Health Promotion Bureau PIR (November 5, 2024)
PuroKalusugan
“An Approach to Improving the Healthcare Service Delivery
Directly to the Underserved and Unserved Filipinos”
Bureau of Local Health Systems Development (BLHSD)
Universal Health Care - Policy and Strategy Cluster
Department of Health - Philippines doh.gov.ph
1
BACKGROUND
Republic of the Philippines
Department of Health 2
/doh.gov.ph
Objective
Outlines the guiding principles and strategic
approaches necessary for the effective operationalization of
PuroKalusugan, with the primary aim of enhancing
healthcare service delivery at the Purok level.
Republic of the Philippines
Department of Health 3
/doh.gov.ph
PuroKalusugan: Improving the delivery of
healthcare services directly to the underserved
and unserved Filipinos
11,807,854
population
7,063
Barangays
“Translating health interventions, from
health promotion to disease prevention 48,217 Puroks
measures, into grassroots actions”
Republic of the Philippines
Department of Health 4
/doh.gov.ph
Key Principles of PuroKalusugan
Convenient Access Continuous and Comprehensive and Coordinated and
People-centred
Empowering Responsive Engaging
Establishing Engaging DOH, LGUs, and Systematic and
Forming continuous Providing a wide
strategic entry and trusted range of healthcare other health champions for humanistic approach
points; improving relationships; direct delivery of services; to health service
services; ensuring a
access through ensuring sustainable implementing efficient delivery; emphasizing
responsive and
direct delivery of healthcare practices patient navigation, referral community
equitable service
services process, and resource participation and
delivery
sharing social mobilization
Republic of the Philippines
Department of Health 5
/doh.gov.ph
Proposed Strategies for PuroKalusugan
A. Service Delivery
B. Health Workforce
C. Health Information System
D. Access to Essential Medicines, Commodities, and
Equipment
E. Financing
F. Leadership and Governance
Republic of the Philippines
Department of Health 6
/doh.gov.ph
A. Service Delivery
a. Targeted Interventions: Focused on the unique healthcare
needs of identified priority puroks
b. Resource Assessment and Gap Analysis: Comprehensive
assessment, profiling, and mapping of resources
c. Structured Healthcare Services: Provide strategic and
structured healthcare services
d. Patient Registration: First patient encounters and
registration to a primary care provider
Republic of the Philippines
Department of Health 7
/doh.gov.ph
8 Priority Health Outcomes
Republic of the Philippines
Department of Health 8
/doh.gov.ph
B. Health Workforce
a. Mobilization of HCW: Close coordination between
DOH-deployed and LGU-hired HRH. Leverage roles of BHWS,
BNS, VBSI
b. Deployment of Potential HCWs to the puroks: Specific
cadres will depend on the identified needs and strategies to
be implemented
c. Capacity building: Service provision, health promotion,
health education, and other services. Specially for BHWs,
BNS, BSI
d. Collaborative Opportunities: Explore partnerships for
tapping students/professionals for community immersion
Republic of the Philippines
Department of Health 9
/doh.gov.ph
C. Health Information System
a. Toolkit Adaptation: Provision and monitoring of direct healthcare
service
b. Capacity Building: Strengthen existing information systems and
enhance data analysis skills at the local level
c. PuroKalusugan Dashboard (PK Dash): Monitor and evaluate the
performance and impact of PuroKalusugan. Allowing access and
input for implementers and visualization of PuroKalusugan’s
contributions to the 8 Priority Health Outcomes.
d. Data Digitalization: For tracking, data collection and analysis
e. Digital Health Integration: Maximize tecnological advancements
Republic of the Philippines
Department of Health 10
/doh.gov.ph
D. Availability of, and Access to Essential
Medicines, Commodities, and Equipment
a. Availability of commodities for the services needed in the 8
Priority Health Outcomes
b. Supply Chain Management: Accurate monitoring and efficient
feedback mechanisms
c. No Stock-Out Policy: Ensure continuous provision and
availability of essential medicines, commodities, and
equipment
d. Health promotion: Provide educational materials such as
posters, health teaching aids, and other resources
Republic of the Philippines
Department of Health 11
/doh.gov.ph
E. Financing
a. Fund Review Allocation: Review budget allocations, identify
potential areas for reallocation
b. Partnerships and Collaboration: Private sectors, development
partners, and/or civil society organizations
c. Maximize Patient Benefits: e.g. Konsulta packages
d. Cost projection: Close coordination between CHDs and LGUs to
identify financial needs and implementation costs for potential
funding from the LGUs, Central Office and other investments on
health.
Republic of the Philippines
Department of Health 12
/doh.gov.ph
F. Leadership and Governance
a. Creation of Purokalusugan Steering Committee and Technical
Secretariat: To provide overall leadership, implementation and policy
direction.
b. Mobilization of PDOHOs and DOH Reps: Supervise implementation
and provide technical assistance and facilitate Health Initiative
Coordination
c. Community Leadership and Engagement: Engaging formal and
informal leaders as Health Champions
d. Local Health Governance: Strengthening existing local governance
and/or providing support for establishment
Republic of the Philippines
Department of Health 13
/doh.gov.ph
PuroKalusugan Updates
1. Target: At least 3 barangays per municipality
a. Priority areas: Poor health outcomes, low health service
coverage, high disease burden, higher number of households
2. PuroKalusugan Health Teams (PHT)
a. Permanent members (BHWs, NHWSS HRH, RHU
nurse/midwife)
b. Potential additional members (BNS, VBSI, BHERTS, etc.)
3. PuroKalusugan Activities
a. Purok visit twice (2x) a week
Republic of the Philippines
Department of Health 14
/doh.gov.ph
For additional clarification, please contact the BLHSD Equity in Health via email at
healthequity@doh.gov.ph, by phone at 8651-7800, local 1308/09, or thru the BLHSD FB
page https://www.facebook.com/profile.php?id=61563111270310&mibextid=LQQJ4d
Maraming salamat po!
Republic of the Philippines
Department of Health 15
/doh.gov.ph
