Sentrong Sigla

exclusively the evidence that we wealthy person, indicates that it is reasonable to assume in practic eachy alwaysy human race world, and with certainly in almost every newborn baby, that there is an active voice return toward nearlyness, an impulse toward growth, or towards the actualization. -Abraham Mas pitiful Introduction Department of Health or the Kagawaran ng Kalusugan is the principal swell upness agency here in the Filipinos. The plane section is responsible for ensuring access to staple fiber familiar wellness service to any Filipinos through and through with(predicate) the pro tidy sum of grapheme wellness make do and the regulation of willrs of wellness goods and work.bash has three study roles in the wellness empyrean (1) leadership in wellness, (2) enabler and capacity builder, and (3) administrator or specific service. The dohs vision is to be the leader of wellness for totally in the Philippines, and its mission is to mend ab out(a) eq uitable, sustainable and prime(prenominal) wellness for all Filipinos, e supererogatoryly the poor, and to lead the postulate for purity in health. While pursuing its vision, ut adheres to the spicyest value of earn much(prenominal)(prenominal)(prenominal)(prenominal)(prenominal) as integrity, justice, compassion and respect for human dignity, commitment, professionalism, teamwork and stewardship of the health of the people.Because of the discussion sections dedication in guaranteeing equitable, accessible, sustainable and attri preciselye health go for all Filipinos, especially the vulnerable group, the department has formulated antithetical platforms to batten reference health services and genius of them is the Sentrong Sigla Program. Sentrong Sigla The Department of Healths ( brawl) timberland in Health (QIH) Program seeks to institutionalize Continuous feeling memberion or CQI in health finagle in beau monde to create health impact in destinations of he alth promotion and disease streak control.Sentrong Sigla assay-mark has been place as one of the components and strategies of this program. The feature standards call total ashess superior for outpatient c ar and humankind services graduate into three takes. This superior standards angle (QSL) covers the sanctioned hallmark level or direct 1. The next high levels of specialty award and award for excellence, takes 2 and 3 individually harbor their own standards lists. Aside from the QSL, rough otherwise tools accessible for use of the health forwardness stomach are the Supervisory Forms (SF) and the speediness support Form (FCF).The Birth of Sentrong Sigla feature pledge Program (QAP) last To make do and LGUs active partners in providing prime(prenominal) health services. observe Strategies 1. assay-mark / learning Program (CRP) 2. Continuous feeling Improvement (CQI) In 1999, QAP was renamed the Sentrong Sigla (Center of Vitality) Movement (S SM). Sentrong Sigla Movement Goal flavor health tone health business concern, services and facilities. Objectives Better and more effective collaborationismism between DOH and LGUs.Where DOH serves as a supplyr of skilful and financial avail package for health boot. LGU serves as prime developers of health systems and direct fulfilers of health programs. Specific Objectives * Institutionalization of property assurance * SS evidence derriereing 50 % of health facilities in 2003 and 60% in 2004. Pillars * Quality assurance * Grants and technological take interestance * yields * Health promotions phases strain Period Standards I 1998 2000 Input Quality II 2001 2004 Process QualityIII 2005 2010 Outcome or jounce Quality Guiding Principles for Sentrong Sigla Movement To run across that Sentrong Sigla remains focuse on its quality goals and objectives, the hobby guiding principles are hereby adopted * Recognition for achieving good quality shall be the main in centive in SS enfranchisement. protagonism and social mobilization activities should be utilize to enhance the value of prestigiousness and recognition. Other incentives shall non be overemphasized and should lonesome(prenominal) be secondary to recognition. * Quality cash advance is an unending process.SS credential should promote the continuing drive for ever improving quality by providing multi tiered and progressively higher quality standards. * SS attestation shall focus on snapper human race health programs that permit been proven to be most cost beneficial to the people such as child health, agnatic care and family planning, prevention and control of pathogenic diseases and promotion of healthy lifestyle. Public health programs are best incorporate, synergized and synchronized to master maximum health impact. Quality forward motion is a league that empowers all stakeholders. In SS, communication between the DOH and the health facilities to be certified s hall be open and shall be ground on usual trust and transparency. All quality standards and the methods by which these shall be assessed shall be openly shared and discussed to play clear understanding and strong commitment by all concerned. * In the homogeneous spirit, roles, responsibilities and contributions shall promote appropriate counterpart and