The first law of thermodynamics is often confusing, because of the "normal" designation of work being positive if the system is doing work on the environment, and heat transfer being positive if heat is being added to the system. This confusion can be easily fixed, as noted below.
All terms in the first law, (e.g., changes in internal energy, heat, and work) are describing energy transfers. In my opinion, all energy is equivalent, so work or heat added to a system raises its internal energy, and such energy transfers should have a positive sign associated with them. Likewise, all forms of energy leaving a system should have a negative sign associated with them, because such energy transfers decrease the internal energy of the system.
In addition to the signs noted above, real world processes are highly variable. Since the first law of thermodynamics is essentially an energy balance, this means that the formulation of the first law should correspond to the process at hand. Thus, if heat is entering a system and work is leaving a system, the "first law" equation for this process would look a bit different than the "first law" equation for a process in which both heat and work were entering a system, and heat was leaving a system. This concept becomes even more important when one notes that some text books designate work done on the environment as positive while other textbooks designate such work as negative.
Regarding the original poster's question, and following the sign conventions noted above, the enthalpy change of a system CAN be equal to the heat entering the system, if no work is done on the environment and the system does not transfer heat to the environment. Usually, this is not the case, but the answer does indeed depend on the particular system that is involved.