Community Health Nursing 1 Lecture PDF

Prapard by: PROF. JOMER V. MANALANG 13/09/2024 NCM 104-Lecture: CHN Lec. NCM104-LECTURE...

Prapard by: PROF. JOMER V. MANALANG 13/09/2024 NCM 104-Lecture: CHN Lec. NCM104-LECTURE Communlty Health Nursing Lecture -TITLE: cOMMUNITY HEALTH NURSING I Communiy Heaith Ntsing ? -INSTRUCTOR: PPOF, JOMER V. MANALANG -ÇOURSE CODE: NCM 104 PCOURSE TITLE: NCM 104 COMMUNITY HEALTH NURSING I(LECTURE) -CREDIT UNITS: 2 Unlts Lecture (36 hours), 2 Unlts RLE,1 Unlt Skills Laboratory(5lhours) &I Unlt Cllnlcal Skills (51hours) COURSE DESCRIPTION Criteria of Grading Thls course deals wth concepts, principles, (Course Assessmeent) theorles and technlque In the provislon of baskc care in term of heath promotion, disease CRITERIA Percentage Attendance, Attitude, Class prevention, restoration and maintenance and Performance and Participat ion 204 rehabltation at the Individual and family level. Activities/Assignwents/Jour HIncludes the study of the Philippine Heaith nal 20% Care Delvery System, national health situation Nuizzes 204 and the globalcontext of family as cllents In Ters Exam communty setting utllzing the nursing process. TOTAL 100% Overview of Community Heath Nursing/Publlc COURSE OUTLINE Health Nursing in the Phillppines Week 1.2.3 UnH 1 Overvew ot Community Hegith Nurina/Putbllc Heoth Nurslng n LEARNING QUILINE: UNITI the -Global and Natonal He alth SlItuatlon Week 67 PhilpPPAnoe Delyery System |Unit 3 The Fomily & Filipino Cuttures Values, and Practices in relatton to -DefinMon and Focus Health Cae of individual and Family Community Unit 4Famky Nursing Proçess Health Week l0 MIDIERM EXAMINATION Communtty health Wedk ]1, Unt 3 commynity heah Ni Pubilc Heath Wéek 12,13 Health Nursing Proctice &New Technologles Related to PublcHeatth iectronic Informaion Publlc He ath Nurslng Week 14,15 [Unt Unt 7Ethiçal DOH Programs Related to Famly Health Considerations In Çommunty Healh Nursing Community Health Nuring (CHN) Week 14 -Evoluton of Publc Heath Nurslng In the Phillppines Week 12 Unit 9 Heotth-Related Entrepreneural Acttvtles In the Communty Setng - Slandards of Publc Heath Nursing In the Phllppines Week 15 FINAL EXAMINATION Roles and Responslbiltes of a Communlty Heath Nurse Nurslng Core Yalva1 9LL Commynty Health. Nys 1  ared by: PROF. JOMER V. MANALANG 13/09/2024 CM 104-Lecture: CHN Lec. COMMUNITY HEALTH NURSING (CHN) -Community health nursing (CHN), also called Definition of public health nursing or community nursing, combines primary healthcare and nursing COMMUNITY HEALTH NURSING practtce in a community seting. from different Authors Community heath (CH) Nurses provide health servlces, preventive care, interventlon and heath education to communittes or populatHons Definitlon of COMMUNITY HEALTH NURSING Definition of COMMUNITY HEALTH NURSING tis a synthesis of nursing and public heatth practice applled to promoting and The goal of CHN as stated by Nisce preserving the health of the people. 0s to raise the level of citlzenry by -According to Maglaya, CHN Is the utilzatlon helping communities and families to of the nursing process in the ditferent levels of cope with the discontinuities in and clientele-individuals, familles, population threats to health in such a way as to groups and communities, concerned wth the promotion of heaith,prevention of disease maximize their potential for high and disability and rehabilitatlon. levelwellness. Definition of COMMUNITY HEALTH NURSING Definition of COMMUNITY HEALTH NURSING -The definition of CHN by the WHO Committee on expert in nursing is a speclal From Jacobson point of view CHN is fleld of nursing that combines the sklis of learned practice discipline with the nursing, public heath and some phases of ultimate goal of contributing as soclal assistanceand functlons as part of Individuals and in collaboration with the total public heath program for the others to the promotion of the client's promotion of health, the Improvement of ihe condtions in the social and physical optimum level of functioning thru' envkonment, rehabilitation of illness and teaching and delivery of care disabltBy (Jacobson) 2  ired by: PROF. JOMER V. MANALANG 13/09/2024 M 104-Lecture: CHN Lec. Definition of COMMUNITY HEALTH NURSING COMMUNITY HEALTH NURSE Unlke a nurse who works with palents one-on-one in other clinical setings, community health nurses locus on communitles. Dr. Ruth B. Freeman: Aservice - CH nurses can have various roles in a community seilng such as: rendered by aprofesslonal nurse to Health educaton Community odvococy. I.F.C.s, population groups in health Ensurlng a sae and heatthy environment. Abuse and neglect prevention. centers, clinics, schools, workplace -Pollcy relom. for the promotion of health, Communty development. prevention of illness, care of the What they do depends on the communittes they serve; kower Income, school, and cutturafly dlverse communtles al have Public Health dlferent needs. COMMUNITY HEALTH NATIONAL HEALTH -Community health refers to the health status of the members of the communty,. SITUATION to the problems affecting their heath and to the totality of the health care provided for the community. -Community health is a branch of publlc health which focuUses on people and their role asdeterminants of their own and other people's health PHILIPPINE SITUATIONER HEALTH CRISIS UPDATES -POPULATION: 119,106,224 POPCOM: Slzes of familles trending lower at 4 members (COVID-19: PANDEMIC) AS OF AUGUST. 