reciprocity. To ensure even distribution of quality health services, DOH supporter shall be purposive, targeting to achieve quality avail in health facilities that have been identified using care fullyy selected health priorities and health needs. These should let in health facilities in far flung and underserved areas, in congested urban centers or in marginalized communities. * To ensure objectivity and broad, varying perspectives, SS discernment shall refer partners in health from non DOH units such as other governing and non government units agencies.They shall be encourage to actively advocate for and give support to SS. Sentrong Sigla franchise Phase I Phase I of the documentation component started in mid(prenominal) 1999 and panoptic until 2002. Sentrong Sigla impressions were given(p) to health facilities that met at least 80% of the standards. By mid 2002, 44% of health centers, 13 % of district and provincial hospitals, and 1 % of BHS have been certified Sentrong Sigla. Additional national awards were given to several health facilities, the plunder for which included P 1 Million for health centers, P 3 Million for district hospitals and P 5 Million for provincial hospitals.More than cxxxv Million pesos have been awarded to these facilities. The Sentrong Sigla credentials during the first phase was successful in terms of promoting provokes and participation of local anaesthetic anaesthetic government units in raising the quality of health care in public health facilities and in generating surplus support from local chief executives for health and channelling local imagerys to fund raw material equipment, amenities and supplies of local health facilities.The strategy in any case confirmed that a mechanism that recognizes good quality health services is a healthy tool to maintain DOH leadership in health, with high probable for eventually creating health impact through more effective and burst quality public health programs. Valuable Lessons during Phase I * The recognition of the need for total systems quality standards that combine simple even elementary input process and output standards. While the health facilities met input only standards in Phase I, SSM itself had to be positioned as a total quality movement.Thus, consumers will equate SS with total quality. Input only certified health facilities would raise doubts on the SS seal as a certification of true total quality. Changing the standards over the years, as originally planned, was difficult to implement. Besides, The LGUs favorite(a) a stable core of total system quality standards. * The impressiveness of careful selection of incentives. While it is important that incentives be attractive, these should also be appropriate, sensible and sustainable.During SS Phase I, fiscal rewards were too much focused. This generated unprecedented interest but distracted the LGUs away from the real quality objectives of SS. The quest for the one thousand million peso prize led them to skip the capability building timbre which was really the most important step in the process. * The need for changing procedures to provide adequate clip for crucial processes like the internalization of the quality standards by the Local Chief Executive and is local health staff, the readying of supportive technological assistance by the DOH and other quality improvement activities prior to semiformal assessment. There was also need to provide multiple, progressing quality standards to drive continuing quality improvement. Formulation of the Philippine Quality in Health Program and the T ransition into SS Phase II In 2001, with the change of DOH administration, the effort to raise quality of health services was intensified, leading to the enlargement of concern for quality beyond the DOH LGU interaction level into the entire health vault of heaven.Other instruments and interventions that can drive quality higher, such as mandatory licensing and the accreditations and payment scheme of the Philippine Health policy Corporation (PHIC) were included. Other efforts of professional societies were also ac familiarityd and incorporated, resulting in the more integrated Philippine Quality in Health Program AO none 17 B s. 2003, replacing the Sentrong Sigla Movement. The certification strategy of the movement The Sentrong Sigla franchise remained an important strategy in the accreditation approach of the broader Philippine QIH Program.To harness the full potential of the SS franchise in achieving its quality goals and objectives, basic modifications were adopted for SS Phase II (2003 2007) in terms of revised quality standards, procedures and incentives scheme. Goals As one of the accreditation strategies in the QIH Program, Sentrong Sigla enfranchisement has the same long term and intermediate goals as the Philippine QIH Program Long Term GoalsTo institutionalize within the health sector the leadership processes, knowledge, attitudes, skills, and organisations that will generate Continuous Quality Improvement in health care thus creating health impact in terms of health promotion and disease prevention and control. This goal is a process and systems goal, fully recognizing that the quest for better