SSRScientific and Social Research2661-43322981-9946Bio-Byword Scientific Publishing Pty. Ltd.10.26689/ssr.v5i10.5030ArticleThe Primary Health Care Services in a Philippine Provincehttps://artdesignp.com/journal/SSR/5/10/10.26689/ssr.v5i10.5030f. MalinayLeo20235102023-10-30The study aimed to assess the effectiveness of primary health care (PHC) in selected municipalities in Batangas, focusing on various health programs. It involved 384 respondents from different municipalities. The questionnaire was the primary data collection instrument, validated by experts and based on national health programs provided by the Department of Health. The findings revealed that the majority of respondents were females aged 40 to 50, with a high school education, and primarily from Barangay Buli, Taal, Batangas. The effectiveness of PHC services varied across different health programs. Programs like maternal and child health, Expanded Program on Immunization, tuberculosis control, and dental health were considered effective. However, diarrheal disease and STD/AIDS prevention programs were rated less effective. Significant differences were observed when assessing the effectiveness of PHC services based on respondent profiles. Respondents aged 51 and above had a more positive view of PHC effectiveness, except for the Diarrheal Disease program. Females generally perceived PHC services as more effective than males, except for specific programs. Educational attainment also influenced the perceptions of effectiveness. Recommendations included requesting increased budget allocation, building facilities, and using social media for awareness campaigns to improve PHC services.The proposed action plan was suggested for future implementation and evaluation. Future research should explore the delivery of PHC services using different variables, specifically focusing on service delivery in PHC.Keywords: Primary health care; Health programs; Effectiveness; Survey method

World Health Organization, 2021, Primary Health Care, viewed September 21,2022,https://www.who.int/newsroom/fact-sheets/detail/primary-health-care

Bautista V, 2001, Challenges to Sustaining Primary Health Care in the Philippines. Public Policy, 5(2): 89–127.

Alzaied T, Alshammari A, 2016, An Evaluation of Primary Healthcare Centers (PHC) Services: The Views of Users.Health Science Journal, 10(2): 15.

Philippine Statistics Authority, 2017, Highlights of the Philippine Population 2015 Census of Population,viewed September 21, 2022, https://rssocar.psa.gov.ph/population/highlights-2015-census-populationwomen-and-men

Republic of the Philippines Department of Health, 2016, The Philippine Health Agenda 2016–2022, viewed August 23,2022, https://ntp.doh.gov.ph/download/ao2016-0038/

Province of Batangas, 2017, Rich Batangas: Gov. Dodo Talks About Health, Education, Livelihood in State of the Province Address, August 22, 2022, https://www.batangas.gov.ph/portal/state-of-the-province-address-2017/

Angara E, 2010, An Act Establishing a Responsive Local Health Unit in Each City and Municipality to Ensure Delivery of Primary Health Services and to Provide a Mechanism to Ensure the Placement of Required Health Personnel in These Local Health Units and Other Government Operated Heath Facilities, Senate Bill No 2629, Fifteenth Congress, August 22,2022, https://www.senate.gov.ph/lisdata/105479036!.pdf

Zhang T, Shen X, Liu R, et al., 2021, The Impact of COVID-19 on Primary Health Care and Antibiotic Prescribing in Rural China: Qualitative Study. BMC Health Serv Res, 21(1): 1048. https://www.doi.org/10.1186/s12913-021-07082-z

Lian, Batangas Profile, n.d., viewed August 18, 2022, https://www.philatlas.com/luzon/r04a/batangas/lian.html

Fabon A, 2016, History of Buli, Taal, Batangas, SlideShare, viewed August 18, 2022,www.slideshare.net/barokz/history-of-buli-taal-batangas

Buli, Taal, Batangas Profile, n.d., viewed August 18,2022,https://www.philatlas.com/luzon/r04a/batangas/taal/buli.html

Municipal Government of Tuy, n.d., viewed August 18, 2022, https://tuybatangas.gov.ph/

San Luis, Batangas MIO, n.d., Home [Facebook page], viewed August 18,2022,https://www.facebook.com/miosanluisbatangas/

