National Health Situation

1. The Philippines population is at 110 million as of 2020, based on the census conducted by the
Philippine Statistics Authority. The Philippines is the thirteenth most populous country in the
world. Which of the statements below best describes the Philippine demographic?
a. The current population is increased by 10% that of 2015 Census of Population.
b. The Philippines has a young population with more than half of its population
younger than 15 years of age.
c. Population by gender showed 50.5% are male with higher life expectancy than the
female population.
d. Philippines is considered by World Bank to have low-income inequality with (Gini-index
42.3)

2. Health is a basic human right guaranteed by the Philippine Constitution of 1987. This is provided
in the Philippines through a dual health delivery system composed of the public sector and the
private sector. Which of the following best describes the Philippine Healthcare system?

a. The public sector is largely financed through a tax-based budgeting system, where
health services are delivered by government facilities under the national government
only.
b. The Department of Health (DOH) supervises the government corporate hospitals,
specialty and regional hospitals, including the military hospitals.
c. The provincial governments manage and operate district and provincial hospitals,
while municipal governments provide primary care, including preventive and
promotive health services and other public health programs through the rural health
units, health centers and barangay health stations.
d. The private sector, profit based health-care providers, is largely market oriented, where
health care is generally paid for through user fees only.

3. The enactment of the Local Government Code of 1991 (Republic Act No. 7160) mandated the
devolution of health services, a decentralized system was organized, wherein LGUs have full
autonomy to finance and operate the local health systems which includes the following
provisions EXCEPT.
a. As mandated by law, provincial governments are tasked with providing primary and
secondary hospital care, while city and municipal governments are tasked with
providing primary health care, promotive and preventive health programmes and basic
ambulatory clinical care.
b. In this set up, the DOH, as the national health agency, is mandated to lay down national
policies and plans, develop technical standards, enforce health regulations, and
monitor, evaluate and deliver tertiary and specialized hospital services.
c. The provision of a compulsory social health insurance (SHI) scheme is largely through
PhilHealth, a government corporation mandated to implement the National Health
Insurance Program (NHIP).
 d. The private sector’s contribution to health service provision is enormous and their
capacity cannot augment the gaps and inadequacies of the public sector.
Refer to the patient flow above for the questions 4-6

4. Luis Torres, 54 years of age, from a barangay Medina, Misamis Oriental presented with a three-
week history of night sweats, weight loss, nausea, shortness of breath, and a productive cough,
the symptoms persisted and the family would like to seek for medical consultation, where
should the appropriate facility or provider network must Luis go to?
a. Primary Care Provider Network (PCPN)
b. Health Care Provider Network (HCPN)
c. Apex Hospital
d. All Of The Above

5. Upon consultation at the facility, a chest x-ray (CXR) was done and revealed extensive bilateral
cavitary disease. As protocol, sputum specimens were collected and resulted in positive Acid
Fast Bacilli (AFB) with >10 organisms per high power field. He was diagnosed with active
pulmonary TB. Luis family registered him for treatment at the TB-DOTS clinic were guaranteed a
6-month supply of medicines to conform to the prescribed regimen for TB treatment. Which
facility did Luis went to avail the services needed?
a. Primary Care Provider Network (PCPN)
b. Health Care Provider Network (HCPN)
c. Apex Hospital
d. All Of The Above

6. Luis’s wife had to buy medicines from the local pharmacy so that TB treatment could be started,
since the RHU were out of stock. Luis’s brother, who was a security guard in Manila, sent money
by wire transfer for the needed medicines. Luis suddenly became he became very weak and
drowsy after an episode of gross hemoptysis amounting to ~500cc, which facility will Luis be
appropriately be brought to?
a. Primary Care Provider Network (PCPN)
b. Health Care Provider Network (HCPN)
c. Apex Hospital
d. None of the Above

7-10 ESSAY. What is the primary role of Family Physicians in the Universal Health Care?
 1. Which of the following factors is a behavioral determinant of health?
a. Age
b. Diet
c. Pollution
d. Social norms
2. Which of the following health determinants is directly related to the structure of the medical care
system?
a. Biological and genetic determinants
b. Social determinants
c. Access to health services
d. Behavioral determinants

3. A 10 year old can modify which aspects that determine their health
a. education, knowledge, skills, and geographic location
b. Employment, skills, geographic location, and attitude
c. attitude, skills, knowledge and education
d. genetics, family, culture and education

4. A 30 year old can't modify

TRUE OR FALSE

T _________ Society is largely responsible for the health of individuals living in it answer choices.

F __________ Health is solely the responsibility of the individual.

F ___________ A 40year old man, has a loving family and good friends, is skilled in physical activity, and
has a high paying part-time job is more likely to have bad health.

T ------------------ A street dweller struggles a living , cannot afford to see a doctor , and has no
access to the internet is more likely to have poor health.

T ------------------- Environmental factors that determine health affect your socioeconomic factors.
T ___________9. In the year 2015, leaders from 193 countries of the world came together to face the
future. These countries created a plan called the Sustainable Development Goals (SDGs)
which set of 17 goals imagines a future just 15 years off that would be rid of poverty and
hunger, and safe from the worst effects of climate change.

T ___________10. AMBISYON NATIN 2040 states that By 2040, Filipinos enjoy a strongly rooted,
comfortable, and secure life. In 2040, we will all enjoy a stable and comfortable lifestyle, secure in the
knowledge that we have enough for our daily needs and unexpected expenses, that we can plan and
prepare for our own and our children’s future.