12.

Apply techno-intelligent care systems and

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

1. Apply knowledge of physical, social, natural

Introduction
This course deals with concepts, principles,
theories, and techniques in the provisionto basic care
in terms of health promotion,restoration,and
maintenance and rehabilitation at the individual and
family level. It includes the study of the Philippine
Health Care Delivery System, national Health
situation and the global context of public health. The
learners are expected to provide safe, appropriate and
holistic nursing care to individual and family as
clients in community setting utilizing the nursing
process.
PROGRAM OUTCOMES
1.Apply knowledge of physical, social, natural
and health sciences and humanities in
the practice of nursing
2.Provide safe, appropriate, humanistic and
holistic care to individuals, families,
population groups, and community utilizing
nursing proces
3.Apply guidelines and principles of evidence-
based practice in the delivery of care
4.Practice nursing in accordance with existing
laws, legal, ethical and moral principles
5.Communicate effectively in speaking, writing
and presenting using culturally appropriate
language
6.Document to include reporting up-to-date
client care accurately and
comprehensively
7.Work effectively in collaboration with inter,
intra and multi-disciplinary and multi-cultural
teams
8.Practice beginning management and leadership
skills in the delivery of client care and health
program development using systems approach
9.Conduct research with an experienced
researcher
10.Engage in lifelong learning with a passion to
keep current with national and global
developments, and nursing and health developments
in particular
11.Demonstrate responsible citizenship and pride
in being a Filipino
& health sciences and humanities in the care
of individual and family in the community
setting.
2. Provide safe, appropriate, and holistic care to
individuals and familiesin the community
utilizing the family nursing process.
3. Apply guidelines and principles of evidence-
based practice in the delivery of care to
individual and family in the community
setting.
4. Practice nursing in the community setting in
accordance with law, legal, ethical and moral
principles.
5. Communicate effectively in speaking,
writing,and presenting using culturally
appropriate language in the community
setting.
6. Document care of individual and family
accurately and comprehensively.
7. Work effectively in collaboration with
inter-,intra-,and multidisciplinary and multi-
cultural teams in the care of individuals and
family in the community.
8. Practice beginning management and
leadership skills using systems approach in
the delivery of care to individual and family.
9. Conduct research with an experienced
researcher in the care of individual client and
family in the community setting.
10. Engage in lifelong learning with a passion to
keep current with national and global
development in the care of individual and
family in the community setting.
11. Demonstrate responsible citezenship and
pride of being a Filipino.
12. Apply techno-intelligent care systems and
processes to perform safe and efficient
nursing activities for individual and family in
the community.
13. Adopt the nursing core values in the delivery
of care to individuals and families.
14. Apply entrepreneuarial skills in the delivery
of nursing care to individuals, and families in
community setting.
Learning Outcomes
Upon successful completion of the MOdule, the
student will be able to:
1. Integrate relevant principles of social,
physical, natural and health
sciences and humanities in a given health
and nursing situation.
2. Discuss appropriate community health
nursing concepts and actions
holistically and comprehensively.
3. Assume responsibility for lifelong
learning, own personal development
and maintenance of competence.
4. Engage in advocacy activities to influence
health and social care service
policies and access to services.
5. Model professional behavior as a
community health nurse.
6. Assess with the individual and family
one’s health status/competence.
7. Formulate with the client a plan of care to
address the health conditions, needs,
problems,and issues based on priorities.
8. Implement safe and quality interventions
with the client to address the health
needs, problems, and issues.
9. Provide health education using selected
planning models to targeted
clientele ( individuals and families) in the
community.
10. Participate in a research study as member
of a research team.
11. Provide safe, appropriate and evidence-
based nursing interventions in the
different categories of health care.
12. Ensure a working relationship with
individual and familyn based on
trust, respect and shared decison-making
using appropriate
communication/interpersonal
techniques/strategies.
13. Implement strategies/ approaches to
enhance/support the capability of
the client and care providers to participate in
decision making by the inter-
professional team.
14. Maintain a harmonious and collegial
relationship among members of
the health team for effective, efficient and
safe client care.
15. Coordinate the tasks/functions of other
nursing personnel
(midwife,BHW and utility worker).
16. Collaborate with other members of the
health team in the
implementation of programs and services.
17. Apply principles of partnership and
collaboration to improve delivery
of health services.
18. Collaborate with GO’s. NGO’s and other
socio-civic agencies to
improve health care services, support
environment protection policies
and strategies, and safety and security
mechanisms in the community.
19. Evaluate with the client the health
tatus/competence.
