PART I: HEALTH CARE DELIVERY SYSTEM

Before discussing the significance and importance of CBR, it is crucial to know the primary foundation, the
health care delivery system. If you just remember your health care subject, you’ve already discussed the health
care system and its contextual differences. Synonymously, the health care system and CBR program are not too
different things. One has to work appropriately to make the other becomes effective and efficient towards its target
stakeholders.

But what do we mean when we say health care delivery system? What is it for? If you ask your friend, brother, sister, or
neighbor, most of them might answer this way, “It is providing health to every individual,” or maybe others will tell you, “It is
more of getting appropriate health services from the government.” Well, at some point, they are correct.
But if I ask you the same questions, how will you answer them base on your fundamental ideas?

I provide you a table below where you can place your answers. Using the text box, I want you to answer these questions:
1. What is a health care delivery system?
2. How it works in the community?

Don’t worry, my friend. This is not a challenging question for you. The purpose of this is just for me to
see where to start this presentation. So, are you ready? Just take your time. No pressure. Good Luck!

Activity #: 1-1 Defining Health Care Delivery System

Question: Answer (1-2 sentences)
What is the Health Health care delivery system is an approach that addresses the basic health needs of every
care delivery system? individual living in the community. Different sectors will help hand in hand in order to
promote and protect the health of every people through different programs and services.

How does it work in The focus of this system is to promote, prevent and preserve the health of every individual
the community? through different levels of clienteles. It works in the community through their organized
plan of health services and certain strategies on delivering health care to the people.

Well done! Looks easy to you, Thomas! Well, it’s just the beginning of
everything. For additional notes, I want you to read the text below and just keep
going.

Primarily, the concept of Community-based Rehabilitation (CBR) is the same as how you adopt and implement the healthcare
delivery system's principles. Nevertheless, if we look at them differently, you'll appreciate that these two strategies work simultaneously
and can have common goals for the community. Few things that make them different are the target population. Community health
development deals with the health of each member of the community no matter what kind of group of people they belong to or perhaps
looking at the health status of the community as a whole in general. On the other hand, the CBR program is designed to cater to the
need for a specialized group of people in the community, People with disabilities, including their families. Remember that the basic
premise of both health care and CBR is illness prevention and health promotion.
But anyway, you'll find in the middle part of this comprehensive training module the other unique characteristics of each
program that we are talking about. In the meantime, let's just focus on the health care system.

Community Health Centers

Nowadays, it is essential in the community to have facilities that can accommodate several people seeking medical attention,
whether for health maintenance or seeking medical treatment. In the local community, the health center should be well-represented as
the health facility where an individual can acquire immediate medical attention. However, for some reason, not all village and
municipality have their health facility that can accommodate the influx of people that are seeking medical attention, whether it is simple
or complex health cases. For some instance, even in the presence of health care structures and facilities, its capacity to handle such
cases remain an issue due to lack of sufficient medical equipment and materials, workforce issue or inappropriate allocation of
resources that might be helpful to address or at least lessen the effect of illness or disease among individual will medical issue.

The purpose of this topic is for you to understand and realize the importance of the presence of health care centers or facilities
in the local community. This will be just simple information that most of us often forget.

For your next activity, I want you to grab your references textbook and try to answer the table below. A short video clip
is attached to the PowerPoint presentation will help you a lot in answering this activity. So, are you ready for this one?
If you do, then let’s go!!!

Activity #: 1-2 Community Health Centers (1-2 sentences for each question)
What is the purpose of Community Health Centers (CHC)?

Community health centers are the non profit health facilities that are accessible to every individual and their purpose is to
promote excellence, collaboration and wellness of the people in the community. These health centers will be the first place
an individual shall visit and seek for help when it comes to their health concerns and needs before they even go to other
levels of health care facilities.

What is the purpose of Community Health Centers (CHC)?

Community health centers are the non profit health facilities that are accessible to every individual and their purpose is to
promote excellence, collaboration and wellness of the people in the community. These health centers will be the first place
an individual shall visit and seek for help when it comes to their health concerns and needs before they even go to other
levels of health care facilities.
 Sound easy for you, Thomas! Because of that, I will give you five claps!!!

