12.

Apply techno-intelligent care systems and

processes in health care delivery
Module in NCM 104 COMMUNITY
13.Uphold the nursing core values in the
HEALTH NURSING practice of the nursing profession
14.Apply entrepreneurial skills in the delivery of
nursing care
15.Demonstrate Christian love and uphold
Filamer Christian University Christian values
College of Nursing
COURSE OUTCOMES:
NCM 104 COMMUNITY HEALTH NURSING 1
(INDIVIDUAL AND FAMILY) MODULE Graduates of this course should be able to:

1. Apply knowledge of physical, social, natural

Introduction & health sciences and humanities in the care
of individual and family in the community
This course deals with concepts, principles, setting.
theories, and techniques in the provisionto basic care 2. Provide safe, appropriate, and holistic care to
in terms of health promotion,restoration,and individuals and familiesin the community
maintenance and rehabilitation at the individual and utilizing the family nursing process.
family level. It includes the study of the Philippine 3. Apply guidelines and principles of evidence-
Health Care Delivery System, national Health based practice in the delivery of care to
situation and the global context of public health. The individual and family in the community
learners are expected to provide safe, appropriate and setting.
holistic nursing care to individual and family as 4. Practice nursing in the community setting in
clients in community setting utilizing the nursing accordance with law, legal, ethical and moral
process. principles.
5. Communicate effectively in speaking,
PROGRAM OUTCOMES writing,and presenting using culturally
1.Apply knowledge of physical, social, natural appropriate language in the community
and health sciences and humanities in setting.
the practice of nursing 6. Document care of individual and family
2.Provide safe, appropriate, humanistic and accurately and comprehensively.
holistic care to individuals, families, 7. Work effectively in collaboration with
population groups, and community utilizing inter-,intra-,and multidisciplinary and multi-
nursing proces cultural teams in the care of individuals and
3.Apply guidelines and principles of evidence- family in the community.
based practice in the delivery of care 8. Practice beginning management and
4.Practice nursing in accordance with existing leadership skills using systems approach in
laws, legal, ethical and moral principles the delivery of care to individual and family.
5.Communicate effectively in speaking, writing 9. Conduct research with an experienced
and presenting using culturally appropriate researcher in the care of individual client and
language family in the community setting.
6.Document to include reporting up-to-date 10. Engage in lifelong learning with a passion to
client care accurately and keep current with national and global
comprehensively development in the care of individual and
7.Work effectively in collaboration with inter, family in the community setting.
intra and multi-disciplinary and multi-cultural 11. Demonstrate responsible citezenship and
teams pride of being a Filipino.
8.Practice beginning management and leadership 12. Apply techno-intelligent care systems and
skills in the delivery of client care and health processes to perform safe and efficient
program development using systems approach nursing activities for individual and family in
9.Conduct research with an experienced the community.
researcher 13. Adopt the nursing core values in the delivery
10.Engage in lifelong learning with a passion to of care to individuals and families.
keep current with national and global 14. Apply entrepreneuarial skills in the delivery
developments, and nursing and health developments of nursing care to individuals, and families in
in particular community setting.
11.Demonstrate responsible citizenship and pride
in being a Filipino Learning Outcomes
Upon successful completion of the MOdule, the 18. Collaborate with GO’s. NGO’s and other
student will be able to: socio-civic agencies to
improve health care services, support
1. Integrate relevant principles of social, environment protection policies
physical, natural and health and strategies, and safety and security
sciences and humanities in a given health mechanisms in the community.
and nursing situation. 19. Evaluate with the client the health
2. Discuss appropriate community health tatus/competence.
nursing concepts and actions 20. Institute appropriate corrective actions to
holistically and comprehensively. prevent or minimize harm arising
3. Assume responsibility for lifelong from adverse effects.
learning, own personal development 21. Document client’s responses/nursing care
and maintenance of competence. servies rendered and
4. Engage in advocacy activities to influence processes/outcomes of the
health and social care service nurse client working relationship.
policies and access to services. 22. Ensure completeness,
5. Model professional behavior as a integrity,safety,accessibilityand securityof
community health nurse. information.
6. Assess with the individual and family 23. Adhere to protocol, and principles of
one’s health status/competence. confidentiality in safekeeping and
7. Formulate with the client a plan of care to releasing of records and other
address the health conditions, needs, information.
problems,and issues based on priorities. 24. Manage resources efficiently and
8. Implement safe and quality interventions effectively.
with the client to address the health 25. Apply management and leadership
needs, problems, and issues. principles in providing direction to
manage a community based program.
26. Use appropriate strategies/approaches
9. Provide health education using selected to plan community health
