WELCOME
What is CHN?
What is PHN?
Public Health ( Winslow)
3 P’s of Public Health:
GOAL OF CHN
Who are the Clients in CHN?
• Philosophy:
• Focus:
•
Principles in CHN
PRINCIPLES
FAT
MAN
Signs of HEALTHY COMMUNITY p. 151
#1:Prompts its members “We ARE
COMMUNITY.” “Participation”
#2: Utilize and Conserve Natural
Resources
#3: Problem-solving, open
communication
#4; Make each of its system resources
available to ALL.
#5: Promotes High level Wellness among
its members.
DETERMINANTS OF HEALTH
1. Income and Social Status
2. Education
3. Physical Environment
4. Employment
5. Social Support
6. Culture
7. Genetics
8. Personal Behavior
9. Health Services
10. Gender.
ECOSYSTEM influences OLOF!!!
Behavioral
Environmental
Health Care
Delivery System
OLOF
Socioeconomic
PHCDS
Political
Hereditary
Health Center
1. Within the
municipality of 5,000
pop.
2. Complete Health
Team
3. Headed by MHO
BHS
1. Strategic area beyond
3-5 km radius from
health center.
2. RHM only
3. Acts as a satellite
Station.
DOH
QUESTION:
VISION BY 2030
A global leader for attaining
better health outcomes,
equitable health care
financing, more responsive
health system.
MISSION:
• To guarantee equitable, sustainable and quality
health for all Filipinos, especially the poor, and
to lead the quest for excellence in health.
EO 102
EO 102
R.A. 7160 (1991)
Local Government Code
-
National Objectives for
Health (NOH)
- roadmap
Goal:
Health Sector Reform
Agenda (HSRA)
FRAMEWORK FOR IMPLEMENTATION
OLD FRAMEWORKS
F1 PLUS
Situational Overview
• INCREASING EXPENDITURES FOR HEALTH
• SIN TAXES exceeded target collection by 19% and grew
by 25% from 112B in 2014 to 142B in 2015
• Increasing Philhealth coverage at 92% population
coverage and paying 26% more benefits in 2015 (97B)
• Rising Total health expenditure 593 B in 2015 to 655B in
2016 (10.5% increase at current price)
Average Life Expectancy Ranking
• 1st: Singapore
• 2nd: Brunei
• 3rd: Vietnam
• 4th: Malaysia
• 5th: Thailand
• 6th: Indonesia
• 7th: Philippines
• 8th: Camnbodia
• 9th: Myanmar
• 10th: LAos
Strategic Framework
• VISION: Filipinos are among the healthiest people in
southeast asia by 2022, and Asia by2040
• Mission: To lead the country in the development of people
centered, resilient, and equitable health system
• Goals: Better health outcomes, Financial Risk protection,
Responsiveness
• Strategic Pillars: Financing, service delivery, Governance,
Regulation
• PLUS: PERFORMANCE ACCOUNTABILITY
• Values: Integrity, Excellence, Compassion
PLUS: Perfromance Accountability
• Driving performance and ensuring accountability
among stakeholders
• STRATEGIES:
• Improve Transparency and Accountability
• Shift to results-oriented management approach
Ottawa charter
• 5 strategies of ottawa charter
• 1. building healthy public policy
• 2. creating supportive environments
• 3. strengthening community action
• 4. developing personal skills
• 5. re-oreinting health care services toward
prevention of illness and promotion of health
LISTS OF GOALS
1.
2.
3.
4.
5.
6.
7.
8.
No Poverty
Zero Hunger
Good Health and Well being
Quality Education
Gender Equality
Clean water and sanitation
Affordable and Clean Energy
Decent Work and economic growth
LISTS OF GOALS
9. Industry, Innovation and Infrastructure
10. Reduce inequalities
11. Sustainable cities and communities
12. Responsible Consumption and Production
13. Climate Action
14. Life below Water
15. Life on Land
16. Peace, Justice and Strong institutions
17. Partnership for the goals.
Social Progress Index
Basic Human Needs
Foundations of Well being
HOME VISIT
Family- nurse contact
Opportunity
Principles
PUNIF
Factors in the Frequency of Home Visit
•Health Agencies involved
•Acceptance of the family
•Needs
•Evaluation of past services
•Policy of a given agency
STEPS
IN
HOME
VISIT
Make appointment for a return visit
Observe the patient and determine the
health needs
Place bag in a convenient place then do
bag technique
Perform nursing care and give health
teaching
Greet client or household member,
introduce self
Record all important data, observation
and care rendered
State the purpose of visit
Bag Technique
• Tool making use of a public health bag
through which the nurse, during his
home visit can perform nursing
procedures with ease and deftness
Public Health Bag
• Essential and Indispensable equipment
of the public health nurse which he has
to carry along when he goes on home
visit.