So, are you ready to jump to the next topic? If you do, then let’s
go!!!

POINTS TO REMEMBER!!!
Always remember the importance of CHC in every community. Why? Simply because in the CBR program
concept, its implementation will rely on how well-established the health care center is. Sound confusing to
you, ha?

Let’s put it this way!

Better the CHC will only reflect that they have a better health care delivery system. And if they
do, I’m sure that no one will find it hard to implement and adopt the CBR program concept. Get it?
You’ll find more along the way.

Level of Clientele and the Community

At this point, I’m sure that you already know the importance of CHC and the health care delivery system. Now, let’s talk
about and discuss the different levels of the clientele of health care. The importance of this topic is to figure out who can benefit from
CHC services and how it will affect the delivery of medical services to all people who need them.

For your next activities, the table below will show you the different levels of clientele. I know it is something new for you, but I will tell you
this, “After you had learned the different level clientele, you will able to find out the beneficiaries of the CBR program.
 Activity #: 1-3 Level of Clients
Identify the four (4) level of clients
Answer only those blank boxes
*Kindly refer to the PowerPoint, Chapter 1
Level of
Individual Family Population Group Community
Client

A system that have different Different groups in The general group of people
residing in one particular
Definition:

which an individual
A person who has the decision to health tasks that focuses on geographical area with different
determine the best healthcare their family as a client for belong and in the CBR, norms, ethics and cultures but
approach to maintain wellness and health development of each these may be weak in share the same and common
illness-free member. the community and may healthcare services provided
have different needs by the health authorities
according to their
population group.
As client As patient As client As system Vulnerable Groups Community as Client

It is the focus of health

They can be Able to services offered the by
considered as a determine the the health care delivery
They are the system that most efficient
They can be individuals way to system as it directly
maintain a influences the health of
considered who suffer address the
sick or well home negative individuals, families, &
from any kind environment
people in factors that populations who are part
which they of illness that and prevent the Composed of PWD, senior
are expected are dependent good health of citizens, women and children.
of it
relationship
to assume on health with each member
his/her in professionals of the family.
maintaining community Looking at the
good health.
for decision and its health health
making and institution. wellness of
health care. the entire
family as a
whole

Focus group for Dimensions of the

Five dimensions of man Health tasks of the family
CBR community as clients
implementation

1. Size
2. Livelihood
3. Education
4. Linkages
1. Emotion
Able to provide the best health People with disabilities 5. Participation
2. Intellectual intervention and health
3. Spiritual development at all costs. The
4. Social family can maintain good
5. Physical relationships with the community
they belong to.
 Why do you need to know about this topic?

As simple as this! In the CBR program, we advocate, and we implement! And because we implement, we focus on addressing
some issues and concerns that are relevant to the welfare of the identified specialized population in the community and
PEOPLE WITH DISABILITIES.

I hope you get my point!!!

Finally, you’re done to the level of clientele. I commended you for your
perseverance and diligence to answer this table. Well, I think this topic was not
thoroughly discussed in your health care subject. Still, you’ll appreciate this with
this subject, for it may eventually affect your CBR program implementation at the
later part of this program.

Wait, have you notice, we always keep on mentioning “community” from time to time.
But what do we mean when we say community? How do we define community in the context of health and CBR? Who do we consider
as part of the community? How does the community affect our lives and vice versa?

We can define community in different ways depending on our view of point. By definition, a community is “A group of
people living in a particular area or place.” Community is not limited to just talking about the particular group with the same
norms, religious beliefs, races, cultures, etc. Community is more than the geographical structure with boundaries where everyone lives
or even more than its topographical identity. Basically, the community can be defined depending on what you want to know about it.
We can define community in the context of health, its political involvement and perspective, community and its people, or perhaps,
describe it in the context of socio-economical domains. But again, what we are trying to extract as of this moment is how we can
correlate the definition of community in the context of health and eventually its implication to the principles of the CBR Program.

Wow, it seems like you can now define community in general view. Listening to the lecture-discussion will give more information
and insights about what we are tackling right now.

