THE LOCAL HEALTH CARE SYSTEM OF THE PROVINCE OF ILOCOS SUR

Marlou R. Savella, DPA

Abstract


Health is fundamental to life. It is in this premise that efforts are being undertaken to
improve the health system of every country. The focus of the study was on the different
components of the Local Health Care System and the quality of health services of selected
Rural Health Units and District Hospitals in the Philippines. The study revealed that the
Administrative Capability along leadership and good governance is “moderate”. Along the
capability of health personnel in terms of ratio to total population, only two municipalities
have the ideal number of doctors and nurses while only five municipalities have an ideal
number of midwives. There is also a shortage of human resources for health, particularly
doctors, in almost all the district hospitals. However, the limited number of nurses and
midwives is compensated by the presence of contractual and volunteer nurses and midwives.
In general, the clients expressed their satisfaction on the services provided.
Suggestions were made largely on availability of free medicines, laboratory services,
reduction of waiting time and improvement of facilities. Efforts should be undertaken to
ensure that programs and policies are implemented and objectives are reached through
improved coordination across local health systems.
Keywords: Health Care System, Rural Health Units, District Hospitals, Capability, Services


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