The nurse performs bag technique during home
visit. After opening the CHN bag, what will
the nurse do next?
A. Open the bag
B. Perform Handwashing
C. Get towel
D. Put on the apron
OPEN
CLOSE
1
2
1
Principles:
➢Pre
➢Sa
➢P
➢Not
CONSIDERATIONS IN THE USE OF THE BAG
C
O
C
Which of the following equipment is NOT INCLUDED in
the public health bag?
A. Paper Lining
B. Benedict’s Solution
C. Stethoscope
D. Soap and Soap Dish
BQ
All of the following are in the PHN bag except:
A. Cord clamp
B. Paper lining
C. Needle and syringe
D. Bandage scissors
The community / Public Health Bag is:
A. A requirement for home visits
B. An essential and indispensable
equipment of the community health
nurse.
C. Contains basic medications and
articles used by the community
health nurse
D. A tool used by the CHNurse in
rendering effective nursing
procedures during a home visit.
FAMILY CARE PLAN
PRIMARY HEALTH CARE
• VISION:
• MISSION:
• CORE PRINCIPLES
• ELEMENTS
ELEMENTS OF PHC
Education
Locally Endemic Disease
Essential Drugs
MCH
EPI
Nutrition
TX of CD and Emergency and Medical
Care
Safe Water and Food
Health
Education
LEVELS
WHO?
PRIMARY SECONDAR TERTIARY
Y
Healthy
High risk
Post
Treatment
ACTIVITIES Health
Early
promotion Diagnosis/S
Illness
creening
Prevention Early
Treatment
Rehabilitativ
e (prevent
other
complicatio
ns/mainten)
Palliative
1
2
3
4
5
6
Treatment of Locally
Endemic Disease
VITAL
STATISTICS
Health
Statistic
✓Numbers
required in
planning
health
programs.
SOURCES OF DATA:
Population Census
Health Survey
Family record (specific disease or condition)
Studies and Researches
Crude Birth Rate
Crude Death Rate
Infant Mortality Rate
Maternal Mortality Rate
Fetal Death Rate
Neonatal Death Rate
Incidence Rate
Prevalence Rate
Swaroop’s Index
FIELD HEALTH
SERVICE
INFORMATION
SYSTEM
FHSIS
Family Treatment Record
Target Client List
Target Client List:
EPI
Eligible Population
Children 0-59 months
Nutrition
Pre natal care
Post partum care
Family planning
TB symptomatic
TB cases under Short Course
Chemotherapy
TB cases under Standard regimen
Leprosy cases
Reporting Forms/Tally form
data are routinely transmitted from one
facility to another
Output Reports
produced at the PHO.
HIGH CALIBRE QuestionS
A sex ratio of 99 in Brgy succeed indicates that:
A. There are 99 females in the Bgy.
B. There are 99 males in the Bgy
C. There are 99 Females for evey 100 males in the
Bgy.
D. There are 99 males for every 100 Females in the
Bgy
HIGH Calibre Questions
A Swaroop’s Index of 20% implies that:
A. 20% die before the age of 50
B. 80% die before the age of 50
C. 20% of deaths are persons who are in the age of
50 years alone.
D. 80% of deaths are persons who are in the age of
50 years alone
HERBAL
MEDICINES
HERBAL MEDICINE LAW
PITAHC
• Mandated to encourage scientific reasearch on and
develop traditional and alternative health care
systems that have direct impact on public health
care.
Cannabis
• PITAHC research about the medicinal use of
cannabis for cancer.
IDENTIFY
1.
2.
3.
4.
5.
Edema
Ringworm
Scabies
Cough and Colds
Toothache