I have a challenge for you!

Can you correlate community and health? How about the community as a client of health?
Please use the table below and try to figure out where these two terms meet.
So, if you’re ready, grab your blue pen and answer the table with all your heart. You can use any trusted reference
if you wish to. Good luck!
-Alyssa
 Activity #: 1-4 Community and health
Define and correlate community and health (1-2 sentence only)

In the context of health, community is a group of individuals that share same or common
characteristics such as geography, interests, experiences, concerns, or values. The clients of one
Define community in
community will always be as a whole and not within each individual nor age or gender.
the context of health

Based on the lecture, there are different levels of client but all in all, these different levels all belong
Why the community to the community which makes it a client of health. In every community a health care services are
becomes a client of offered; the community would always be the first and last level of recipients as all individuals shall
health receive these services.

What is the Socioeconomic status of the individuals in a certain community would always be related and linked
implication of a poor to the health system and health problems of the people in the community. poor population health is
health system on
associated with lower savings rates, lower rates of return on capital, and the like; all of these factors
the socio-economic
status of the can and do contribute to reductions in economic growth (Ruger et al., 2006).
community?

Using an illustration,
how does a
community form?
(draw/cut-outs)

The hierarchy of needs made by Maslow is the main cause of having or the way a community is
organized and functions as these needs shall be attained according to its importance and level. This
Explain the Maslow’s Needs is the basis of the services and programs rendered by the community to their
correlation of
individuals and clients.
Maslow’s Needs to
Community needs
Now, tell me, would you able to answer all those questions from above? If you do, then congrats!

If yes, then you may proceed to the next sub-topic. But, again, if you feel that you’re not confident
enough to expand the definition of Community, then I require you to go back from the top, grab your
reference textbook again and develop your knowledge about this concept.

Remember, you cannot move on to the succeeding topics if you aren’t able to master this one, the
definition of Community.

You have 10 seconds to ask

yourself… 10, 9, 8, 7, 6, 5, 4, 3,
2….1!
Please check which one is applicable:
YES! I WANT TO PROCEED NOW:
NO! I NEED TO GO BACK FROM THE TOP:
-ALYSSA

The Health Care Delivery System

At this point, I am confident that you already have the basic idea about the desire and intention of health care delivery systems
towards people. Now that you know what the health care delivery system is all about let's see how a person should receive and
acquires medical services through the health care delivery system and how it can benefit the entire community.
Many techniques and strategies can be used to ensure the orderly and proper delivery of each individual's health care
services. However, some factors have to be considered before saying that the health care system is effectively delivered to all
stakeholders. For example, Person 1 will need to see a specialist to assess and determine his cough cause. Unfortunately, person one
lives in a remote area where he always finds it hard to reach the nearest community health center. On the other side, person two also
experiences the same problems as person one and seeks medical services, particularly treatment procedures. But the difference
between them is person two live in a wealthy village where he can quickly get medical attention because of the proximity to the nearest
community health center. If we use the health care delivery system's principles, who do you think between these two persons has the
point of disadvantage in acquiring medical services and treatment? Which of them will eventually be cured? And who would not be?
Probably you will think it's the person two has much likely be on the positive side. Why? Because of the proximity of the health care
facilities and perhaps, he lives in urban cities. There are good and decent medical facilities where he can find a medical specialist to
treat his illness. Unlike the person one, it requires him to put extra effort into resolving his medical problems. Although these two
individuals live in different states in life, their medical issues can be resolved differently. Both scenarios about how competent and well-
organize the health care delivery system in their respective places.
 Health care system! Maybe for some of you, this is not something new. The word itself implies a systematic way to deliver
holistically and organize health care services to each and everyone in society.

For your next activity, I would like to see how well you know the health care system. Try not to complicate everything. I want a
practical and straightforward definition of it base on your knowledge.

Remember, this will be my basis for me to continue this discussion. Health care systems serve as the necessary foundation of
everything that has been related to health and CBR.

