1. COMMUNITY HEALTH
/ PUBLIC HEALTH
DR. C.E. WINSLOW
sci and art of preventing dse, prolonging life,
promoting health & efficiency through
organized community effort….
…so organizing these benefits as TO
ENABLE EVERY CITIZEN TO REALIZE HIS
BIRTHRIGHT TO HEALTH AND
LONGEVITY.

2. According to WHO
 PUBLIC HEALTH
 - the ART OF APPLYING SCIENCE in
the CONTEXT OF POLITICS so as to
REDUCE INEQUALITIES IN HEALTH
while ensuring the best health for the
greatest number.

3. PUBLIC HEALTH
NURSING
 The practice of nursing in national and
local government health departments
(which include health centers and rural
health units), and public schools.
 - Standards of Public Health Nursing in the
Philippines, 2005

4. Major concepts:
 Health promotion
 People’s participation towards self-
reliance

5. HANLON
 most effective total dev & life of the
indiv & his society

6. PURDOM
 applies holism in early years of life,
young, adults, mid year & later
 prioritizes the survival of human
being

7. Theoretical bases of CHN
practice
Theories and principles:
 Nursing
 PH

8. Community health nsg—
by
Dr. Araceli Maglaya
 the utilization of the nsg process in the diff
levels of clientele- individual, families, pop
grps, and comm. concerned with
 promotion of health
 prevention of dses
 disability and rehabilatation

9. Goal:
 to raise the level of health of the citizenry
by helping comm. & families to cope with
the discontinuities in & threats to health
in such a way as to maximize their
potential for high-level wellness.

10. WHO CHN
 Special field of nursing that combines the
skills of nsg, PH, and some phases of social
assistance & functions as part of the total
PH program for the:
 promotion of health
 improvement of the conditions in the
social and physical environment
 rehab of illness and disability

11. Jacobson
 CHN is learned practice discipline
with the ultimate goal of
contributing, as individual and in
collaboration with others, to the
promotion of the client’s optimum
level of functioning through
teaching & delivery of care.

12. Freeman
 CHN is service rendered by a professional
nurse with the comm., groups, families,
and individual at home, in Health Centers,
in clinics, in school, in places of work for
the ff:
 promo of health
 prevention of illness
 care of the sick at home and rehab

13. Philosophy
Dr. Margaret Shetland
philosophy of CHN is
based on the WORTH
AND DIGNITY of man

14. Basic concepts of CHN
 primary focus/ emphasis- health promo 7
dses prevention
 primary goal- self reliance in health or
enhanced capabilities
 ultimate goal- raise level of # of citizenry
 Philo of CHN- Worth and dignity of man

15.  CHN practices -to benefit ( indiv, fam,
special pop, comm.)
 CHN is integrated and comprehensive
 CHN are generalists- matter of comm.
health work
 all types and levels of HC

16. Levels of HC:
 PHC- comm.
 SHC- regional, provincial, district,
municipal, and local hosp (complicated
sx)
 THC- sophisticated med ctr—heart ctr,
QI, NKI

17.  Nature of CHN practice requires
knowledge on biological, social
sciences
 Implicit in CHN is the nsg practice
(ADPIE)

18. Basic principles of
CHN:
 The comm. is the patient in CHN, the
family is the unit of care and the 4
levels of clientele are:
 individual
 Pop. grp ( those who share common char,
dev stages and common exposure to the
problems ex. Children, elderly)
 family
 community.

19.  In CHN, the client is considered as an
ACTIVE partner NOT PASSIVE
recipient of care-participatory approach
 Client- active participant, full
involvement recipient care

20.  CHN practice is affected by devts in
Health technology, in particular, changes
in society, in general.
 The goal of CHN is achieved through
multisectoral efforts- coordinated with
other sectors.
 CHN is a part of health care system and
the larger human services system.- Nsg
practice, human service

21. Basic Concepts of CHN
 Primary focus is on health promotx. The
comm. H nurse by the nature of her work has
the opportunity & responsibility for eval the
health status of people & groups & relating
them to practice.
 CHN practice is extended to benefit not only
the indiv but the whole family and community.
 Community health nurses are generalists in
terms of their practice through life’s
continuum- its full range of health problems
and needs.

22.  Contact with the client and/or family
may continue over a long period of time
which includes all ages and all types of
health care.
 the nature of CHN practice requires that
current knowledge derived fr the
biological and social sciences, ecology,
clinical nsg, and community health
organizations be utilized.

23.  The dynamic process of assessing,
planning, implementing and intervening,
provide periodic measurements of
progress, eval, and a continuum of the
cycle until the termination of nsg is
implicit in the practice of CHN.