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
Traditional Cornerstones / Pillars
“IUSA”
INTER – INTRA SECTORAL LINKAGES
USE OF APPROPRIATE TECHNOLOGY
SUPPORT MECHANISM MADE AVAILABLE
ACTIVE COMMUNITY PARTICIPATION
CORE VALUES OF PHC
SSSER
SOCIAL JUSTICE
* SOLIDARITY
* SELF RELIANCE
* EQUITY
* RESPECT TO HUMAN DIGNITY / HUMAN RIGHTS
PRIMARY HEALTH CARE: Goal
Ensure all people
provided access to
Health
Health Care Workers
to rally behind the
communities to
assume responsibility
for their health
PHILOSOPY of PHC
Collaborations of
Private and Public
Strategy of PHC
Essential Services in PHC
“ESSENTIALS”
ESSENTIAL MEDICINES / DRUGS
SANITATION
SAFE WATER SUPPLY
ENDEMIC DISEASE CONTROL AND MNGT
NUTRITION
TREATMENT TO SIMPLE CONDITIONS
IMMUNIZATION
ACCESS FOR MOTHER & CHILD HEALTH SVCS
LEARNING THRU HEALTH EDUCATION
PHC ADVOCATES THE 5 A’s
ACCESSIBLE
AVAILABLE
AFFORDABLE
ACCEPTABLE
APPROPRIATE
Community must actively participate
Shared Leadership and Participatory Governance
Community Organizing is also done to identify Potential Leader
Knowledge and Capacity Building
Multidisciplinary Approach hence the need for skill mix to address
health needs of the people is crucial to the efficient
implementation of PHC
Human Resources for Health
THE REST 20
Human Resources for Health
Determinants of Success of PHC
- Knowledge and Capacity Building
- Human Resources for Health
- Financing
- Technology
No Balance Billing Policy
Philhealth
Sin Tax Law
RA 10351
TRAIN Law
RA 10963
Ensure that the people from all walks of life enjoy the highest
possible level of wellness, access to available services and
technology provided
Technology
the PHC is a cornerstone of a sustainable
health system for universal health coverage (UHC) and health related
Sustainable Development Goals.
ASTANA DECLARATION
2 types of feeding program
Supplemental feeding
School bases feeding
SUSTAINABLE DEVELOPMENT GOALS: 1
No poverty
SUSTAINABLE DEVELOPMENT GOALS: 2
End hunger, achieve food security and improved nutrition
SUSTAINABLE DEVELOPMENT GOALS: 3
Ensure healthy lives and promote well being for all ages
SUSTAINABLE DEVELOPMENT GOALS: 6
Ensure availability and sustainable management of water and sanitation for all
Pre requisite for Mandatory feeding program
Deworming: Albendazole or mebendazole
Para sa tambay pension, nagdedecide ay PESO
Tupad, tulong pangkabuhayan
Sustainable livelihood
Magkalahi tayo community driven program
Poverty alleviation program
4Ps
4Ps subsidy
elem: 300
HS: 700
College WALA
The Philippine labor code is under the mandate
of what law:
PD 442
SCHOOL HEALTH
FOCUS:
SCHOOL POPULACE
Support the student in learning
and ensure that educational potential is not
hampered by unmet health needs
PRIMARY ROLE:
AN ACT TO PROVIDE FOR THE MEDICAL
INSPECTION OF CHILDREN ENROLLED IN PRIVATE
SCHOOLS, COLLEGES AND UNIVERSITIES IN THE
PHILIPPINES
RA 124
THE CHILD AND YOUTH WELFARE CODE
PD 603
QUALIFICATION OF A NURSE II /
DISTRICT NURSE
BSN
* RN
* 2 years of relevant Experience
* 4 Hours of Relevant Training
FUNCTION OF A SCHOOL HEALTH NURSE
- School Health and Nutrition Survey (Annual)
- Student Health and Nutrition Assessment (Annual)
- Referral of Cases – MHO / Private / Social Services
- School Plant Inspection Environmental Sanitation
PROCEDURES OF HEALTH ASSESSMENT
Classroom Lecture
3 -5 Children in Waiting Area
Handwashing
Assessed 1 by 1 / Cephalocaudal
Rights of children
PD 603
Clinic teacher must haves
At least 1 Clinic Teacher in every School
2. Trained by the School Nurse
Mandated thru
RA 124
Functional
School Clinic
Nutrition Education
Immunization
Safety
Health Education
PRIMARY
PREVENTION
TERTIARY
PREVENTION
Referral of Students for
substance abuse or
behavior problems
Prevention of
complications and
adverse effects
Faculty and Staff
monitoring
“Everyone has the right to work, to free choice of
employment, to just and favorable conditions of work.”