quality health care and services is a continuing or unending process. This is also an spread out goal, aimed to cover the entire health sector, not only the public health or government sections of the sector. Intermediate (5 year) Goal (2003 2007)To improve the quality of health care in outpatient health facilities, hospitals, and the public health services in the communities. In specific terms, this goal will be carried out by establishing specific quality criteria and by targeting (a) to raise the average quality of out patient care, hospital care and community / public health care and (b) to reduce the sportswoman around the average quality of care among these different categories of providers and services. Specific Goal To improve the quality of outpatient health care (public and private) and of public health services in communities.For 2003 2007, SS will put emphasis on improving the quality of services in local government health facilities and of public health services in communities. Objectives for 2003 2007, Phase II Sentrong Sigla Certification has the following objectives for 2003 2007, Phase II By 2007, 1. To establish an efficient systems of providing expert and other forms of assistance to outpatient health facilities, of assessing health services against established criteria, and of monitor key indi cators in the Ss certification process. 2.To progressively raise the average quality of public health services through recognition of successful attainment of quality standards * At least 50% of health centers in the region successfully meet the revised SS Phase II fundamental Certification ( train I) standards. * At least 20% of aim I certified health centers successfully meet SS Phase II specialism Award (Level 2) standards for all four core public health programs (child care, agnatic care / family planning, prevention and control of infectious diseases, and promotion of healthy lifestyle. 3. To raise public sensation of, public support and demand for, and client participation in SS certification of their health services and facilities. Overall Certification Process The quality standards cover total systems quality for outpatient care and public health services graduated according to the following levels Level Category Description Level 1 Basic Certification Minimum input, process and output standards for integrated public health services for 4 core programs, eagerness systems, regulatory functions and basic curative services. Level 2 Specialty Award Second level quality standards for selected public health programs (includes other health programs in plus to Level 1 core programs) and facility systems. Level 3 Award for integrity Highest level quality standards for maintaining Level 2 standards for the 4 core public health programs and Level 2 facility systems for at least 3 consecutive years. All the local health centers and rural health units are qualified to apply for Level I certification. Only those that passed the Level I can go to Level 2 only those that passed the Level 2 can proceed to Level 3.The certification process starts with democratic self assessment at the local health facility level aided by the DOH Representative to the area. Then, for a period of close to 3 6 months, depending on the deficiencies noted, the local health f acility will have to improve its systems and services to meet the quality standards for the appropriate level. DOH Representatives and other regional technical staff shall assist the LGU in this duty period process, providing appropriate technical packages and other assistance as needed.Multi sector regional SS Assessment Teams that have been trained and certified as assessors shall conduct formal assessments using the appropriate Facility Certification Form. These teams will then pep up the certification of health facilities that successfully meet the standards criteria. Major Steps for SS Certification Step 1 Orientation and invitation. Step 2 Self assessment by LGU. Step 3 Provision of technical assistance. Step 4 conventional assessment for Level 1, Basic Certification.Step 5 Maintenance of Level 1 working for Level 2 certification. Step 6 stately assessment for Level 2 certification. Step 7 maintenance of Levels 1 and 2 working for Level 3 certification. Step 8 Formal ass essment for Level 3 certification. Step 9 Maintenance of Level 1, 2, and 3 The above strategy is de traceed to promote the continuing furtherance of health facilities towards higher quality levels. The pace of progress towards higher levels depends on the motivation of the health facilities.However, should health facilities not actively apply for certification into the next higher levels after 2 years, renewal of their SS certification spatial relation would be validated by Regional Assessors every 2 years. The following is the recognition scheme Level Recognition Level 1Basic SS Certificate SS seal, individualistic recognition Level 2Specialty Award Specialty banner, individual recognition, others Level 3Award for Excellence SS trophy, individual recognition, media exposure, others Levels 1 and 2 recognition shall be conferred by the DOH through its CHDs.Recognition for Level 3 Award of Excellence shall