A cross-sectional household survey was conducted in February 2005. There were 1.359 households with 91 persons who get sick during last two weeks and 149 mothers who have children less than 5 year of age or have pregnant and 336 householder enrolled in survey. The results indicated that prevalence of diseases was 25.3% (equivalent to 6.7% of the population). Average illness frequency was 1.7times/person/year. Children group under 1 year of age had the highest health care needs (6.2 times/person/year), followed by the elderly group (2.7 times/person/year); children 1-5 years of age (2.5 times/person/year). The use rate of health services was 62.6%. Some factors found to be related to the use of health services were income, age and health care expenditure. Health care services in terms of the availability, convenience, human relations between users and providers should be strengthened in public health facilities. In addition, promote care activities, a proper referral system and strengthening of village health workers should be focused
Health Services ; Family

Background: The Philippine Health Agenda 2016-2022 seeks to uphold every Filipino’s right to health consistent with the International Alma ATA Declaration that health is a fundamental human right as well as the PAFP mission CARES. One of the objectives in the Expanded Senior Citizens Act of 2010 is to give full support for the improvement of the total wellbeing of the elderly. In accordance with this objective, the Act shall establish a program beneficial to the senior citizens, their families and the community they serve. This underscores the need to promote and provide wellness program among patients and their families. Several guidelines have been developed for Clinical Preventive Services by various organizations. Objective: The overall objective of this pathway is to improve the quality of health care of the Filipino family through health maintenance, promotive and preventive care. Methods: The PAFP Clinical Pathways Group reviewed published clinical practice guidelines and medical literature to identify, summarize, and operationalize the content of the following: history, physical examination, tools for comprehensive geriatric assessment, screening for risk factors, pharmacologic and non-pharmacologic interventions. Indicators or outcomes to develop an evidence-based clinical pathway in family medicine practice were identified. Recommendations: Recommendations were made based on the number of visits. During the first visit, all elderly patients consulting at the clinic for wellness should have a thorough history, physical examination and comprehensive geriatric assessment. In screening for risk factors, request for FBS, lipid profile, pap smear and fecal occult blood test. For immunization, the following maybe given: influenza, pneumococcal, Tdap and herpes zoster vaccines. Multivitamins, calcium and Vitamin D should be prescribed. Patients should be educated on appropriate diet and physical activities. Interventions to promote smoking cessation and moderate alcohol drinking should be done. Implementation Education, training and audit are recommended strategies to implement the clinical pathway.
Community Health Services ; Health Promotion ; Family Health

The Family Health and Rural Improvement Program (FHRIP) grew out of 25 years of research activity in Tari. Between 1995 and 2000 FHRIP assisted over 300 families in 20 communities in Tari to acquire a water supply, sanitation, nutritional gardens and small livestock, and provided health education. The program demonstrated that with appropriate assistance local people could improve their health and start small projects that promise real development in their communities. The extension of this experience is occurring under Community-Based Health Care in several highlands provinces. However, FHRIP had to overcome many internal and external obstacles, and more commitment from the public sector, together with long-term assistance from aid agencies, is required if such initiatives are to grow and flourish.
Health ; Family ; Family Health Company ; experience ; development aspects

This study attempts to assess the effect of the 1st class health insurance program to the income redistribution among the participants in a unit health insurance cooperative. One health insurance cooperative, located in Seoul, with 1558 members and 768 households was selected for this purpose. The relationships between amount of premium payed and benefits from the cooperative were compared. Necessary data were obtained from the bills submitted to the health insurance cooperative by the contracted medical institutions from 1st January 1977 to 30th June 1979. Households and individuals were the unit of the assessment. The indicators measuring income redistribution effect were the ratios between the benefit and expected benefit and the ratios between the mean benefit. The major finds were : 1. The ratios between the benefits and the expected benefits were lower than 1 in the high income group and greater than 1 in the middle and lower income group. This fact imply that the income redistribution effect was shown in the studied group. It was shown that the middle income group received the greatest benefit, and then the lower income group. 2. The ratios between the benefit and the mean benefit of the households in the higher standard income grade, were found to be higher. This means that the equity of the benefits of households were not achieved by the policy of the health insurance plan. 3. The health insurance utilization rates of the higher standard income group, measured by the household unit, were higher, and by the individual unit, the same rates of the middle income group were higher than other groups.
Family Characteristics ; Insurance, Health* ; Seoul

Background: Minh Lap is a mountainous commune of Dong Hy district, Thai Nguyen province with a high number of ethnic minorities. Social \u2013 economic conditions as well as heath care services are poor. Objective: To evaluate the results of implementation of the \u201cFamily doctor\u201d model in health care for people in this area. Subject and method: The study was carried out on people in Minh Lap commune, Dong Hy district of Thai Nguyen province from May 2007 to December 2007 and the researchers used the community intervention method. Result and conclusion:9.9% of households had their medical records completed and 54.05% of pregnant women giving birth in this year were set up with medical records and followed up. 60 cases of pregnant women were consulted with a total of 141 times, 11 cases with abnormal symptoms were diagnosed and treated in the following process. The rate of examination for women in the first week after delivery accounted for 61.26%. In this period of 8 months, the mean follow up time was 1.7 times and 2.9 times for children under 36 months and children under 12 months, respectively. The results demonstrated that the \u201cFamily doctor\u201d is a good way to improve primary health care for people.
Family doctor model ; health care

