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Abstract

The key factor in attaining health for all is the primary health care (PHC) as implemented in the Local Public Health System (LPHS). This study assessed the extent of the implementation of the basic services in the affiliated barangay health centers of the Cebu Normal University College of Nursing during the school year 2007-2008. This research was conducted in 13 barangay health centers affiliated with the Cebu Normal University-College of Nursing. Four personnel from each health center were involved as respondents of the study namely: the doctor, the nurse, the midwife and the barangay health worker (BHW). The instrument delved into the extent of implementation of the ten basic services as fully implemented or not implemented. The basic health services were “monitoring, diagnosing and investigating, informing, educating and empowering, mobilizing, developing policies and plans, enforcing the laws, linking, assuring, and evaluating and researching.” The findings revealed that of the essential services, six were partially implemented, three were less implemented and one service was not implemented. The six partially implemented services were linking, evaluating, enforcing, diagnosing and investigating, mobilizing, and assuring. The three less implemented services were developing, informing and educating, empowering, and monitoring. The partial implementation of the essential services was due to lack of awareness of essential services, political intervention and inadequate budget. The community extension services of the Cebu Normal University College of Nursing can help improve the level of implementation by providing a written copy to every health center of a checklist rating scale for the 10 essential services. The reasons for the partial implementation of the ten essential services of the local public health system must be addressed forcefully if the services are to be fully realized.

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