2024: - Annual growtth rate of 1.51% - The Philippine populatlon Is consldered young and lor global Philippines populaHon Increase Is 1.51 % per year. - With effects of the CoVID-19 pandemlc such as service dellvery disruplions on lamily planning lactored-in, the igure ls Coronavirus Cases: sttmated to swell, atfecHng malnty the under-1 age group due to Increased unplanned pregnancles 4,140,383 Deaths: 66,864 3 iosred by: PROF. JOMER V. MANALANG 13/09/2024 M 104-Lecture: CHN Lec. -According to the DOH top leading causes of MORBIDITY HEALTH AND LONGEVITY AS BIRTHRIGHTS In the Philippines Includes all forms resplratory diseases, HEALTH IS A BASIC HUMAN RIGH FOR EVERY FILIPINO. hypertension, kddney and urinary hact problems, all forms of diarheal dseases, and diabetes mellitus. - LONGEVITY-average lHespan The lHespan increases among Flipinos according to the DOH "For MORTALITY, i Includes cardlovascular dlseases, pneumonias, malignant neoplasms/lcancers, all forms of and varles per year. There s an Icrease every yeear whlch ls closely related to the tubercuosis, accldents, COPD and allled different DOH heatth programs condttons, dlabetes melltUS, nephia SVndrome and other diseases of r 7Lfe expectancy in the country in 2010-2015 was 68.6 yeors. system. Lile expectancy at blrth male/female In 2016- 66/73. -Morbidity-refers to the cases of liness in a given -The Me expectancy for Philippines in 2017 was 70.87 years. population in a specified period of ttme. -The ite expectancy tor Phlpplnes in 2018 was 71.03 years, a 0.23% Increase rom 2017 - Mortalty-refers to the cases of deaths in a glven The Ife expectancy for Philipplnes In 2019-2021 was 69.27 to population In a specied perlod of time 71.16 yéars, a 0.18%% Increase from 2018. DEFINITION AND FOCUS 3Elements of a Community COMMUNITY tis a group of people with common characteristics or interests living together wthin a terrtory or geographical -1.Geographical Entity boundary 2. Social Entity -It Is a place where people under usual conditions are found 3. Psycho-cultural Entity -lt isderived from a latin word "comunicas" which means a group of people. Iwo specific types of q community HEALTH - According to WHO Health s defined as a state of complete Rural physical, mental and social well.-belng and n¡t merely the absence of disease or Infrmihy. The state of being thee from iness or Injury. Urban Uban area" can refer to towns, cities, and suburtbs. The enjoyment of the highest attainable standard of health ls one ot the fundamentalhdahtsg race, reialon. poMeal The he of eW n o u t disincllon of economkc or social conion. An urban area includes the city itself, as wel as the health of ll peoples ls tundamental to the atalnment of peace sumounding areas. dependent on the fullest co-operalon of Indlvidu |States. Rural oreas are the opposite of urban areas. Rural areas have low population density and large amounts of undeveloped The achievement of any State In the promoion and protecon of land (Baros). health s of value to al. 4  ed by: PROF. JOMER V. MANALANG 13/09/2024 104-Lecture: CHN Lec. AIMS of CHN Mission of CHN -To promote heath and Health Promotion efficiency. Health Protection To prevent and control of Health Balance diseases and disabilities. - Disease prevention -To prolong life through need -Social Justice based health care. PHILOSOPHY OF CHN OBJECTIVES OF PUBLIC HEALTH hecorng to Accord to b. Dr. M Shefiand the philosophy of CHN Is based on the dlgnity on the worth ddignity of man. C.O.D.E.S he communty ls the patient in CHN, the family Is the untt of care and PC ontrol of Communicable Diseases (those who share common charactertstcs, devekonmenlso common exposure to heath problems -e.g. chlidren, eldety), and the Organization of Medicaland Nursing Services ommunity. -Development of Soclal Machineries In CHN, he client is considered as an ACTIVE partner NOT PASSIVE reciplent of care -E ducation of IFC on personal Hygiene.Heath CHN practce is affected by developments In heath technology, In partcular, changes In society, in general Educatlon isthe essentlal task of every health Workers The goal of CHN Is achleved through mutm-sectoral efforts - CHN Isa part of heath care system and the larger human services S anitation of the environment system, 12 BASIC PRINCIPLES OF CHN 3ELEMENTS IN HEALTH EDUCATION Community Heath Nursing (CHN) ls a vhal part of Publlc Heah. The lollowng ae the 12 rnciples of CHN. -1.Information: to share ideas to keep 1. The recognlzed need of lndtviduals, lamties and communttes provides the basls lor CHN praclce. Ih pdmary pupose is to urther apphy publc health measures population group knowledgeable and within the kamework of the tota CHN efort. aware - 2 Knowedge and understanding of the objectves and pollcles ol the agency facltles goal achievement. 2.Education: change within the Á CHN condders the lamlly as he unt of service, ts level of unctonlng ls Inluenced by the degree lo whlch Hcan deal with ts own problems and electve individual and avallable channel to the most of the CHN elorts. -3.Communication: interaction 4. Respet lor the values, cusloms and belles of the clents contrtbute to the oflecttveness ol core to the cllent. CHN services must be available sustalndble and involving 2 or more persons or dlordable to all regardless of race, creed, color or soclo-economic statu 6. CHN ntegrated heath ducaton and counseling as vtal part ol agencies unctlon. These encourage and support communthy ellorts n the dscusslon ot laues lo lmprove the people's health. 