COMPARATIVE STUDY OF CLIENTS SATISFACTION WITH HEALTH SERVICES IN SENTRONG SIGLA HEALTH CARE AND NON-SENTRONG SIGLA HEALTH

CARE CENTER IN ILOILO

A Research Proposal Presented to Prof. Fely P. David Dean, School of Graduate Studies CENTRAL PHILIPPINE UNIVERSITY

In Partial Fulfillment In the subject Education 604 Research

By Ma. Victoria G. Ferrer

TABLE OF CONTENTS Chapter 1: Introduction Background of the Problem Statement of the Problem Objectives of the Study Theoretical and Conceptual Framework Variable and Indicators Definition of Key Terms Significance of the Study Scope and Limitation of the Study Chapter 2: Review of Related Literature Review of Related Literature Chapter 3: Methodology Research Design Target Population and Sampling Procedures Data Collection Data Processing and Analysis Chapter 4: Findings Bibliography or References

Chapter 1

INTRODUCTION Health sector reform became a worldwide phenomenon in the 1990s while the processes vary from country to country. There is underling recognition that radical changes are necessary in the provision of health care if the worldwide potential for health empowerment is to be realized. This recognition has emerged and is growing because of mounting political pressure. Governments are under pressure to deliver improved health care, but at the same time facing financial constraints in their publicly funded health services. Their perceived failure arises from: rising expectations across the world for health and health care; the existence of a rapidly growing variety of technical interventions for the prevention, control, and treatment of diseases; and an ability in many countries to employ these new interventions through traditional approaches to the provision of health care which are seen to be dominated by bureaucracy. It became obvious during the 1980s and early 1990s that the strategy Health for All by the Year 2000 adopted at the 1997 World Health Assembly would not succeed without fundamental changes in the prevailing culture in public health services and related education and training institutions. In 1995 therefore, the Health Assembly adopted a resolution (resolution WHA 48.8) urging the World Health Organization (WHO) and its member States to undertake coordinated reform in health care focusing on making better use of resources, especially human resources. In many countries in the Eastern Mediterranean Region, health care is still characterized by the following defects; uneven coverage and quality of services; inaccessibility of services particularly for the underprivileged and rural communities; inefficient use of scarce resources with public funds often directed to services of limited and with disproportionate financing of secondary and tertiary at the cost of care at the primary level; inadequate responses to public expectations regarding type of care and service provision. In the Philippines, the Department of Health having analyzed the health situation for the past three decades up to the present reveals these findings: reduction in Infant Mortality Rate and Maternal Mortality Rate have slowed down, burden from infectious diseases remains high and chronic and degenerative diseases is rising, emerging health risks from environment and work-related factors remains unattended and with the burden of disease is heaviest on the poor. Comparing the Philippine situation with other Asian countries is far from the expected standard. As in the case of Total Fertility Rate Philippines has 3.7% of Married Women of Reproductive Age as compared to 1.7% TFR of Singapore. In terms of Maternal Mortality Rate Philippines had 172, followed by Vietnam (160), thirdly by Thailand among the Western Pacific Region countries of reported Tuberculosis cases. In a report done by Perez, et al mentioned that in 1996, 400,000 estimated induced abortions, which were higher than in Mexico.

In Region 6 as recorded in the Provincial Annual Vital Health Statistics revealed a decreased of general a decreased of general fertility from 80.74 in 2000 compared in 1999 which was 86.14. Yet, pneumonia remains number one killer with tuberculosis as the number three per 100,000 populations. The possible reason for these occurrence are due to inappropriate service delivery system, inadequate regulatory mechanism like poor quality of health care, high cost of privately provided health services, and poor financing like inadequate funding and ineffective allocation. Another problem is on the care of clients. How many clients were ignored, managed