OCCUPATIONAL HEALTH
Article 23 of the United Nations
is the lead agency for Occupational Safety and
Health (OSH)
DOLE
The Occupational Safety and Health Standards (OSHS)
PD 442 Philippines Labor Code Repealed RA 1054 of 1954
Employees Compensation Commission
PD 626
Toxic Substances and Hazardous and Nuclear Waste
Control Act
RA 6969 –
Strengthening Compliance with Occupational Safety
and Health Standard act of 2017
RA 11058
Duties and Functions of OHN as per DOLE
“O H N A P”
Organizing Health Programs
2. Health maintenance examination
3. Nursing Care to Injured and Ill
4. Administering PPE and Supplemention
5. Policy making
Industrial Nursing Unit (INU) Magdalena Valenzuela
Nov 11, 1950
Anita Santos elected on, Modified of the name to
(OHNAP)
August 19, 1964
Independence of OHNAP
Nov. 12, 1966
RN full time for Occupational Health Personnel
100 and above
Dentist Full time for Occupational Health Personnel
501 and above
Physician full time for Occupational Health Personnel
501 or 2000
Every 250 workders or a fraction
1 full time nurse
500 workers fraction
dentist and physician full time
DONNING
(GowMaGogGlov)
GOWN then MASK then
GOGGLES then GLOVES
DOFFING
(GlovGogGowMa)
GLOVES then GOGGLES then
GOWN then MASK
Elements in the work environment that can
cause work related disease to worker
Health Hazards
Unsafe conditions or unsafe acts that
significantly increase the risk of worker to be
injured
Safety Hazards
CHEMICAL Solvents
Lead
Asbestos
Acids
Central Nervous
System Disturbance
Asbestos Lung Dse
Burns
An essential and indispensible equipment of a public
health nurse which she has to carry along during her
home visits.
PHN bag
ACTIVITIES IN CHN
- Clinic Visit
2.Home Visit
3.Group Conference
4.Telephone Contact
5.Letter
HOME VISIT PURPOSE
“MEGHA”
Make use referral system
* Establish close relationship
* Give Nursing care
* Health Teaching
* Assess living condition
HOME VISIT PRINCIPLES
“AEIOU”
Available information must be used
- Essential NEEDS is the PRIORITY
- Involve Family in Planning
- Objectives / Purpose
- U-galiing maging Flexible (RN/ Family)
HOME VISIT GUIDELINES
“PUTAN”
Past Services must be Checked
* Utilize resources of the Family/ Agency
* TRUST Acceptance of the Family
* Agency’s Policy must be followed
* Needs of the Family PRIORITY
HOME VISIT PHASES
Pre Visit RHU A/D
- In-home Phase P / I
- Post Visit E
Provides an opportunity for an initial contact between
the nurse and target families of the community
GROUP CONFERENCE
Information transmitted to this is limited and
assessment still requires face to face contact.
Assessment is subjective to the client
Telephone Contact
PROCEDURES IN CHN
- Bag Technique
- Blood Pressure Measurement
- Benedicts Test
- Heat and Acetic Acid Test
Articles for Infection Control
Soap, Linen, Disposable paper towels for
handwashing, apron, bottles of antiseptics and
hand sanitizers
Measuring Tape, New Born weighing scale,
portable diagnostic aid such a Glucometer, Items
for Benedict’s Solution
Articles for Assessment of Family
Members
Dressing, Cotton balls, Cotton Tip Applicators,
Syringes (2 and 5ml) with needles, surgical gloves,
cord clamp, one pair surgical scissors, sterile pack
with kidney basin, two forceps (straight and curve)
Articles for Nursing Care - Sterile
Articles for Nursing Care - Clean
Pieces of paper: for lining the soap dish, folded paper
to be used as waste receptacle if needed
TOOL USE BY THE NURSE, ENABLE HER TO
PERFROM NURSING PROCEDURES. WITH EASE AND
DEAFNESS, SAVING TIME & EFFORT
BAG TECHNIQUE
ESSENTIAL AND INDESPENSABLE EQUIPMENT
PHN BAG
Thermometers
- Tape Measure
- Adhesive Plaster
- Cotton Applicator
FRONT OF THE BAG
RIGHT REAR
2 Test Tube 1 Holder
* Medicine Dropper
* Alcohol Lamp
LEFT REAR
Medicine Glass
* Baby Scale
* Bandage Scissor
* Rubber Suction
BACK OF THE BAG
70% Alcohol
* Betadine Solution
* Hydrogen Peroxide
* Terramycin Ointment
* Zephiran Solution
* Spirit of Ammonia
* Acetic Acid
* Benedicts Solution
* Liquid Soap
* Cotton in Sterile Water
Center of the Bag
2 Pairs of Forceps
* 1 Surgical Scissor
* Sterile Dressing
* Roller Bandage
* Syringes (5ml/2ml)
* Hypodermic Needles
* Sterile Cord Clamp
* Kidney Basin
Top pile
Hand towel in a
plastic bag
- Soap in Soap Dish
- Apron
- Plastic / Linen lining
Surgical Gloves
* Waste Paper Receptacle
Pocket of the bag
BLOOD PRESSURE
MEASUREMENT
PROCEDURE