Lodi! DOH Hails Sam Ocampo as Top Performing Local Politiko in Calabarzon, 2018, Politiko, December 18, 2018, https://southluzon.politics.com.ph/2018/12/28/lodi-doh-hails-sam-ocampo-as-top-performing-local-politiko-in-calabarzon/

Dulangan, San Luis, Batangas Profile, n.d., viewed August 18, 2022,https://www.philatlas.com/luzon/r04a/batangas/san-luis/dulangan.html

Balibago, Lobo, Batangas Profile, n.d., viewed August 18, 2022,https://www.philatlas.com/luzon/r04a/batangas/lobo/balibago.html

Coral na Munti, n.d., viewed August 18, 2022, https://www.agoncillo.gov.ph/government/barangays/coral-na-munti

Coral na Munti, Agoncillo, Batangas Profile, n.d., viewed August 18, 2022,https://www.philatlas.com/luzon/r04a/batangas/agoncillo/coral-na-munti.html

Poblacion West, Alitagtag, Batangas Profile, n.d., viewed August 18, 2022,https://www.philatlas.com/luzon/r04a/batangas/alitagtag/poblacionwest.html#:~:text=Poblacion%20West%20is%20a%20barangay,the%20total%20 population%20of%20Alitagtag.

Balete, Batangas, n.d., viewed August 18, 2022, https://www.baletebatangas.gov.ph/

Phillipine Statistics Authority, 2021, Highlights of the Philippine Population 2020 Census of Population and Housing(2020 CPH), viewed August 18, 2022, https://psa.gov.ph/content/highlights-philippine-population-2020-censuspopulation-and-housing-2020-cph

Malabanan, Balete, Batangas Profile, n.d., viewed August 18, 2022,https://www.philatlas.com/luzon/r04a/batangas/balete/malabanan.html

Dita, Cuenca, Batangas Profile, n.d., viewed August 18, 2022,https://www.philatlas.com/luzon/r04a/batangas/cuenca/dita.html

Cities and Municipalities Competitiveness Index, n.d., viewed August 18, 2022, https://cmci.dti.gov.ph/

District III, Mataas Na Kahoy, Batangas Profile, n.d., viewed August 18, 2022,https://www.philatlas.com/luzon/r04a/batangas/mataasnakahoy/district-iii.html

BoyP Lakwatsa, San Nicolas, Batangas, 2017, Lakwatsa, viewed August 18, 2022,https://boyplakwatsa.com/2017/12/07/san-nicolas-batangas/

San Nicolas, Batangas Profile, n.d., viewed August 18, 2022, www.philatlas.com/luzon/r04a/batangas/san-nicolas/poblacion.html

Calayaan, Santa Teresita, Batangas Profile, n.d., viewed August 18, 2022,https://www.philatlas.com/luzon/r04a/batangas/santateresita/calayaan.html#:~:text=Calayaan%20Municipality%20of%20Santa%20Teresita%20Province%20of%20Batangas&text=Calayaan%20is%20a%20barangay%20in,total%20population%20of%20Santa%20Teresita

Mackey S, Hatcher D, Happell B, et al., 2013, Primary Health Care as a Philosophical and Practical Framework for Nursing Education: Rhetoric or Reality?. Contemp Nurse, 45(1): 79–84.

Azurin J, 1988, Primary Health Care: Innovations in the Philippine Health System 1981-1985. J. C. Azurin Foundation and Souvenir Publications, Makati.

Papanikolaou V, Zygiaris S, 2014, Service Quality Perceptions in Primary Healthcare Centres in Greece. Health Expect 17(2): 197–207.

Maisey S, Steel N, Marsh R, et al., 2008, Effects of Payment for Performance in Primary Care: Qualitative Interview Study. J Health Services Research Policy 13(3): 133–139.

Papp R, Borbas I, Dobos E, et al., 2014, Perceptions of Quality in Primary Health Care: Perspectives of Patients and Professionals Based on Focus Group Discussions. BMC Fam Pract, 15: 128.

World Health Organization, 1978, Report of the International Conference on Primary Health Care, September 6-12,1978, USSR, Alma-Ata.