be given at the national level. Matching grants shall be a mechanism to pr ovide assistance to LGUs to achieve basic SS Certification and to continue to attain higher levels of quality. Region specific procedures to assess needs and motivation shall guide prioritization of such grants. Facilities that did not progress into higher level certification after 2 years, but maintained their current certification status based on Regional validation, shall be given stickers confirming the renewal of the validity of their SS status.Validation shall be done every 2 years. There shall be no other incentives for mere renewal of SS status. Grants for technical assistance towards attaining higher level quality, however, may tacit be granted by the respective CHDs based on thorough assessment of the needs and the commitment of the health facility. The SS Certification advert Chart Procedures 1. 0. Technical attention 2. 1. Self assessment and planning This process is participatory involving all key staff of the health facility, other units of the local government and the local executive.The DOH Representative to the area is the primary technical assistant of the DOH. He / She shall ensure that the LGU has all the necessary documents and materials needed for the certification and that all key LGU staff understands the standards and processes involved. The DOH Rep shall every provide actual technical inputs or tap other regional resource person and technical services to assist his / her LGU. Based on the QSL, The LGU, assisted by their DOH Rep, shall conduct a system and services compend and shall formulate a plan, synchronized with the DOH Reps assistance plan, to achieve the standards in the QSL. . 2. Designing and providing technical package Based on the improvement plan, the DOH Rep shall provide the technical inputs and packages. 2. 3. Systems improvement astir(p) the quality of systems, such as logistics and information systems, are better hastend through field exposure in facilities that demonstrate model systems or by bringing in re source persons knowledgeable in systems compendium and systems improvements. These special arrangements are possible through the DOH Rep and regional TA teams. 2. 0. Assessment 3. 4.Quality Standards for SS Phase II Level 1 (Basic Certification) The 78 SS Phase II Level 1 standards are organized into 4 sections integrated public health programs, facility systems, regulatory functions, and basic curative services. incorporate Public Health Programs. Only four core public health programs are currently included in Level 1 Basic Certification in order to focus the services on the most crucial public health priorities in child health, maternal health and family planning, prevention and control of infectious diseases especially tuberculosis, and the promotion of healthy lifestyle.Integration is accented to emphasize the need to combine similar and related interventions, such as child targeted programs like EPI, CDD ARI, nutrition and others, infection prevention and control interventi ons, maternal care and family planning, and healthy lifestyle approaches. Integration is achieved by ensuring that facility based services are reinforced by well planned and well coordinated, synergistic home and community based activities. The synthesized protocols emphasized proven interventions, excluding data-based interventions not yet proven to be cost beneficial or effective such as the syndromic approach to STD.Note that for Level 1, the program selected is maternal care and family planning, not Womens Health. This is because there are many maturemental and experimental areas in the expanded field. Womens Health and other programs not in Level 1 Basic Certification are to be included in Level 2 SS. Facility Systems. These standards include systems and services that cut across unhomogeneous programs and support all health facility services. These include planning and budgeting, human resources development, management and health information systems, logistics system, referral system and community systems.Regulatory Functions. Regulatory functions include two aspects compliance of the health staff with health laws and the performance of the responsibilities of the local health staff in the enforcement of these health laws. Basic Curative Services. The standards refer to routine history taking, physical and science lab examination, and systematic assessment of these signs and symptoms. 3. 5. Quality Standards for Level 2 and 3 ideas and worry These standards are still being developed.The concept for Level 2 Specialty certification is to define program centered higher level quality standards for selected programs. The programs include the four core public health services in Level 1 and other programs that include developmental components, for instance womens health or reproductive health. Level 2 standards would also include higher quality systems standards. Level 3 standards would be very much like Level 2 standards with emphasis on maintenanc e of these high quality service levels. 3. 