Podcast
Questions and Answers
What was the percentage of fully immunized children less than fourteen months of age in 1986?
What was the percentage of fully immunized children less than fourteen months of age in 1986?
- 21.3% (correct)
- 30.5%
- 45.6%
- 15.2%
Which strategy was introduced in 2004 to improve access to routine immunization?
Which strategy was introduced in 2004 to improve access to routine immunization?
- Strategy for Enhanced Immunity
- Reaching Every Barangay (REB) (correct)
- National Immunization Access Program
- Comprehensive Immunization Outreach
Which disease is specifically targeted by MCV1 and MCV2 vaccinations?
Which disease is specifically targeted by MCV1 and MCV2 vaccinations?
- Hepatitis B
- Polio
- Diphtheria
- Measles (correct)
What percentage of children does the EPI aim to immunize against the most common vaccine-preventable diseases?
What percentage of children does the EPI aim to immunize against the most common vaccine-preventable diseases?
Which component of the REB strategy focuses on improving community ties with health services?
Which component of the REB strategy focuses on improving community ties with health services?
What is the primary goal of the EPI regarding polio in the Philippines?
What is the primary goal of the EPI regarding polio in the Philippines?
Supplementary immunization activities (SIA) are primarily used for what purpose?
Supplementary immunization activities (SIA) are primarily used for what purpose?
What is critical for the eradication/elimination efforts of vaccine-preventable diseases?
What is critical for the eradication/elimination efforts of vaccine-preventable diseases?
What is the primary method of financing for individual-based health services under the National Health Insurance Program?
What is the primary method of financing for individual-based health services under the National Health Insurance Program?
Which of the following amenities requires a co-payment in public hospitals under the National Health Insurance Program?
Which of the following amenities requires a co-payment in public hospitals under the National Health Insurance Program?
Which body is responsible for overseeing the integration of health services at the provincial/city level?
Which body is responsible for overseeing the integration of health services at the provincial/city level?
What is the minimum percentage of basic accommodation provided by government hospitals under the equity regulation?
What is the minimum percentage of basic accommodation provided by government hospitals under the equity regulation?
What type of health services are Filipino citizens automatically included in?
What type of health services are Filipino citizens automatically included in?
What mechanism will PhilHealth develop to ensure service quality in individual-based health services?
What mechanism will PhilHealth develop to ensure service quality in individual-based health services?
Under the governance and accountability section, which system is to be maintained by health service providers?
Under the governance and accountability section, which system is to be maintained by health service providers?
Which type of care is facilitated through PhilHealth contracting public, private, or mixed health care provider networks?
Which type of care is facilitated through PhilHealth contracting public, private, or mixed health care provider networks?
What does the Return Service Agreement typically entail under the scholarship and training program?
What does the Return Service Agreement typically entail under the scholarship and training program?
Which of the following describes the function of the Apex or end-referral hospitals?
Which of the following describes the function of the Apex or end-referral hospitals?
Which framework is incorporated for health financing by the National Government?
Which framework is incorporated for health financing by the National Government?
What is one of the goals of institutionalizing a licensing and regulatory system within the Department of Health?
What is one of the goals of institutionalizing a licensing and regulatory system within the Department of Health?
What is a critical feature of health services that is considered under co-payment in the National Health Insurance Program?
What is a critical feature of health services that is considered under co-payment in the National Health Insurance Program?
Which action is necessary for ensuring environmental sustainability?
Which action is necessary for ensuring environmental sustainability?
What is a vital health practice recommended for all sexually active individuals?
What is a vital health practice recommended for all sexually active individuals?
Which of the following is NOT part of the recommended approach to mental health?
Which of the following is NOT part of the recommended approach to mental health?
Which of the following is advised prior to a child's first birthday?
Which of the following is advised prior to a child's first birthday?
What should be avoided to maintain a healthy diet according to the recommendations?
What should be avoided to maintain a healthy diet according to the recommendations?
Which behavior is encouraged to promote safe sexual practices?
Which behavior is encouraged to promote safe sexual practices?
What dietary guideline is aimed at improving health outcomes?
What dietary guideline is aimed at improving health outcomes?
What is a recommended strategy for controlling substance addiction urges?
What is a recommended strategy for controlling substance addiction urges?
What is one of the goals of the Department of Health programs?
What is one of the goals of the Department of Health programs?
Which of the following is NOT included in the DOH initiatives for Healthy Pilipinas?
Which of the following is NOT included in the DOH initiatives for Healthy Pilipinas?
