• It is the basic social unit in the society. It is
also the most enduring context of human relatedness. • Any intervention in individual’s life creates an impact towards his family. • Societal problems are often attributed to the failure of family life, hence the family is not only a potential source of problem but also a major resource in health care. FAMILY HEALTH CARE
• Article II Sec. 12. The State recognizes the
sanctity of family life and shall protect and strengthen the family as a basic autonomous social institution. • Article XV Sec.1. The State recognizes the Filipino family as the foundation of the nation. Accordingly, it shall strengthen its solidarity and actively promote its development. FAMILY HEALTH CARE
• Article XIII. Sec.2.The State shall adopt an
integrated and comprehensive approach to health development which shall endeavor to make essential goods, health and other social services available to all the people at affordable cost. • Article II Sec. 15. The State shall protect and promote the right to health of the people and instill health consciousness among them. FAMILY • it is a group of people related by blood, marriages or adoption, who live together in one household ( United Nations) • it is a small social system made up of individuals related to each other by reason of strong reciprocal affections and loyalties and comprising a permanent household of household (or cluster of households) that persist over years and decades (Terkelson 1980) • refers to a group of people who share a common dwelling. CHARACTERISTICS OF A FILIPINO FAMILY; • closely knit • bilaterally extended • strong family orientation • authority based on age • externally patriarchal, internally matriarchal • place high premium on education • predominantly Catholic • Child- centered • 5 is usually the average number of children • Often exposed to the different environmental stresses such as; economic and political difficulties, urbanization/modernization and health problems. THE STRENGTHS OF FILIPINO FAMILY: A. The ability to provide for the family’s physical, emotional, spiritual and cultural needs. B. Child rearing practices and discipline C. Communication D. Support, Security and Encouragement E. Growth- Producing Relationships THE STRENGHTS OF FILIPINO FAMILY: F. Responsible Community Relationships G. Self- help and Accepting Help H. Flexibility of family functions and roles I. Crisis as a Means of Growth J. Family unity, Loyalty and Intra- family cooperation FAMILY AS A SPECIAL UNIT • Family membership is a life long involvement • Shared Attributes • Sense of belonging • Societal Expectations • Built –in problems in the family includes generation gap between the children and parents, dependence, emotional involvement, sibling rivalry. FAMILY AS A SPECIAL UNIT • 6. Family endure despite conflicts and built in problems such as various degrees of authority and individual sense of responsibility and belonging that continuously draw the family together. FAMILY AS A UNIT OF CARE 1. Family is the social contact for health care 2. Patient’s problem is a family problem 3. Family is the greatest ally in treatment 4. Patients are often accompanied by family member during consultation or interview. WHAT IS FAMILY CARE? 1. It is taking care of each members in the family as individuals 2. It is dealing with the family as object of management 3. It is influencing family members to change factors affecting individual’s health. WHAT FAMILY PHYSICIANS NEED TO KNOW ABOUT FAMILIES?
1. Understanding family structure and
functions 2. Awareness of how family communicate 3. Skills in observing of how families operate 4. Ability to relate the family /individual 5. Reinforce central function in the family CLASSIFICATION OF FAMILY ACCORDING TO STRUCTURE • NUCLEAR FAMILY • EXTENDED FAMILY • COMMUNAL OR CORPORATE FAMILY • SINGLE – PARENT FAMILY • BLENDED FAMILY IMPORTANT WAYS in which the FAMILY PLAYS a ROLE in the HEALTH of its MEMBERS:
1. Health promotion and maintenance
as well as illness prevention 2. Coping with stressful life events 3. Family based health and illness appraisal 4. Family interaction and level of function in response to illness IMPORTANT WAYS in which the FAMILY PLAYS a ROLE in the HEALTH of its MEMBERS: 5. Help-seeking or deciding to seek medical help 6. Family adaptation to illness including the ways the family copes with illness, cares for ill members, and assisting in seeing that there is appropriate adherence to the prescribed medical treatment STAGES OF MARRIAGE Stages Emotions Stage Critical Tasks 1. Honeymoon Commitment -differentiation from family of Stage (0-2 yrs) to the origin marriage - making room for spouse with family and friends -adjusting career demands 2. Early maturing of -keeping romance in the marriage stage relationship marriage (2-10 yrs) balancing separateness and togetherness -renewing marriage commitment STAGES OF MARRIAGE
3. Middle post career -adjusting to midlife
marriage planning changes stage (10-25 - renegotiating relationship yrs.) -renewing marriage commitment 4. Long-term Review and -maintaining couple stage Farewells functioning -closing or adapting family home -coping with death of spouse FIVE BASIC AREAS OF FAMILY FUNCTION
1. BIOLOGIC 2. ECONOMIC 3. EDUCATIONAL 4. PSYCHOLOGICAL 5. SOCIO- CULTURAL or SOCIALIZATION FAMILY RELATIONSHIP and INTERACTION
EFFECTS of HEALTH CARE
A. Ordinal Position 1. First born 2. Middle child 3. Youngest child FAMILY RELATIONSHIP and INTERACTION
B. Parent- Child Interaction/ Family
Relationship 1. Rejecting parent 2. Submissive parent 3. Dominating Parent 4. Absent Father or Mother FAMILY RELATIONSHIP and INTERACTION
C. Social Patterns of Behavior
1. Upper Class Family 2. Middle Class Family 3. Lower Class Family FAMILY RELATIONSHIP and INTERACTION D. Family Set- Up 1. Democratic Set-up 2. Authoritarian Set –up E. Filipino Values 1. High respect for Family Physician 2. Utang na Loob 3. Family ties 4. High Premium on education 5. Pakikisama • THANK YOU
Conducting Randomised Controlled Trials Across Countries With Disparate Levels of Socio-Economic Development: The Experience of The Asia-Pacific Hepatocellular Carcinoma Trials Group