20. Institute appropriate corrective actions to
prevent or minimize harm arising
from adverse effects.
21. Document client’s responses/nursing care
servies rendered and
processes/outcomes of the
nurse client working relationship.
22. Ensure completeness,
integrity,safety,accessibilityand securityof
information.
23. Adhere to protocol, and principles of
confidentiality in safekeeping and
releasing of records and other
information.
24. Manage resources efficiently and
effectively.
25. Apply management and leadership
principles in providing direction to
manage a community based program.
26. Use appropriate strategies/approaches
to plan community health
programs and nursing service.
27. Evaluate specific components of helth
programs and nursing services based
on parameters/criteria.
28. Maintain a positive practice
environment.
29. Adhere to ethico-legal considerarions
when providing safe,quality and
professional nursing care.
30. Adhere to established norms odf
conduct based on the
PhilippineNursing Law and other legal,
regulatory and
institutional requirements relevant to safe
nursing practice.
31. Protect client rights based on “Patient’s
Bill of Rights and Obligations”
32. Implement strategies/policies related to
informed consent as it applies in
multiple contexts.
33. Exemplify love for country in the
service of the Filipinos and family.
34. Customize nursing interventions based
on Philippine culture and
values.
35. Use appropriate technology to support
the delivery of care to
individuals and families.
36. Demonstrate caring as the core of
nursing, love of God, love of
country, and love of people.
 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
UNIT X Nursing Core Values as a Community
Health Nurse
UNIT XI Health Related Enterpreneurial
Activities in the Community Setting
UNIT I
OVERVIEW OF PUBLIC HEALTH NURSING
IN THE PHILIPPINES
COURSE LEARNING OUTCOMES
At the end of this Unit, the student will be able
to:
CLO 1 Integrate relevant principles of
social, physical, natural and health
sciences and humanities in a given health
and nursing situation.
CLO 2 Discuss appropriate community
health nursing concepts and actions
holistically and comprehensively
CLO 3 Assume responsibility for lifelong
learning, own personal
development and maintenance of
competence.
TOPICS
A.Global and National Health Situations
B.Definition and focus
Public Health
Community Health
Public Health Nursing
Community Health Nursing
Standards of Public Health Nursing in
the Philippines
Evolution of Public Health Nursing in
the Philippines
Roles and Responsiblities of a
Community Health Nurse
INTRODUCTION
Public Health Nursing in the philippines evolved
alongside the institutional development of the
Department of Health, the government agency
mandated to protect and promote people’s health and
the biggest employer of health workers including
public health nurses. Historical accounts show that as
far back as the 1900s, nurses working in the
communities were already given the title Public
Health Nurses.
In the light of the changing national and global
health situation and the acknowledgement that
nursing is a significant contributor to health, the
Public Health Nurse is strategically positioned to
make a difference in the health outcomes of
individuals, families and communities cared for.
A. Global and National Health Situation
Public health systems are operating within a
context of ongoing changes, which exert a number of
pressures on the public health system.
These changes include:
1. Shifts in demographic and
epidemiological trends in diseases, including
the emergence and re-emergence of new
diseases and in the
prevalence of risk and protective factors;
2. New tchnologiers for health care,
communicaation and information;
3. Existingand emerging environmental
hazards some associated with
globalization;
4. Health reforms.
In response to above trends, the global
community, represented by the United Nations
General Assembly, decided to adopt a common
visionof poverty reduction and suatainable
development in September 2000. This vision is
exemplified by the Millenium Development Goals
(MDGs) which are based on the fundamental values
of freedom, equality,solidarity,tolerance, health,
respect for nature,and shared responsiblity.
The Philippines has experienced considerable
improvements in its health status for the past 50
years, yet it has also in recent yearsexperienced
declines as shown in its poor performance in reducing
infant and maternal mortality rates. The Philippines
is also experiencing an epidemiologic shift, which
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
diseases such as Severe Acute Respiratory Syndrome
(SARS) and avian flu. With this scenario, the need to
strengthen the capability of the public health
infrastucture including the public health nurse to
adequately respond is imperative.
 B. Definition and Focus
Public Health
The classic definition of public health
comes from Dr. C.E. Winslow. He defines public
Health as the “ Science and art of preventing disease,
prolonging life, promoting health and efficiency
through organized community effort for the sanitation
of the environment, control of communicable
diseases, the education of individuals in personal
hygiene , the organization of medical and nursing
services for the early diagnosis and preventive
treatment of disease, and the development of the
social machinery to ensure everyone a standard of
living adequate for the maintenance of health, so
organizing these benefits as to enable evry citizen to
realizehis birth right of health and longevity.”