6. Tools for Measuring SS Quality StandardsAs in any certification process, accurate touchstone of the attainment of the quality standards is difficult. The methods of measurement used in SS include direct observation, records refreshenand interview of health staff and clients. Of the total 78 standards in the QSL, 53 shall be measurable using the Facility Certification Form (FCF). The rest are measured by suing the Supervisory Form, which in turn is also verified through the FCF. Facility Certification Form. The measurement methods include mostly simple direct observation, nobble review of records and short interviews with either staff or clients.Supervisory Form. These are taught to the health facility supervisors, in widely distributed the nurses or physicians. The methods included in the SF are the lengthy and more super technical observations of actual patient care, the more thorough review and analysis of records, and the more detailed interview of staff or clients. The records of the supervisory activities, in turn, are those assessed by the SS Assessor. 3. 7. Scoring The scoring system puts more encumbrance on the integrated public health services and facility systems. The mustiness have standards are those listed in the FCF. Nice to have standards are either in the supervisory form or in the discretionary list for SS assessors. 3. 8. Training and certification of assessors To prevent bias and too wide variation of judgement between assessors, only duly trained assessors will be certified to conduct assessments. Assessor Field Supervisors recruit, train and recommend certification / renewal of certification of assessors in the field teams under them. Advocacy, IEC, and Social mobilisation The table below is the media communication plan for SS itemisation the basic messages and target groups.National advocacy activities will focus on wide tri media popularization of the SS seal and its symbol. Regio nal advocacy will focus on raising the commitments of local executives to SS and the awareness and demand for quality services among the communities. Target Audience Messages cranial orbit Media General public(including politicians) What is SS? What is the SS seal? What are the SS standards? What facilities have to meet these standards? What are the general benefits of having SS certified health facilities?What can you do to demand for SS certification or help / support the program? Nationwide multi media Health staff(LGU, DOH, private health sector) Reinforce the value of quality in health care. What are the updates on SS? (revisions, etc. )What are the specific benefits of being an SS certified facility? utilise the revised SS certification processes, how can the health facility become SS? What are the specific and relevant guidelines for LGU action? By region & LGU sales conferences, symposia, meetings, handouts, manuals. Monitoring, investigate and EvaluationThe quality level of each health facility, including the deficiencies of those not yet SS certified, are monitored to detect the increasing average quality level and the needs for assistance. investigate is used to develop improved quality standards program components and train packages and outperform evaluate the SS achievements. Organization and Functions The National Sentrong Sigla Certification commission (National SSC Committee) sewrves as the multi sector body that oversees policy recommendations and coordinates the various activities of SS.This committee also assesses the performance of the various subcommittees and DOH units involved in the implementation of the strategy. The subcommittees of the National SSC Committee with their respective functions are as follows * Sub Committee on Standards and Procedures 1. Develops and recommends standards and procedures for Sentrong Sigla certification, as well as basic messages to various stakeholders, through multi sector consultation and polisher testing and taking into consideration other quality initiatives and accreditation programs of other agencies in the country. 2.Develops and disseminates guidelines on SS implementation to DOH staff at all levels. 3. Coordinates training of various stakeholders on standards, procedures and basic messages. 4. Performs other functions as relevant to the development and dissemination of standards and procedures in SS. * Sub Committee on Technical Assistance and Monitoring Assists the DOH Regional Offices / CHDs in the following functions 1. Dissemination of SS standards, procedures, guidelines, and basic messages to the other members of the health sector such as the local government units (LGUs) and private practitioners, among others. 2.Development of training assistance packages, systems and tools that will palliate the attainment of SS standards. 3. Coordination of various sectors involved in the SS quality assessment of health facilities. 4. Development of supervise t ools and performance indicators and analysis of the SS results of the database for all health care facilities (certified and not yet certified). 5. Monitoring of the achievement of identified SS program indicators of performance. 