5 12 BASIC PRINCIPLES OF CHN Communtty Heath Nursing (CHN) 0s a vitalpart of Pubilc Heath. The folowing are the 12 Pnciples of CHN. 1,The recognized need of indtviduals, fcniies and communiles provides the bosis for CHN practice. ts primary purpose is to further apply public heath meauras within the tramework of the tota CHN eliort. 2 Knowedge ond understanding of the objectlves and polcies o the agency facites gocl achievemet. & CHN considers the tamily as the unit of service. ts level of unctioning s inluenced by the degree to which it can deal with is own problems and eiectve and availgble channei for the most of the CHN eliorts. 4. Respect for the values, customs and bellets of the cients conhtbute to the eflecttveness of care to the clent. CHN services must be valable sustainable nd afordable to all regardless ot race, creed, color or socio-economic staus. 5. CHN ntegrated heath educaion and counseling vital pots of Anctons. These encourage and support community eforts in fhe dscusion o swes to lmprove the people's heaith. &CoaboratBve wortk redattonships with the co-workes and members ot the hecdth team kacaos occomplshmems of goas. Each menber s hetped to seehow hts/he work benefts thewhole nteprise. 7. Pesoc ond contnuing evcluaton provides the means for sesng the degree o whch CHN goals and objecltvesarebeing attained. Cients are woved in the approtsal ofher heath program hrough consulattons, obsevotions and accurate recording. 8. Conttrnulng stot educaton progranm qualty services to clent and areessentlal to upgrade and malntaln sound nursing pracicesin thels seting. Professlonal interest and needsof Communitly Mealh Nurses areconsldered in planning staft development progroms of the agency. 9. ytzation of indigenou and exsting comwnity resorces maodmzing he UCçOss Of he olors of the Community Heatth Nrses. Theuse of local avalablecments. nkages with exstng communly tesourcen, both public and ptvate, icrease the awareness of what care they need what are oned 10. Acive particlpation of the lndividual, tamtBly and community in plannlng and making decsiors lor thok heath care needs, detemine, to alarge extent, he ÇCeSOf the CHN programs. Organtzed commumity groups re encouraged to parllcipate in the octvihes that wil meet communihy needs gnd ntrests. 11. Supevsion ofnursing services by qualitied by CHN personnel providesguidance and direclon lo he work to be done. Potentals of empoyeees for eectve nd etickent work cre deeloped 12. Accre recordng and reportngserve as he basis for valaton of the progres of plannd programs cnd gclvitesand asgguide for the fuvre ctions. atntenance of occurae cgrdb e vhalresponsiblity of comunty as these are vilized in svdesndrearchN dos legol  d by: PROF. JOMER V. MANALANG 13/09/2024 A04-Lecture: CHN Lec. & Colaboatve wort relatonshlpI with the co-workers and m ROLES OF THE PUBLIC HEALTH NURSE GcComoishments of goos Eoch member s helped lo see how ha/bet work benel th enterpre. - Clinlclan -who is a health care provider, taking care of the sick - 7. Petodic ond continuing evaluation provides he means lo Gsessing the degree lo which CHN oppratsal of the health proonam people at home or in the RHU brough conautolons h r e o v e d in he Health Educator - who airns towads heaith promotion and " Cantinung stall educaton program quality serdces to chent and are esenlal lo uporode ond information: malnlain sound nuning pracllces in the seting. Protesslonal interast and needa of CommwntBy Health ogency. illness pevention through dissernination of corect oton o indloenous gnd edslog comob e educating people ho Communhy Health Nurses Iheue of locol ovolable alment Unkaoen wih ttoa con Facltator - who establishes multisectoral linkages by referral fosources, bolh publk and prtvale, Increase he awareness of what care they need what are enltled system 10. Actve partkipatlon ol the indvidual, tamltly and community in planning and making decislons lor Supervisor - who monitors and supervises the perforance of nceuroed porkciote nthe octv bo gnd lnteest. midwives 11. Superviaion of nursing services by qualfed by CHN personnel provdes guidance and dre cilon lo Health Advocate - who speaks on behalf of the client fhe work lo be done. Polenbalu of employees for elec ond eticlent work are developed Collaborator - who working with other health team member 12. Accuate recorcnd p e hhctent Moanteoncedt oceun corda lao vial responslblty ol comunly au these are utlzed In studes and researches and as lega documeots. In the event that the Munlcipal Heath Offlcer (MHO) Is Responsibilities of a CH Nurse unable to pertorm his dutles/tunctions or Is not avallable, the Publlc Heath Nurse will take charge of the MHO's In the care of the famlles: responsiblitles. Provislon of primary heatth care services V Other Speclc Responslblttes of a Nurse, spelled by the Developmental/UMIizalon of family nursing care plan in the Implementng rules and Regulatons of RA 9173 (Philipplne provision of care Nursing Act of 2002) Includes: In he care of the communitles: Supervlsion and care of women during pregnancy, labor Community organtzing moblizalon, community development and puerperlum and people empowerment -Pertormance of internal examination and delvery of bables - Case finding and epidemiological Investlgatlon - Suturtng laceratHons In the absence of a physlclan -Program planning. Implementation and evaluation -Provlslon of flrst ald measures and emergency care Infvencing executve and leglsiatve Indviduals or bodles - Recommending herbal and symptomatlc medlclnes conceming health and development Responsibilties of CHN Be a pant in developing an overall health plan,,ts I International Implementation and