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• Tier 1 Public Health Nursing Competencies (General Public Health Nurses)


  • Analytical Assessment Skills
  • Policy Development/Program Planning Skills
  • Communication Skills
  • Cultural Competency Skills
  • Community Dimensions of Practice Skills
  • Public Health Sciences Skills
  • Financial Planning and Management Skill
  • Leadership and systems thinking skills
• Public Health Interventions


  • Surveillance
  • Disease and other health event investigation
  • Outreach
  • Screening
  • Case finding
  • Referral and follow-up
  • Case management
  • Delegated functions
  • Health teaching
  • Counseling
  • Consultation
  • Collaboration
  • Coalition building
  • Community organizing
  • Advocacy
  • Social marketing
  • Policy development and enforcement

  
• Community health nursing


  Based on the worth and dignity of man
• Principles of Community Health Nursing


  • Focus on the community as unit of care
  • Give priority to community needs
  • Work with community as equal partner of the health team
  • Health teaching is the primary responsibility of the community health nurse
  • The Community Health Nurse works as member of the health team
  • Collaborate with others in working in the community
  • There must be provision for periodic evaluation of CHN services
  • Opportunities for continuing staff education programs must be provided by the CHN agency
  • The community health nurse makes use of available community health resources
  • The community health nurse utilizes the already existing active organized groups in the community
  • There must be provision for educative supervision in CHN
  • There should be accurate reporting and recording in CHN
• Health care system


  An organized plan of health services
• Health care delivery system


  The network of health facilities and personnel which carries out the task of rendering health care to the people
• Components of the health care delivery system


  • Policies
  • Infrastructures, facilities, equipment, products, human resources
  • Services
• Philippine health care system


  A complex set of organizations interacting to provide an array of health services

  
• Levels of care


  • Primary care (intervention)
  • Secondary care (curative aspect)
  • Tertiary care (rehabilitation aspect)
• Factors in 21st century health that influence health care delivery system


  • Health care reforms
  • Demographics
  • Globalization/internationalization
  • Poverty and disparities
• Health system


  Consists of all organizations, people, and actions to promote, restore, or maintain health

  
• WHO is a specialized agency of the United Nations that provides global leadership on health matters
• WHO was founded


  1948
• WHO regional offices


  • Africa
  • America
  • Eastern Mediterranean
  • Europe
  • Southeast Asia
  • Western Pacific
• Objectives of WHO


  • Attainment by ALL people the HIGHEST possible level of HEALTH
• Core functions of WHO


  • Provide leadership on matters critical to health & engaging in partnerships where joint action is needed
  • Shaping the research agenda & stimulating the generation, translation and disseminating valuable knowledge
  • Technical collaboration, and research goals
  • Setting norms & standards and promoting and monitoring their implementation
  • Articulating ethical & evidence based policy options
  • Providing technical support, catalyzing change, and building sustainable institutional capacity
• Five goals of WHO in research


  • Capacity
  • Priorities
  • Standards
  • Translation
  • Organization
• Before 1898, Franciscan friar Fr. Juan Clemente established a dispensary for Manila indigents in 1577 which later became the San Juan de Dios Hospital
• Dr. Francisco de Balmis introduced the small pox vaccination
• In 1898, the Department of Public Works, Education and Hygiene was formally proclaimed by President Emilio Aguinaldo
• In 1899, the Board of Health was abolished but Dr. Guy Edie was appointed as the first Commissioner of Health
• In 1901, the Board of Health of the Philippine Islands was created by the Philippine Commission
• In 1905, the Bureau of Health was created replacing the Insular Board under Department of Interior, with Dr. Victor Heiser as the first Director
• In 1906, the provincial boards of health were replaced with district health officers
• In 1912, Act No. 2156 ordered that the provincial boards of health be replaced with district health officers
• Americans created a Board of Health for the City of Manila


  September 29, 1898
• Registration of births, deaths and marriages began

  1899
• The Board of Health was abolished


  August 26, 1899
• Dr. Guy Edie was appointed as the first Commissioner of Health
• Registration of births, deaths, and marriages

  Began
• Board of Health of the Philippine Islands was created by the Philippine Commission by virtue of Act No. 157


  July 1, 1901
• The Board of Health became the Insular Board of Health after the creation of Provincial and Municipal Health Boards
• Bureau of Health was created replacing the Insular Board under Department of Interior


  1905
• Dr. Victor Heiser was the first Director of the Bureau of Health