- PREPARATORY PHASE
- APPLYING THE BP CUFF AND STETHOSCOPE
- OBTAINING THE BP READYING BY
AUSCULTATION
- RECORDING BP AND OTHER GUIDELINE
Benedicts test
BGYOB
Urine albumin test
Heat and Acetic acid test
HEAT & ACETIC ACID TEST:
+4
Egg white or dense heavy
HEAT & ACETIC ACID TEST:
+3
Thick or heavy cloudiness
HEAT & ACETIC ACID TEST:
+2
Slight cloudiness
HEAT & ACETIC ACID TEST:
+1
Distinct cloudiness
HEAT & ACETIC ACID TEST:
1
Traces
AIMS to Provide:
* Raw , Standardized, Evidenced based
data and Facility Based
* Official Reporting and Recording
System
* EO 352
FIELD HEALTH SERVICE
INFORMATION SYSTEM (FHSIS)
Primary Building Block of FHSIS
Treatment Record (ITR)
Secondary Building Block
TArget Client Test
Form with 12 months columns
* Accomplishment and Trends Mortality and Morbidity
Summary Table (ST)
Source of the Quarterly Forms
Monthly Consolidation Table (MCT)
Program Report
* Morbidity Report - Midwife
Monthly Form
Quarterly Report
Program Report
* Morbidity Report - Nurse
Annual Form 1
Data and Indicators needed on a yearly basis
Annual Form 2
Enlisting all the diseases occurred
Annual Form 3
Deaths over the year
Provides a structure, terms, and system of cues and
clues for a standardized assessment of individuals,
families, and communities.
OMAHA Problem Classification Scheme
Material resources and physical surroundings
both inside and outside the living area, neighborhood, and broader
community.
Environmental Domain:
Patterns of behavior, emotion, communication,
relationships, and development.
Psychosocial Domain:
Nutrition, Sleep and rest, Physical
activity, Personal care, Family planning
Health Related behaviors domain
Functions and processes that maintain life
Physiological Domain:
It is a social development methodology is
utilized to facilitate the process of forming and
sustaining self-reliant and self-determining
communities
COMMUNITY ORGANIZING
to develop critical consiousness
EDUCATION
respond and take action on needs
MOBILIZATION
collective and efficient work
ORGANIZATION
Community Organizing Phases
“POEPI”
A. Preparatory Phase
B. Organizational Phase
C. Education and Training Phase
D. Intersectoral Collaboration Phase
E. Phase Out
GIDA – Geographically Isolated and
Disadvatage Area // FAR FLUNG AREA // Depressed
Area Selection
Preparatory Phase
“ACE”
Area Selection
Community profiling
Entry in the comm and integration with the People
Initial Data Base
Contact Person – Captain / Sitio Leader / Barrio Leader
Core Group (Initial CG) – Initial Assessment
Community Profiling
Entry in the community and integration with the People
“MARE”
M – Modest Dwelling must be choose
A – Adapt to Lifestyle
R- Recognize Authorities
E – Expectation raising must be avoided @_beansgasmin IG/ TikTok
Organizational Phase
“SSCS”
Social Prep
Spotting and Developing Leaders
Core group formation
Setting up the Comm. Org
Education and Training Phase
- Conducting Community Diagnosis
- Training of Community Health Workers
- Health Services and Mobilization
- Leadership Formation Activities
Assistance and Support in any form can be funneled
into the organization through collaboration
Intersectoral Collaborative Phase
Turn Over
Follow up
Phase Out
Aims to obtain general information about the community’s
profile to determine the community’s strengths and
weaknesses.
COMMUNITY DIAGNOSIS
COMMUNITY DIAGNOSIS
Two types
Comprehensive
2. Problem – Oriented
DETERMINANTS OF COMPREHENSIVE COMMUNITY
DIAGNOSIS
DEMOGRAPHIC VARIABLE
2. SOCIO-ECONOMIC AND CULTURAL VARIABLE
(Social / Economic / Environmental / Cultural)
- HEALTH AND ILLNESS PATTERNS
- HEALTH RESOURCES
- POLITICAL AND LEADERSHIP PATTERNS
11 Steps in Comm Diag
01 DETERMINING OBJECTIVES
02 DEFINING STUDY POPULATION
03 DETERMINING THE DATA TO BE
COLLECTED
04 COLLECTING DATA
05 DEVELOPING OF INSTRUMENTS
07 DATA COLLATION
08 DATA PRESENTATION
09 DATA ANALYSIS
10 IDENTIFYING THE
COMMUNITY HEALTH
NURSING PROBLEM
11 PRIORITY SETTING
described in terms of increased or decreased Morbidity,
Mortality, Fertility, Reduced capability for wellness
Health status problems
described in terms of lack or absence of Manpower,
Materials, Money, Institutions necessary to solve health problems
Health resources problems
described in terms of existence of social, economic,
environmental and political factors that aggravate the illness-inducing situation in
the community.
