03208nam a22002177a 4500999001300000001001300013003000400026005001700030008004100047040001300088100002500101245013500126520245700261580006602718650005702784650003602841650002702877653002002904856005902924942000702983  c664d664D0001E000012DOH20200806155502.0200521b        ph ||||| |||| 00| 0 eng d  aDOHcDOH1 aCatacutan, Amador R.04aThe health service coverage of quality-certified primary health care units in Metro Manila, the Philippines /cAmador R. Catacutan3 aIntroduction: In 1998, the Philippines' Department of Health implemented the Quality Assurance Programme, known as the Sentrong Sigla (Centre of Vitality) Movement, starting with primary health care units. The Department established the National Objectives for Health in 1999, which set targets for health status and service coverage by 2004. The Movement certifies primary health care facilities that comply with its list of quality standards. Three years after implementation of the Sentrong Sigla Movement, the present study assessed it as an intervention for the delivery of health care services. Specifically, it evaluated the 2001 service coverage among certified facilities and compared it with that of non-certified facilities in the National Capital Region (Metro-Manila) of the Philippines, and related service coverage to the targets of the National Objectives for Health for 2001.

Methods: For the intervention group, the study randomly selected 82 of the 143 certified facilities (57.3%), with 88 of the 223 non-certified facilities (39.5%) serving as the control group. Using reliable and valid measurement indicator tools, data were collected on preventive health services programmes, curative programmes and monitoring programmes. To compare service coverage of the intervention and control groups, the data were analyzed using chi-squared tests, prevalence ratios, clustered sampling analysis and linear regressions of the rates.

Results: The overall 2001 service coverage shows that certified facilities had significantly less success in the preventive and monitoring programmes than the non-certified facilities, but were not significantly different in the curative programmes. Neither type of facility reached the targets of the 2001 National Objectives for Health for preventive programmes. After adjusting for clustering, the certified facilities showed significantly lower service coverage, compared with non-certified facilities, only for enrolling new acceptors to the Family Planning Programme and for water-supply testing in the Environmental Sanitation Programme.

Conclusion: Unlike previous studies, the results and analysis of the present study show that, generally, the Sentrong Sigla Movement had not improved the processes required to achieve better outcomes. Factors that could have contributed to the findings are described and strategies for improvement are recommended.uhttps://pubmed.ncbi.nlm.nih.gov/16306064/  aIn: Health Policy and Planning, 2006 vol. 21 (1) pages 65-74. 2aPrimary Health Carexorganization and administration 2a Primary Health Carexstandards 2aQuality of Health Care  aSentrong Sigla   uhttps://academic.oup.com/heapol/article/21/1/65/746937  cJA