What aspect of community health does the Department of Health NOT emphasize in their program?
What aspect of community health does the Department of Health NOT emphasize in their program?
Which program aims to address both emerging and re-emerging infectious diseases?
Which program aims to address both emerging and re-emerging infectious diseases?
Which of the following principles is emphasized in the DOH's vision for a Healthy Pilipinas?
Which of the following principles is emphasized in the DOH's vision for a Healthy Pilipinas?
What is the focus of the 'Move More, Eat Right' initiative?
What is the focus of the 'Move More, Eat Right' initiative?
Which of the following diseases is NOT listed in the DOH's programs?
Which of the following diseases is NOT listed in the DOH's programs?
What does the DOH do to encourage safe sex practices?
What does the DOH do to encourage safe sex practices?
What is the primary mission goal related to oral health care?
What is the primary mission goal related to oral health care?
Which legislation specifically addresses ecological solid waste management?
Which legislation specifically addresses ecological solid waste management?
Which water purification method is not typically recommended?
Which water purification method is not typically recommended?
What is included in the approved types of excreta disposal under Level III?
What is included in the approved types of excreta disposal under Level III?
What percentage increase in the proportion of Orally Fit Children does the objective aim for?
What percentage increase in the proportion of Orally Fit Children does the objective aim for?
Which sanitation policy requires kitchen staff to have health certifications?
Which sanitation policy requires kitchen staff to have health certifications?
What defines a Level II water supply system?
What defines a Level II water supply system?
What act regulates the management of clean air in the Philippines?
What act regulates the management of clean air in the Philippines?
What should be the nurse's primary focus when developing a community health nursing care plan?
What should be the nurse's primary focus when developing a community health nursing care plan?
What is the main goal of conducting a community diagnosis in community health nursing?
What is the main goal of conducting a community diagnosis in community health nursing?
In disaster management, what role does a community health nurse primarily fulfill?
In disaster management, what role does a community health nurse primarily fulfill?
What is the central aim of evaluating community health nursing interventions?
What is the central aim of evaluating community health nursing interventions?
Which of the following illustrates a community-based healthcare delivery system in the Philippines?
Which of the following illustrates a community-based healthcare delivery system in the Philippines?
What is essential for implementing effective health education programs in a Philippine community?
What is essential for implementing effective health education programs in a Philippine community?
What is the key benefit of establishing partnerships in community health nursing in the Philippines?
What is the key benefit of establishing partnerships in community health nursing in the Philippines?
Which approach should be avoided when planning community health interventions?
Which approach should be avoided when planning community health interventions?
Flashcards
Community Diagnosis
Community Diagnosis
A systematic process of collecting and analyzing data to determine the health status of a community and identify health problems and needs.
Community Health Planning
Community Health Planning
The process of developing a plan to address the identified health problems and needs in a community.
Community Health Evaluation
Community Health Evaluation
The process of evaluating the effectiveness of community health nursing interventions and programs.
Barangay Health Station
Barangay Health Station
A healthcare facility located within a barangay (village) in the Philippines, providing basic medical services to the community.
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Prioritizing Individual needs in community health planning
Prioritizing Individual needs in community health planning
The primary focus is to address the unique health needs of each community member.
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Importance of Cultural Sensitivity in Health Education
Importance of Cultural Sensitivity in Health Education
It involves taking into account the cultural beliefs and practices of the community to ensure the effectiveness of health education programs.
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Role of Partnerships in Community Health Nursing
Role of Partnerships in Community Health Nursing
It helps to leverage resources and expertise from various organizations to improve the overall health of the community.
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Community Health Nurse in Disaster Management
Community Health Nurse in Disaster Management
A community health nurse plays a vital role in preparing communities for potential disasters, coordinating relief efforts, and providing healthcare services after a disaster.
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Staying Vaccinated
Staying Vaccinated
The act of regularly seeking information about available vaccines, and consulting with healthcare professionals about their safety and effectiveness.
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Choosing Contraception
Choosing Contraception
The process of evaluating and identifying the most suitable contraceptive methods for individual needs and preferences.
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Practicing Safe Sex
Practicing Safe Sex
The practice of engaging in sexual activities in a way that minimizes the risk of sexually transmitted infections (STIs) and unintended pregnancies.
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Avoiding Tobacco and ENDS
Avoiding Tobacco and ENDS
The mindful and intentional avoidance of using tobacco products, including electronic nicotine delivery devices (ENDS), to protect personal health.