World Health Organization, 2008, The World Health Report 2008: Primary Health Care – Now More than Ever,ReliefWeb, viewed August 22, 2022, https://reliefweb.int/report/world/world-health-report-2008-primary health-care-now-more-ever

Okpokoro E, 2013, Primary Health Care: A Necessity in Developing Countries? J Public Health Afr, 4(2):e17.https://doi.org/10.4081/jphia.2013.e17

United Nations, 2013, The Millennium Development Goals, https://www.un.org/millenniumgoals/bkgd.shtml

United Nations, 2015, Transforming our World: the 2030 Agenda for Sustainable Development, viewed August 22,2022, https://sustainabledevelopment.un.org/post2015/transformingourworld/publication

Gillam S, 2008, Is the Declaration of Alma Ata Still Relevant to primary health Care? BMJ, 336(7643): 536–538.

Sepulveda MJ, Bodenheimer T, Grundy P, 2008, Primary Care: Can it Solve Employers’ Health Care Dilemma?. Health Aff (Millwood), 27(1): 151–158.

Batangan DB, 2015, Determinants of Resiliency in Primary Health Care Delivery in the Philippines, Ateneo de Manila University.

UNICEF, 2020, Sanitation Targets are Off-Track: DOH, WHO and UNICEF Ask Local Governments to Invest in Sanitation, viewed August 22, 2022, https://www.unicef.org/philippines/press-releases/sanitation-targets-are-track-doh-who-and-unicef-ask-local-governments-invest

World Health Organization, 2023, Tackling Environmental Health Challenges in the Philippines, viewed August 22, 2022, https://www.who.int/philippines/news/feature-stories/detail/tackling-environmental-health-challenges-in-the-philippines

The World Bank, 2015, Water Supply and Sanitation in the Philippines: Turning Finance into Services for the Future,viewed August 18, 2022, http://documents1.worldbank.org/curated/en/469111467986375600/pdf/100894-WSP-P131116-AUTHOR-Susanna-Smets-Box393244B-PUBLIC-WSP-SERIES-WSP-Philippines-WSS-TurningFinance-into-Service-for-the-Future.pdf

Manasan R, 2018, Fiscal Sustainability, Equity, and Allocative Efficiency in the Light of the 2019 Supreme Court Ruling on the LGUs’ Share in National Taxes, Philippine for Development Studies, viewed August 19, 2022, https://pidswebs.pids.gov.ph/CDN/PUBLICATIONS/pids dps2018.pdf

Bliss K, Nagpal T, 2021, Primary Health Care and Health Security, Center for Strategic & International Studies, viewed August 22, 2022, https://www.csis.org/analysis/wash-critical-component-primary-health-care-and-health-security

Hutton G, Chase C, 2017, Water Supply, Sanitation, and Hygiene, in Injury Prevention and Environmental Health (3rd Edition), World Bank, Washington, DC.

Mahler H, 1986, Prospects for Better Nutrition Through Primary Health Care, in Nutrition Issues in DevelopingCountries for the 1980s and 1990s: Proceedings of a Symposium, National Academies Press, Washington.

Kraef C, Wood B, von Philipsborn P, et al., 2020, Primary Health Care and Nutrition. Bulletin of the World Health Organization, 98(12): 886–893.

Solon F, 2000, Food Fortification in the Philippines: Policies, Programmes, Issues, and Prospects. Issues, and Prospects. Food and Nutrition Bulletin, 1(4): 515–520.

Zabat P, 2014, Health Care Programs, Slideshare, viewed August 19, 2022,https://www.slideshare.net/lopao1024/health-care-programs

National Nutrition Council, 2017, Laguna LGUs Share Best Practices and Strategies to Region I Local Nutrition Planners, viewed August 19, 2022, https://nnc.gov.ph/regional-offices/luzon/region-i-lupangilocos/2055-laguna-shares best-nutrition-practices-and-strategies-in-nutrition-programs-to-region-i-delegates

Addisse M, 2003, Maternal and Child Health Care, in Lecture Notes – Ethopia Public Health Training Initiative, The Carter Center, Georgia.