planning models to targeted programs and nursing service.
clientele ( individuals and families) in the 27. Evaluate specific components of helth
community. programs and nursing services based
10. Participate in a research study as member on parameters/criteria.
of a research team. 28. Maintain a positive practice
11. Provide safe, appropriate and evidence- environment.
based nursing interventions in the 29. Adhere to ethico-legal considerarions
different categories of health care. when providing safe,quality and
12. Ensure a working relationship with professional nursing care.
individual and familyn based on 30. Adhere to established norms odf
trust, respect and shared decison-making conduct based on the
using appropriate PhilippineNursing Law and other legal,
communication/interpersonal regulatory and
techniques/strategies. institutional requirements relevant to safe
13. Implement strategies/ approaches to nursing practice.
enhance/support the capability of 31. Protect client rights based on “Patient’s
the client and care providers to participate in Bill of Rights and Obligations”
decision making by the inter- 32. Implement strategies/policies related to
professional team. informed consent as it applies in
14. Maintain a harmonious and collegial multiple contexts.
relationship among members of 33. Exemplify love for country in the
the health team for effective, efficient and service of the Filipinos and family.
safe client care. 34. Customize nursing interventions based
15. Coordinate the tasks/functions of other on Philippine culture and
nursing personnel values.
(midwife,BHW and utility worker). 35. Use appropriate technology to support
16. Collaborate with other members of the the delivery of care to
health team in the individuals and families.
implementation of programs and services. 36. Demonstrate caring as the core of
17. Apply principles of partnership and nursing, love of God, love of
collaboration to improve delivery country, and love of people.
of health services.
 37. Manifest professionalism, integrity and 4. Goals
excellence. 5. Elements
38. Project the positive professional image 6. Principles and Strategies
of a Filipino nurse. D. Levels of Prevention
39. Identify opportunities for entepreneural E. Universal Health Care (UHC)
nursing practice. 1. Legal Basis
40. Apply strategic interventions to address 2. Background and rationale
health-related concerns of 3. Objectives and thrusts
individuals,families,
communities and population groupd to any UNIT III The Family
health care setting. A. Family as Basic Unit of the
Society
B. Types
1. Family as a Client
Table of Contents 2. Family as a System
Introduction C. Functions developmental Stages
D. Family Health Task
UNIT I Overview of Public Health Nursing in the E. Charactristics of a Healhy Family
Philippines
A. Global and National Health UNIT IV Family Nursing Process
Situations
A. Family Health Assessment
B. Definition and focus 1. Tools for assessment
1. Public Health  Initial Data Base
2. Community Health  Typology of
3. Public Health Nursing Nursing Problems in
4. Community Health Family Nursing
Nursing Practice
5. Standards of Public  Family Health
Health Nursing in the Task
Philippines  Family Coping
6. Evolution of Public Index
Health Nursing in the
Philippines 2. Family Data Analysis
7. Roles and Responsiblities  Socio-economic
of a Community Health and Cultural
Nurse Characteristics
 Home
Environment
UNIT II The Health Care Delivery System  Family Health
Status
A. World Health Organization  Family Values and
1. Millenium Development Health Practices
Goals
2. Sustainable B. Family Nursing Diagnosis
Develipoment Goals
B. Philippine Department of Health C. Formulating Family Nursing Care
1. Mission-Vision Plan
2. Hiistorical Background 1. Priority Setting
3. Local Health System and 2. Establishing Goals and
Devolution of Health Objectives
Services 3. Selecting Appropriate
4. Classification of Health Family Nursing
Facilities Interventions/Strategies
(DOH AO-0012A)
5. PhilippineHealth Agenda
2010-2022 D. Implementing Family Care Plan
C. Primary Health Care (PHC) 1. Categories of
1. Brief History Intervention
2. Legal Basis  Promotive
3. Definition  Preventive
  Curative C. Early Essential Intrapartal and
 Rehabilitative Newborn Care ( EEINC)
D. Newborn Screening
2. Tools of Public Health E. E.BEmoNC/ CEmoNC
Nurse F. F.Nutrition
 PHN Bag and G. G.MhGap
Contents H. H.Other Related Programs
 Principle and
Techniques in the Use UNIT VII Ethical Considerations in Community
of PHN BAg Health Nursing
A. Magna Carta for Health Worker
3. Types of Family Nurse B. Sanitation Code
Contact C. Clean Air Act
 Clinic VIsit D. Generic Act
 Home Visit E. National Health Insurance Act
 Group Conference (Philhealth)
 Telephone Calls F. NAtional Services Act
 Written G. Laws on NOtifiable Disease
Communication H. Senior Citizen Laws
I. Revised Dangerous Drugs Law
E. Family Health Care Researches J. Act on Cheaper Medicine
1. Related Studies K. Save the Children
2. Evidenced-Based L. Violence Against Women
Practices M. Disaster Risk Reduction
Management
F. Interprofessional Care in the N. Rooming-in and Breastfeeding
Community Act of 1992 ( Milk Code)
1. Rural Health Unit O. Responsible Parenthood and
Personnel Reproductive Health Law of 2012
2. Local Government Units P. Mandatory Infants and Children
3. Government Health Immunization Act of
Organizations 2011
DSWD Q. Children Safety on Motorcycles
Nutrition Council Act of 2015
Population Commission R. Children’s Emergency Relief
4. Non-Government and protection Act of 2016
Organizations S. Child and Youth Welfare Code
Socio-Civic of the Philippines
Organization T. Tobacco Regulation Act of
Religious Organization 2003 (RA 9211)
Schools U. Other Related Laws