evaluation for communities Provide quality nursing services to the three levels of clientele Conference on Maintaincoordination/linkages with other heath team members, NGO/government agencles in the Provision Health of public heath services Conduct researches relevant to CHN services to Improve provision of heath care -Provide opportunties for professional growth and continuing educaton for staff development 6 A. by: PROF. JOMER V. MANALANG 04-Lecture: CHN Lec. 13/09/2024 oTTAWA CHARTER FOR HEALTH PROMOTION OTTAWA CHARTER FOR HEALTH PROMOTION Five actlon areas for heath promotlon were The Otawa Charter for Health Promotion is the name of Identified in the charter: an internatlonal agreement signed at the Flrst International Conference on Heath PromotHon, 1.Bullding heathy public pollcy organzed by the World Heath Organlzation(WHO) and held in Ottawa, Canada, In November 1986. 2.Creating supportive environments t launched a series of acions ng internattonal 3.Strengthening community dction organizations, national governments and local 4.Developing personal skills communities to achleve the goal of "Heath For Alr by the year 2000 and beyond through better health 5.Re-orienting health care services toward promotton prevention of illness and promotion of heath The basic strategles for he alth promotton were priorttized as: JAKARTA DECLARATION ON LEADING HEALTH Health is a resource for social and PROMOTION INTO THE 21ST CENTURY Alnentl means thus the dimensions that PThe Fourth International factors must be changed to encourage heath. ahfect fhese Enable: Heath equtty must be reached where Indlviduals Conference on Heath must become empoweed to control the determinants that affect their health, such that they are able to reach the Promotion: New Players for a highest attainable quality of life. New Era - Leading Health Mediation: Health promotion cannot be achleved by the heath sector alone; rather ts sUccess will depend on the Promotion into the 21st Century, collaboration of all sectors of government (soclal, Jakarta, Indonesia, 21-25 July economic, etc.) as well as independent organizations (medla, industry, etc.). ,1997. PRIORITIES FOR HEALTH PROMOTION IN THE 21ST CENTURY -Promote soclal responslblty for health EVOLUTION OF CHN p0ncrease Investments for health development Consolldate and expand portershlps for heath "Increase communlty capacity and empower the WORLDWIDE AND IN dvidual Jakarta Declaration on Leading Health Promotlon THE PHILIPPINES Into the 21st Century Investments for health should reflect he needs of partcular groups such as women, children, older people, and indigenous, poor and marginalized populatlons. 7  13/09/2024 d by: PROF. JOMER V. MANALANG A04-Lecture: CHN Lec. INFLUENCES OF ANCIENT CULTURES ON HEBREVWS (C.A. 1400 BC) PUBLIC HEALTH -Founders of public hygiene of Sanitation" -Moses was regarded as "Father -EGYPTIAN CIVILIZATION (ca 3000 BC) Code pertained to every aspect of indlvdual, tamly Mosae ath hyalene, Include PBuilt irrigatlon canaland granaries for storage of hours of work, Principles of personal hyglene (rest, sleep, cleanliness) food b. Envlronmental santation Practice of prophylaxis by the medicine man and 1. Inspection of food Methods of disposal of excreta high priest -3. Detecting and reportng diseases PEmphasis on personal hygiene, cleanliness within -4 Practtce of Isolatton, quarantne, fumigation and disinfecion & outside the body -5. Detalled Instructions on the corect way of hand washing Sanitation measures ( removal of refuse and crude fumigation in times of epidemics) ROMANS (CA. 50 BC) GREEKS (CA. 600 BC) -Contributed to the fleld of sanitation Hippocrates -"Father of Medicine" (buildingg of Aqueducts, puritlcatlon of exponent of the science of preventive medicine and introduced the philosophy water supply), of the interrelationship between physical of public heath medical and mental health ( "A healthy mind Pappointing officers and establishment of hospitals dwells ina healthy body") which emphasized both preventve and curattve aspects of care DEVELOPMENT OF PUBLIC HEALTH NURSING -MIDDLE AGES (500-1500) AS A WORLD MOVEMENT. -Beguines of Flanders- worked as nursing sister in the hospltal, but also gave care to the sick in their homes, staying with the dying and consoling -EARLY CHRISTIAN PERIOD (1 ST CENTURY) the familles of the bereaved. Order of Deaconesses- called visitng -RENAISSANCE (1500-1700) nurses,forerunner of CHN and endeavored to St Vincent De Paul- Introduced modern principles practlce the corporal works of mercy (feeding of visiting nurse, social services, taught that the hungry, caring for the sick, burying the dead) Indiscriminate glving was harmful, emphasized -Phoebea friend of St Pauland the first the concept of helping people. maintained the Deaconess and visiting nurse. -family is the unit of the service and recognized the Importance of supervision of those who render service to the sick  ) 13/09/2024 hy: PROF. JOMER V. MANALANG ha-Lecture: CHN Lec. EARLY 19 TH CENTURY DEVELOPMENT OF MODERN PHN Pastor Theodor Fliedner- German Lutheran main pastor, went tour to raise funds when the P Characterized by: of communlcable industry of his communlty falled, came back Clean-up measures in the conroB money and ideas for a program soclal disease of prlson and Removal of refuse Clean-up campalgn conditons of women work. asylums Improvement of Fredericka Munster Fliedner- a wite pastorthe and chlldren modern district for visiting nursingthe organized women societyCouple William Rathbone- Father of of Florer rence