World Health Organization, 2022, WHO Called to Return to the Declaration of Alma-Ata: International Conference on Primary Health Care, viewed August 19, 2022, https://www.who.int/teams/social-determinants-of-health/declaration-of-alma-ata

Department of Health, 2012, Revised Implementing Guidelines for the Philippine Formulary System (PNFS), viewed August 19, 2022, https://www.studocu.com/en-us/document/kendrick-high-school/biology-10th/ao-revised-implementing-guidelines-for-the-pnfs/24521512

Médecins Sans Frontières, 1993, Clinical Guidelines and Treatment Manual, viewed August 19, 2022,https://medicalguidelines.msf.org/en/viewport/CG/english/clinical-guidelines-16686604.html

What is Curative Care?, n.d., viewed August 29, 2022, https://www.medicareresources.org/glossary/curative-care/

Department of Health, 2012, Expanded Program on Immunization, viewed August 19, 2022,https://doh.gov.ph/expanded-program-on-immunization

Brar S, 2018, Health Education as a Tool for Effective Primary Health Care Services. International Journal of Yogic,Human Movement and Sports Sciences, 3(1): 87–89.

Santiago B, Bulatao M, Mandapat-Sanchez J, 2019, Integrating Traditional and Complementary Medicine in Universal Health Care. National Health Sector Brief,August19,2022,https://doh.gov.ph/sites/default/files/publications/08%20Integrating%20Traditional%20and%20Complementary%20Medicine%20in%20Universal%20Health%20Care.pdf

Mallari E, Lasco G, Sayman DJ, et al., 2020, Connecting Communities to Primary Care: A Qualitative Study on the Roles, Motivations and Lived Experiences of Community Health Workers in the Philippines. BMC Health Serv Res, 20:860.

Community Health Service-Department of Health, 1996, Policy on Primary Health Care for Community Health Development.

Bautista V, 1998, Philippine Experience in Health Service Decentralization. Prepared for Health Futures, in Local Government in the Philippines: Concepts and Practices in Decentralization, University of the Philippines, Quezon City.

Bautista V, Legaspi P, Santiago E, et al., 2001, Assessment of Improvement Initiatives of Public Health and Medical Systems in LGUs, University of the Philippines, Quezon City.

Brillantes A Jr, 1998, Decentralized Democratic Governance Under the Local Government Code: A Governmental Perspective. Philippine Journal of Public Administration, 42(1–2): 38–57.

Bleich SN, Ozaltinb E, Murray C, 2009, How Does Satisfaction with the Health-Care System Relate to Patient Experience? Bull World Health Organ., 87(4): 271–278.

Kroneman M, Maarse H, van der Zee J, 2006, Direct Access in Primary Care and Patient Satisfaction: A European Study. Health Policy 76(1): 72–79.

Kaja P, Ruth K, Margus L, 2004, Evaluation of Primary Health Care Reform in Estonia from Patients’ Perspective:Acceptability and Satisfaction. Croat Med J, 45(5): 582–587.

Ortiz J, Meemon N, Zhou Y, et al., 2012, Trends in Rural Health Clinics and Needs During U.S. Health Care Reform.Primary Health Care Research & Development, 14(4): 360–366.https://www.doi.org/10.1017/S1463423612000503

Rushender R, Balaji R, Parasuraman G, 2016, A Study on Effective Utilization of Health Care Services Provided by Primary Health Centre and Sub-Centres in Rural Tamilnadu, India. International Journal of Community Medicine and Public Health, 3(5): 1054–1060. https://doi.org/10.18203/2394-6040.ijcmph2016135

Mashego T, Peltzer K, 2005, Community Perception of Quality of (Primary) Health Care Services in a Rural Area of Limpopo Province, South Africa: A Qualitative Study. Curationis, 23(2): 1321.https://www.doi.org/10.4102/curationis.v28i2.941

Hodge A, Firth S, Bermejo R, et al., 2016, Utilisation of Health Services and the Poor: Deconstructing Wealth-Based Differences in Facility-Based Delivery in the Philippines, 16: 523. https://doi.org/10.1186/s12889-016-3148-0

Jackson S, 2011, Research Methods and Statistics: A Critical Thinking Approach (4th Edition), Cengage Learning,Boston, 17.

