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What is CHN?

WELCOME

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What is PHN? Public Health ( Winslow)

3 P’s of Public Health:

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GOAL OF CHN Who are the Clients in CHN?

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Principles in CHN
• Philosophy:
• Focus:
•

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PRINCIPLES
Signs of HEALTHY COMMUNITY p. 151
#1:Prompts its members “We ARE
COMMUNITY.” “Participation”
#2: Utilize and Conserve Natural
Resources

FAT #3: Problem-solving, open

communication
#4; Make each of its system resources
available to ALL.

MAN #5: Promotes High level Wellness among

its members.

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ECOSYSTEM influences OLOF!!!

DETERMINANTS OF HEALTH Environmental Behavioral

1. Income and Social Status

Health Care
2. Education Delivery System
3. Physical Environment
Political
4.
5.
Employment
Social Support
OLOF
6. Culture
7. Genetics
Socio-
8. Personal Behavior Hereditary
9. Health Services economic
10. Gender.

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PHCDS(Philippine Health Care Health Center BHS

Delivery System)
1. Within the 1. Strategic area beyond
municipality of 5,000 3-5 km radius from
pop. health center.
2. Complete Health 2. RHM only
Team 3. Acts as a satellite
3. Headed by MHO Station.

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DOH
QUESTION: MISSION:
• To guarantee equitable, sustainable and quality
Filipinos will be the healthiest health for all Filipinos, especially the poor, and
in Southeast asia in 2022 to lead the quest for excellence in health.

Filipinos will be the healthiest

in Asia 2040

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EO 102 (DOH as the National

EO 102
Authority for Health)

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Local Government Code

R.A. 7160 (1991)

Local Government Code
-

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National Objectives for

Health (NOH) Goal:
- roadmap Health Sector Reform
Agenda (HSRA)

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FRAMEWORK FOR IMPLEMENTATION

OLD FRAMEWORKS

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F1 PLUS

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Situational Overview Average Life Expectancy Ranking

• INCREASING EXPENDITURES FOR HEALTH • 1st: Singapore
• 2nd: Brunei
• SIN TAXES exceeded target collection by 19% and • 3rd: Vietnam
grew by 25% from 112B in 2014 to 142B in 2015 • 4th: Malaysia
• 5th: Thailand
• 6th: Indonesia
• Increasing Philhealth coverage at 92% population • 7th: Philippines
coverage and paying 26% more benefits in 2015
(97B) • 8th: Camnbodia
• 9th: Myanmar
• Rising Total health expenditure 593 B in 2015 to • 10th: LAos
655B in 2016 (10.5% increase at current price)

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Strategic Framework PLUS: Perfromance Accountability

• VISION: Filipinos are among the healthiest people in • Driving performance and ensuring accountability
southeast asia by 2022, and Asia by2040 among stakeholders
• Mission: To lead the country in the development of
people centered, resilient, and equitable health system
• STRATEGIES:
• Goals: Better health outcomes, Financial Risk
protection, Responsiveness • Improve Transparency and Accountability
• Strategic Pillars: Financing, service delivery, • Shift to results-oriented management approach
Governance, Regulation
• PLUS: PERFORMANCE ACCOUNTABILITY
• Values: Integrity, Excellence, Compassion

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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

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RA 11223 (Universal Health Care

Law)

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LISTS OF GOALS
1. No Poverty
2. Zero Hunger
3. Good Health and Well being
4. Quality Education
5. Gender Equality
6. Clean water and sanitation
7. Affordable and Clean Energy
8. Decent Work and economic growth

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LISTS OF GOALS Social Progress Index

9. Industry, Innovation and Infrastructure Basic Human Needs Foundations of Well being
Opportunity
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.

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PRINCIPLES

HOME VISIT PUNIF

Family- nurse contact

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Factors in the Frequency of Home Visit STEPS IN HOME VISIT

•Health Agencies involved
•Acceptance of the family
•Needs
•Evaluation of past services
•Policy of a given agency
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

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Bag Technique The nurse performs bag technique during home

• Tool making use of a public health bag visit. After opening the CHN bag, what will
the nurse do next?
through which the nurse, during his A. Open the bag
home visit can perform nursing B. Perform Handwashing
procedures with ease and deftness
C. Get towel
Public Health Bag D. Put on the apron
• Essential and Indispensable equipment
of the public health nurse which he has
to carry along when he goes on home
visit.

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Principles:
OPEN
CLOSE
ØPre
ØSa
ØP
ØNot
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1

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CONSIDERATIONS IN THE USE OF THE BAG

Which of the following equipment is NOT INCLUDED in
C the public health bag?
A. Paper Lining
O B. Benedict’s Solution

C
C. Stethoscope
D. Soap and Soap Dish

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The community / Public Health Bag is:

BQ A. A requirement for home visits
B. An essential and indispensable
All of the following are in the PHN bag except: equipment of the community health
A. Cord clamp nurse.
B. Paper lining C. Contains basic medications and
C. Needle and syringe articles used by the community
D. Bandage scissors health nurse
D. A tool used by the CHNurse in
rendering effective nursing
procedures during a home visit.

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PRIMARY HEALTH CARE

• VISION:
• MISSION:
FAMILY CARE PLAN • CORE PRINCIPLES
• ELEMENTS

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ELEMENTS OF PHC
Education
Locally Endemic Disease
Essential Drugs
MCH
EPI
Health
Nutrition
TX of CD and Emergency and Medical
Education
Care
Safe Water and Food

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LEVELS PRIMARY SECONDAR TERTIARY

Y
WHO? Healthy High risk Post
Treatment

ACTIVITIES Health Early Rehabilitativ

promotion Diagnosis/S e (prevent
Illness creening other
Prevention Early complicatio
Treatment ns/mainten)
Palliative

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VITAL Health
STATISTICS Statistic
üNumbers
Treatment of Locally required in
Endemic Disease planning
health
programs.

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SOURCES OF DATA:
Population Census
Health Survey
Family record (specific disease or condition)
Studies and Researches

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OCrude Birth Rate

OCrude Death Rate
OInfant Mortality Rate FIELD HEALTH SERVICE
OMaternal Mortality Rate
OFetal Death Rate
ONeonatal Death Rate
FHSIS
INFORMATION
SYSTEM
OIncidence Rate
OPrevalence Rate
OSwaroop’s Index

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Target Client List

Family Treatment Record

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Target Client List: Reporting Forms/Tally form

1EPI data are routinely transmitted from one
1Eligible Population facility to another
1Children 0-59 months
1Nutrition
1Pre natal care
1Post partum care
1Family planning
1TB symptomatic
1TB cases under Short Course
Chemotherapy
1TB cases under Standard regimen
1Leprosy cases

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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

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HERBAL
HIGH Calibre Questions MEDICINES
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. HERBAL MEDICINE LAW
D. 80% of deaths are persons who are in the age of
50 years alone

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PITAHC Cannabis
• Mandated to encourage scientific reasearch on and • PITAHC research about the medicinal use of
develop traditional and alternative health care cannabis for cancer.
systems that have direct impact on public health
care.

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IDENTIFY
1. Edema
2. Ringworm
3. Scabies
4. Cough and Colds
5. Toothache

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