6. Identification and coordination of grants and projects that will make haste the SS certification of target health facilities and systems in the country. . Other functions necessary to assist the LGUs and other members of the health sector in attaining SS quality standards. * Sub Committee on Advocacy and Awards 1. Designs and recommends revised, graduated incentives scheme that puts emphasis on excellence rather than monetary incentives. 2. Identifies and mobilizes bills and partners in order to deliver these incentives. 3. Develops projects to facilitate SS certification of target health facilities and systems and performs the necessary processes to get these projects approved and implemented efficiently. 4.Advocates for multi sector participation i n the SS program based on the basic messages developed by the Standards and Procedures Sub Committee with emphasis on the quality improvement benefits to different sectors involved. 5. Performs other functions necessary to make the SS incentives focused on the excellence and to sustain interest and participation in the certification strategy. Functions of the DOH Regional Offices / CHDs in SS Certification In addition to the technical assistance functions mentioned under the Sub Committee on Technical Assistance and Monitoring, the DOH Regional Offices shall 1.Organize Regional SS Assessment Teams and SS Technical Assistance Team. 2. Advocate for SS certification within their respective regions. 3. Identify and mobilize resources and partners to help enhance the magnet of the SS incentives scheme without putting too much emphasis on monetary or material rewards. 4. Develop regional projects that will promote and facilitate SS certification and active partnership. 5. Perform other functions as necessary to implement SS certification and quality improvement activities within the health sector.National Structure for Sentrong Sigla Certification Regional Structure for SS Certification Financing SS activities are funded from multiple sources. The BLHD provides silver for SS national operations, including national advocacy and the activities of the National SSC Committee. Regional Health Offices provide the funds for regional operations including regional advocacy, matching grants and other rewards such as the SS seals, certificates and trophies. BLHD may augment the funds of regions that seek financial assistance.BLHD, in coordination with DOH financing units, monitors selected financial indicators for SS certification such as funds allocated and disbursed at all levels, including counterpart funds from LGUs. Future Directions SS Certification is judge to further develop in many directions. The quality standards are pass judgment to reflect higher levels of q uality and other changes through the years. Assessors and TAs will have to be retained as these changes are incorporated. New programs and new or revised protocols may be added in the core list. Future standards may be developed to cover other units in the LGU and the community.Within 2007, initiatives shall include preparations for expansion of the coverage of SS certification into private outpatient health facilities and the development of Level 2 and 3 standards. In the future, it is also anticipate that the Licensing requirements would eventually absorb the precaution standards currently in SS. PHIC developed standards for hospital services are expected to become the SS standards for hospitals. Definition of Terms 1. Quality degree of excellence or desirability of a product, usually measured in relation to shape with given standard. 2. QualityControl (QC) set of functions designed to insure quality in fabricate products by relying on periodic management of finished produ cts, analysis of results of inspection to determine causes of defects and systematic removal of such causes. 3. Quality Assurance (QA) set of functions designed to insure quality in manufactured products by cautionary or pre emptive removal of potential sources of defects through constant improvement of output signal technology, engineering design, materials, processes, equipment and workmanship. 4. Quality Management (QM) the organization wide pursuit of quality. . Quality Improvement (QI) the broad all encompassing generic term for processes involve in the continuing pursuit to improve quality. 6. Performance Improvement a type of QI focused on the systematic and continuing improvement of organizational performance in order to achieve total quality. 7. sum Quality Management (TQM) the pursuit of quality that involves not just the end product organization but also its clients and customers, suppliers and sub contractors, competitors and oversight agencies in the market , and all other stakeholders in the community. 8.Total Quality the ultimate goal in improvement which involves doing the right thing right the first measure and all the time while meeting the needs of internal and external stakeholders and customers. 9. 