Posinasetti N, 2014, What do we Mean by Descriptive Research? [Online forum post], viewed September 23,2022,https://www.researchgate.net/post/What_do_we_mean_by_Descriptive_Research

Schriver B, Meagley K, Norris S, et al., 2014, Young People’s Perceptions of Youth-Oriented Health Services in Urban Soweto, South Africa: A Qualitative Investigation. BMC Health Serv Res, 14: 625. https://doi.org/10.1186/s12913-014-0625-y

Smith W, 2000, Does Gender Influence Online Survey Participation?: A Record-linkage Analysis of University Faculty Online Survey Response Behavior, ERIC, viewed August 23, 2022, https://files.eric.ed.gov/fulltext/ED501717.pdf

Curtin R, Presser S, Singer E, 2000, The Effects of Response Rate Changes on the Index of Consumer Sentiment.Public Opin Q., 64(4): 413–428. https://doi.org/10.1086/318638

Atif W, MacDonald C, 2021, Food Service Inspection Capacity: Needs Assessment in a Philippine Local Government Unit. Multidisciplinary Scientific Journal, 4(3): 531–543. https://doi.org/10.3390/j4030039

Tulio J, 2015, How Safe is Your Drinking Water?, Rappler, viewed August 23, 2022,https://www.rappler.com/brandrap/health-beauty-and-wellness/102472-safe-drinking-water/

Provincial Health Office, 2015, Social Sector – Health Status, viewed August 21, 2022,https://www.batangas.gov.ph/portal/social-sector/

Datinguinoo M, Fumey-Nassah N, Gonzales M, et al., 2018, Dengue Elimination and Control Program of One City in the Philippines. Asia Pacific Journal of Education, Arts and Sciences, 5(4): 60–71.

Billah S, Saha K, Khan A, et al., 2017, Quality of Nutrition Services in Primary Health Care Facilities: Implications for Integrating Nutrition into the Health System in Bangladesh. PloS ONE, 12(5): e0178121.https://doi.org/10.1371/journal.pone.0178121

Yamashita T, Suplido SA, Llave C, et al., 2005, Understanding Postpartum Healthcare Services and Exploring the Challenges and Motivations of Maternal Health Service Providers in the Philippines: A Qualitative Study. Trop Med Health, 43(2): 123–130. https://doi.org/10.2149/tmh.2014-40

Emelumadu O, Onyeonoro U, Ukegbu A, et al., 2014, Perception of Quality of Maternal Healthcare Services Among Women Utilizing Antenatal Services in Selected Primary Health Facilities in Anambra State, Southeast Nigeria. Nigerian Medical Journal, 55(2): 148–155. https://doi.org/10.4103/0300-1652.129653

Teano A, 2012, Evaluation of the Maternal Health Services of the Rural Health Units in Region III, Academia, viewed August 21, 2022,https://www.academia.edu/23361545/EVALUATION_OF_THE_MATERNAL_HEALTH_SERVICES_OF_THE_Rural_HealthUnits_IN_REGION_III

Alizadeh D, Sheykhangafshe F, Pirabbasi G, et al., 2021, The Effectiveness of Premarital Counseling on Couples’Intimacy and Marital Satisfaction: A Systematic Review Study. Proceedings of The First International Conference onConsulting.

Lee RB, 2005, Circumcision Practice in the Philippines: Community Based Study. Sexually Transmitted Infections, 81:91. http://dx.doi.org/10.1136/sti.2004.009993

Ulep V, Uy J, 2021, An Assessment of the Expanded Program on Immunization (EPI) in the Philippines: Challenges and Ways Forward, Philippine Institute for Development Studies, viewed August 19, 2022,https://pidswebs.pids.gov.ph/CDN/PUBLICATIONS/pidsdps2104.pdf

Mangrio N, Alam M, Shaikh B, 2008, Is Expanded Programme on Immunization Doing Enough? Viewpoint of Health Workers and Managers in Sindh, Pakistan. J Pak Med Assoc, 58(2): 64–67.