G. Evaluation of Family Nursing UNIT VIII Filipino Culture, Values, and

Care Practices in relation to Health Care of
1. Evaluation Process and Individual and Family
Outcome A. Family Solidarity
2. Re-assessment B. Filipino Family Values
1. Communication
UNIT V Records in Family Health Nursing 2. Helping Others and
Practice Gratitude
3. Respect
A. Importance and Uses 4. Independence
B. Types of Records and Reports 5. Service
C. 6. Trust
UNIT VI DOH Programs Related to Family C. Filipino Family Culture and
Health Tradition

A. Expanded Program of
Immunization (EPI) UNIT IX New Technologies Related to Public
B. Integrated Management of Health Electronic Information
Childhood Illnesses (IMCI) A. Government Sites
 B. Nursing and Health Sites public health nurses. Historical accounts show that as
far back as the 1900s, nurses working in the
UNIT X Nursing Core Values as a Community communities were already given the title Public
Health Nurse Health Nurses.
In the light of the changing national and global
health situation and the acknowledgement that
UNIT XI Health Related Enterpreneurial nursing is a significant contributor to health, the
Activities in the Community Setting Public Health Nurse is strategically positioned to
make a difference in the health outcomes of
UNIT I individuals, families and communities cared for.

OVERVIEW OF PUBLIC HEALTH NURSING A. Global and National Health Situation

IN THE PHILIPPINES
Public health systems are operating within a
COURSE LEARNING OUTCOMES context of ongoing changes, which exert a number of
pressures on the public health system.
At the end of this Unit, the student will be able
to: These changes include:
1. Shifts in demographic and
CLO 1 Integrate relevant principles of epidemiological trends in diseases, including
social, physical, natural and health the emergence and re-emergence of new
sciences and humanities in a given health diseases and in the
and nursing situation. prevalence of risk and protective factors;
2. New tchnologiers for health care,
CLO 2 Discuss appropriate community communicaation and information;
health nursing concepts and actions 3. Existingand emerging environmental
holistically and comprehensively hazards some associated with
globalization;
CLO 3 Assume responsibility for lifelong 4. Health reforms.
learning, own personal
development and maintenance of In response to above trends, the global
competence. community, represented by the United Nations
General Assembly, decided to adopt a common
TOPICS visionof poverty reduction and suatainable
A.Global and National Health Situations development in September 2000. This vision is
exemplified by the Millenium Development Goals
B.Definition and focus (MDGs) which are based on the fundamental values
Public Health of freedom, equality,solidarity,tolerance, health,
Community Health respect for nature,and shared responsiblity.
Public Health Nursing
Community Health Nursing The Philippines has experienced considerable
Standards of Public Health Nursing in improvements in its health status for the past 50
the Philippines years, yet it has also in recent yearsexperienced
Evolution of Public Health Nursing in declines as shown in its poor performance in reducing
the Philippines infant and maternal mortality rates. The Philippines
Roles and Responsiblities of a is also experiencing an epidemiologic shift, which
Community Health Nurse means that while it is still contending with the burden
of communicable diseases, it is also at same time
contending with devastation brought about by non-
communicable, chronic lifestyle-related diseases.
Currently, the country is being threatened with the
devastating effect of a “triple Whammy” which will
be brought about not only by thisepidemiologic shift
but also by the emergence of plague-like infectious
INTRODUCTION diseases such as Severe Acute Respiratory Syndrome
(SARS) and avian flu. With this scenario, the need to
Public Health Nursing in the philippines evolved strengthen the capability of the public health
alongside the institutional development of the infrastucture including the public health nurse to
Department of Health, the government agency adequately respond is imperative.
mandated to protect and promote people’s health and