WHO define Public Health as “the art and
science of preventing disease, prolonging life and
promoting health through the organized efforts of
society” (Acheson, 1988; WHO)
Community Health
It refers to the health status of the members of
the community, to the problems affecting their
health and to the totality of the health care provided
for the community.
Community health covers a wide range of
healthcare interventions, including
health promotion, disease prevention, and
treatment. It also involves
management and administration of care.
Part of paramedical and medical
intervention/approach which is concerned on the
health of the whole population
Aims:
Health promotion
Disease prevention
Management of factors affecting
health
Public health nursing
WHO
a special field of nursing, public health and some
phases of social assistance and functions as part of
the total public health programme for the promotion
of health, the improvement of the condition in the
social and physical environment, rehabilitation of
illness and disability.
Ruth B. Freeman
a service rendered by a professional nurse
with communities, groups, families, individuals
at home, in health centers, in clinics, in schools,
in places of work for the promotion of health,
prevention of illness, care of the sick at home
and rehabilitation.
Jacobson
it encompasses “nursing practice in a wide
variety of community services and consumer
advocate areas, and in a variety of roles, at times
including independent practice..community nursing is
certainly not confined to public health nursing
agencies.”
Lillian Wald
a director of the Henry Street Settlement in New
York City to denote a service that was available to all
people. The term, public health nursing became
associated with “public” or government agencies
and in turn with the care of the poor people.
Community Health Nursing
Ruth B. Freeman
service rendered by a professional nurse with
communities, groups, families, individuals at home,
in health centers, in clinics, in schools, in places of
work for health promotion, disease prevention,
care of the sick at home and rehabilitation .
Margaret Jacobson
Community health nursing is learned practice
discipline with the ultimate goal of contributing, as
individuals and in collaboration with others to the
promotion of the patients, optimum level of
functioning through teaching and delivery of care.
Dr. Araceli Maglaya, et al.
Community Health Nursing the utilization of the
nursing process in the different levels of clientele -
individuals, families,, population groups and
communities, concerned with the promotion of
health, prevention of disease and disability and
rehabilitation.
Nisce, Reyala, et al.
To raise the level of health of the citizenry by helping
communities and failies cope with the discontinuities
in and threats to health in such a way as to
maximize the potential for high-level wellness.
Standards of Public Health Nursing in the
Philippines
Nursing stadards are the expression of our
professional autonomy, responsibility and
accountability. Thus, they are the core of our
continuing efforts to provide quality nursing care and
service.
 Evolution of Public Health Nursing in the
Philippines
For the public health nurse to have a better
understanding of how public health nursing came
about in the Philippines, there are certain concepts
that must be understood and should serve as a point
of reference in the foregoing discussions.
HEALTH
The World Health Organization defines health
as a “state of complete physical mental and social
well being, not merely the absence od disease or
infirmity.”
DETERMINANANTS OF HEALTH
The health of individuals and communities are,
to a large extent, affected by a combination of many
factors. A persons’s health is determined by his
circumstances and environment. It is inappropriate
therefore to blame or credit the person’s state of
health to himself alone because he is unlikely able to
directly control many of these factors however,
knowledge of these factors is important in order to
effectively promote health and prevent illnesses. It
ids also important to note that in understanding the
multidimensional nature of health, the public health
nurse will now be in better position to plan and
implement health promoting interventions for
individuals and communities.
These factors or things that make people healthy
or not, known as determinants of health are listed by
the World Health Organization to include:
1. Income and social status. Higher income and
social status are linked to better health.
2. Education. Low education levels are linked
with poor health, more stress and lower self
confidence.
3. Physical Environment. Safe water and clean
air, healthy workplaces,safe houses, communities and
roadsall contribute to good health.
4. EMployment and working conditions. People
in employment are healthier particularly those who
have more control over thier working conditions.
5. Social support networkd. Greater support from
families, friends and communities is linked to better
health.
6. CUlture. Customs and traditions, and the
beliefs of the family and community all affect health.
7. Genetics, Inheritance plays a part in
determining lifespan, healthiness and the likelihood
of developing certain illnesses.
8. Personal behavior and coping skills. Balanced
eating, keeping active, smoking, drinking, and how
we deal with life’s stresses and challenges all affect
health.
9. Health Services. Access and use of services
that prevent and treat disease influence health.
10. Gender. Men and women suffer from
different types of diseases at different ages.
