Community Health Nursing (Refresher) Flashcards
Refresher Course (Vince Gasmin)
What is the basic principle in CHN?
To promote a self-reliant community
Which of the following statements is the Primary Goal of Community
Health Nursing?
Self-Reliance of the Community
Ultimate goal
d.To raise the level of citizenry by helping communities and families
Which of the following levels of Clientele is the
Entry Point in Community Health Nursing
Practice?
Individual
Unit of service
Family
Aggregates
Population group
Entire client
Community
In Community Health Nursing Practice, which
of the following levels of Clientele is the Unit
of Service?
Family
PHILOSOPY: Uphold the worth and
dignity of man
Margareth Shetland
ULTIMATE GOAL: Raise the level of
health of the citizenry.
(NISCE)
SELF RELIANCE IN
HEALTH
PRIMARY GOAL:
Combination of nursing
skills, sociology and public health
WHO:
A service rendered by a
professional nurse with communities, groups,
families, and individuals in different settings
FREEMAN:
Achievement of optimum
level of functioning through teaching and
delivery of care
JACOBSON:
Attainment of highest level of physical,
mental, and social well being at a given place and
time
HANLON:
Field of nursing practice where
services are delivered outside of purely curative
institution
BAILON-REYES:
Utilization of nursing process
to benefit the individual, family and
community.
MAGLAYA:
4 BASIC ASPECTS OF COMMUNITY
SCPG
Social
Cultural
Political
Geographical
Prevention of problems before they pccur
Primary level 1
May skit na , early detection and interventions
Secondary level 2
Magaling na nagpapagaling
Level 3
Correction and prevention of Deterioration of a Disease state
Tertiary
Health education, immunization
Level 1
Screening, case finding, reporting, first aid
Level 2
rehabilitation
Therapy session
Maintenance
Level 3
Optimum
level of
functioning (determinants of health)
Political
Behavoir
Socio economic
Environment
HCDS
Heredity
Behavior
TYPES OF COMMUNITY
Agricultural
Rural
TYPES OF COMMUNITY
Industrial
Urban
TYPES OF COMMUNITY
Semi agri Semi Indust
Rurban
Highly industrial
Metropolitan
Program of PHN
Promotive
Preventive
Curative
Rehabilitative
Marriage, parenthood, procreation
Nuclear
Three generations
Extended
DINK, empty nesters newly married
Dyad
Spouses bring child from previous marriage
Blended
Man ahs more spouses (muslim)
Compound
Live in
Cohabitating
Widowed,
Single parenting
5 developmental stages and task of a family
MARRIAGE: JOINING OF FAMILIES
FAMILIES WITH YOUNG CHILDREN
FAMILIES WITH ADOLESCENT
FAMILIES AS LAUNCHING CENTERS
AGING FAMILIES
Formation of identity
Marriage: joinign of families
Integration of children in the family
Adjustment of task and new roles
FAMILIES WITH YOUNG CHILDREN
Developmetn of Autonomy for adolescent
Midlife reexamination of marital and career issues
FAMILIES WITH ADOLESCENT
Independent identities for parents and grown children
FAMILIES AS LAUNCHING CENTERS
Support role of middle generation
AGING FAMILIES
Influencer,
Advocate
Listenign and giving feedback
Counselor
towards change in behavior
Change agent or catalyst
Providing direct nursing care
Clinicians
Facilitating the implementtions of the health programs in the facility
planning, staffing
Manager
Providing administrative support by means of overseeing function
Supervisor
Providing technical support by means of
Trainer
Detecting deviation from normal health
Health monitor
Doing what is being taught
Role model
Conducting studies to improve health services
Researcher
Linkages and collab
Coordinator
Ensuring people’s participation
Organizer
E.O 102 PRES. ESTRADA
“LICA”
LEADER IN HEALTH
INNOVATOR IN HEALTH
CAPACITY BUILDER and ENABLER
ADMINISTRATOR
LEGAL MANDATE:
1.The 1987 Constitution, Article II, Section 15
- Executive Order 102 L.I.C.A.
- Republic Act 7160 LGU CODE
Republic Act 7160
LGU CODE
FOURmula One
2005 - 2010 Duque
KALUSUGAN
PANGKALAHATAN
2010 - 2014
DR, ENRIQUE T. ONA
Duterte Health
Agenda
2016 - 2017
Ubial
FOURmula 1 1+
2017 - 2022
DOH Secretary
DR. TEODORO J. HERBOSA
Healthies in southeast asia
F1 plus
defines the collective long-term vision
and aspirations of the Filipinos to enjoy a matatag (strongly
rooted), maginhawa (comfortable) at panatag na buhay
(secure), which all sectors of society, whether public and
private, should align their efforts with.