the biggest employer of health workers including
 B. Definition and Focus social and physical environment, rehabilitation of
illness and disability.
Public Health
Ruth B. Freeman
a service rendered by a professional nurse
The classic definition of public health with communities, groups, families, individuals
comes from Dr. C.E. Winslow. He defines public at home, in health centers, in clinics, in schools,
Health as the “ Science and art of preventing disease, in places of work for the promotion of health,
prolonging life, promoting health and efficiency prevention of illness, care of the sick at home
through organized community effort for the sanitation and rehabilitation.
of the environment, control of communicable
diseases, the education of individuals in personal Jacobson
hygiene , the organization of medical and nursing it encompasses “nursing practice in a wide
services for the early diagnosis and preventive variety of community services and consumer
treatment of disease, and the development of the advocate areas, and in a variety of roles, at times
social machinery to ensure everyone a standard of including independent practice..community nursing is
living adequate for the maintenance of health, so certainly not confined to public health nursing
organizing these benefits as to enable evry citizen to agencies.”
realizehis birth right of health and longevity.”
Lillian Wald
a director of the Henry Street Settlement in New
York City to denote a service that was available to all
WHO define Public Health as “the art and people. The term, public health nursing became
science of preventing disease, prolonging life and associated with “public” or government agencies
promoting health through the organized efforts of and in turn with the care of the poor people.
society” (Acheson, 1988; WHO)

Community Health Nursing

Community Health
It refers to the health status of the members of Ruth B. Freeman
the community, to the problems affecting their service rendered by a professional nurse with
health and to the totality of the health care provided communities, groups, families, individuals at home,
for the community. in health centers, in clinics, in schools, in places of
Community health covers a wide range of work for health promotion, disease prevention,
healthcare interventions, including care of the sick at home and rehabilitation .
health promotion, disease prevention, and
treatment. It also involves Margaret Jacobson
management and administration of care. Community health nursing is learned practice
Part of paramedical and medical discipline with the ultimate goal of contributing, as
intervention/approach which is concerned on the individuals and in collaboration with others to the
health of the whole population promotion of the patients, optimum level of
functioning through teaching and delivery of care.
Aims:
Health promotion Dr. Araceli Maglaya, et al.
Disease prevention Community Health Nursing the utilization of the
Management of factors affecting nursing process in the different levels of clientele -
health individuals, families,, population groups and
communities, concerned with the promotion of
health, prevention of disease and disability and
rehabilitation.

Public health nursing Nisce, Reyala, et al.

To raise the level of health of the citizenry by helping
WHO communities and failies cope with the discontinuities
a special field of nursing, public health and some in and threats to health in such a way as to
phases of social assistance and functions as part of maximize the potential for high-level wellness.
the total public health programme for the promotion
of health, the improvement of the condition in the
Standards of Public Health Nursing in the 8. Personal behavior and coping skills. Balanced
Philippines eating, keeping active, smoking, drinking, and how
we deal with life’s stresses and challenges all affect
Nursing stadards are the expression of our health.
professional autonomy, responsibility and 9. Health Services. Access and use of services
accountability. Thus, they are the core of our that prevent and treat disease influence health.
continuing efforts to provide quality nursing care and 10. Gender. Men and women suffer from
service. different types of diseases at different ages.

