Omnibus Presentation

Sa Tuwid na Daan, Kalusugang Tuloy Tuloy, para sa Pamilyang PINOY

UHCHigh Impact Five

Universal Health Care High Impact Five (UHC-HI5)

Objectives of UHC HI5

General: To attain key 2015-2016 Universal Health Care (UHC)/Millennium Development Goals (MDG)

Specific: To intensify regional operations and

converge in priority program areas; and

To implement model plans on five (5) key high impact interventions

High Impact Five

I. RATIONALE

Only 10 months left to achieve the UHC / KP Goals, Hi-5 Targets and the monitoring and evaluation of its flagship programs: (1)Maternal Care Program (ANC and FBD, Teenage Pregnancy)(2)Infant Care (FIC, preventing neonatal and infant deaths)(3)Under 5 (IMCI, PCV13) (4)Halting HIV-AIDS (counselling, diagnosis, treatment and

peer interventions) (5)Establishing Service Delivery Network (SDN profiling, mapping and

matching)

High Impact Five

B. KP Caravan with Child

Injury Prevention Campaign

Mandatory for:

1. Senior Citizen

2. Father

3. Mother

4. Adolescent

5. Under Five

B.INTENSIFIED REGIONAL OPERATIONS FOR SPECIAL BREAKTHROUGH SERVICES

C. Buntis Congress

Mandatory Activities:1.Prenatal Services2.Basic laboratory and CBC for the pregnant women3.Oral health 4.Buntis kits5.Blood typing for the primigravid mother & for the husband6.Ultrasound Services

High Impact Five

D. Garantisadong Pambata/ Deworming Mass deworming for children aged 5-12 years shall be carried out nationwide during National Deworming Days

E. Nutrition for ASAPP 3-month long nutrition program that shall be implemented in ASAP areas to improve overall nutritional status of Filipino children

Mandatory

1. With ASAPP – Identify malnourish population

2. Non-ASAPP – Identify at least 3 municipalities/region

3. Feeding program in 3 months

July 30, 2015

July 1, 2015

B. INTENSIFIED REGIONAL OPERATIONS FOR SPECIAL BREAKTHROUGH SERVICES

High Impact Five

G. RAIDERs (Reach And Innovate Desired Rational Scores) Are trained NDPs who shall trace defaulters of immunization and pre- and post-natal services, exclusive breastfeeding and other services being provided. It shall serve as the outreach link between the community and RHUs.

H. Service Delivery Network shall be established in all provinces to identify facilities and providers (both public and private) assigned to priority households and families to ensure continuous access to health services.

I. Voluntary blood donations shall be conducted through the Blood Network existing/to be established in the SDN.

B.INTENSIFIED REGIONAL OPERATIONS FOR SPECIAL BREAKTHROUGH SERVICES

Target population

The rest of the country shall also be targeted in a life cycle approach

AdultsElderly

AdolescentsNeonates, Infants, Children

Preparatory Activities(Mandatory for ALL Regions)

PROFILING Dates 1. Q1/NHTS/Point of Care Nationwide

2. 29 Accelerated and Sustainable Anti-Poverty Program (ASAPP) Municipalities (All Families)

Region XI – 3 ASAPP Region VI – 8 ASAPPRegion VII – 3 ASAPP

3. 35 Whole Nation Initiative (WNI) Municipalities

Region XI – 17 WNI CARAGA – 18 WNI

June 30, 2015

July 31, 2015Sept. 30, 2015June 30, 2015

Dec. 31, 2015

SERVICE DELIVERY NETWORK

Rule 5 of the RPRH Law IRR – Service Delivery Network

The SDN shall be a network of facilities ranging from Barangay Health Stations (BHS), Rural Health Units (RHUs), district and/or city hospitals, to the provincial and/or DOH-retained hospitals.

The DOH and/or the LGU may engage private health facilities or providers (including among others, natural family planning providers) to form part of the SDN.