Health Related problems
Priority Setting
NA – MO – MAG – PRE – SO
Nature of the condition/problem presented
Modifiability of the problem
Magnitude of the problem
Preventive potential
Social concern
Health status problems
Health resources problems
Health-related problems
Nature of the condition/problem presented
refers to the probability of reducing, controlling or
eradicating the problem.
Modifiability of the problem
refers to the severity of the problem which can be
measured in terms of the proportion of the population affected
Magnitude of the problem
refers to the probability of controlling or reducing the effects
posed y the problem
Preventive potential
refers to the perception of the population or the community as they are
affected by the problem and their readiness to act on the problem.
Social concern
3 pts
Health Status
Health resource
2 pts
Health related
1 pt
the more severe the problem, the lower the preventive potential
Gravity of the Problem
this has a direct relationship with the gravity of the problem
Duration of the Problem –
presence of appropriate interventions increases the conditions’ preventive potential
Current Management
increases preventive potential
Exposure of any vulnerable or high-risk group
COPAR
PRE-ENTRY PHASE
2. ENTRY PHASE
3. COMMUNITY STUDY / DIAGNOSIS PHASE
4. COMMUNITY ORGANIZATION AND CAPABILITY
BUILDING PHASE
- COMMUNITY ACTION PHASE
- SUSTENANCE AND STRENGTHENING PHASE
PRE-ENTRY PHASE
Community Consultations / Dialogues
* Setting of issues/ considerations related to site selection
* Development of criteria for site selection
* Site Selection
* Preliminary social investigation
* Networking with LGU NGO and other departments
Integration with the community
* Sensitization of the community / Information campaigns
* Continuing Social Investigation
* Core Group Formation
- Development of criteria for selection of CG members
- Defining the roles / functions / task of the CG
- Coordination / Dialogue / Consultation with other community
organizations - Self-Awareness and Leadership Training (SALT) / Action planning
ENTRY PHASE
Selection of the research team
- Training on data collection methods and techniques / capability-
building - Planning for the actual gathering data
- Data Gathering
- Training on data validation
- Community Validation
- Presentation of the community study / diagnosis and
recommendations
3.COMMUNITY STUDY/DIAGNOSIS PHASE (RESEARCH
PHASE)
Community meetings to draw-up guidelines for the organization of
the CHO
* Election of Officers
* Development of management systems and procedures including
delineation of the roles function and task of officers and members of
the CHO
4.COMMUNITY ORGANIZATION AND CAPABILITY BUILDING
PHASE
(Prioritization of Community needs / problems for
action
4.COMMUNITY ORGANIZATION AND CAPABILITY BUILDING
PHASE
Team Building / Action – Reflection – Action (ARA)
* Working out legal requirements for the establishment of the CHO
* Organization of working committees / task groups
* Training of the CHO officers / community leaders
.COMMUNITY ORGANIZATION AND CAPABILITY BUILDING
PHASE
COMMUNITY ACTION PHASE
Organization and training of community health workers
* Development of criteria for the selection of CHW
* Selection of CHW
* Training of CHW
- Setting – up linkages, network referrals systems
- Orientation to Health Services / Interventions schemes and
Community Development Projects - Initial identification and implementation of resource mobilization
schemes
Command Responsibility (Head of
School)
PROJECT DIRECTOR
Plans and Implements Staff
Development, Supervises staff community and health
workers in the implementation of plan; prepare plan for
exposure and immersion of students and faculty
PROJECT MANAGER
Coordinates with Barangay,
Coordinates with project staff on planning and
implementation, Trains researchers, community leaders,
Evaluates the program implementation
COMMUNITY ORGANIZER
Supervises the students in the Community
COORDINATOR OF STUDENT COMMUNITY IMMERSION
Provides health care
services
HEALTH SERVICES COORDINATOR
Prepare training design;
Trains student on PAR
TRAINING COORDINATOR
Set up financial system
FINANCIAL OFFICER
Record fund releases and expenditures,
prep cash flow
BOOKKEEPER
Maintains project records and reports,
Documents process and proceedings
SECRETARY