 Evolution of Public Health Nursing in the The core business of public health as :
Philippines 1. Disease control
2. Injury prevention
For the public health nurse to have a better 3. Health protection
understanding of how public health nursing came 4. Health public policy including those in
about in the Philippines, there are certain concepts relation to environmental hazards
that must be understood and should serve as a point such as in the workplace, housing, food,
of reference in the foregoing discussions. water, etc.
5. Prootion of health and equitable health
HEALTH gain..
The World Health Organization defines health
as a “state of complete physical mental and social
well being, not merely the absence od disease or The following are the essential public health
infirmity.” functions:
1. Health situation monitoring and analysis
DETERMINANANTS OF HEALTH 2. Epidemiological surveillance/disease
The health of individuals and communities are, prevention and control
to a large extent, affected by a combination of many 3. Development of policies and planning in
factors. A persons’s health is determined by his public health
circumstances and environment. It is inappropriate 4. Strategic management of health systems
therefore to blame or credit the person’s state of and services for
health to himself alone because he is unlikely able to population health gain.
directly control many of these factors however, 5. Regulation and enforcement to protect
knowledge of these factors is important in order to public health
effectively promote health and prevent illnesses. It 6. Human resources development and
ids also important to note that in understanding the planning in public health
multidimensional nature of health, the public health 7. Health promotion, social participation and
nurse will now be in better position to plan and empowerment
implement health promoting interventions for 8. Ensuring the quality of personal and
individuals and communities. population based health services
These factors or things that make people healthy 9. Research, development and
or not, known as determinants of health are listed by implementation of innovative public health
the World Health Organization to include: solutions.
1. Income and social status. Higher income and
social status are linked to better health. This definition is an apt description of the
2. Education. Low education levels are linked nature of Public Health Nursing in the
with poor health, more stress and lower self Philippines. The public health nurses in this
confidence. country are using their nursing skills in the
3. Physical Environment. Safe water and clean application of public health functions and social
air, healthy workplaces,safe houses, communities and assistance within the context of public health
roadsall contribute to good health. programs designed to promote health and prevent
4. EMployment and working conditions. People diseases.
in employment are healthier particularly those who
have more control over thier working conditions. Public health nursing and community health
5. Social support networkd. Greater support from nursing have often been interchangeably used in
families, friends and communities is linked to better the Philippines. This is not surprising through
health. because various authors, foreign and local, also
6. CUlture. Customs and traditions, and the used them interchangeably.
beliefs of the family and community all affect health. The phrase community health nursing
7. Genetics, Inheritance plays a part in emerged out of an interest in reaffirming the
determining lifespan, healthiness and the likelihood original thrust of public health nursing: nursing
of developing certain illnesses.
 for the health of the entire public/community 1917
versus nursing only for the public who are poor. Four graduate nurses paid by the city of Manila were
employed to work in the City Schools. Provinces that
Historical Background of Public Health Nursing could afford to carry out school health services were
encouraged to employ a district nurse.
The History of public Health nursing in the
Philippines is embedded in the history of the 1918
Department of Health which was first established The office of Miss Clark was abolished due to lack of
as the Department Public Works, Education and funds.
Hygiene in 1898.
1919
The following milestones marked the events  The first Filipino nurse supervisor under the
when the nurses and nursing were particularly Bureau of Health, Miss Carmen del Rosario was
mentioned in historicla accounts: appointed. She succeeded Miss Mabel Dabbs.
 She has a staff of 84 public health nurses
1912 assigned I five health stations.
The Fajardo Act ( Act NO. 2156) created Sanitary  There was a gradual increase of public health
Divisions. He President of the Sanitary Division nurses and expansion of services.
(forerunners of the present Municipal Health
Offficers) took charge of two or three municipalities. 1932
Where there were no physicians available, male Two government schools of Nursing were
nurses were assigned to perform duties of the established: Zamboanga General Hospital School of
President, Sanitary Division. Nursing in Mindanao and Baguio General Hospital in
Northern Luzon. These schools were primarily
Philippine General Hospital, then under the Bureau of intended to train non-christian women and prepare
Health sent four nurses to Cebu to take care of them to render service among their people. In later
mother and their babies. The St. Paul’s Hospital years, four more government Schools of Nursing
School of Nursing in Intramuros, also assigned two were established: one in southern Luzon ( Quezon
nurses to do home visiting in Manila and gave Province) and three in the Visayan Islands of Cebu,
nursing care to mothers and newborn babies from the Bohol, Leyte.
out patient obstetrical service of the Philippine
General Hospital. July 1,1926
Miss Carmen Leogardo resigned and Miss Genara S.
1914 Manongdo, a ranking supervisor of the American Red
School nursing was rendered by a nurse employed by Cross, Philippine Chapter was appointed in her place.
the Bureau of Health in Tacloban, Leyte. In the same
year, Reorganization Act No. 2462 created the 1927
Office of General Inspection. The Office of District The office of District Nursing under the office of
Nursing was organized under this office. It was General Inspection, Philippine Health Service was
headed by a lady physician, Dr. Rosario Pastor who abolished and supplanted by the Section of Public
was also a nurse.. This office was created due to Health Nursing. Mrs. Genara de Guzman acted as
increasing demands for nurses to work outside the consultant to the Director of Health on nursing
hospital, and the need for direction, supervision and matters
guidance of public health nurses.
1928
Two graduate Filipino nurses, Mrs. Casilang The first convention of nurses was held followed by
Eustquio and Mrs. Matilde Azurin were employed yearly conventions until the advent of World War II.
for Maternal and Child Health and Sanitation in Pre-service training was initiated as a pre-requisite
Manila under an American nurse, Mrs. G.D. for appointment.
Schudder.