Why SDN?Strategic response to achieve MDGs 4,5 & 6

No single facility or unit can provide the entire Core Package of Health Care Services

A well coordinated delivery of health services can meet varying needs of population and ensure continuum of care

Categorization included (Urban, Rural, Car line, island, & GIDA/IPs)

Why is it Important to UHC

Service Delivery Network

An organized and strong SDN will ensure coordination of health services across all levels of the health care

Mapping of available services for individuals and families

Identifying gaps in service delivery

Providing support to health facilities with identified gaps

SDN MORE EFFICIENT AND EFFECTIVE SERVICE DELIVERY

Why is it Important to UHC


Ensure No Balance Billing for NHTS as agreed in the MOA or MOU

NHTS Families have access to quality hospital and public health services based on matching of clients vs. Facilities / Providers

The referral mechanism promotes appropriate level of care which contributes to achievement of MDGs

SDN MORE EFFICIENT AND EFFECTIVE SERVICE DELIVERY

What makes up a SDN? Network of health facilities and

providers within the province or city-wide health system that offers a core package of health care services in an integrated and coordinated manner.

Can be as small as one City / Municipal LGU and huge as provincial or regional SDN

It has both transportation and communication support system

SDN Composition

RHUs/CHOs

Other health facilities

District/ Municipal Hospitals

GPs/ Specialists/Private

Practitioners

Provincial Hospitals

Cebu City SDN Composition

CHO: BHCs in 5 health areas Other health

facilities : private birthing

clinics/ diagnostic centers / blood

centers

City Hospitals: CCMC, SAMCH,

GCH

GPs/ Specialists/Private

Practitioners

Private hospitals: CHH, CVGH, CDU, NGH, PSH, VGH, SHH, AH, VCMMC/

Steps of SDN Establishment

Identify Needs of Priority

Population

Mapping Available

Health Care Providers

Designating Population to

Facilities

Monitoring and Evaluation

Instructions

A. Identify the Priority Population The poor shall be the priority population.

The NHTS poor list and other government measures shall be used in identifying the priority population

The PHO shall determine the municipalities and component cities with NHTS – PR poor households. While the City Health Officer (CHO) of independent / chartered cities shall identify barangays


Profiling: Clients, Health Care Providers, & Facilities To establish baseline

data on target clients, health care providers,

and health facilities.1

OBJECTIVES

will include updating & completion of the current databases of target clients, health providers, & health facilities.

will create comprehensive SDN directory

To develop a comprehensive

directory of Health care providers to improve access of the target

clients to their matched SDN

(provider & facility).

2

PROCESS

Data Collection and Validation

Collation of data at RHU level

Collation of data at the Provincial level

Matching

BHW & NDP

SDN Form


Data Collection Tool (SDN form)

There are standard definitions for each field required in this form.

It is important that every data collector, validator, and analyzer knows how each term is used and how answers are to be indicated in each field.

Team must level off their understanding on how to properly accomplish this form. (e.g codes to be used, standard formats for date, age, AOG, etc.)



Population

Mapping Available



Facilities


ObjectivesTo identify available health care providers based on the location of the population

Steps in Mapping HCP 1. List specific health services which shall be indicated as

services for FP / MCH ( ANC, Maternal & NB care, PP care, infant & child care)

2. Write the name and address of health provider for each service

3. Identify if facility is public or private

4. Indicate PHIC accreditation (Hospitals – Level 1, 2, 3; RHU / Clinics – PCB, MCP, NCP)

5. Indicate days and time the facility is open (Mon – Fri 8-5; 24 hrs etc.)

6. Indicate cost of service

7. Write complete name of contact person and number of health provider (template p5)



Population

Mapping Available



Facilities


ObjectivesTo match the needs of the priority

population to network of health providers

To engage the available health providers

To determine the support services needed in assisting the referral of clients


Facility-client matching via Letters for Families


Letters for the Facility



Population

Mapping Available



Facilities


Roles and ResponsibilitiesC. Local Government Units (LGUs) are encouraged and

shall be assisted to: Overall execute the steps in establishing SDN Support the mobilization of CHTs to sustain

demand generation activities in the field Ensure that RH services are accessible and

available to priority population provided that it is delivered by skilled professionals

Ensure that priority population will be provided with support services such as transportation and communication assistance and / or maternity waiting home especially to clients living in GIDA areas

Good Health = Good Governance

Daghang Salamat.

Documents

Omnibus Presentation