The core business of public health as :
1. Disease control
2. Injury prevention
3. Health protection
4. Health public policy including those in
relation to environmental hazards
such as in the workplace, housing, food,
water, etc.
5. Prootion of health and equitable health
gain..
The following are the essential public health
functions:
1. Health situation monitoring and analysis
2. Epidemiological surveillance/disease
prevention and control
3. Development of policies and planning in
public health
4. Strategic management of health systems
and services for
population health gain.
5. Regulation and enforcement to protect
public health
6. Human resources development and
planning in public health
7. Health promotion, social participation and
empowerment
8. Ensuring the quality of personal and
population based health services
9. Research, development and
implementation of innovative public health
solutions.
This definition is an apt description of the
nature of Public Health Nursing in the
Philippines. The public health nurses in this
country are using their nursing skills in the
application of public health functions and social
assistance within the context of public health
programs designed to promote health and prevent
diseases.
Public health nursing and community health
nursing have often been interchangeably used in
the Philippines. This is not surprising through
because various authors, foreign and local, also
used them interchangeably.
The phrase community health nursing
emerged out of an interest in reaffirming the
original thrust of public health nursing: nursing
 for the health of the entire public/community
versus nursing only for the public who are poor.
Historical Background of Public Health Nursing
The History of public Health nursing in the
Philippines is embedded in the history of the
Department of Health which was first established
as the Department Public Works, Education and
Hygiene in 1898.
The following milestones marked the events
when the nurses and nursing were particularly
mentioned in historicla accounts:
1912
The Fajardo Act ( Act NO. 2156) created Sanitary
Divisions. He President of the Sanitary Division
(forerunners of the present Municipal Health
Offficers) took charge of two or three municipalities.
Where there were no physicians available, male
nurses were assigned to perform duties of the
President, Sanitary Division.
Philippine General Hospital, then under the Bureau of
Health sent four nurses to Cebu to take care of
mother and their babies. The St. Paul’s Hospital
School of Nursing in Intramuros, also assigned two
nurses to do home visiting in Manila and gave
nursing care to mothers and newborn babies from the
out patient obstetrical service of the Philippine
General Hospital.
1914
School nursing was rendered by a nurse employed by
the Bureau of Health in Tacloban, Leyte. In the same
year, Reorganization Act No. 2462 created the
Office of General Inspection. The Office of District
Nursing was organized under this office. It was
headed by a lady physician, Dr. Rosario Pastor who
was also a nurse.. This office was created due to
increasing demands for nurses to work outside the
hospital, and the need for direction, supervision and
guidance of public health nurses.
Two graduate Filipino nurses, Mrs. Casilang
Eustquio and Mrs. Matilde Azurin were employed
for Maternal and Child Health and Sanitation in
Manila under an American nurse, Mrs. G.D.
Schudder.
1916-1918
Miss Perlita Clark took Charge of the public health
nursing work. Her staff was composed of one
American nurse supervisor, one American dietician,
36 Filipino nurses working in the provinces and one
nurse and one dietitian assigned in two Sanitary
Divisions.
1917
Four graduate nurses paid by the city of Manila were
employed to work in the City Schools. Provinces that
could afford to carry out school health services were
encouraged to employ a district nurse.
1918
The office of Miss Clark was abolished due to lack of
funds.
1919
 The first Filipino nurse supervisor under the
Bureau of Health, Miss Carmen del Rosario was
appointed. She succeeded Miss Mabel Dabbs.
 She has a staff of 84 public health nurses
assigned I five health stations.
 There was a gradual increase of public health
nurses and expansion of services.
1932
Two government schools of Nursing were
established: Zamboanga General Hospital School of
Nursing in Mindanao and Baguio General Hospital in
Northern Luzon. These schools were primarily
intended to train non-christian women and prepare
them to render service among their people. In later
years, four more government Schools of Nursing
were established: one in southern Luzon ( Quezon
Province) and three in the Visayan Islands of Cebu,
Bohol, Leyte.
July 1,1926
Miss Carmen Leogardo resigned and Miss Genara S.
Manongdo, a ranking supervisor of the American Red
Cross, Philippine Chapter was appointed in her place.
1927
The office of District Nursing under the office of
General Inspection, Philippine Health Service was
abolished and supplanted by the Section of Public
Health Nursing. Mrs. Genara de Guzman acted as
consultant to the Director of Health on nursing
matters
1928
The first convention of nurses was held followed by
yearly conventions until the advent of World War II.
Pre-service training was initiated as a pre-requisite
for appointment.