1916-1918 1930
Miss Perlita Clark took Charge of the public health The section of Public Health Nursing was converted
nursing work. Her staff was composed of one into Section of Nursing due to pressing need for
American nurse supervisor, one American dietician, guidance not only in public nursing services but also
36 Filipino nurses working in the provinces and one in hospital nursing and nursing education. The
nurse and one dietitian assigned in two Sanitary Section of Nursing was transferred from the office of
Divisions. General Services to the Division of Administration.
This Office covered the supervision and guidance of
nurses in the provincialhospitals and the two  Executive order No.94 reorganized government
government school of nursing. offices and created the Division of Nursing under
the Office of the Secretary of Health. This was
1933 implemented on Dec. 16, 1947 Mrs. Genera de
Reorganization Act No. 4007 transferred the Division Guzman was appointed as chief of the
of Maternal ans Child Health of the Office of Public Division, with three Assistants: Miss Annie
Welfare Commission to the Bureau of Health. Mrs. Sand for Nursing Education; Mrs. Magdalena C.
Soledad a. Buenafe, former Assistant Superintendent Valenzuela for Public Health Nursing; and
of Nurses of the Public Welfare Commission was Mrs.Patrocinio J. Montellano for Staff
appointed as Assistant Chief Nurse of the Section of Education.
Nursing, bureau of Health.  At the Bureau of Health, the Section of Nursing
Supervision took over the functions of the former
1941 Section of Nursing.
Activities and personnel including siz public health  Mrs. Soledad Buenafe was appointed Chief and
members of the Metropolitan Division, Bureau of Miss Marcela Gabatin, Assistant Chief
Health were transferred to the new department . Dt.
Mariano Icasiano became the first City Health 1948
Officer of Manila. An Office of Nursing was - The first training Center of the Bureau of
organized with Mrs. Vicenta P. Ponce as Chief Nurse Health was organized in cooperation
and Mrs. Rosario A. Ordiz as Assistant Chief Nurse. With the Pasay City Health Department. This
They occupied these positions until their retirement. was housed at the Tabon Health
Center located in a marginalized part of the city.
Dec. 8,1941 It was later renamed as Doña Marta Health Center.
When World War II broke out, public health nurses - Physicians and nurses undergoing pre-service
in Manila were assigned to devastated areas to attend and in-service training in public
to the sick and the wounded. health/public health nursing as well as nursing
student on affiliation were assigned to the above
1942 training center.
A group of public health nurses, physicians and
administrators from the Manila Health Department 1950
went to the internment camp in capas, Tarlac to - The Rural Health Demonstration and Training
receive sick prisoners of war released by the Japanese Center (RHDTC) was established by the
army. They were confined at San Lazaro Hospital Department of Health through the initiative of Dr.
and sixty-eight National Public Health Nurses were Hilario Lara, Dean, institute of Hygiene, now
assigned to help hospital staff take care of them. College of Public Health, University of the
Philippines.
July 1942 - The WHO/UNICEF assisted project used health
Thirty-one nurses who were taken prisoners of war centers of the Quezon City Health
by the Japanese army and confined at the Bilibid Department, which were located in the rural areas of
Prison in Manila were released to the then Director of the city.
the Bureau of Health, Dr. Eusebio Aguilar who acted - Dr. Amansia S. Mangay (Mrs. Andres Angara),
as their gurantor. a Doctor of Public Health Graduate
form Harvard was chosen tobe the Chief of the
Many public health nurses joined the guerillas or RHDTC.
went to hide in the - Dr. Antonio V. Acosta, former Physician of the
mountains during World War II. Manila Health Department was Medical
Training Officer.
February 1946
Post war records of the Bureau of Health thet there
were 308 public health nurses and 38 supervisors
compared to pre-war when there were 556 public
health nurses and 38 supervisors. In the same year
Mrs. Genera
de Guzman, Technical Assistant in Nursing of the
Department of Health and concurrent President of the 1953
Filipino Nurses Association - The Office of Health Education and Personnel
recommended the creation a Nursing Office in the Training was established with Dr.Trinidad
department of Health. Gomez as Chief
- Philippine Congress approved Republic Act
Oct.7, 1947 No. 1082 or the Rural Health Law. It created the first
81 Rural Health Units.
1957 May 24, 1999
- Republic Act 1891 was approved amending - Executive Order No. 102 was signed by
Sections Two, Three, Four, Seven and Eight of R.A. President Joseph Ejercito Estrada,
1082 :Strengthening Health and Dental Services in redirecting the functions and operations of
the Rural Areas and Providing Funds thereto.” the Department of Health.