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Controlling Alcohol Consumption
Controlling Alcohol Consumption
The conscious effort to control and manage urges for emotional or excessive alcohol consumption, seeking help when needed.
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Managing Stress and Anxiety
Managing Stress and Anxiety
The practice of managing stress and anxiety through relaxation techniques, hobbies, and building a supportive network of friends and family.
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Choosing Reusable
Choosing Reusable
The act of choosing reusable containers over single-use plastics, making a positive impact on environmental sustainability.
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Washing Hands Regularly
Washing Hands Regularly
The practice of consistently washing hands with soap and water for at least 20 seconds, a crucial step in preventing the spread of germs and infections.
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Collaborative Community Health Approach
Collaborative Community Health Approach
A collaborative effort that involves healthcare providers, community members, and other stakeholders to improve the overall health of a community. This approach emphasizes shared responsibility, resource optimization, and better coordination to achieve improved health outcomes.
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Community Health Needs Assessment
Community Health Needs Assessment
The process of identifying, analyzing, and prioritizing health issues and needs within a community, using data and insights to develop targeted interventions.
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Resource Allocation in Community Health
Resource Allocation in Community Health
The strategic allocation of resources such as funding, personnel, and infrastructure to support community health programs and initiatives. This includes determining the most effective ways to distribute resources to maximize their impact.
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Community Health Education and Empowerment
Community Health Education and Empowerment
The process of enabling community members to make informed decisions about their health and well-being, empowering them to take ownership of their health choices. This involves providing access to relevant and accurate health information and promoting healthy lifestyles.
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Preventive Community Health
Preventive Community Health
A model of care that emphasizes promoting health and preventing illness in the community, rather than just treating illness after it occurs. It often involves community-level interventions and programs to address health disparities and improve overall health outcomes.
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Cultural Sensitivity in Community Health
Cultural Sensitivity in Community Health
The ability to understand and respect the diverse cultural beliefs, practices, and values of individuals and communities. This is essential for effective community health programs that are culturally sensitive and relevant.
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Health Outcome Evaluation in Community Health
Health Outcome Evaluation in Community Health
The use of data and evidence to monitor and assess the effectiveness of community health programs and interventions. This includes measuring progress, identifying areas for improvement, and making data-driven decisions to optimize program outcomes.
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Community Participation in Health
Community Participation in Health
The process of involving community members in the planning, implementation, and evaluation of community health programs. This ensures that programs are aligned with the needs and priorities of the community.
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Oral Health Goal
Oral Health Goal
A set of guidelines aimed at reducing the prevalence of dental cavities and gum disease.
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Orally Fit Children (OFC)
Orally Fit Children (OFC)
A specific goal aiming to increase the proportion of children under 6 years old with healthy teeth by 12% by 2020.
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PD 856 - Environmental Sanitation Code
PD 856 - Environmental Sanitation Code
A comprehensive sanitation code covering all aspects of environmental hygiene in the Philippines.
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Water Purification
Water Purification
The process of removing harmful substances from water to make it safe for consumption.
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Excreta Disposal Systems
Excreta Disposal Systems
Systems for collecting and disposing of human waste, ranging from simple toilets to advanced sewerage systems with treatment.
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Garbage Disposal Methods
Garbage Disposal Methods
Methods for safely collecting and disposing of garbage, ranging from basic household practices to advanced community-level solutions.
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Food Sanitation Policies
Food Sanitation Policies
A set of regulations to ensure the hygiene and safety of food establishments.
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Expanded Program on Immunization (EPI)
Expanded Program on Immunization (EPI)
A nationwide program established in 1976 to provide infants, children, and mothers with access to essential vaccines.
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What is the goal of the EPI?
What is the goal of the EPI?
The Expanded Program on Immunization (EPI) aims to reduce the suffering and death of children from common vaccine-preventable diseases.
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What diseases were initially included in the EPI?
What diseases were initially included in the EPI?
The EPI program included six initial vaccines: tuberculosis, polio, diphtheria, tetanus, pertussis, and measles. It's like a 'six-pack' of protection for kids.
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What are the specific objectives of the EPI program?
What are the specific objectives of the EPI program?
The EPI seeks to achieve a variety of goals, including full immunization for all infants and children, maintaining a polio-free Philippines, and eliminating measles infection.
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What is the REB strategy?
What is the REB strategy?
A key strategy to improve reach and reduce drop-outs in the EPI program. It's based on the WHO-UNICEF approach.
