CHN1 - RLE

• Community Public Health Nursing

  - not entirely different with clinical nursing

  - promotes wellness and prevents illness, provides comfort and care, and emphasizes curative and rehabilitative interventions

  - involves not only caring for single client; extends through whole family and community
• Universal Health Coverage


  all people have access to the health services they need, when and where they need them, without financial hardship
• DOH 4 indicators of the level and equity of coverage in countries

  1. Reproductive, maternal, newborn, and child health:

  - family planning

  - antenatal and delivery care

  - full child immunization

  - health-seeking behavior for pneumonia

  2. Infectious diseases:

  - tuberculosis treatment

  - HIV antiretroviral treatment

  - use of insecticide-treated bed nets for malaria prevention

  - adequate sanitation

  3. Noncommunicable diseases:

  - prevention and treatment of raised blood pressure

  - prevention and treatment of raised blood glucose

  - cervical cancer screening

  - tobacco (non-)smoking

  4. Service capacity and access

  - basic hospital access

  - health worker density

  - access to essential medicines

  - health security (National Health Regulations)
• October 25-26, 2018


  WHO with UNICEF and Ministry of Health of Kazakhstan hosted Global Conference on Primary Health Care
• Declaration of Astana (2018)


  renewed political commitment to primary health care from governments, NGO's, professional organizations, academia and global health and development organizations
• 3 C's of UHC Coverage

  1. Centeredness (patient's families and communities with:)

  - equitable access to needed services

  - information, skills, and knowledge

  - acceptable care of appropriate quality

  2. Continuity (Health Organization with:)

  - Well-defined and targeted service delivery packages

  - Modalities of service delivery

  - Referral pathways in all directions

  3. Competence (Health Workers with:)

  - Technical/Clinical competence in diseases affecting disadvantaged groups

  - Social competence

  - Understanding of holistic approach to health care

  - Skills to build partnerships with communities
• DOH


  A national agency mandated to lead the health sector towards assuring quality health care for all Filipinos
• Vision and Mission of DOH

  Vision: Filipinos are among the healthiest people in Southeast Asia by 2022, and Asia by 2040

  Mission: To lead the country in the development of a productive, resilient, equitable, and people-centered health system
• Major roles of DOH

  Leader in Health

  Enabler and Capacity Builder

  Administrator of Specific Services
• Health Programs of DOH


  1. Adolescent Health and Development Program

  2. Aedes-borne Viral Diseases Prevention and Control Program (zika and chikungunya)

  3. Belly Gud for Health

  4. Blood Donation Program (aims to create public consciousness on the importance of blood donation in saving lives)

  5. Cancer Control Program

  6. Chronic Kidney Disease Prevention and Control Program

  7. Dengue Prevention and Control Program (DPCP)

  8. Dental Health Program (DHP)

  9. Early Childhood Care Development Program

  10. Emerging and Re-emerging Infectious Disease Program (planning, development, and management of outbreaks due to infectious diseases)

  11. Environmental Health Programs

  12. Immunization Program (reduce morbidity and mortality among children against most common vaccine-preventable diseases/VPDS)

  13. Family Planning Program

  14. Filariasis Elimination Program

  15. Food and Waterborne Diseases Prevention and Control Program

  16. Food Fortification Program

  17. Expanded Garantisadong Pambata Program

  18. Healthy and Productive Ageing Program (RA 9257/Expanded Senior Citizens Act of 2003 and RA 9994/Expanded Senior Citizens Act of 2010)

  19. HIV, AIDS, and STI Prevention and Control Program

  20. Infant and Young Children Feeding Program

  21. Integrated Helminith Control Program (uod sa tiyan)

  22. Integrated Management of Childhood Illness Program

  23. Inter Local Health Zone

  24. Leprosy Control Program

  25. Lifestyle-Related Diseases Program (anti-NCDs and death-causing cancers)

  26. Malaria Control and Elimination Program

  27. Measles Elimination Campaign (Ligtas Tigdas)

  28. Mental Health Program

  29. Micronutrient Supplementation Program

  30. National Safe Motherhood Program

  31. National Tuberculosis (TB) Control Program

  32. Newborn Hearing Screening Program

  33. Newborn Screening Program

  34. Occupational Health Program

  35. Health and Wellness Program for Persons with Disabilities

  36. Philippine Cancer Control Program

  37. Philippine Medical Travel and Wellness Tourism Program

  38. Philippine Organ Donation and Transplant Program

  39. Prevention of Blindness Program

  40. Public Health Associate Deployment Program (PHADP)

  41. Public-Private Partnership for Health Program

  42. Rabies Prevention and Control Program

  43. Rural Health Midwives Placement Program (RHMMP)/Midwifery Scholarship Program of the Philippines (MSPP)

  44. Schistosomiasis Control and Elimination Program

  45. Smoking Cessation Program

  46. Unang Yakap (Essential Newborn Care: Protocol for New Life)

  47. Urban Health System Development (UHSD) Program

  48. Violence and Injury Prevention Program

  49. Women and Children Protection Program
• Waist Circumference


  simple and easy measure of central obesity among adults and significant indicator of risk for non-communicable diseases (heart disease and stroke)
• Vision, Mission, and Goal of DPCP

  Vision: A dengue free PH

  Mission: Ensure healthy lives and promote well-being for all at all ages

  Goal: To reduce the burden of dengue disease
• Vision, Mission, and Goal of DHP

  Vision: Empowered and responsible Filipino citizens taking care of their own personal oral health for an enhanced quality of life

  Mission: The state shall ensure quality, affordable, accessible, and available oral health care delivery

  Goal: Attainment of improved quality of life through promotion of oral health and quality oral health care
• Vision, Mission, and Goal of EHPs


  Vision: Environmental Health (EH) related diseases are prevented and no longer a public health problem in the PH

  Mission: To guarantee sustainable Environmental Sanitation (ES) services in every community
• Sanitation Program


  - mandated under PD 856 (Sanitation Code of the Philippines)

  - provides accessible facilities with improved policies that reinforce proper human waste management and sanitation
• Vision, Mission, and Goal of HIV, AIDS, and STI Prevention and Control Program

  Vision: ZERO, new infections, ZERO discrimination, ZERO AIDS-related death

  Mission: Improve access and utilization of preventive primary health care services for HIV and STI

  Goal: Reverse trend of HIV epidemic by reducing the estimated annual infections to less than 7,000 cases by 2022
• Inter Local Health Zone (ILHZ)


  any form or organized arrangement for coordinating the operations of an array and hierarchy of health providers and facilities jointly serving a common population within a local geographic area under the jurisdictions of more than one local government
• Vision and Mission of LRD

  Vision: A Philippines free from the avoidable burden of NCDs

  Mission: Ensure sustainable health promoting environments and accessible, cost-effective, comprehensive, equitable, and quality health care services for the prevention and control of NCDs
• Newborn screening


  an essential public health strategy that enables the early detection and management of several congenital disorders
• Schistosomiasis


  a disease that is caused by a parasitic blood fluke of the genus Schistosoma and that affects the skin, intestines, liver, vascular system, or other organs
• Essential Newborn Care (ENC)


  simple cost-effective newborn care intervention that can improve neonatal as well as maternal care