If you’re ready, you may start. Again, this is not a competition. You don’t need to rush. Take your time. Use your own
opinion, then correlate it with what you had learned from the lecture presentation during class discussion. Okay? You may start
now!
-Alyssa

Activity: 1-5 Health Care System

Define the Health care system in two ways. From your own words and from your trusted sources. (1-2 sentences per question)

In my own opinion, health care system are different ways on how to offer services for the people that
will help them achieve a good quality of life and a healthy way of living their life in all aspects. It
Your own
focuses on the needs of every individual in the community and through development and technologies,
definition
little by little, different strategies and programs are then being made to cater the health of all people in
the community.

Based on the lecture and as I searched for the definition of health care, it is defined as a multi-sectoral
approach that consists of all organizations, people and services that addresses the basic health needs of
Definition as every individual and its purpose has been further expanded as it includes the promotion and prevention
stated in your of health problems as well as the preservation of health of an individual at any cost.
lecture

Several methods can be used to understand the correct meaning of the health care system. But what is more important for
now is that you had a better understanding of how it works to meet the demand in health services of each individual and the community
in general. Soon, as we go along the way in this comprehensive handout, you get more detail and in-depth knowledge about the
importance of the system in health care delivery. In the meantime, let’s finish the first part of this chapter.

Yeah!!! You’re done with the first part of this chapter. The succeeding features will be exciting and
more enjoyable. Now, I want you to stay focus and just continue what you’re doing.

PART II: THE PHILIPPINE HEALTH CARE SYSTEM

They said, “We are responsible for our wellness.” It’s true! In our country, many laws have been created to ensure
fair and appropriate measures to promote equal opportunities in receiving medical services. But on the other side, despite all of those
laws and legislation, there are still people from the community who haven’t experienced these decent medical services offered by
the government.
One possible reason is the inadequate programs and policies that strongly implement that help the health authorities at the local
communities ensure positive health status among all community members.
Now, let’s talk about the common health-related laws and legislation that are primarily designed for appropriate, fair, and
suitable health services for all Filipino citizens. Don’t worry, and I will not ask you to describe or explain all listed laws in the table
below. This will be a piece of giveaway information, and all you have to do is read and be familiarized with all common health law.
Please grab your laptop, and you may use the internet for more detail of each health law listed on the table.

Year Act
1954 RA. No. 1082 “Rural Health Act”
1957 RA. No. 1934 “Contributions for the maintenance of Hospital Beds.”
1959 R. A No. 2382 “Medical Act”
1979 Adoption of Primary Health Care (PHC.)
1982 Executive Order 851 “Recognizing the Ministry of Health, Integrating the Components of Health Care Delivery into its Field
Operations, and for Other Purposes”
1988 RA. No. 6675 “Generic Act”
1991 RA. No. 7160 “Local Government Code”
1995 RA. No. 7875 “National Health Insurance Act”
1997 RA. No. 8344 “An Act Prohibiting the Demand of Deposits or Advance Payments for the Confinement of Treatment of
Patients in Hospitals and Medical Clinics in Certain Cases”
1999 RA. No. 7305 “Magna Carta for Public Health Workers”
2004 National Health Insurance Act of 1995 amended to Republic Act No. 9241
2008 1988 Generic Act – Amended to Republic Act No. 9502 “Cheaper and Quality Medicines Act”
2010 RA. No. 7432 “Senior Citizens Act” – Amended to Republic Act No. 9994 “Expanded Senior Citizens Act”
*NOTE: Those with yellow highlights are the most important and common. Please remember that!

For the next activity, I was hoping you could familiarize yourself with the health government agencies responsible for
ensuring quality health care delivery among all Filipino citizens. These government agencies and/or departments are so vital
that they have to work collaboratively and effectively.

So, are you ready? Internet may help you to answer this activity. Let’s get it on!!!

Activity #: 1-6 Philippine Health Care System: Organization Part 1

Who is in charge of ensuring that every Filipino citizen receives proper and appropriate medical attention from our government?
Can be Simple
categorized as: definition/descriptions
LGU Local Government Unit
NGO Non-organizational Organization
Overall in-charge Simple definition/descriptions of DOH
(National Level) Who’s the current secretary of this government health agency?
DOH
Looks easier for you to answer this activity. Good for you! It only means
you’re ready to move on to the next topic.