recognized nursing with the encouragement sick poor in their homestraining those who care Nightingale, organized a training school for nurses provided need for preparing the olschool : of in the Liverpool Royal Inflrmary which a hospiBal for the sick, organizedKaiserswerth training for hospital nurses, private duty nurses Institute for nursing n Germany ( and district nurse. the tralning of Deaconesses) Legal basis of CHN Practice ROLES and FUNCTIONS OFA -Code of Ethics for Nurses 2002) R.A. # 9173(Nuratng Law of COMMUNITY HEALTH Competency Standards of Nursing Practice in the Philippines NURSE COMMUNITY HEALTH NURSE ROLES and FUNCTIONS -Plahner/Programmer ldentNes needs, priortes, and problems of individuals, famllies, and communltes. -Qualifications -Formulates municipal health plan in the absence of a medlcal doctor. Bachelo, of Science in Nursing Interprets and mplements nursing plan, program policles, memoranda, and circular for the concerned stat pernonnel. -Registered Nurse of the Philippines -Provides technlcal assistance tß rural heath mldwives In health maters. 4,Provider of Nusing Care Provides direct nursing care to sick o disabled in the home, clnic, school, or workplaco - Develops the famlly's capablity to take care of the slek, dlsabled, or dependent member 9  by:PROF JOMER V. MANALANG -Lecture: CHN Lec. 13/09/2024 - Communlty Organizer mmunity poicipakon in l e onganting Implem Role Model and Provides good example of heaithful llving to the membes ol the communithy pates in community developmenl acve Coordinator of Services Change Agent odloaten th indduals, kamilles and groups for heath Motvates changes in heaith behavior in indviduals, tamies, groups, and od the health feam communites hat aao ncude itestyle in order lo promoBe and malnkain heath Coordinates nuring program wth ofher health prog ealth d mental heaith ronmental sanalton, beaih Recorder/Reporter/Statisticlan -Prepares and wbmits requlred tepots and records Irainer/Health Educ ator Maintain adequate, occurale, and complete recording and reporting Iderdiles and tnlorproth troining neda ol he RHMs Gnd Barangay Health Workers (Bw) Reviews, valdates, consoldate, analyzes, and interpres ali records and reports Condud training for HMs and BHW on promolon and disee orwenfßon - Prepare statshcal data/chat and other data presentatlon Conduc pre ond pod-consulation conterences for clic dents och as a rsouce speaker om hedth and heath relatedrc Researcher the vo ol i-media (radio/TV, cnema plvg, and prinl ada) lor edvoallon purpoe "Paticipates in the conduct ot survoy studies and researches on nursing and health Condvct pre-marlal coumein rekaled ubject Coordinales with govemment and non-govemment organh ation in he Health Monitor Implemenlaton o arc Deteats devtalon tom health al inditduala lome nles throoh oomlactait wt NURSING CORE VALUES AS A NURSING CORE COMMUNITY HEALTH NURSE VALUES AS A Mission COMMUNITY HEALTH The National League for Nursing promotes excellence in nursing education NURSE build a strong and diverse nursing workforce to advance the heath of our nation and the global community. CARING: promoting health, healing, and CORE VALUES OF NURSES hope in response to the human condition A culture of caring, as a fundamental part of 1.CARING the nursing profession, characterizes our 2.INTEGRITY concern and conslderation for the whole person, our commitment to the common 3.DIVERSITY good, and our outreach to those who are 4.EXCELLENCE vulnerable. 10 Community Organzer Molvahe and enhances comunity parmcipakon in tens ot planting organlaing implemening aad atuang heoih sevion inkates and pattcipates in communty developmenl actvles Coordinator of Services Coorinates wth ndiidvaks, familes and groups for eoth ratated ervices provided by vasous menbers of the hecth feam. " Coordinates nursing program wtth other heoth programs ike evronmental santtatton, hedh educllon, dentol hah, andd mentol heaith Trainer/Health Educator - dentiles and interprets troining needs ol the RHMs and Barangay Heath Warken (HW) - Conducts halning kor Hs and BHW on promolkon and dsease prevenson Conducs pre ond pod-consulbation conterencskor iric cns ccs as a oce speker on hec ond heotth reloted evices Iatiates the ue ol ri-medo (radio/TV, ciema plvg, ond print os) for heath edvcaion purposes - Condvcs pre-mnatal counseling Health Monitor Dete dtakon ion hooth o individuals, kames, croups, ond commnitles through ootac,s wt them Prapared by: PROF. JOMER V. MANALANG 13/09)2024 NCM 104-Lecture: CHN Lec. INTEGRITY: respecting the dignity and DIVERSITY: affirming the uniqueness of and moral wholeness of every person without differences among persons, ideas, valves, and ethnicities. conditions or limtation; A cuture of inclusive excellence A cutture of integrity is evident when encompasses many identities, influenced organizational principles of open by the intersections of race, ethnicity. communlcation, ethical decislon-making. gender, sexual orientation, socio-economic and humility are encouraged, expected, status,age, physical abilities, religious and and demonstrated consistently. politlcal beliefs, or other ldeologies. EXCELLENCE: co-creating and implementing transformative stategies with daring ingenuity. NOTES: A culture of excellence reflects a commitment to continuOUS growth, improvement, and understanding, H is a cuture nere transformation IS embaced, and the quo and mediocrity are not tolerated, Community Health Nurses face daily challenges not experienced in a hosptal seting, and experience more autonomy than hospital