The research evaluated safety water pattern of 178 households in 3 provinces Lai Chau, Son La, Hoa Binh. 73.7% of them knew about safety water program in their local, 24% did not know about it (12.6% in Lai Chau, 1.1% in Son La). Main pattern investments were building common water containers (68.3%) and water pipe (15%). 6.7% of investments were reserved fro drilled wells and they mainly concentrated in Hoa Bình province. Safety water program was used by 80% of surveyed households. 42% subjects thought that water supply was sufficiency and 24.3% thought sometime it was insufficiency. Reasons that water of the program was not used included unavailable (46.4%), unnecessary (25%), and unaffordable. 93.2% of subjects thought that it was necessary to invest on safety water program
Water ; Public Health ; Family Characteristics

Family Health ; Humans ; Paraganglioma ; diagnosis

Background: Family physicians are at the forefront of the Universal Health Care (UHC) Act as primary care providers, and their attitudes and perceptions of the law can affect its implementation. These must be explored so that adequate organizational support can be provided to its members. Objective: This study describes the family physicians’ attitudes and perceptions towards UHC. It also determined if the attitudes and perceptions of family physicians are associated with the types of membership and their year of graduation from family medicine residency training. Methods: A cross-sectional study was conducted among active members of the Philippine Academy of Family Physicians (PAFP) during workshops held between January to February 2020. The PAFP UHC survey was employed to members who were purposively sampled during the workshops. The attitudes and perceptions of family physicians were summarized through frequencies and percentages, while the relationship of selected variables to physicians’ attitudes and perceptions were determined through a chi-square test. Results: A total of 195 family physicians from the three provinces and one city responded to the survey questionnaire. All (100%) participants reported a positive attitude toward their current practice, but this optimistic attitude slightly decreased to 85.4% regarding UHC. The perceptions of family physicians towards UHC practice are generally positive. Most have a realistic view on the comprehensiveness of service coverage (55.33%) and are agreeable to certification (84.62%) and accreditation by network (64.81%). Majority (82.17%) also have positive perception toward the future practice of family physicians. The year of graduation from training was found to be associated with their perception of the future practice of family physicians (p-value 0.048), and those with the older age group are more likely to report a negative perception. Conclusion PAFP members’ attitudes and perceptions towards UHC are mostly positive. Majority of respondents are positive about the inclusive PHIC membership, comprehensive service coverage, certification and accreditation, and the future of medical practice upon the implementation of UHC. The negative attitudes and perceptions of some members may be due to various factors related to the individual or to the processes of implementation and operationalization of the UHC law.
Universal Health Care ; Physicians, Family

Background: Primary care providers must evaluate their facilities and determine their capacity to comply with the requirements of the Universal Health Care (UHC) Act. Objective: This study describes the facility profiles of PAFP members in terms of the UHC requirements for licensing, certification and accreditation of health facilities. Methods: A cross-sectional study was conducted in four cities using the PAFP UHC Readiness survey. The study population included active members of PAFP who voluntarily answered the survey during workshops held between January to February 2020 Results: A total of 195 family physicians participated. Most of them work in hospital facilities (49.40%), while others have solo practice (27.38%), or are in group practice (20.24%). Most (69.61%) of the facilities have PHIC accreditation and SEC or DTI registration (74.47%). The availability of structures, equipment and pharmacies vary across the cities. Only half of the facilities have information technologies for clinical records (54.36%) or management (59.49%). Similarly, there are facilities which lack human resource personnel and only 54.10% of the facilities are networked with other facilities. The facilities’ revenues are mostly from fee-for-service (60%) and the cost of payments widely vary among the areas. Most of the facilities are managed financially by the owner and the income of the facility is the main source of capital for investment Conclusion Family physicians have existing structures and systems in their facilities but improvements on information technologies and networking are needed. They should also ensure affordability of care to patients while ensuring sustainability of facility operations
Universal Health Care ; Physicians, Family

The objectives of this study were to identify the determinants of the 1. Home visiting activities by FHWs, 2. Utilization of village Family Health Workers (FHWs) among housewives in, 3. Attitudes towards FHWs the Kang Wha Community, 4. Knowledge about FHW's activities among housewives in the KangWha Community Health Project area. This study was analyzed by using path analysis. Exogenous variables were 1. Distance between the housewives' houses and that of their local FHW, 2. Duration of work each FHW as FHW in her village, 3. Number of preschool children in the households. Endogenous variables were 1. Home visiting frequency to each household by FHW, 2. Knowledge abort FHW's activities, 3. Attitude towards FHWs by the housewives, 4. Utilization of FHW by the housewives. The results were as follows : The shorter the distnace between client's and FHW's house, the higher the number of preschool children in the household, and the longer their duration of work of FHW as FHW, the higher is the number of her household visits in a given time span. The more frequently the FHW visits a household and the higher the knowledge about FHW's activities in the household, the more positive is the attitude of the housewives to the FHW and the more frequently she visits and utilizes the FHW on her own initiative.
Child, Preschool ; Family Characteristics ; Family Health* ; House Calls ; Humans ; Korea*