Department of Health (Philippines)
|Kagawaran ng Kalusugan|
|Headquarters||San Lazaro Compound, Rizal Avenue, Santa Cruz, Manila
|Motto||Flourish, and health of the people|
|Annual budget||₱84.4 billion (2014)|
|Department executive||Enrique Ona, Secretary|
The Philippine Department of Health (abbreviated as DOH; Filipino: Kagawaran ng Kalusugan) is the executive department of the Philippine government responsible for ensuring access to basic public health services by all Filipinos through the provision of quality health care and the regulation of all health services and products. It is the government's over-all technical authority on health. It has its headquarters at the San Lazaro Compound, along Rizal Avenue in Manila.
The department is led by the Secretary of Health, nominated by the President of the Philippines and confirmed by the Commission on Appointments. The Secretary is a member of the Cabinet. The current Secretary of Health is Enrique Ona.
On September 29, 1898, the Americans established a military Board of Health with Dr. Frank S. Bourns as president. The purpose of this Board of Health was to care for injured American troops but as the hostilities between Filipinos and Americans waned in 1901, a civilian Board of Health was now deemed appropriate with Dr. L. M. Maus as the first health commissioner.
In the early 1900s, 200,222 lives including 66,000 children were lost; three percent of the population was decimated in the worst epidemic in Philippine health history. In view of this, the Americans organized and erected several institutions, including the Bureau of Governmental Laboratories, which was built in 1901 for medical research and vaccine production.
The Americans, led by Dean Worcester built the UP College of Medicine and Surgery in 1905, with Johns Hopkins University serving as a blueprint, at the time, one of the best medical schools in the world. By 1909, nursing instruction was also begun at the Philippine Normal School. In terms of public health, the Americans improved on the sewer system and provided a safer water supply.
In 1915, the Bureau of Health was reorganized and renamed into the Philippine Health Service. During the succeeding years leadership and a number of health institutions were already being given to Filipinos, in accordance with the Organic Act of 1916. On January 1, 1919, Dr. Vicente De Jesus became the first Filipino to head the Health portfolio.
In 1933, after a reorganization, the Philippine Health Service reverted to being known as the Bureau of Health. It was during this time that it pursued its official journal, The Health Messenger and established Community Health and Social Centers, precursors to today's Barangay Health Centers.
When the Commonwealth of the Philippines was inaugurated, Dr. Jose Fabella was named chief of the Bureau of Health. In 1936, Dr. Fabella reviewed the Bureau of Health’s organization and made an inventory of its existing facilities, which consisted of 11 community and social health centers, 38 hospitals, 215 puericulture centers, 374 sanitary divisions, 1,535 dispensaries and 72 laboratories.
In the 1940s, the Bureau of Health was reorganized into the Department of Health and Public Welfare, still under Fabella. During this time, the major priorities of the agency were tuberculosis, malnutrition, malaria, leprosy, gastrointestinal disease, and the high infant mortality rate.
When the Japanese occupied the Philippines, they dissolved the National Government and replaced it with the Central Administrative Organization of the Japanese Army. Health was relegated to the Department of Education, Health and Public Welfare under Commissioner Claro M. Recto.
In 1944, President Manuel Roxas signed Executive Order (E.O.) No. 94 into law, calling for the creation of the Department of Health. Dr. Antonio C. Villarama as appointed Secretary. A new Bureau of Hospitals and a Bureau of Quarantine was created under DOH. Under E.O. 94, the Institute of Nutrition was created in 1948 to coordinate various nutrition activities of the different agencies.
On February 20, 1958, Executive Order 288 provided for the reorganization of the Department of Health. This entailed a partial decentralization of powers and created eight Regional Health Offices. Under this setup, the Secretary of Health passed on some of responsibilities to the regional offices and directors.
One of the priorities of the Marcos administration was health maintenance. From 1975 to the mid-eighties, four specialty hospitals were built in succession. The first three institutions were spearheaded by First Lady Imelda Marcos. The Philippine Heart Center was established on February 14, 1975 with Dr. Avelino Aventura as director. Second, the Philippine Children’s Medical Center was built in 1979. Then in 1983, the National Kidney and Transplant Institute was set up. This was soon followed by the Lung Center of the Philippines, which was constructed under the guidance of Health Minister Dr. Enrique Garcia.
With a shift to a parliamentary form of government, the Department of Health was transformed into the Ministry of Health on June 2, 1978 with Dr. Clemente S. Gatmaitan as the first health minister. On April 13, 1987, the Department of Health was created from the previous Ministry of Health with Dr. Alfredo R. A. Bengzon as secretary of health.
List of Secretaries of Health
At present, the Department is headed by the Secretary of Health, with four undersecretaries and five assistant secretaries.
Under the Office of the Secretary are the following centers, offices and services:
- Administrative Service
- Finance Service
- Health Emergency Management Staff
- Information Management Service
- Integrity Development Committee
- Internal Audit Service
- Legal Service
- National Center For Health Facilities Development
- National Center for Disease Prevention and Control
- National Center for Health Promotion
- National Center for Pharmaceutical Access and Management
- National Epidemiology Center
- Philippine Blood Center
- Procurement and Logistics Service
A Director is assigned to every Center for Health Development (CHD) in each of the 17 regions of the Philippines.
The DOH is composed of eight bureaus, namely:
- Bureau of Health Devices and Technology
- Bureau of Health Facilities and Services
- Bureau of International Health Cooperation
- Bureau of Local Health Development
- Bureau of Quarantine and International Health Surveillance
- Food and Drug Administration
- Health Human Resources Development Bureau
- Health Policy Development and Planning Bureau
Attached Agencies and Hospitals
The following agencies and councils are attached to the DOH for policy and program coordination:
- Commission on Population (POPCOM)
- Local Water Utilities Administration (LWUA)
- National Nutrition Council (NNC)
- Philippine Health Insurance Corporation (PHIC; PhilHealth)
- Philippine Institute for Traditional and Alternative Health Care (PITAHC)
- Philippine International Trading Corporation - Pharma (PITC - Pharma)
- Philippine National AIDS Council (PNAC)
The following hospitals are directly under the DOH: