COMMUNITY Health Nursing – II

Placement- Fourth Year Time: Theory- 90 Hours

Practical- 135 hours

Course Description: This course is designed for students to practice community health nursing for the individual, family and groups at both
urban and rural settings by using concept and principles of health and community health nursing.

Unit Time (Hrs) Learning objectives Content Teaching Learning activities Assessment methods

I 4  Define Introduction  Lecture discussion  Essay type

concept,  short
 Definition, concept &
scope
Scope, principles and of community health and Answers
historical community health nursing
development of
community health  historical development of
- community health
and community
health nursing Community health nursing

Pre- independence

- Post-independence

II 6  describe Health planning and policies and  lecture discussion  essay type
health plans, problems  panel discussion  short answers
policies,
various  national health planning
health in India-five year plans
committees  various committees and
 and health family welfare
problems in Central council for health
India and family welfare (CCH
and FW)

National population
policy

 health problems in India

III 15  Describe the Delivery of community health  Lecture discussion  Essay type
system of services  Visits to various health  Short answers
delivery of delivery systems
community  Planning, budgeting and  Supervised field
health material management of practice
services in SCs, PHC and CHC  Panel discussion
rural and  Rural: Organization,
urban areas staffing and functions of
 List the rural health services
functions of provided by government
various levels at; village
and their Subcentre
staffing
pattern Primary health centre
 Explain the
components Community health
of health center/ sub divisional-
services
 Describe Hospital
alternative
systems of District
health
promotion State
and health
maintenance
 Centre

 Urban: Organization,
staffing and functions of
urban health services
provided by government
at:
- Slums
- Dispensaries
- Maternal and
child health
centers

 Describe the - Special Clinics

chain of
referral - Hospitals
system
- Corporation/

Municipality/ Board

 Components of health
services
- Environmental sanitation

- Health education

- Vital statistics

- M.C.H antenatal, natal,

postnatal, MTP Act, female
 foeticide ace, child adoption act

- Family welfare

- National health programmes

- School health services

- Occupational health

- Defence Services

- Institutional services

 Systems of medicine and

health care
- Allopathy

- Indian system of Medicine and

Homeopathy

- Alternative health care systems

like yoga, meditation, social and
spiritual healing etc.

 Referral system
IV 25  Describe Community health nursing  Lecture discussion  Essay type
community approaches, concepts and roles and  Demonstration  Short answers
Health responsibilities of nursing personnel  Practice sessin
Nursing  Supervised field
approaches  Approaches practice
and concepts - Nursing theories and nursing  Participation in camps
 Describe the process  Group project
roles and
responsibiliti
es of - Epidemiological approach
Community
health - Problem solving approach
nursing
personnel - Evidence based approach

- Empowering people to care for

themselves

 Concepts of Primary Health

care:
- Equitable distribution

- Community participation

- Focus on prevention

- Use of appropriate technology

- Mutli-sectoral approach

Roles and Responsibilities of

Community health nursing
personnel in

- Family health services

- Information Education

- Communication (IEC)
 - management Information System
(MIS): Maintenance of Records &
reports

- Treatment of Minor ailments

- School health services

- Occupational health

- Organization of clinics, camps:

Types, preparation, planning,
conduct and evaluation

- Waste management in the center,

clinics etc.

 Home visit: Concept,

principles, Process,
Techniques: Bag technique
home visit
 Qualities of Community
Health Nurse
 Job description of
Community health nursing
personnel
V 15  Describe and Assisting individuals and groups to  Lecture discussion  Essay type
appreciate promote and maintain their health  Demonstration  Short answers
the activities  Practice session
of  Empowerment for self care  Supervised field
community of individuals, families and practice
health nurse groups in-  Individual /
in assisting A. Assessment of self and family group/family
individuals  Community health
and groups - Monitoring growth and education
to promote development
and maintain
their health - Miles stones

- Weight measurement

- Social development

- Temperature and Blood pressure

monitoring
- Menstrual cycle

- Breast self examination and

testicles

- Warning signs of various

diseases

- Tests: Urine for sugar and

albumin, blood sugar

B. Seek health services for

- Routing check up

- Immunization

- Counseling

- Diagnosis

- Treatment

- Follow up

C. maintenance of health records

for self and family

D. Continue medical care and

follow up in community for
various diseases and disabilities

E. Carry out therapeutic

procedures as prescribed /
required for self and family

F. Waste Management

 Collection and
disposable of waste at
home and community
G. Sensitize and handle social
issues affecting health and
development for self and family

 Women Empowerment
 Women and child abuse
 Abuse of elders
 Female Feticide
 Commercial sex workers
 Food adulteration
 Substance abuse
H. Utilize community resources
for self and family

 Trauma services
 Old age homes
 Orphanage
 Homes for physically and
mentally challenged
individuals
 Homes for destitute
VI 20  Describe  National health and family  Lecture  Essay type
national welfare programmes and the discussion  Short answers
health and role of a nurse  Participation in national
family 1) National ARI health programmes
welfare programme  Field visits
programmes 2) Revised National
and role of a Tuberculosis Control
nurse Programme (RNTCP)
 Describe the 3) National Anti-Malaria
various programme
health 4) National Filaria control
sechemes in programme
India 5) National guinea worn
eradication programme
6) National Leprosy eradication
Programme
7) National AIDS control
programme
8) STD control programme
9) National programme for
control of blindness
10) Iodine deficiency disorder
Programme
11) Expanded programme on
immunization
12) National family welfare
programme - RCH

Programme Historical
Development, Organization,
Administration, Research
Constrains

13) National water supply and

sanitation programme

14) Minimum Need programme

15) National Diabetics control

programme

16) Polio Eradication: Pulse

Polio programme

17) National Cancer Control

programme

18) Yaws eradication

Programme

19) National Nutritional Anemia

Prophylaxis programme

20) 20 point programme

21) ICDS programme

 22) Mid-day meal applied
nutritional programme

23) National mental health

programme

 Health schemes
CEa ESI

CEa CGHS

 Health Insurance
VII 5  Explain the roles  Health Agencies  Lecture discussion  Essay type
and functions of  International – WHO,  Field visits  Short answers
various national UNFPA, UNDP, World
and international Bank, FAO, UNICEF,
health agencies DANIDA, Europaen
Commission (EC), Red
cross, USAID, UNESCO,
Colombo Plan, ILO, CARE
etc.
 National – Indian Red
Cross, Indian Council for
child welfare, Family
Planning Association of
India (FPAI),
Tuberculosis Association
of India, Hindu Kusht
Nivaran Sangh, Sntral
Social Welfare Board, All
India women’s
conference, Blind
Association of India ect.
 Community Health Nursing – II – Practical

Placement : Fourth Year Time : Practical – 135 Hours

Internship – 195 hours

Area Duration Objective Skills Assignment Assessment

(in week) Methods

Community Health 1 wk for urban  Identify community  Community health survey  Community survey  Assess clinical
Nursing profile  Community diagnosis report-1 performance
4 wk for rural  Identify prevalent  Family care : Home  Family care study – with rating
communicable and adaptation of common 1 scale
non-communicable procedures  Project – 1  Evaluation of
diseases  Home visit : Bag technique  Health talk – 1 community
 Diagnosis health  Organize and conduct  Case book survey report,
needs of individual, clinics-antenatal, postnatal, recording family care
families and well baby clinic camps etc. study, project
community  Screen manage and and health talk
 Plan provide and referrals for : High risk  Completion of
evaluate care mother and neonates activity record.
Accidents and emergencies  Completion of
case book
Illnesses: Physical and recording.
 Participate in school Mental
health program
 Participate in Disabilities
national health
programs  Conduct delivery at center
 Organize group for / home : episiotomy and
self help and involve suturing
clients in their own  Resuscitate new born
health activities.  School Health programme
 Provide family (EA Screen, manage, refer
welfare services children)
 Counsel and educate
individual, family and  Collaborate with health
community and allied agencies
 Train and supervise health
workers
 Provide family welfare
services inseration of IUD
 Counsel and teach
individual, family and
community about: HIV, TB,
Diabetes, hypertension,
Mental health adolescents,
  Collect vital health Elderly’s health, physically and  
statistics mentally challenged individuals
 Maintain records & etc.
reports
 Collect and calculate vital
health statistics
 Document and maintain
Individual, family and
administrative records.

- Write reports- center,

disease, national, health
programme / project

Placement : Internship Time : 4 weeks

Middle Level Healthcare Provider

Time Content Teaching Learning Assessment Method
activities
5 Hrs.  Roles and responsibilities of  lecture discussion  Essay type
Mid-Level Healthcare providers  Panel discussion  Short answers
(MLHP).
 New national health
programmes.
  AYUSHMAN BHARAT – The up
gradation of sub-centers into of
health and wellness centers,
Concept of Comprehensive
primary health care and key
elements of CPHC, service
delivery and continuum of care
and Roles of Mid-Level
Healthcare providers (MLHP).

7 hrs  Diagnosing and treatment skills  lecture discussion

essential at sub-center level  Panel discussion
using standard treatment
protocols as per national health
programmes.
 Introduction to Rashtriya Bal
Sureksha karyakaram (RBSK)
 Social Mobilization skills
 Drug dispensing
 Programme management
including supervision and
monitoring

3 hrs.  Investigation of an outbreak  lecture discussion  Essay type

 Behaviour change  Panel discussion  Short answers
communication and soft skills
  Integrated Disease Surveillance
Project (IDSP)
 Mother and Child Tracking
System (MCTS)

5 hrs.  Chikungunya  lecture discussion  Essay type

 Organization of labour room  Panel discussion  Short answers
 Safe child birth checklist
 Postpartum visits by health
workers
 Family planning 2020
 National family planning
programmes
 Food Born diseases.

10 hrs.  Topics to be Reviewed

 Health planning and health care
delivery system in India (IPHS
guidelines)
 Health Management Information
System (HMIS)
 Electronic Medical Records (EMR)
 Micro birth planning
 Adolescent counseling
 Sources of vital statistics
 Financial Management, Accounts
and Computing at Sub – Centre
 Mental health act, drug de-
addiction programmes
  Time trends in disease occurrence
in epidemiology
 Infant and across life cycle feeding
and counseling
 Nutrition across life cycle and
update on national nutritional
programmes
 Use of Equipment
 Throat problems and febrile seizure
in children
 Transportation of baby and
common accidents and mishaps in
labour room
 Counselling-GATHER Approach
 Update biomedical waste
management by specifying
biomedical waste management
rules 2016
 Suturing of superficial wound
 Postpartum Intra Uterine
Contraceptive Device (PPIUCD)
 All the national health programmes
on communicable , non-
communicable

45 hrs.  Log Book

 Field Visit

Area Duration Objective Skills Assessment

(in week)
Urban 2 weeks  Provide comprehensive  Integrated Practice  Assess clinical
care to individual, family and group project – 1 performance with
and community in each rural and rating scale.
urban  Evaluation of project