based nurses. -Nursing ethics and protessional coia values play a substantial role in the decision-making process outsidee of the hospital setting. NOTES: That's all for today! Thank You 11 Prapared by: PROF. JOMER V. MANALANG 25/09/2024 NCM 104-Lecture: CHN Lecture NCM104-LECTURE UNIT II THE HEALTH CARE Commanihy Health Nutying DELIVERY SYSTEM DEFINITION OF TERMS THE HEALTH CARE DELIVERY SYSTEM HEALTH CARE DELIVERY SYSTEM(HCDS) -Is the totality of all pollcles, taciltes products, human resource and servees which address the heaith needs, problems and concems of the -Health care delivery system is defined as people. is lorge, complex, muti-level and mum-dsciplinary. HCDS is ofen used to descibe he way in whlch health care Is provded to the people. the aggregate of institutions, organizations ts the network of heath faclties and personnel whlch cares out the task of andpersons who enter, the health care /renderlng heath cae to the people. (Wlams-Tungpalan, 1981) system, Who has responsibility that, Include HEALTH CARE SYSTEM (HCS) the promotion of health, prevention of #sacomplex set of onganlzations Interoctng to provide an anay of heath services (Dzon, 1977). illness, detection and treatment of disease #s a organlzed plan of heolth services (Mler-Keane, 1967) and rehabilitation HEALTH CARE DELIVERY (HCD) th renderdng health cae services lo the people (WHlams-Tungpalan, 1981). HEALTH CARE DELIVERY SYSTEM The pimary objectives of any health delivery system are: THREE (3) LEVELS -To enoble all citizens to receive health care services whenever OF HEALTH CARE, needed To deliver heaith services that are cost-effective and meet pre established standards of quality. PREVENTIONS& HEALTH Three levels of health care &health care facility: CARE FACILITY Prdmary Level of care -Primary Level of Health care Facility -Secondary Level of care -Secondary Level of Health care Faclity Tertiary Level of care -Tertiary Level of Health care facility 11  ared by: PROF. JOMER V. MANALANG 25/09/2024 M 104-Lecture: CHN Lecture PRIMARY LEVEL OF CARE SECONDARY LEVEL OF CARE - This includes prevention of illness or promnotion of health. t centers on early diagnosis and treatment of diseases. | t is the initial entry point for clients of the health care delivery system which is directed towards the -This includes provision of specialized medical promotion and maintenance of health, the prevention services by physician or a hospital on a referal of disease, the manggement of common specific by the primary care provider. Services are and usually ambulatory or outpatient settings. offered by Secondary Level of Health Care re ffored by the Pimary level of Hedlth Care facility. Facility. RHU/MHO Community hospitals Private Clinics -District and emergency hospitals Birthing/Lying in Centers TERTIARY LEVEL OF CARE -Rehabilitation is restoring health and aimed at LEVELS OF PREVENTION lessening the pain and discomfort of illness and helping clients live with disease and -Primary Prevention disability. It also includes care of chronic -Heath Promolon Practlces and Specihc Proteclon trom gilment that reaquires longterm care and spectfic Ilnesses prevention of complications. Services are Secondary Preventlon offered by Tertiary Level of Health Care -Praclces on Early Dlagnosis and Irearment of Dlseases facility. -Tertiary Prevention -Provincial Hospitals Dababilhatlon, Re Restoratlon and and prevenHon of complcalonsMolnena of heath Speciolized hospitals and o Nhekon FACTORS AFFECTING THE DELIVERY OF THE WORLD HEALTH ORGANIZATION (WHO) HEALTH CARE SERVICES " The Wotd Heath Organlzon s a speciatlzed ogency of the Unted Nations establshs he le neain. he WHO Consthutton, whlch Socio-economic factor objecttve as he atolnment bw ot pnciples, states s maln posible level of heath -Technologicaladvancement The WHO was established onstution on 7 Aprl.1948, whlch Is commemorated as Wodd Heath Day. Accessto heath care faclity he WHO's broad mandale Includes odvocatng lor untver High cost of hosptalization montortng publlc helth rsks, coordinatngresponses to heath emrgend ond promotng human heath and well betng mergencles, -Health consumers Mprovkdes technlcal asststance to counties, sets lntemaltona heath standards and guldelines, and collects data on global heath bsues through the Wodd -Unequal distribution of health servlces and Health Survey. health personnel " h loaship publlc aion, he Word Heath Repot, provides expert asesments o -Demographlc changes global heath topBcs and heoth stattstcs on al natons. The WHO aho serves a lorum for summiti and discusslons on hedith lssues 2  " Survey. Heatth promoting andmontoring TheglobaBquidelines, ts provkdes tand commemoroted establishes heobjectve intenotionat WHOWasTheresponslbletor The THE Magship O WHO's Wodd heatith WORLD so as Health lication, technical publicbroad the s established "he fopBcs agency's human mandate heaith atalnment as Organlzatlon sand assistance Wordd collects HEALTH the heatih mheolth a rdsks, governing by World HealthDay. Includes dotaonbelng. constltution by publc coordinatingwell and isa tstlcs for countries,setsto afl Heath ts peoples ORGANIZATION specialized the of structure heath. advocaing heaih global issues on Repot, on he nd all responses 7 and alons, April agency provides s Internationa tor princples, WHO htghest untversc 1948, Constitution, to heath which of expert throuehthe posible the on heathcore, sttes heatih Unted h is ssments emergencles, (WHO) which level ts s. standards Wordd man Notions of heah. of  Ared by: PROF. JOMER V. MANALANG 