Now that you know the highest government agency that manages and oversees all health-related program and issues of every
Filipino at the national level, let us now find out who's responsible for the health at the local level and how does it work. In this part, you
will identify a dedicated group or organization that recognizes and determines people's medical needs.

In the table below, Activity 1-7 will allow you to see the authority line that ensures that all health care movements and services
can reach down to the community level. By just listening to the lecture and with the help of your reference textbook, you will able to
answer this activity.

Activity #: 1-7 Philippine Health Care System: Organization Part 2

Schematic flow on how health care delivers from the national level down to the community level. Fill up the corresponding box on the right column
and use the left column as your choice.
Choices:
National Level Local Gov’t Unit Private Sector
Health Human Resource Dev't
Bureau
Health Emergency Management DOH Provincial Hospital Health Care Facilities
staff Health Care Facilities

Health Policy Dev’t and

Planning Bureau
Provincial Hospital Office of the Secretary City Hospitals Health Care Providers
Rural Health Units
Health Human Resource
Health Care Facilities Dev't Bureau
Municipal/City Hospital Health Care Facilities
Rural Health Units Pharmacies
Pharmacies Phil. Health Insurance Health Care Facilities Health Care Facilities

Health Care Providers Health Care Facilities

Phil. Health Insurance Health Emergency Management

staff Brgy. Health Stations
Corporation Health Care Facilities Health Care Facilities Patient
Barangay Health Stations Dangerous Drug Board

Dangerous Drug Board

Phil Institute of Traditional and Health Emergency
Alternative Health Care Management staff
External Affairs Phil Institute of
Health Regulation Traditional and
Alternative Health
Health Operation
Care
Health Care Facilities

External Affairs Health Regulation Health Operations

Health Care Facilities Health Care Facilities Health Care Facilities

If you just notice, many organizations and/or agencies are responsible for ensuring that every Filipino citizen receives medical and health care services.
However, the Department of Health (DOH) is the key government agency that works hand-in-hand with different stakeholders of health and non-health-related
agencies to achieve its stated Health vision, mission, and goal.
But how does the DOH function? Let’s all find out by answering the table below. For your next activity, you will be
enlightened by how the DOH can achieve its goal and vision for Filipino citizens. You will be surprised to know that these functions are
just simple and realistic.
Now, I want you to grab your references textbook again, the Internet may do, but you have to be more specific with your answer.
If you’re ready, then you may start! Just take your time. No need to rush everything.

Activity #: 1-8 Philippine Health Care System: Department of Health (DOH)

Synthesizing the work of DOH: Answer the following questions.
1. Health Promotion
2. Health Protection
4 Primary Function of
DOH 3. Health Preservation and Restoration
4. Regulation / Encourage
Formulated by the DOH.
DOH National Health Long term health plan from 1995-2020
Plan Has the strategies for the effective health care system
Definition:
Republic Act No. 7160:
Also known as the Local Government Code was enacted into law, transferring control and
responsibility of delivering basic services to the hands of local government units (LGU).
Largest Hospital in the Philippines: National Center for Mental Health (4,200 bed capacity)
TriviA The former name of DOH Bureau of Health
First and current DOH Secretary Jose Fabella

Wow, that table above will tell you all the necessary information pertaining to the primary
purpose of the DOH. With that, I will give you five claps.

Just make sure that you did not just copy all your answers from the textbook, but instead, you
should understand how this agency works people’s health.
Remember, they do not just exist because it’s only required and mandated by the law, but
because they wanted to ensure that no Filipino citizens are suffering from unequal and injustice
medical treatment and intervention and that everyone in this country is empowered in terms of
maintaining good health
-Alyssa

This time, plenty of information is now circulating in your head regarding the purpose of the DOH. Before, we simply know
them as the government agency responsible for delivering health services in our country. Yes, it may be right, and if it is, that is
something suitable for all of us. But in addition to this, DOH systematically works with other government agencies to give the most
appropriate and applicable health care system. E.g., concerning PWD, the DOH should work closely with the National Council for
Disability Affairs (NCDA), Department of Social Welfare Development (DSWD), and Local Government Units (LGUs). DOH also works
with the Department of Science and Technology (DOST) to provide advancement and innovative medical technologies, equipment and
modalities and so on. So, it means that this agency is not working alone. Failure to collaborate with the different agencies will suffer the
system in which the people mostly be affected.
How are you, Thomas?