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Why are SIAs conducted?
Why are SIAs conducted?
Supplemental Immunization Activities (SIAs) target children who haven't been vaccinated or haven't developed enough immunity. They're like extra doses when needed.
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Why is vaccine-preventable disease surveillance important?
Why is vaccine-preventable disease surveillance important?
Surveillance is crucial to track and eliminate diseases by quickly finding potential outbreaks. It's like a detective for diseases.
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What are key goals related to polio and measles?
What are key goals related to polio and measles?
The EPI program aims to eradicate polio completely, while measles elimination focuses on reducing cases significantly.
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What are MCV1 and MCV2?
What are MCV1 and MCV2?
MCV1 and MCV2 are vaccines specifically for measles, given at different ages to ensure long-lasting protection.
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Universal Health Care: Population Coverage
Universal Health Care: Population Coverage
Every Filipino citizen is automatically enrolled in the National Health Insurance Program (NHIP).
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Universal Health Care: Service Coverage
Universal Health Care: Service Coverage
All Filipinos have immediate access to essential health services based on their specific needs and health status.
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Universal Health Care: Population-based Financing
Universal Health Care: Population-based Financing
The government finances population-based health services through the Department of Health (DOH), making them free at the point of service.
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Universal Health Care: Individual-based Financing
Universal Health Care: Individual-based Financing
Individual-based health services are primarily funded through pre-payment mechanisms like the Social Health Insurance (SHI), PhilHealth, and Health Maintenance Organizations (HMO).
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NHIP: Eligibility
NHIP: Eligibility
All Filipinos are eligible for NHIP benefits regardless of their income or employment status.
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NHIP: Basic Accommodation Coverage
NHIP: Basic Accommodation Coverage
NHIP covers basic accommodation in public hospitals, including regular meals, a bed in a shared room, fan ventilation, and shared toilet and bath facilities.
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NHIP: Amenities Coverage
NHIP: Amenities Coverage
NHIP has a co-payment or co-insurance system for amenities in public hospitals regulated by DOH/PhilHealth.
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NHIP: Existing Benefits
NHIP: Existing Benefits
The existing PhilHealth package remains unchanged, and additional benefits are offered for direct contributors.
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Service Delivery: Individual-based Health Services
Service Delivery: Individual-based Health Services
PhilHealth contracts with public, private, or mixed health care provider networks that meet specific quality, co-payment, and data submission requirements.
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Service Delivery: Incentives for Network Providers
Service Delivery: Incentives for Network Providers
DOH and PhilHealth offer incentives to health care providers who form networks, encouraging collaboration and efficient healthcare delivery.
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Service Delivery: Apex Hospitals
Service Delivery: Apex Hospitals
Apex or end-referral hospitals may be contracted by PhilHealth as stand-alone providers, ensuring specialized care is available.
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Service Delivery: Performance-based Payments
Service Delivery: Performance-based Payments
PhilHealth is transitioning to performance-driven, closed-end, prospective payments based on Diagnosis Related Groups (DRGs), validated costing methods, and eliminating differences between facility and professional fees.
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Service Delivery: Strengthening Surveillance and Audit
Service Delivery: Strengthening Surveillance and Audit
PhilHealth is strengthening surveillance and audit mechanisms to ensure quality and efficient healthcare delivery in the new system.
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Local Health Systems: Consolidation
Local Health Systems: Consolidation
The consolidation of fragmented healthcare providers into province-wide and city-wide networks improves service delivery and coordination.
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Local Health Systems: Role of Provincial/City Health Boards
Local Health Systems: Role of Provincial/City Health Boards
The Provincial/City Health Board oversees the integration of health services, manages the special health fund, and exercises administrative and technical supervision over health facilities and human resources within their jurisdiction.
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Community Health Nursing - Day 1 Review
- PNLE 2023 Review by Harold James Doroteo, RN MPH
- Presentation Outline Topics: Introduction, DOH Programs, WASH, MCH + First 1000 Days (Nutrition, BeMONC, CEMONC), National Immunization Program (EPI)
- Definitions of Community Health Nursing:
- WHO: Combination of nursing skills, sociology, and public health.
- Freeman: A service rendered by a professional nurse with communities, groups, families, and individuals in different settings.
- Jacobson: Achievement of optimum level of functioning through teaching and delivery of care.
- Hanlon: Attainment of the highest level of physical, mental, and social well-being at a given place and time.