25/09/2024 M 104-Lecture: CHN Lecture The WHO Eight Millennium Development Goals: The WHo 17 sustainable development goals The United Nations Millennium Development Goals (MDGs) are the (SDGS) to transform our world: eight goals set by the 189 UN member states in September 2000 - GOAL 1: No Povety and agreed to be achieved by the year 2015 GOAL Zero Hunger GOAI : ndustry, rnovalon ond lnhoshuchure To eradicate exreme poverty and hunger: - GOAL Good Heatth ond We-being GOAL 10: Reduced lnequolly To achieve universal primnary educatlon; GOAL 4 Quallty Educatlon GOAL 11: Sustainable Clles and Commues - GOA5: Gende Equolty To promote gender equality and empower women: - GOAL &: Clean Wter and Sanitaion GOAL 12: Rosponsble Consumplon and Produchon To reduce child mortality: 6OAL 7: Alordable and Clean Energy GOAL 13: Clmate Aclon GOALA Decent Work and Economle Growth GOAL 14: Lhe Below Waler To Improve maternal health; " GOAL 15: Ute on land To combat HIV/AIDS, malaria, and other diseases; -GOAL 16: Peace and Jusce Strong hatthilont To ensure environmental sustainability: and - GOA 17: Potnenips to ochere he Goa To develop a global partnership for development SUSTAINABLE DEVELOPMENT GOALS The Goals were adopted by all United Nations THE PHILIPPINE HEALTH Member States CARE DELIVERY SYSTEM in September 2015 as part of the 2030 Agenda for Sustainable Development which sets out a 13 5 17 8SUSTAINABLE DEVELOP 15-year plan to achieve the Goals and their related targets. H D THE PHILIPPINE HEALTH CARE DELIVERY SYSTENM Department of Health (DOH) -isa complex set of organizatton between the public The Department of Health and the prtvate sector to provide heath services. PUBLIC SECTOR PRIVATE SECTOR -(DOH; Kagawaran ng Kalusugan) is Govemment Funded hom Taxes Volutory Funded/Foundaions/Pvately Owned/ the executive department of the Government DOH(NGtonal) LGU (Local INGO(Non Proft Speclaity Teriory Provinclal HosptalsCivic ÇorporoCoroototon l(Proft Prtvate clnlcs of the Philippines responsible for ensuring access to basic public health services by all Mosptals groups/OrganttaHons Reglonal HospBal Distict and Rellglous Pdvote Hosptols Filipinos through the provision of quality health Gtoups/Organlzatont care and the regulation of all heath services Hosphotls Medlco Cerers Medleare and Foundaons Prvae Prgctlonert and products. It is the government's over-all Communlty HospHal technical authority on health DOH RHU/MHO/CHO/BHsOher soclal vountary Prtvate laboraBorles representatives Lgroups 3  ared by: PROF. JOMER V. MANALANG 25/09/2024 M 104-Lecture: CHN Lecture THE DEPARTMENT OF HEALTH MANDATE: Department of Health (DOH) - The Department of Health shall be responstble for the tollowing: -Formulaion and development of natlonad heaith poRcles, poRcies, guidelnes, gu Department overvlew standards and manual of operatior or sertces programs; lssuance of rules and regulatons, Hcenses and dccredtaions; Floreat Salubritas Populi promulgatlon of natlonal health standards, goals, prioriles and Motto "Promoton of Heath for Indicators; the People") Development of speclal health programs and projects and advocacy for legislation on heath pollcles and programs. Annual budget P296.3 billon (2023) The primary functon of the Department of Heath is the promoHon, profeclon, preservaton or restoratlon of he heatth of |Hon. Teodoro "Ted" the people hrough the provislon and dellvery of heath services Department executtve (Secretary of Health) J. Herbosa, M.D., FPCS, and through the regulation and encouragement of provders of FPCEP (June 2023) heath goods and services (E.O. No. 19, Sec. 3). DEPARTNMENT OFHEALTH (DOH) DEPARTMENT OF HEALTH (DOH) - VISION by 2030 GOAL Aglobad leader for attolning beter heath outcomes, competve and -To enable the Flipirno populalon to achieve a level of heath responsve heah care systemand equyttable health tnancing. which wl olow Flpino to lead a soclatly and economically MISSION produeltve He, with longer lte expectancy, low infant mortaltly. low matemal mortality and less disably hrough measures tha To guarantee equable, sustainable and qualty health or every will guarantee access of everyone to essenflal heathcare S e i n g to ihe quest for excellence in health among the Heath as a nght. Heath or All FHiplnos OBJECTIVES The mision of the DOH, partnership with the people to ensure equity, To promole equtty in heah status among al segments of sociely qualty and access to health care: -To address speclfc health problems of the population -ly maldng servces avollable "by arousing comunlty awareness To upgrade the status and transfom the HCDS into aresponstve, proviion of -By motbing rosources soluions ho ehaneine he b c i v one in the -by promollng the means to beter heafth To promote actve and sustained people's partcipatton health -DOH Roles and Functions (EQ 102) REFERRAL SYSTEM IN LEVELS OF THE HEALTH -leadership in Health CARE: (Phlippine Ratio) Enabie and Capacity Bullder Stalon ( - Adminisrator of Specilc Servlces BarangoyailthHeath Rural Mlchw under the management of " Rural Health Mldwite 1:500 catchment populatlon Rural Health Unlt (RHU) is under the manggement or Jhe DOHIs composed of supervision of PHN -17 centrat ofmces Publlc Heath Nurse (PHN) caters to 1:10,000 catchment 16 Centers Heath Development population, acts as managers In he Implementallon of he 70 hospltals polcles and actvitles of RHU, drecity under thesupervislon 4 atached agencles of MHO (who acts as administator) Munlcipal Health Omcer (MHO/hyslclan) 1:20.000catchment popukalon 4  25/09/2024 FEATURES