What things should you know by this time before we proceed to the last part (Part III) of this Chapter?
• DOH is the only government agency that is in charge of the health care delivery system for all Filipino
citizens
• Everything you need to know about the DOH, its function, and its millennial plan
• Republic Act No. 7160
• The line of authority in health care services from the national level down to the local level.
If you’re ok with these things, then I will give full authority to proceed with the last part of this Chapter.

-Alyssa

PART III: LEVEL OF HEALTH CARE FACILITIES

This is just a preview for you about the three levels of facilities. I‘m pretty sure that you have what it takes to enumerate
these three levels of health care facilitates and differentiate them from one another. So, the table below will allow you to review these
three levels and use them as your quick references.

If you’re ready, then I think 10 minutes is just right for you to accomplish this table?
Activity #: 1-9 Level of Health Care Facilities: What else you know about them?
Level of Health
Care Facilities Primary Secondary Tertiary
categories
Barangay/municipal level District/Provincial Level National Level
Level of services

Focus on prevention and promotion Non-departmentalized clients who seriously threaten their
Service offered health
Community and health care facilities symptomatic stage of the disease

Requires basic knowledge and skills Moderate specialization High technical and specialized
Requirement knowledge and facilities.

Others:

Choices:
 Barangay/municipal level  Departmentalized
 National level  clients who seriously threaten their health
 District/provincial level  High technical and specialized knowledge and facilities
 Community and health care facilities  basic knowledge and skills
 Focus on prevention and promotion  Moderate specialization
 Non-departmentalized  symptomatic stage of the disease
 It is required for you to understand the differences between these three levels of healthcare facilities.
However, we are trying to focus on the concept of Primary health care (PHC). Later on, in the discussion, you will
find out the relevance of PHC to the concept of CBR.

Primary Health Care (PHC.)

Going further to the most in-depth detail about this chapter, I would say that this is essential. Yes, you heard it right! The
reason why I wanted you to understand the concept of PHC better because the strategies used in implementing PHC at the community
level are almost the same as how do Community-based Rehabilitation (CBR) is being implemented at the community level. Again, as I
mentioned in the early part of this chapter, it only varies on its target population. In PHC, it targets all individual in the community,
Gender, age, socio-economic status, etc., all of them are essential in the implementation of PHC. In other words, every person in the
community has a vital role in implementing and adapting PHC. All aspects are involved and make sure that they contribute to the
development of health programs at this level. As mentioned above, the primary focus of PHC always stars from the promotion of health
and wellness and prevention of illness if just you notice, PHC focus on the health component alone.

Whereas, in CBR, we only focus on the identified specialized population: People with Disabilities (P.W.D.), including their
families. But wait, don’t get me wrong. That does not mean that other people in the community, a person without disabilities, will
have no contribution to CBR implementation. It’s just that PWD are the main target of the CBR program. It is also essential to
empower the whole community to have an inclusive and accommodating environment for all PWD and their families. Soon, as we go
through the succeeding chapters of this comprehensive worksheet and module, you’ll get to know better about the concept of
CBR and how it works towards PWD and as well as to the community in general.

Going back to PHC, the table below will allow you to see the different PHC implementation concepts. I want you to grab your reference
textbooks together with your lecture materials and try to complete the activity provided below. This activity will allow you to explore the
basic concept, idea, and information about what PHC is all about.

Are you ready? I’m sorry for making it somewhat long, but it will help you a lot. Let’s begin.

