Profiling

the foundation of
Service Delivery Network
Rommel C. Francisco, MD, MPH
Provincial DOH Officer
 Background

District
Health ILHZ SDN
System
 Legal Basis

• Local Government Code

Laws • Sin Tax
• 2014-Defining SDN for UHC
• 2016- PHA
AOs • 2017-Redefining SDN

• 2014- Adoption Guidelines on SDN

DM

• Regional DOH RO 8 Orders/Issuances

RO
SDN Fundamental Elements

Model of Care

Organization and Management

Financing

Functions

Entitlements of Filipinos
Functions of SDN

Population-wide and Individual Health Assessment

• Update individual health profiles for analysis and assessment of
catchment population needs at least every year

Health Care Services Provision

• Access to population-wide and individual-level interventions
• Expand access to specialty services through practical technology
such as telemedicine
• Ensure that medical practice is within the bounds allowed by the
license and accreditation classification of the facilities and
consistent with Clinical Practice Guidelines
Establishing Service Delivery Network
Monitor the utilization and
provision of health services
Identify the priority population
I the provision of services
Designate priority population to
health facilities
Map available health care providers that can serve
the health needs of the priority population

Define the Population Profile

Establishing Service Delivery Network
Monitor the utilization and
provision of health services
Identify the priority population
in the provision of services
Designate priority population to
health facilities
Map available health care providers that can serve
the health needs of the priority population

Define the Population Profile

Establishing Service Delivery Network
Monitor the utilization and
provision of health services
Identify the priority population
in the provision of services
Designate priority population to
health facilities
Map available health care providers that can serve
the health needs of the priority population

Define the Population Profile

Establishing Service Delivery Network
Monitor the utilization and
provision of health services
Identify the priority population
in the provision of services
Designate priority population to
health facilities
Map available health care providers that can serve
the health needs of the priority population

Define the Population Profile

Establishing Service Delivery Network
Monitor the utilization and
provision of health services
Identify the priority population
in the provision of services
Designate priority population to
health facilities
Map available health care providers that can serve
the health needs of the priority population

Define the Population Profile

Establishing Service Delivery Network
Monitor the utilization and
provision of health services
Identify the priority population
in the provision of services
Designate priority population to
health facilities
Map available health care providers that can serve
the health needs of the priority population

Define the Population Profile

Establishing Service Delivery Network
Tracking , Monitoring and Evaluating

Provide Life Stage Family

Health Services
Two Way Proactive Referral System

Mapping Family/Client with

Appropriate Health Facilities

Profiling, Segmenting and

Masterlisting = Family Folder
Establishing Service Delivery Network
Tracking , Monitoring and Evaluating

Provide Life Stage Family

Health Services

Two Way Proactive Referral System

Mapping Family/Client with

Appropriate Health Facilities
Profiling, Segmenting and
Masterlisting = Family Folder
Establishing Service Delivery Network
Tracking , Monitoring and Evaluating

Provide Life Stage Family

Health Services

Two Way Proactive Referral System

Mapping Family/Client with
Appropriate Health Facilities
Profiling, Segmenting and
Masterlisting = Family Folder
Establishing Service Delivery Network
Tracking , Monitoring and Evaluating

Provide Life Stage Family

Health Services
Two Way Proactive Referral System

Mapping Family/Client with

Appropriate Health Facilities
Profiling, Segmenting and
Masterlisting = Family Folder
Establishing Service Delivery Network
Tracking , Monitoring and Evaluating

Provide Life Stage Family

Health Services
Two Way Proactive Referral System

Mapping Family/Client with

Appropriate Health Facilities

Profiling, Segmenting and

Masterlisting = Family Folder
Establishing Service Delivery Network
Tracking , Monitoring and Evaluating

Provide Life Stage Family

Health Services
Two Way Proactive Referral System

Mapping Family/Client with

Appropriate Health Facilities
Profiling, Segmenting and
Masterlisting = Family Folder
 SDN Components

• Clients
• Health Services
• Health Facilities
• Health Human Resource
• Health Systems
 SDN Components

• Clients
• Health Services
• Health Facilities
• Health Human Resource
• Health Systems
 Life Stage % Distribution Age Group
WRA 12.33% 15-49
Pregnant 2.70% 15-49
Non Preg/FP 9.63% 15-49
BTL 7.88%
NSV 0
IUD 2.94%
Neonates
0-1 month
2.70% 0-1 year
Infants
Underfive 14.50% 1-5 yo
School Children 13.50% 6-9 yo
Adolescent 21.50% 10-19 yo
Elderly 6.90% 60 up
 SDN Tools

• Profiling Tools
– Templates
– Filled Data Template
• Health Facility Profile and Map
• Letter to Family
SDN: Profiling the SDN Clients

Profiling by BHWs/NDP

Masterlist: Family Health,

Infectious/NonCom/Emerging

Family Folder/ Family Target

Client List/
 SDN: Identifying Priority Groups and
Health Needs

• NHTS-PR poor households

• GIDA
• IPs
• Disease Burden
 SDN Components

• Clients
• Health Services
• Health Facilities
• Health Human Resource
• Health Systems
 Health Services to Family Members
WRA Non Pregnant Family Planning, HE

