
policies, guidelines, standards and manual of operations for health services and programs; issuance of
rules and regulations, licenses and accreditations; promulgation of national health standards, goals,
priorities and indicators; development of special health programs and projects and advocacy for
legislation on health policies and programs. The primary function of the Department of Health is the
promotion, protection, preservation or restoration of the health of the people through the provision and
delivery of health services and through the regulation and encouragement of providers of health goods
and services (E.O. No. 119, Sec. 3).

The DOH vision is "Health as a right. Health for All Filipinos by the year 2000 and Health in the Hands of
the People by the year 2020." While its mission is "DOH, in partnership with the people to ensure equity,
quality and access to health care by: making services available; arousing community awareness;
mobilizing resources; and promoting the means to better health. 

In the Philippine healthcare setting health care facilities are level as Level I, Level II, and Level III. Level I
(Primary Level of Health Care Facility) are the rural health units, their sub-centers, chest clinics, malaria
eradication units, and schistosomiasis control units are directly operated by the DOH; puericulture
centers operated by League of Puericulture Centers; tuberculosis clinics and hospitals of the Philippine
Tuberculosis Society; private clinics, clinics operated by the Philippine Medical Association; clinics
operated by large industrial firms for their employees; community hospitals and health centers operated
by the Philippine Medicare Care Commission and other health facilities operated by voluntary religious
and civic groups.

The Level II (Secondary Level of Health Care Facilities) is the smaller, non-departmentalized hospitals
including emergency and regional hospitals. The services offered to patients with symptomatic stages of
disease, which require moderately specialized knowledge and technical resources for adequate
treatment. While the Level III (Tertiary Level of Health Care Facilities) are the highly technological and
sophisticated services offered by medical centers and large hospitals. These are the specialized national
hospitals. The services rendered at this level are for clients afflicted with diseases which seriously
threaten their health and which require highly technical and specialized knowledge, facilities and
personnel to treat effectively.

Health care workers are also classified. There are three levels of health workers in the Philippine. These
are: the village or grassroots health workers; the intermediate level of health workers; and the first line
hospital personnel. The village or grassroots health workers are the first contacts of the community and
initial links of health care. They provide simple curative and preventive health care measures promoting
healthy environment and participate in activities geared towards the improvement of the socio-
economic level of the community like food production program. These are the barangay health worker,
volunteers or traditional birth attendants or hilot.

The intermediate level of health workers represents the first source of professional health care. They
attend to health problems beyond the competence of village workers and provide support to front-line
health workers in terms of supervision, training, supplies, and services. These are the medical
practitioners, nurses and midwives. While the first line hospital personnel provide backup health
services for cases that require hospitalization and establish close contact with intermediate level health
workers or village health workers. These are the physicians with specialty, nurses, dentist, pharmacists,
and other health professionals.

Parts of the healthcare setting are patients. A patient is any recipient of healthcare services. According
to Wikipedia, the patient is most often ill or injured and in need of treatment by a physician, advanced
practice registered nurse, veterinarian, or other health care provider. The word patient originally meant
"one who suffers". This English noun comes from the Latin word patiens, the present participle of the
deponent verb, patior, meaning 'I am suffering,' and akin to theGreek verb πάσχειν (= paskhein, to
suffer) and its cognate noun πάθος (= pathos) (en.wikipedia.org/wiki/Patient).

Patients' satisfaction with an encounter with health care service is mainly dependent on the duration
and efficiency of care, and how empathetic and communicable the health care providers are. It is
favored by a good doctor-patient relationship. Also, patients that are well informed of the necessary
procedures in a clinical encounter, and the time it is expected to take, are generally more satisfied even
if there is a longer waiting time. (Pulia, 2011)

Components and Sectors of Health Care Delivery System

The department of health (DOH)

VISION: to make “Filipinos among the healthiest in the Southeast Asia by 2022 and in Asia by
2040”
MISSION: “Lead the country in the development of a productive, resilient, equitable and
people-centered health system”

DOH Major Roles:

• Leader in health
• Enabler and capacity builder
• Administrator of specific services

Local Health Boards

VISION
Responsive, collaborative, sustainable, and resilient local health systems for all Filipino, especially the
poor.

MISSION    
We are the lead Bureau in the DOH in developing functional local health systems, especially for the
marginalized and disadvantaged communities. We will work with key partners and stakeholders to
create environments and opportunities in offering solutions to improve and strengthen local health
system policies and plans.

GENRAL FUNCTIONS

 Identify and assess priorities in local health systems development;

 Develop policies, guidelines and standards on sustainable local health systems;
 Ensure multi-stakeholder participation in local health systems development;
 Monitor and evaluate functionality of local health system.

DIVISIONS

 1. Health Systems Development Division (HSDD)

 Develop policies, plans and standards to establish functional service delivery networks
improving nationwide access and use of health services;
  Provide technical assistance to build regional and sub-regional capacities on local
planning and financing for health;
 Promote equity in health across different settings and affected populations.

2. Health Systems Monitoring and Evaluation Division (HSMED)

 Develop policies, plans and standards to build and enhance capacity for local health
leadership and governance;
 Provide technical assistance to monitor and evaluate local health system
performance;
 Promote best practices in local health systems development for wide-spread
replication.

Function of LGU’s

• Annual budgetary allocation

• Serving as an advisory committee
• Committees that shall advise local health agencies

Rural Health Unit Personnel

The Composition of The Interlocal Health Zone (ILHZ)

Health Facilities

 Primary
 RHUs
 Health Centers
 Barangay Health Stations
 Secondary
 District Hospital (Care Referral Hospital)