Up to 1997, 41 provinces (67%) implemented the vertical administration of the health network. 18 provinces (33%) implemented the local administration of the health network. The ASEAN members have implemented the vertical administration of the health network. The experiences and fact have shown that the method of the vertical administration found effectively and actively. It allowed exploiting the potential of all resources and developing the efficacy of health activity in the past and current period.
Community Networks ; Organization and Administration

In this paper strategic planning is applied for effective management to improve hospital income. Though community hospital has been set up for improving the health status of community, it must be trying to increase income for continuing with referral hospital in the community. The most useful tool of management to do this purpose is thought of strategic planning. Therefore this paper developed strategic planning a typical community hospital, which for it presenting the strategic planning process and developing the simulation model for evaluation of strategic alternatives. In the result it is represented that admission rate is the most sensitive to hospital operating income among the important variables in the model. And simulation by changing the parameter could estimate the yearly hospital income in the response of alternatives. This strategic planning simulation model has had constraints as number of date but also significant such as evaluating the alternatives by quantitative model and at first applying the hospital in our country.
Hospitals, Community* ; Referral and Consultation

No abstract available.
Hospitals, Community* ; Humans

Social changes known to be prevalent in the world today, especially those identified in developing countries also prevail in the Philippines. These social transformations have had an impact on individuals and communities. What has become clear is that the political and social forces that have generated such changes have contributed significantly to an increase in the world-wide incidence of psychosocial and mental health problems.
PSYCHIATRY ; COMMUNITY PSYCHIATRY

The aim of this presentation is to share with the thoughts and insights learned as the program responds to the needs of the community as well as to gather reactions, comments, suggestions, and recommendations for a more effective, and efficient approach in the development of community based psychiatric programs as wells as to identify points of entry for PPA and its members.
COMMUNITY MENTAL HEALTH SERVICES

This article discuss and answers the two questions which have relevance to the Philippine situation - first, the ethics of difficult life-- and- death decisions, and secondly, new and neglected aspects of the moral responsibility of Filipino doctors for the '80's.
BIOETHICS ; COMMUNITY HEALTH WORKERS

Human Development ; Food ; Community

Prevalence aspects ; Sarawak ; Community

MALAYSIAN ; Pneumonia ; Community

Objectives: Community health workers (CHWs) fill in the insufficiency of health professionals in low-income countries. The CHWs’ roles include health education of their constituents whose health they likewise take care. This study aimed to describe the concept and understanding of diabetes among CHWs in the Philippines. Methods: Fifty female CHWs currently working in rural and urban areas participated in six focus group discussions with guidance from Kleinman’s eight questions. With the written informed consent of the participants, discussions were recorded and transcribed by the Research Assistant. A multi-disciplinary team manually analyzed the data. Disagreements were discussed among them and the physicians provided clinical analyses and explanations on the results. Quotations of an important point of view were also presented. Pseudonyms were utilized to uphold anonymity. Results: CHWs were aged 32 to 72 years; older participants reside in rural areas. Majority were married, housekeepers, and high school graduates. Some CHWs and their family were suffering from diabetes or dyabetis, the disease of the rich according to them. Its causes were food and lifestyle, and believed to be hereditary. Complications lead to death. Amputation was feared the most. Diabetes is incurable. Persons with diabetes should take maintenance medicines, and seek physicians’ and family’s help. Together with the patient, the family must decide on its management. Balanced diet, healthy lifestyle, maintenance medicines, food supplements, and herbal plants were perceived treatments. The internist should lower blood sugar level as well as prolong life span. Proper diet and regular check-up prevent diabetes. Conclusions CHWs’ concept and understanding of diabetes reflect some of the biomedical causes, effects, treatment, and prevention of diabetes as well as its social determinants. The efficacy and safety of herbal plants in the treatment of diabetes, however, should be further studied. Training on diabetes care should be provided to address their fears of amputation, insulin injection, and complications.
Community Health Workers ; Philippines