WRA Pregnant PreNatal & Delivery HF

Essential Newborn Care/

Newborn IBF/Immunization

Infants Exclusive BF, Immunization

Family/
Client Garantisadong Pambata
UF5 services
Essential Health Care
School Children Package
Immunization, ASRH/HE-
Adolescent HYO
--
Elderly Immunization/HE
 SDN: Provision of Health Services Pathway
Mandatory As Needed
Services
REFERRAL Services
B
Prevention
E
PTB Compak TB T
Treatment T
WRA FP Prevention
E
HIV/AIDS Detection/Testing R
Infectious
Treatment
Pregnant ANC & HFD
Malaria/Schisto/Filari Prevention H
a Treatment E
Newborn ENC A
Prevention
Leprosy L
MDT
EBF T
Infants Immunization
Family/ HPN/Stroke/DM/Kidn Lifestyle/Compac H
ey t Treatment
Client Non Com
UF5 GP Services Prevention O
EyeCare/Blindness U
Treatment
School T
EHCP Detection
Children
Mental
C
Treatment
Health/Autism/SuPre O
Adolescent Imzn, ASRH Rehabilitation M
Prevention E
-- Elderly Immunization
Environment Soil Helmints
Deworming S
Preparedness
Climate Change/
Disaster Recovery &
Rehabilitation
27

Primary Health Care Guarantees

Population- Individual-based Services
Life Stage
based Services Well Sick
Pregnancy Delivered to  Clinical  Clinical
Labor/Delivery population such
as:  Laboratory  Laboratory
Post-partum
Neonatal Surveillance  Drugs and  Drugs and
Infant (0-12 months) and monitoring Commodities Commodities
Child (1-4 y/o) Prevention and
control of *High burden
School-age (5-9 y/o) epidemics *Most common
Environmental complaints
Adolescent (10-19 y/o) and
occupational
Adult Men protection
Adult Women Quality
Elderly Men assurance and
accessibility;
Elderly Women etc.
28

Primary Health Care Guarantees

Population Well Sick
Surveillance and Monitoring: Clinical: Clinical,
 Pregnancy tracking History and physical laboratory, and
examination treatment (drugs)
Prevention and Control of Referral and transportation for:
Epidemics: services
 Integrated Vector Control Nutritional assessment and Developmental
Pregnant Women

Management & MDA counselling delays and

behavioral
Laboratory:
Health Communication disorders
Ultrasound
Strategies: Cardiac
Pregnancy Test Kit
Mother’s class on prenatal diseases
Pap Smear
care, exclusive Pulmonary
breastfeeding Drugs and Commodities: conditions
Community health and Ferrous sulfate with folic acid Gestational
nutrition campaign Calcium carbonate diabetes
including WASH, non- Iodine supplement Infectious
exposure to cigarette, Zika package diseases
mental health, etc. Mental illness
Information campaign on Nutritional
family planning, enrollment problems
to PhilHealth Renal/urologic
conditions
 SDN Components

• Clients
• Health Services
• Health Facilities
• Health Human Resource
• Health Systems
 SDN: Mapping of the Health Care
Facilities

Provider of Services
Type of SDN
Public Private
RHU with network of BHS, Hospitals, Lying In clinics/ Birthing Homes,
Carline, Coastal
Mobile Clinic Clinics, Hospitals
BHs, BHS in School, Half way homes, Lying In clinics/ Birthing Homes,
Highland, Island
RHU or Hospitals Hospitals
Lying In clinics/ Birthing Homes,
ILHZ RHU with network of BHS, Hospitals
Clinics, Hospitals

BHS in School, BHS-MCP, Half way

GIDA Lying In clinics/ Birthing Homes
homes, RHU or Hospitals
 SDN: Health Facility

Health Facility Accredited Provider for

BHS in school Check Up (services)

BHS Check Up

BHS-MCP Check Up and MCP

RHU Check Up, MCP and TB DOTS

District Hopsitals Level 1 (services)

Provincial Hospitals Level 2 (services)

Regional and Teaching hospitals Level 3

 SDN Components

• Clients
• Health Services
• Health Facilities
• Health Human Resource
• Health Systems
Health Human Resource
 Health Human Resource

HHR HHR Capability

Category
MHO BEmONC trained, FP CBT1 & 2,
subdermal implant insertion
PHN BEmONC trained, FP CBT1 & 2
RHM BEmONC trained, FP CBT 1 & 2
MED TECH HIV proficient, DOTs
trained,(Katokatz) trained
DENTIST Dental prophylaxis
SPECIALIST CEmONC trained/ caesarian section,
Bilateral Tubal Ligation
Referral Systems/SDN Components

• Clients
• Health Services
• Health Facilities
• Health Human Resource
• Health Systems
 SDN: Support Health System

Data and M & E Coordination

Mechanism

Logistics Capacity Building

Management & Training
Institutionalization

Health Financing
SDN Leadership &
Governance

DOH DMO-PHO/RHU/= LHB/ILHZ

 Have

Nice Day