1958-1965 2005-2006
- Republic Act 977 passed by Congress in 1954 - The development of the Rationalization Plan to
was implemented. This abolished the Division streamline the bureaucracy further was
of Nursing. However, it created nursing positions at started and is in the last stages of finalizatio
different levels in the health organization.
Miss Annie Sand was appointed Nursing Roles and Responsiblities of a Community Health
Consultant under the Office of the Secretary of Nurse
Health.
- The Department of Health National League of Planner/Programmer
Nurses, Inc. was founded by Miss Annie Identifies needs, priorities, and problems
Sand in 1961. She became its first President and of individuals, families, and
Adviser. communities
- The Reorganization Act with implementing Formulates municipal health plan in the
details embodied in Executive Order absence of a medical doctor
288, series of 1959 de-centralized and integrated Interprets and implements nursing plan,
health services. program policies, memoranda, and
- The reorganization of 1959 also merged two circular for the concerned staff personnel
Bereaus in the Department of Health. The Provides technical assistance to rural
Bureau of Health was merged with the Bureau of health midwives in health matters
Hospitals to form the Bureau of Health and
Medical Services. Provider of Nursing Care
Provides direct nursing care to sick or
1967 disabled in the home, clinic,
- In the Burea of Disease Control, Mrs. Zenaida school, or workplace
Panlilio – Nisce was appointed as Develops the family’s capability to take
Nursing Program Supervisor and served as care of the sick, disabled, or dependent
consultant on the nursing aspects of the 5 member
special diseases: TB, Leprosy, Venereal Disease,
Cancer, Filariasis, and Mental Health. Community Organizer
Motivates and enhances community
1974 participation in terms of planning,
- The Project Management Staff was organized organizing, implementing, and
as part of Population II of the evaluating health services
Philippine Government with Dr. Francisco Initiates and participates in community
Aguilar as Project Manager. development activities

1975 Coordinator of Services

- The roles of the public health nurse and the Coordinates with individuals, families,
midwife were expanded. 2000 midwives and groups for health related
were recruited and trained to serve in the rural areas. services provided by various members
of the health team
1987-1989 Coordinates nursing program with other
- Executive Order No. 119 reorganized the health programs like
Department of Health and created several environmental sanitation, health
offices and services within the Depratment of Health. education, dental health, and
mental health.
1990-1992
- Department Order No. 29 designated Mrs. Trainer/Health Educator
Neila F. Hizon, Nurse VI, then President Identifies and interprets training needs
of the National League of Philippine Government of the RHMs, Barangay Health
Nurses, as Nursing Adviser. She was Workers (BHW), and hilots
detailed at the Office Public Health Services. As Conducts training for RHMs and hilots
Nursing Adviser, matters affecting nurses and on promotion and disease
nursing are referred to her. prevention
 Conducts pre and post-consultation Community health nurses wear many hats
conferences for clinic clients; acts as while conducting day-to-day practice. The
a resource speaker on health and health focus of nursing includes not only the individual,
related services but also the family and the community, meeting
Initiates the use of tri-media (radio/TV, these people needs requires multiple roles:
cinema plugs, and print ads) for Planner/Programmer
health education purposes Provider of Nursing Care
Conducts pre-marital counseling Community Organizer
Coordinator of Services
Health Monitor Trainer/Health Educator
Detects deviation from health of Health Monitor
individuals, families, groups, and Role Model .
communities through contacts/visits Change Agent
with them. Recorder/Reporter/
Statistician
Role Model Researcher
Provides good example of healthful
living to the members of the
community.