- Bailon Reyes: Field of nursing practice where services are delivered outside of purely curative institutions.
- Maglaya: Utilization of the nursing process to benefit the individual, family, and community.
- CHN according to Nurses Associations:
- ANA: Organization that overlooks the nursing profession in the USA.
- PNA (Philippine Nurses Association): Founded September 2, 1922, FNA. Anastacia Giron Tupas. 150 nurses.
- Purpose: Promote professional growth and highest standards in nursing.
- Focus area:
- F - focus
- A - area
- C - clients
- T - time
- S - scope
- Focus:
- Health Promotion and Disease Prevention
- Primary Goal: Self-reliance in health
- Ultimate Goal: Raise the level of health of the population
- Philosophy: Uphold the worth and dignity of man
- Area:
- Public Health Nursing
- School Health Nursing
- Occupational Health Nursing
- Mental Health Nursing - Four facets as PH burden: Defined, Undefined, Hidden, Future
- Public Health Nursing: Science and art. Focuses on: Promoting health, preventing diseases, prolonging life. Includes settings like home and health care facilities. Scope involves Health Promotion, Health Protection, Health Policy, Disease Control, and Injury Prevention.
- School Health Nursing: A part of the Department of Health. Includes medical, dental, nursing, and health education and nutrition center. Primary role is to support student learning, preventing unmet health needs. General objective is to promote and maintain health of the school populace via comprehensive and quality nursing care.
- Occupational Health Nursing: Primacy is ensuring every working person in safe and healthy working conditions, through health promotion and prevention. Covers worker and workplace health hazards, injury and illness investigation, analysis and prevention, primary care, case management, and counseling. Salient issue is categories of workplace hazards affecting worker health and safety.
- Client Classification: Multi-crisis Family, Migrating Family, Very Poor Family, Young Family, Inadequately Functioning Family, with a member suffering from genetic handicap
- Stages of Family Development (Duvall): Beginning Family, Early Childbearing Family, Family with Preschool Children, Family with School Children, Family with Teenagers, Family as Launching Center, Middle Aged Family, Aging Family.
- Areas of Responsibility: Physical Independence, Therapeutic Competence, Knowledge of Health Condition, Principles of General Hygiene, Health Attitude, Emotional Competence, Family Relationship, Environmental Conditions, and Use of Community Resources.
- Illness-Wellness Continuum (with a neutral point)
- Scope of CHN: General and comprehensive nursing concepts
- United Nations Sustainable Development Goals (SDGs)
- Principles of CHN: Education, People's Initiative, Organizing, Workers, Existing Resources, Reporting, Recording, Monitoring, Existing Organization, Needs Identified, Training
- Elements of CHN: Social, Cultural, Political, Geographical
- Social Determinants of Health (SDH): Economic Stability, Education Access and Quality, Health Care Access and Quality, Neighborhood and Built Environment, Social and Community Context
- Types of Community: Rural, Urban, Rurban, Sub-Urban, Metropolitan
- **Pre-Test and Post-Test questions: ** questions about primary responsibilities of a community health nurse in Philippines, main goal of community health nursing in the Philippines, nursing process, community health care plan, community diagnosis, role in disaster management, purpose of community health nursing evaluation, examples of community-based healthcare delivery systems and priorities for implementing health education programs, primary purpose of establishing partnerships in community health nursing,
- DOH Programs including Healthy Habits, Child Health, Contraception and Family Planning, Infection Prevention
- Child Health: including Care for Small Babies, Rare Disease, Newborn Screening, Newborn Hearing Screening
Specific Topics
- Child Health - Further details on child health programs within the Department of Health.
- Universal Health Care Act (RA 11223): Details on the National Health Insurance Program from the Act
- Dental/Oral Health Program: Vision, Mission, Goals, Specific Objectives
- Environmental Sanitation: Laws and operations related to water sanitation, excreta disposal, garbage disposal, and food sanitation
- Water Sanitation Program: Levels of Purification, Approval Process based on different water source types.
- NPI-EPI (Expanded Program on Immunization): Rationale for the program, Specific Goals, Strategies, EPI Elements.
- MCH (Maternal and Child Health) and First 1000 Days/Nutrition: Importance and specific focuses, potential problems if nutrition is poorly managed during the first 1000-days, importance for long term health.
- Nutritional Supplements: Information on supplements like Plumpy'nut, F-75, F-100, RUSF (Ready to use Supplementary Food)
- Proper Cord Clamping and Cutting Technique: Detailed steps.
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