Note : During the rural posting they should stay in health centers under the supervision of teachers.
 Post Basic B.sc Nursing
Paper II
COMMUNITY HEALTH NURSING (10020)
Placement: Second Year Time Allotted: Theory – 60 hrs
Practical – 240 hrs
COURSE DESCRIPTION
The course enables the students to understand the national health care delivery system and to participate in the delivery of community
health nursing.
OBJECTIVES
At the end of the course the student will
1. Explain the concept of various factors contributing to health of individual, family and community.
2. Identify the role of community health nurse.
3. Describe national health care delivery system.
4. Describe epidemiological methods and principles of prevention and control of illness in the community.
5. Identify the role of personnel working in the community health set up.
6. Plan the work of community health nurse and supervise and train health workers.
COURSE CONTENTS
UNIT I
 Introduction
 Introduction to Community Health – Concepts, Principles and elements of Primary Health Care.
 Introduction to community health nursing.
 Concepts of community health nursing – Community nursing process.
 Objectives, scope and principles of community health nursing.
UNIT II
 Family health services
 Concept, objectives, scope and principles.
  Individual, family and community as a unit of service.
 Principles and techniques of home visiting.
 Establishing working relationship with the family.
 Working with families in relation to prevention of disease, promotion of health.
 Care of the sick in the home, physically handicapped and mentally challenged.
 Surveillance and monitoring.
UNIT III
 Organisation and administration of health services in India.
 National health policy
 Health Care Delivery system in India.
 Health team concept
- Centre, State, district, urban health services, rural health services.
- System of medicines
- Centrally sponsored health schemes
- Role of voluntary health organizations and international health agencies.
- Public health legislation.
UNIT IV
 Health Education
- Aims, concepts and scope of health education.
- National plan for health education
- Communication techniques
- Methods and media for health education programmes
- Planning for health education and role of nurse.
UNIT V
 Role of the community health nurse
 National health programmes
- Maternal and child health programmes
 - Family welfare and school health services
- Occupational health services
 As a member of the health team.
 Training and supervision of health care workers.
UNIT VI
 Epidemiology
 Definition – Concepts, aims, objectives, methods, principles,
 Epidemiology – theories and Models.
 Application of Epidemiology, principles and concepts in community health.
UNIT VII
 Bio Statistics and Vital Statistics
 Introduction, definition and scope, legislation
 Report, recording and compiling of vital statistics at the local, state, national and international level.
 Definitions and methods of computing vital statistics
 Methods of presenting data
 Management Information System.

PRACTICUM
 Each student will prepare a community profile.
 The students will be allotted families for gaining experience in identifying family health needs, health counselling and
guidance and family budgeting for optimum health.
 The students will participate in the activities of primary health centre.
 Sub-centre, MCH Centre.
 Visits will be made to selected health and welfare agencies, water purification plant and sewage disposal plant, infectious
disease hospital.
 Conduct health educational program for individual/groups/ community.
 Middle Level Healthcare Provider
Time Content Teaching Learning Assessment Method
activities
5 Hrs.  Roles and responsibilities of  lecture discussion  Essay type
Mid-Level Healthcare providers  Panel discussion  Short answers
(MLHP).
 New national health
programmes.
 AYUSHMAN BHARAT – The up
gradation of sub-centers into of
health and wellness centers,
Concept of Comprehensive
primary health care and key
elements of CPHC, service
delivery and continuum of care
and Roles of Mid-Level
Healthcare providers (MLHP).

7 hrs  Diagnosing and treatment skills  lecture discussion

essential at sub-center level  Panel discussion
using standard treatment
protocols as per national health
programmes.
 Introduction to Rashtriya Bal
Sureksha karyakaram (RBSK)
  Social Mobilization skills
 Drug dispensing
 Programme management
including supervision and
monitoring

3 hrs.  Investigation of an outbreak  lecture discussion  Essay type

 Behaviour change  Panel discussion  Short answers
communication and soft skills
 Integrated Disease Surveillance
Project (IDSP)
 Mother and Child Tracking
System (MCTS)

5 hrs.  Chikungunya  lecture discussion  Essay type

 Organization of labour room  Panel discussion  Short answers
 Safe child birth checklist
 Postpartum visits by health
workers
 Family planning 2020
 National family planning
programmes
 Food Born diseases.

10 hrs.  Topics to be Reviewed

 Health planning and health care
delivery system in India (IPHS
guidelines)
 Health Management Information
System (HMIS)
 Electronic Medical Records (EMR)
 Micro birth planning
 Adolescent counseling
 Sources of vital statistics
 Financial Management, Accounts
and Computing at Sub – Centre
 Mental health act, drug de-
addiction programmes
 Time trends in disease occurrence
in epidemiology
 Infant and across life cycle feeding
and counseling
 Nutrition across life cycle and
update on national nutritional
programmes
 Use of Equipment
 Throat problems and febrile seizure
in children
 Transportation of baby and
common accidents and mishaps in
labour room
 Counselling-GATHER Approach
 Update biomedical waste
management by specifying
biomedical waste management
rules 2016
 Suturing of superficial wound
 Postpartum Intra Uterine
Contraceptive Device (PPIUCD)
  All the national health programmes
on communicable , non-
communicable

45 hrs.  Log Book

 Field Visit