Change Agent
Motivates changes in health behavior in Test yourself
individuals, families, groups, and
communities that also include lifestyle in
order to promote and maintain
health.
1. According to C.E. Winslow, which of the
Recorder/Reporter/Statistician following is the goal of Public Health?
Prepares and submits required reports
and records A. For people to attain their birthrights and
Maintain adequate, accurate, and longevity
complete recording and reporting B. For promotion of health and prevention and
Reviews, validates, consolidates, diseases
analyzes, and interprets all records and C. For people to have access to basic health
reports services
Prepares statistical data/chart and other D. For people to be organized in their health
data presentation efforts

Researcher
2 . Which of the following is the most prominent
Participates in the conduct of survey
feature of public health nursing?
studies and researches on nursing and
health-related subjects
Coordinates with government and non- A. It involves providing home care to sick people
government organization in the who are not confined in the hospital
implementation of studies/research B. Services are provided free of charge to people
within the catchment area
Summary C. The public health nurse functions as part of a
team providing a public health nursing
Community health Nursing is the synthesis service
of nursing and public health practice applied to D. Public health nursing focuses on preventive,
promote and protect the health of population. It not curative services
combines all the basic elements of professional,
clinical nursing with public health and 3. According to Freeman and Heinrich,
community practice. community health nursing is a developmental
service. Which of the following best illustrates this
Public health nurses provide healthcare to statement?
people and communities who are unable to seek
assistance. Community health nursing involves A. The community health nurse continuously
advocacy and policy development to eliminate develops himself personally and
healthcare disparities. professionally
B. Health education and community
 organizing are necessary in providing
community health services
C. Community health nursing in intended
primarily for health promotion and
prevention and treatment of disease. 8. Perla is Elena's co-worker as a Community Health
D. The goal of community health nursing is Nurse. Which of the following is the general
to provide nursing services to people. duty of Perla?

4. Which one of the following is a reason to study A. Provides nursing care to the community
nursing history? B.
Communicates to the Health Officer
C. Coordinates
A. To fulfill provincial/territorial nursing with Municipal Health Officer
requirements B. To help D. Establishes rapport with clients
fill up the necessary credit hours for graduation
C. To meet accreditation 9.Why is public health nursing appealing to many
requirements nurses?
D. To understand the present and plan for
tomorrow A. Its autonomy and independence
B. Its focus
5. Which of the following is the most prominent on acute care and immediately visible outcomes
feature of public health nursing? C. The backup support of other
health care professionals D.
A. Services are provided free of charge to The rapport among the nursing staff
people within the catchment area.
B. Public health nursing focuses on 10. A role of a Public health nurse who identifies
preventive, not curative, services. needs, priorities, and problems of individuals,
C. It involves providing home care to sick families, and communities.
people who are not confined in the
hospital. A. Councilor B. Model C.
D. The public health nurse functions as part Planner D. Provider
of a team providing a public
health nursing service. 11. A nurse role who study various aspects of health,
illness andhealth care. By designing and
6. CHN is a community-based practice. Which implementing scientific studies, they look for ways to
best explains this statement? improve health, health care services and health
care outcomes. ... Deliver health care services more
effectively and efficiently.
A. The service is provided in the natural
environment of people.
A. Nurse recorder B. Change
B. Priority setting is based on the
Agent C.
magnitude of the health problems
Researcher D. Planner
identified.
C. The services are based on the available
12. World Health Organization defined public health
resources within the community.
as:
D. The nurse has to conduct community
diagnosis to determine nursing needs and
A. Science and art of preventing disease,
problems.
prolonging life, promoting health and
efficiency through organized community… .
7. The main aim of public health is to improve health
B. The art and science of
by:
preventing disease, prolonging life and
promoting health through the organized
A. Providing medical interven on efforts of society”
appropriate for the individual C. associated with “public” or
B. Performing research to compare the government agencies and in turn with
e&ecveness of treatments the care of the poor people.
C. Promong health and preventing disease D. a service
in populations rendered by a professional nurse with
D. Providing advice on risk markers and communities, groups,
genetics to families families, individuals at home, in health
centers, in clinics, in schools…
13. A community health nurse has collected data for
several months on the birth weights of newborns to
mothers who smoked throughout their pregnancy.
This nurse is acting in which role?

A. Researcher
B. Role Model
C. Planner
D. ProgrammeR

References

Cuevas , Frances Prescilla L. (2007) Public

Health Nursing in the Philippines. 10th
Edition
Maglaya, Araceli S. (2007) Nursing Practice in
the Community. 5th Edition
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