AMBISYON NATIN 2040
which aimed to improve the way health care is delivered,
regulated, and financed through systemic reforms in public health, the hospital system, local health, health
regulation, and health financing
Health Sector Reform Agenda (1999-2004),
which implemented the reform strategies in service delivery,
health regulation, health financing, and governance as a single package that is supported by an effective
management infrastructure and financing arrangements, with particular focus on critical health interventions
FOURmula One (F1) for Health (2005-2009),
which supported the overall sector goals of improving financial
protection, achieving efficiency gains, and ensuring access to quality care through five pillars: creating more
fiscal space for health (pillar 1), sustaining membership in PhilHealth-pooling pillar 2), who pays for what (pillar
3), provider payments (pillar 4), and fiscal autonomy of health facilities (pillar 5)
Health Financing Strategy (2010-2016),
which called for improved financial protection, better health
outcomes, and an improved health system.
All for Health Towards Health for All (2016-2017),
which prioritized financial risk protection, access to quality health
facilities and services, and the attainment of health-related millennium development goals.
Kalusugan Pangkalahatan (2010-2015),
which aims to provide UHC to Filipinos in the
medium to long term through better health outcomes, responsive health care delivery systems, and equitable
and sustainable health financing.
FOURmula One Plus (F1 Plus) for Health (2018-present),
which has expanded access to health services by
automatically enrolling all Filipinos in PhilHealth’s National Health Insurance Program (NHIP), with the aim of
providing all Filipino citizens with access to a comprehensive set of health services without financial hardship
The Universal Health Care Act (2019-present),
5 pillars of UHC
Financing
Service Delivery
Regulation
Governance
Performance Accountability
HEALTH SECTOR GOALS B.A.S.
Better health outcomes
Access to all levels of care
Stronger health systems
reduced health inequities,
improved health metrics, life expectancy and quality of life.
Better health outcomes
comprehensive access to
culturally-sensitive and gender-responsive health services at
primary, secondary, and tertiary levels
Access to all levels of care
strengthened infrastructure,
capacity, and resilience, that proactively anticipates and
responds to health needs and crises,
Stronger health systems
8 point agenda: 1-3
Bawat pilipino
8 point agenda: 4-6
Bawat komunidad
8 point agenda: 7-8
Health care worker at institution
The following lists the eight (8) action agenda items and their
corresponding strategic objectives, organized under three (3) major
categories:
Para sa Bawat Pilipino;
2) Para sa Bawat Komunidad; and
3) Para sa Bawat Health Worker at
Institusyon.
achieves the highest
level of health by providing safe, high-quality,
and patient-centered services, utilizing modern
technology for efficient service delivery
Para sa Bawat Pilipino
addressing
determinants of health through health promotion,
preparing them for crises, and fostering mental
health and well-being, ensuring that each
community thrives in the face of challenges
Para sa Bawat Komunidad
welfare and
rights, and strengthening our health institutions
against the threat of pandemics.
Para sa Bawat Health Worker at
Institusyon
REFERS TO THE ACT BY WHICH THE
NATIONAL GOVERNMENT CONFERS
POWER AND AUTHORITY UPON THE
VARIOUS LOCAL GOVERNMENT UNITS TO
PERFORM SPECIFIC FUNCTIONS AND
RESPONSIBILITIES, INCLUDING THE
PROVISION AND DELIVERY OF BASIC
HEALTH SERVICES
RA 7160
LGU CODE
DEVOLUTION
DECENTRALIZATION
RA 7160
LGU CODE
Chairman of MHO
Mayor
Head of MHO
Vice Chair
Members of MHO
All health team
All brgy captains
Selected SB members
Improved health status and coverage of public health
intervention of the zone population
Inter Local Health Zone
Inter Local Health Zone
- PEOPLE:
- BOUNDARIES:
- HEALTH FACILITIES:
- HEALTH WORKERS:
Inter Local Health Zone PEOPLE
100,000 – 500,000
NATIONAL HOSPITALS, MED CENTER,
SPECIALIZED / REGIONAL HOSPITAL
TERTIARY
PROVINCIAL HEALTH OFFICE, DISTRICT
HOSPITALS, EMERGENCY HOSPITALS,
PROVINCIAL HOSPITALS
SECONDARY
MUNICIPAL HEALTH OFFICE
RURAL HEALTH UNITS
HEALTH CENTERS BARANGAY HEALTH
STATIONS
PRIMARY
5, 10 50 the rest 20
5k Midwifes
10k Nurses
50k Dentist
THE REST 20
At Community Level
1
st Level of Care
Provision of Interventions to
cure specific Disease
Primary Care
Health in the Hands of the People
Total Approach
Active Community Paricipation
Partnership
Improve Health in the Community
Access to Basic Health
Primary Health Care
Primary Health Care
“MIDWIFE”
Multi-sectoral policies
Integrated Health Services
Determinants of health (physical, mental and social health and
wellbeing)
Whole-of Government Approach (PHC Aim)
Interventions that encompass the entire life-course
Focusing on Equity
Empowering individuals, communities for increased participation in
health.
First meeting
Alma Ata, USSR
Sept. 6 – 12 1978
Alma atta
October 2018
Astana,
Kazakhstan