Community Health Nursing – Mr.
Jessie Daclis 9/26/19
Primary
 Health Educating
 Health Teaching
 IEC – Info, Educ, Communication
Model of Health
1. Health Belief Model
 Perception
 Positive Health Habits
2. Health Promotion Model
 Perception + Consider Biopsychosocial factors
Internal External (ex.family, peer)
HEALTH
Focus
Health Promotion
 Increase level of Health
 Healthy Lifestyle
 Way of Life
 DERS
 Diet-food pyramide(1200-1800)
 Special Needs
-Pregnant(300kcal)
-Lactation(500kcal)
 Variety foods
everyday(SOYA-Complete
Essential Amino Acids)
 Exercise
 Moderate Intensity
(breast walking),almost
everyday, 30mins/day,
cumulative
 High Intensity(Zumba,
Hiking)3x a week, 30mins/day,
cumulative
 Rest: Sleep 8hrs regularly
-Stress Management
 Stop Smoking: 400 harmful
chemical
World Health Organization
Education – 4 A’s
Ask-Each Stick when they smoke
Advise↓6 secs x 10 stick= 60 secs
Assist – educate for reducing smoke or recommend nicotine
gum/patch
Arrange
Legislation
R.A. 9211 (2002)
Don’t smoke – public places
Don’t Sell – w/in 100 meters
Don’t Advertise
Local Government
Illness Prevention  R.A. 7160
 Maintain Health  Decentralization
 Healthy-Healthier  Devolution
 Specific Provincial Government Municipal City Government
 Protection  Chairman: Governor  Chairman: Mayor
 V-Chairman: PHO  V-Chairman:MHO/CHO
 District Hospital, Provincial  HC,RHU,BHS
Hospital Emergency Hospital  Primary Facility
 Secondary Facility
Department of Health - National Authority for Health
VISION: Global Leader for Health (BEM)
Better Health Outcome
Equitable Health Care Financing
More Responsive Health System
MISSION: Equitable, Sustainable, Quality
GOAL: National Objective for Health
Roadmap for ALL(Guide)
Stakeholder
 Universal Health Care Law – R.A. 11223
TRAIN LAW-Tax, Reform, Acceleration, Inevitable CHARACTERISTICS
Community Based
HSRA- Health Sector Reform Agenda (Overriding goal of DOH) Accessible
Sustainable
Gloria Macapagal Arroyo: time for Corruption Affordable
-FOURMULA ONE FOR HEALTH Self Reliance
Available
NOYNOY: AHA
-Aquino Health Agenda ELEMENTS
DIGONG : PHA Education
-Phillippine Health Agenda
-FOURMULA ONE FOR HEALTH PLUS ONE Locally Endemic Disease
Essential Drugs
5 PILLARS Maternal Child Health
1. Health Financing-better investment for health, GIDAP (Geographic Isolated EPI (Expanded Program Immunization)
Demographic Phillippines) , NHIP (National Health Insurance Program)
2. Health Regulation- Affordable, Quality Nutrition
3. Health Service Del- Accessible, Available Treatment of Communicable Disease & Non CD Emergency
4. Good Governance- Transparent, Accountable, Efficient
5. Performance Accountability- Outcome Based Management Approach
Sanitation

Primary Health Care : Basic Health Care 3 M’s

WHO-1978 Manpower
ALMA ATA CONFERENCE-USSR(RUSSIA) Material
LOI 949-October 1979 by pres. Marcos Money

Vision: Health in the hands of the people 2020(Self Reliance) 3 LEVELS OF PREVENTION
Mission: Increase opportunity that people will manage their own Health Care
Primary Secondary Tertiary
2 CORE (PE) WHO? Healthy High Risk Post Treatment
ACT? Health Diagnosis/ Rehab
Partnership with people
Promotion Screening Prevent Other
Empowerment –transfer KSA Illness E treatment Complication
Prevention Maintenance
4 PILLARS Palliative
Active Community Participation
Intra & Inter Sectoral Linkages
Use of Appropriate Technology(local Indegenous Resources)
Support Mechanism made Available
Locally End Disease

Epidemiology
- Occurrence & Distant of Disease
-Backbone of Previous Disease
Classification
1. Sporadic- occasionally, few cases, ↑ immune, ↓ susceptible
2. Endemic- always present
3. Epidemic – outbreak, sudden increase of cases in a short period
time
4. Pandemic- outbreak worldwide

Types of Epidemic
1. Propagated – one person to another person. Ex.flu
2. Point Source – Single Event. Ex Food Poisoning
3. Cyclical – Seasonal Epidemic
4. Secular Epidemic – Changes Disease throughout time.

Vital Statistics – study of vital events

TITLE SIGNIFICANCE FORMULA
1. Crude Birth Rate Natural ↑ Total Birth___ 1000
Total Population
2. Crude Death Rate Natural ↓ Total Death__ 1000
Total Population
3. Maternal Mortality Rate Prenatal Care Total Death due to pregnancy__ 1000
Total live birth
4. Neonatal Mortality Rate Postpartum Care Total Death below 28 days__ 1000
Total live birth
5. Infant Mortality Rate Health Status of whole communications Total Death below 1 y/o_ 1000
Total live birth
6. Fetal Death Rate Pregnancy Wastage Total Death intrautero__ 1000
Total Live Birth
7. Incidence Rate Acute disease < 6 mons Total # of New Cases___ 100,000
Total Population
8. Prevalence Rate Chronic disease > 6 mons Total # of OLD Cases + New 100
Total Persons Examined
9. Sex Ratio Balance of male over female M
100
F
10. Swaroop’s Index Longevity life (lifestyle) Total Death 50↑ 100
Total Death