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Calbayog District Hospital (CDH)

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Health plays a vital role in the road to development.

However, in the Philippines as financial


allocations for public hospitals are not prioritized by the government, as manifested in the insufficient
funds for the operations and maintenance of the public hopitals, the Filipinos are losing an essential
right and a basic need. Every day, patients and health workers alike suffer the consequences of lack
of supplies and financial aid.

The study aimed to evaluate and to validate the implications of the present state of the Philippine
General Hospital, in the delivery of accessible health care services and as an employer to hundreds
of health workers, in the midst of the financial inadequacies of the government and ODA system.

The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed
description of a health system and of policy initiatives in progress or under development. HiTS examine
different approaches to the organization, financing and delivery of health services and the role of the
main actors in health systems; describe the institutional framework, process, content and
implementation of health and health care policies; and highlight challenges and areas that require more
in-depth analysis.

POLITICAL CONTEXT Since 1897, the Philippines has had seven constitutions. The latest ratified by
referendum in 1987 and now in effect, established a republican government patterned after that of the
United States with a strong executive branch, a bicameral legislature, and an independent judiciary
under a supreme court. The executive branch through the national government agencies and local
government units exercises administrative and/or regulatory authority over the health system as a
whole. The legislative branch influences the health system in two ways: a) by approving the annual
budgets of national health agencies and institutions; and b) by individual congressmen allocating their
“development funds” (PDAF or “pork barrel”) to specific health institutions for various purposes. The
judiciary affects the health system in both the government and private sectors when it renders decisions
in legal disputes involving health agencies, institutions and individuals. (HOW PUBLIC HOSPITAL IS
CONNECTED WITH POLITICS)

1.4 HEALTH STATUS Philippine health status indicators show that the country lags behind most of South-
East and North Asia in terms of health outcomes. While rapid improvements were seen during the last
three decades, these have slowed in recent years. (HEALTH STATUS IN CALBAYOG – CITY HEALTH
OFFICE)

Calbayog District Hospital (CDH)


is owned and managed by the Provincial Government of Calbayog. It is a PhilHealth-accredited
Level 1 hospital and recognizes as Mother-Baby Friendly hospital by the Department of Health,
providing secondary laboratory and diagnostic x-ray services, blood station, pharmacy and dental
services.
CALBAYOG DISTRICT HOSPITALis a 100-bed capacity hospital as approved on July 17, 1992 per
RA No. 7627 but functional with a compliment staffing pattern of a 75-bed capacity hospital. The
hospital is serving the medical needs of the people of Calbayog and the neighboring towns of Sta.
Margarita and Gandara, including the island towns of Sto. Niño, Almagro and Tagapul-an for
confinement and for consultation in the hospital.

To serve as an effective instrument of the department of Health and the Provincial Gov
VISION Government Organizations (NGO’s) in its mission to provide the highest quality of pa

To work hand-in-hand with government in the achievement of good health for the peo
MISSION ethics of hospital services and healthcare.

With the unity of its staff and personnel in common purpose, shall protect and further
in the development of public health policies and provide the leadership of hospital and

Commits in providing services to other healthcare agencies in attaining the health need

To create a work environment that creates teamwork, recognizes individual worth and

Provision of quality, adequate and accessible health care services as well as a safe 10
GOAL qualified and trained manpower in accordance with the standards set by the
Philhealth and other regulatory bodies.

24/7 EMERGENCY ROOM SERVICES


· First Aid Care
· Minor Surgeries
· Ambulance conduction within the municipality
· Medicolegal services

IN-PATIENT CARE
· Admission and Management
· Delivery Room
· Operating Room
· Philhealth Ward
· Private Room
· Payward

ANCILLARY SERVICES
· Laboratory procedures
· Diagnostic x-ray services
· Ultrasound Services
· Pharmacy Services
· Electrocardiogram (ECG)
· Blood Bank Station
MEDICAL SPECIALTY AVAILABLE
· Internal Medicine
· Pediatric Medicine
· Obstetric & Gynecology
· Surgery
· EENT
· Orthopedic
· Anesthesia

OUT-PATIENT DEPARTMENT (OPD)


Adult and Pediatric Medicine
· OB-GYNE
Pre-natal and Post-partum consultation
· Surgery
· EENT-Cataract Surgery (Saturday)
· Animal Bite Treatment Center
· DOTS Center
· Family Planning Clinic
Responsible Parenthood Counseling
Method Dispensing
· Well-Baby Clinic
· Lactation and Breastfeeding Program
· Dental Clinic
· Newborn Screening
· Immunization

HEALTH FACILITY PLANNING

The Plan underscored the importance of leadership; strategic planning based on population needs;
accessibility of services especially those in hard-to-reach areas; technical and human resource
development; operational standards and technology; and networking in the development of hospitals

INFORMATION SYSTEM

These negative conditions create information gaps at the national and local levels. The lack of health
informatics standards -- which prevents any system from scaling at a faster rate or inter-operating with
another system – is a key issue.

PATIENT EMPOWERMENT

- PHILHEALTH AND PATIENT INFO


- PhilHealth is mandated to provide health education to address the health care information gap.
As determined by the Corporation and from Republic Act 7875, section 10 – the following will be
provided: inpatient care with inpatient education packages and outpatient care with personal
preventive services. Furthermore, the Implementing Rules and Regulations calls for health
education packages. These may be provided by community-based health care organizations,
physicians and midwives, etc. A study carried out by PhilHealth in 2006 among its sponsored
members (Figure 2-4) found that the major reasons for non-use of health centres were lack of
health care information and inadequate service provision.

3. FINANCING

3.3 Sources of Revenue and Financial Flows

4. PHYSICAL AND HUMAN RESOURCES

A. PHYSICAL

- infrastructures

All hospitals have basic clinical, administrative, ancillary and nursing services. Variations in these services
depend on the level of the hospital. Level 1 hospitals provide emergency care and treatment, general
administrative and ancillary services, primary care for prevalent diseases in the area, and clinical services
such as general medicine, paediatrics, obstetrics and non-surgical gynaecology and minor surgery. Level
2 hospitals are non-departmentalized and cater to patients who require intermediate, moderate and
partial supervised care by nurses for 24 hours or longer. These hospitals provide the same services as
Level 1 hospitals, but with the addition of surgery and anesthesia, pharmacy, first level radiology and
secondary clinical laboratory. Level 3 hospitals are organized into clinical departments and offer
intensive care, clinical services in primary care and specialty clinical care. As teaching and training
hospitals, Level 4 hospitals render clinical care and management as well as specialized and sub-
specialized forms of treatment, surgical procedures and intensive care, and are required to have at least
one accredited residency training programme for physicians

-hospital beds

- hospital performance

- medical equipment, devices and aids

b. human resource

- trends in health care personnel

- health worker density

5. PROVISION OF SERVICES

- referral system

- primary care service

-
ASSESSMENT

CONCLUSIONS

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