OF DOH REORGANIZATION 1958- RA 1082 PHILIPPINE HEALTH AGENDA 2016 - 2022. Rural Hea onh Ac whlch Increases the nunber n the employment of more and 1st 8rurdl h e c t e sand santhory Inspecfors skgned to RHU, With the Philippine Heath 1972- RA 5435 2022, we will all ACHIEVE Agenda 2016 a heath system -dened quthorties of reglonat dre ctors for more meanlngul and 13 reglonal health omces were created. decentraltz atlon with the values of Equty, 19744 -RHCDs was Implemented, RHM were sert to BHS to man BHs and Efficiency, Transparency, Quality, Accountability. trolned and roles expanded 1982- EO 851 Mldwves were Sustainabilty, Resilience towards "Lahat Para sa Kalusugan! Integroted publlc health and hosplBal systems with emphasts on mportance componet of hedic e v e ,curotve ond rehoblitatve -Tungo sa Kalusugan Para sa Lahat. -mplementaton of DOH Impact programs, Role of Soclety In RHCDS and participaNon in intomaton drtve of HCDs PRIMARY HEALTH CARE PRIMARY Primary heath care is a whole-of-sockety approach to efectively organize and strengthen national heath systems to bring servtoes for HEALTH AND WELLBEING CLOSER TP cOMMUNITES HEALTH CARE - Primary Heatth Canre (PHC) Is an essential heaith care made untversaly acceptabie to Indivlduals and famlles in the communty Ynas cccepable to hem through helr ull porlclpatlon and at stage of develonm and counry and can afiord at every -Primay Heath Core (PHC) characterdzed by partneshhp and empowement of people shal permeate as core shrategy in effectlve provision of esenlal heath services. -Leter of Instruclon (LO) 949: slgned on Oct. 19, 1979 by hen Pres. FerdinandofEPHC adoplon Marcos In the(S) provides legal basls In ihe oilcil Phillppines. 5. Environmetal Sanitation ond Promotlon of Sate Water Supply The following are the eight (8) essential elements of primary heath care: Evronmental Sanitollon lh delined an the shudy of al focton n he man's evkorment, Oxercke o may exercse deleterious olect on hh wel-belng and survval. 1. EducaHon for Heatth a bor the m e n n o m W a eecetsory r hnecosary tot - Ths is one of he potert methodologles for intomoon dlssemnolon. promoles he baslc promotlon of health patnershlp of both the famly members and heolth woken in fhe promollon ol health 6. Nutnton and Promotton of Adequate Food Supply as well as prevertkon of Mness. One bsle need of thefarmly s lood. And food ls property prepared then one may be 2. Locally Endemic Disease Control aured heany fomly. There are many food resources lound in the communles but comtol of endemlc dlseate focUses on he preverdlon of h occumence to educe Malnutron a on eoeregording Proper lood plannng 7. Tteatment ot Communtc able Diseases and Common liness Expanded Program on Immunizaiorn Chh o corol ne occurence of preventable veoe nesses especlally o The dlseaes spread hrough dlrect contoct pose a greot tak lo thoso who can be Inected. Iubarculosis h one of the communicoble deases corituousy occuples the top len couses of death. ciphihertaand other preventable dseose areglven for tree by he govemment and ongolng9 program ol the DOH G caeo ae abo preventable. The Govemmen locuses on he 4. Matemal and Chlld Heath and Fomily Planning 8. Supply of Esseenttal Oruas The mother and chld are the mort dellcate membenocon campalonC on lhe Tu olon oc qond va ocqvhMor o n of duga In ior he eomnhy. 1he oodl of Fomly Plonnng lncudes spocng of chldren ond npaion campa he GENEe responstble parenthood 5  chicren ond spacing of includs Planning Famly of goalcomunity. The the for n good would en dks othw and lness to chlld andmother theprotecton of comunty. the So memben mo of deicate most the ore chld and nother The Pianning Family and Health Child andMatemal 4. DOH program he of ongolng enmert and he byfree forgiven disease are preventable oher diphtheria and tetenus, megsles,pollomyelis, mmuntzalons on old. yoars below& chtldren spocloty o SSpreventable occurencoof control e exisis toprogram This Immunizatlon Program on Expanded 8. SchistoIomiasis conrol and control Malaria Example rate. morbidity occurece to prevention hs of the focuses on disease endemic contol of The Control Disease Endemic Locally 2. Hness. prevenion of aswell as promoion od heworkers in hecth members and family ihe bohpartnership of omotes he dssemtnaon.t itomaion methodologles for potent ihe of one isThts Health Educatlon for 1. care: health primary elements of essential (8) eight the following are The  8. 7. 6. 5. Supply Jteamet Nutrttlon Environmental prevenon, tehh toThit Mostntected. fop The becouse One basic Water for which Enviromental Malurition ten ddseases ihe USeS of Ured baslc ommunlcable promotlon and exerclse s ssentlol cousOs of heary mantenance a IubarCulosis of baskc Communicable fouiyPromotton cortrol need Sanitation On sprecd s of one Santtolion he th,e Drugs tomily. of ofneed or doah. preparaion of the heakh may and ton dseose hrough the offor heament famitly of heaiy eXKC0se one problems There ie sand Adequate deined dect Diseases of amd Promotion Cign and aretood. s thestyle. Te he deleterious one of many comunicabBe contact that lack as thesealso And Food factor prevetable. and wefood the of Sate CT on Hneses knowledge heve Ntood study of posee Common resOUrces Supply Waer eiect in Sate ofhe mon's he ton a in is of Water diseases great the propery ond on al s The tegording coUntry. onvironmen. factors his llness found Sonitoton well-beng Supply Govemmert risk and contnuousy to prepared in n is ion hose he. proper the comunles Watork man' ard s who necesOry ocusesheon hen tood UNt