Kironde S, Kahirimbanyi M, 2002, Community Participation in Primary Healthcare (PHC) Programmes: Lessons from Tuberculosis Treatment Delivery in South Africa. African Health Sciences, 2(1): 16–23.

Tamrin K, 2022, The Effectiveness of Tuberculosis Control Program in Rural Area, Indonesia. Journal of Aafiyah Health Research (JAHR) 2022, 3(1): 1–12. https://doi.org/10.52103/jahr.v3i1.943

Kim A, Capeding M, Kilgore P, 2014, Factors Influencing Healthcare Utilization Among Children with Pneumonia in Muntinlupa City, The Philippines. Southeast Asian J Trop Med Public Health, 45(3): 727–735.

Feasey H, Burke R, Nliwasa M, et al., 2021, Do Community-Based Active Case- Finding Interventions Have Indirect Impacts on Wider TB Case Detection and Determinants of Subsequent TB Testing Behaviour? A Systematic Review. PLOS Global Public Health. https://doi.org/10.1371/journal.pgph.0000088

Sio-Aguilar J, 2019, Oral Rehydration Therapy for Diarrhea-Related Dehydration in the Philippines. https://www.researchreview.co.nz/getmedia/cb6f91ec-838c-4848-a73d-f0ce33e11a0d/Educational-Series-Oral-RehydrationTherapy-(The-Philippines).pdf.aspx?ext=.pdf

Digre P, Simpson E, Cali S, et al., 2016, Caregiver Perceptions and Utilization of Oral Rehydration Solution and Other Treatments for Diarrhea Among Young Children in Burkina Faso. J Global Health, 6(2): 020407.https://doi.org/10.7189/jogh.06.020407

Boateng D, Wekesah F, Browne JL, et al, 2017, Knowledge and Awareness of and Perception Towards Cardiovascular Disease Risk in Sub-Saharan Africa: A Systematic Review. PloS One, 12(12): e0189264.

Gamboa V, 1984, Oral Health Status and Traditions in the Philippines. National Library of Medicine. Int Dent J., 34(4):257–260.

Evans C, 2022, Dental Mission Trips and Humanitarian Aid Trips Benefit Everyone, Community Dental Partners,viewed August 23, 2022, https://communitydentalpartners.com/articles/dental-mission-trips-humanitarian-aid-benefits/

Barroga T, Basitan I, Lobete T, et al., 2018, Community Awareness on Rabies Prevention and Control in Bicol, Philippines: Pre- and Post-Project Implementation. Tropical Medicine Infectious Disease. Trop Med Infect Dis, 3(1): 16.https://doi.org/10.3390/tropicalmed3010016

Morisky D, Lyu S, Urada L, 2009, The Role of Non-Formal Education in Combating the HIV Epidemic in the Philippines and Taiwan. Prospects (Paris), 39(4): 335–357. https://doi.org/10.1007/s11125-010-9133-y

Amadora N, 2000, Knowledge of HIV/AIDS Among Young Adults in Region VII. Philippine Quarterly of Culture & Society, 28(3): 363–398.

Bahkali S, Bawazir A, Househ M, et al., 2017, The Role of Primary Health Care in Prevention, Early Detection, and Control of Cancer, in Transforming Public Health in Developing Nations, IGI Global, Pennsylvania, 52–67.

Sabdani A, 2022, Level of Awareness and Acceptance of Government Health Services for Leprosy in Sulu,Philippines. Journal of Management Information & Decision Sciences, 25(S2): 1–7.

Pati S, Chauhan AS, Mahapatra S, et al., 2017, Practicing Health Promotion in Primary Care – A Reflective Enquiry. J Prev Med Hyg, 58(4): E288–E293. https://doi.org/10.15167/2421-4248/jpmh2017.58.4.749

Soriano N, 2019, Factors Affecting Blood Donation Among Experienced and Prospective Blood Donors in Manila,Philippines. Int Public Health J, 11(2): 109–116.

Ogaji DS, Ko E, Agbayi N, et al., 2016, Clients’ Perception of the Quality of Primary Health Service and its Predictors in Rivers State. Journal of Community Health & Primary Health Care, 28(1): 76–85.