1998 Quality Assurance Program refers to DOH quality program formulated in 1998 that is focused on improving the DOH LGU partnership to provide quality health services. The QAP started the certification and recognition strategy for improving health services in health centers, rural health units and baranggay health stations. The Sentrong Sigla Movement replaced the QAP. 10.Sentrong Sigla Movement the term used in 1999 to refer to the 1998 QAP. The SSM is essentially the same as the 1998 QAP, with some minor revisions like the inclusion of local hospitals in the certification and the listing of 4 pillars to support the process. This term was also used to refer to other quality related concepts such as the quality improvement phi losophy, the multi sector nature of CQI, and the value changes in CQI. The Philippine QIH Program replaced the SSM. 11. QIH Program refers to the Philippine Quality in Health Program, the current quality improvement program (AO 17 B s. 003) that replaced the QAP and the SSM. The QIH has expanded the scope of the quality initiatives to involve the entire health sector, not only the DOH and the LGU services, and now includes the licensing and other efforts such as accreditation by PHIC or other professional societies in its strategies. 12. Sentrong Sigla Certification refers to the strategy of assessing health facilities against established health services criteria and recognizing those that successfully meet the criteria. The certification process is expected to lead to changes in the health facility when they strive to meet the criteria. 13.SS Quality Standards List (QSL) the list of basic SS criteria to be met by health facilities. In SS Phase II, the QSL for Level 1 certifica tion includes input, process and output criteria. 14. SS Facility Certification Form (FCF) the form that is used in the formal assessment of health facilities. The FCF contains standards that will be measured by the SS Assessor and the method by which these will be measured. It also works as the scoring sheet. 15. Supervisory Form (SF) the form used by the health facility supervisor (the nurse or the physician) in assessing the capability of his / her health staff, usually midwives.This contains the standards that are measured mostly through direct observation of provider client interactions and in depth review and analysis of records. 16. Inputs the resources needed to provide care or services such as staff, equipment and supplies. 17. Processes a series of activities or tasks. 18. Outcomes the result of the processes. Conclusion In 2001, according to the World Bank, The quality of service varies between different types of health facilities with the facilities providing bette r quality of service to be more heavily apply by the individuals from the higher income groups.Public health facilities such as the rural health units and barangay health stations are generally perceived to provide low quality health services. Few have emphasized the quality of services and most systematic efforts to improve based on findings about the actors line process have been limited to health facilities with adequate resources. Everybody deserves to receive quality health care. Whether you came from the poorest of the poor or the richest of the rich, there should be a same level of quality care. Sadly, here in the Philippines, the quality of health care services and management system has been widely deficient.With this in mind, quality improvement in health system needs to be organized systematically to bring about genuine health systems reform. We should change the general erudition that the Philippines have fragmented planning, funding, and management of the quality in itiatives. And in order to achieve this thus achieving quality health care there should be coordination and collaboration between the government, NGOs, and the community. And it shouldnt stop there. In order to achieve excellence in health services, it should be dream uped that the quest for quality health care is continuous.Honestly, Im not really aware what Sentrong Sigla Movement is. I dont know what it is for, how was it being implemented, etc. Because of the limited knowledge I have, and the lack of information and resources, I have decided to look DOH and ask for information. I have learned that the Sentrong Sigla Movement has been halt in the year 2007, and only reached the Level 2 where trainings have been conducted but there was no implementation. It is stopped because of the PHIC Bench Book, where it is just the same as the Sentrong Sigla Movement, because the DOH also included most of the inputs in the said proposal.Unfortunately, it is still not being implemented, t hought it has been revised and just waiting for the sign and review of the Secretary of DOH. I guess, the lack of funds has a major impact why an important program such as Sentrong Sigla was being stopped. But I am sure that there will be always a quest for excellence in providing health care services. I wish that there will come a time that it will not matter if youre in a public or private hospital for they are providing same quality care.Nevertheless, we should remember that the success of quality initiatives lies in producing change the way people and organization work rather than concentrating standards and measurement alone. Bibliography * Cuevas, F. P. , Reyala, J. , Borja, V. , Serafica, L. , Manlangit, C. , Mendoza, M. T. , Ramos, L. , Ruzol, C. , Soliman, R. , Aricheta, J. , Garfin, A. M. C. , Niola, R. , Bocobo, M. , Hipolito, H. (2007). Public Health Nursing in the Philippines 10th Edition. * http//www. doh. gov. ph/sentrong_sigla