Thomas, I will not ask you any more details about the similarities and differences between PCH and CBR. What is important for now
is for you to deeply understand the principles beyond the concept of applying and implementing PHC. Just master the table from
above, and it will guide throughout this process of implementation of CBR.
-Alyssa

Activity: 1-10 Level of Health Care Facilities: The Primary Health Care

Detailing the Primary Health Care System

1977 W.H.A. passed resolution # 30.43 stating: “Health-for-all-movement”
Important Milestone 1978
in PHC.
(State what was Conference in Russia emphasized that PHC is the key to attaining the Health for all goal
happened on the
1979 WHA launched “GLOBAL STRATEGY FOR HEALTH-FOR-ALL.”
given years and
dates) October President Marcos issued LOI No. 849 which mandated adoption of Primary Health Care
10, 1979
 1981 Strategy adopted by the 34th WHA

At present The Health for All Movement is applied to all nations now.
1. Health in the hands of people by 2020
Goal of Philippine 2. Health for all Filipinos by 2000
PHC. 3. Self-reliance
1. Health and Development are interrelated

General Principles of 2. Health services must be accessible

PHC.
3. Genuine people participation

E- Education for Health

L- Locally Endemic Disease Order

E- Expanded Programs

M- Maternal/Child Health
Elements of PHC
E- Essential drugs
N- Nutrition

T- Treatment of Communicable Diseases

S- Safe water and Sanitation

Point of Reflection:
For the second to the last activities for this chapter, allow me to show you these two illustrations below. This will help you to
see how a practical health care delivery system should be. At the end of this activity, you will see the current health care delivery
system we have nowadays. Please refer to the table below. I’m trying to simplify everything for better understanding. This topic has
been discussed already in the online lecture discussion. So, I’m expecting you not to have a difficult time answering this
activity. So good luck, and you may start now!

Activity #: 1-11 Health Care Delivery System: A Simple Analysis

Illustration 1: Illustration 2:
 Description:
Imagine that the health care delivery system is like a river with strong water flowing down the stream. At the other side of the river, a small bridge
that is already not in good condition made from scrap wood in which people in the village used to cross every time they want to go to the other
side of the town. The bridge is quite old, and obviously, no one from the city can fix or renovate it.
One day, a group of people trying to cross the river using this bridge. Suddenly, the bridge collapsed, and people fell and were washed
away by the water's strong current flowing on the river. People were saved as expected, and no one was severely hurt.
What is the connection of this illustration in the Health care delivery system?
Cues:
Bridge = Cause of health problem
People = Individual who are desiring to have a decent health care
River = The effect of health care problem
Rescuer = Health care delivery system

Answers: (Listen to the lecture to answer this Activity)

As clearly seen in the illustrations, the victims/people at harm were saved because of being ready, and I think that in the world of
health care system, it is related in a way because even if there are disabled or vulnerable enough to cause some problems, everyone
would be saved if the system is ready and accessible. Facing different problems everyday is normal for all of us and it is all in the
matter of being aware and ready to help and solve it. Just like in the illustration, the bridge may be a problem that is long overdue, the
people knew already that there is a problem but they did not do anything about it to prevent the greater problem and I think that is
sometimes the problem here in the Philippines, we tend not to look in the cause of the problem or we tend to disregard the main
problem even if we already know what may happen and it is because of the people who are sometimes taking advantage of the
health care delivery system that we have right now.

Even the wealthiest countries also have problems in managing their health care system. That is why they invest and allocate
too much budget to ensure the wellness of their local citizens. But, let’s not forget how our government works hard to
deliver the best possible health care services and address health concerns and issues that every individual is facing.

For your last Activity, I want you to see the current health care situation we have right now. Let’s all admit that we have a
problem in terms of the healthcare delivery system. I want you to reflect as a Physical Therapy student and future professional, how can
you contribute to address these concerns

Activity #: 1-12 Philippine Health care System: The Current Situation

A video clip film will show during your class session. The first video will allow you to see why some Filipino citizens don’t receive
appropriate and decent health care benefits that they badly need. However, the second video will give you some information that might be the
most practical way to address this problem.
Your task is to answer these two questions below.
Video 1: List down all the possible reasons why some people don’t receive proper health care base on the video.

 POVERTY
 HEALTH CARE INSUFFICIENCY
 INJUSTICE
 INSUFFICIENT EDUCATION