1930
The section of Public Health Nursing was converted
into Section of Nursing due to pressing need for
guidance not only in public nursing services but also
in hospital nursing and nursing education. The
Section of Nursing was transferred from the office of
General Services to the Division of Administration.
This Office covered the supervision and guidance of
nurses in the provincialhospitals and the two
government school of nursing.
1933
Reorganization Act No. 4007 transferred the Division
of Maternal ans Child Health of the Office of Public
Welfare Commission to the Bureau of Health. Mrs.
Soledad a. Buenafe, former Assistant Superintendent
of Nurses of the Public Welfare Commission was
appointed as Assistant Chief Nurse of the Section of
Nursing, bureau of Health.
1941
Activities and personnel including siz public health
members of the Metropolitan Division, Bureau of
Health were transferred to the new department . Dt.
Mariano Icasiano became the first City Health
Officer of Manila. An Office of Nursing was
organized with Mrs. Vicenta P. Ponce as Chief Nurse
and Mrs. Rosario A. Ordiz as Assistant Chief Nurse.
They occupied these positions until their retirement.
Dec. 8,1941
When World War II broke out, public health nurses
in Manila were assigned to devastated areas to attend
to the sick and the wounded.
1942
A group of public health nurses, physicians and
administrators from the Manila Health Department
went to the internment camp in capas, Tarlac to
receive sick prisoners of war released by the Japanese
army. They were confined at San Lazaro Hospital
and sixty-eight National Public Health Nurses were
assigned to help hospital staff take care of them.
July 1942
Thirty-one nurses who were taken prisoners of war
by the Japanese army and confined at the Bilibid
Prison in Manila were released to the then Director of
the Bureau of Health, Dr. Eusebio Aguilar who acted
as their gurantor.
Many public health nurses joined the guerillas or
went to hide in the
mountains during World War II.
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
Filipino Nurses Association
recommended the creation a Nursing Office in the
department of Health.
Oct.7, 1947
 Executive order No.94 reorganized government
offices and created the Division of Nursing under
the Office of the Secretary of Health. This was
implemented on Dec. 16, 1947 Mrs. Genera de
Guzman was appointed as chief of the
Division, with three Assistants: Miss Annie
Sand for Nursing Education; Mrs. Magdalena C.
Valenzuela for Public Health Nursing; and
Mrs.Patrocinio J. Montellano for Staff
Education.
 At the Bureau of Health, the Section of Nursing
Supervision took over the functions of the former
Section of Nursing.
 Mrs. Soledad Buenafe was appointed Chief and
Miss Marcela Gabatin, Assistant Chief
1948
- The first training Center of the Bureau of
Health was organized in cooperation
With the Pasay City Health Department. This
was housed at the Tabon Health
Center located in a marginalized part of the city.
It was later renamed as Doña Marta Health Center.
- Physicians and nurses undergoing pre-service
and in-service training in public
health/public health nursing as well as nursing
student on affiliation were assigned to the above
training center.
1950
- The Rural Health Demonstration and Training
Center (RHDTC) was established by the
Department of Health through the initiative of Dr.
Hilario Lara, Dean, institute of Hygiene, now
College of Public Health, University of the
Philippines.
- The WHO/UNICEF assisted project used health
centers of the Quezon City Health
Department, which were located in the rural areas of
the city.
- Dr. Amansia S. Mangay (Mrs. Andres Angara),
a Doctor of Public Health Graduate
form Harvard was chosen tobe the Chief of the
RHDTC.
- Dr. Antonio V. Acosta, former Physician of the
Manila Health Department was Medical
Training Officer.
1953
- The Office of Health Education and Personnel
Training was established with Dr.Trinidad
Gomez as Chief
- Philippine Congress approved Republic Act
No. 1082 or the Rural Health Law. It created the first
81 Rural Health Units.
1957
- Republic Act 1891 was approved amending
Sections Two, Three, Four, Seven and Eight of R.A.
1082 :Strengthening Health and Dental Services in
the Rural Areas and Providing Funds thereto.”
1958-1965
- Republic Act 977 passed by Congress in 1954
was implemented. This abolished the Division
of Nursing. However, it created nursing positions at
different levels in the health organization.
Miss Annie Sand was appointed Nursing
Consultant under the Office of the Secretary of
Health.
- The Department of Health National League of
Nurses, Inc. was founded by Miss Annie
Sand in 1961. She became its first President and
Adviser.
- The Reorganization Act with implementing
details embodied in Executive Order
288, series of 1959 de-centralized and integrated
health services.
- The reorganization of 1959 also merged two
Bereaus in the Department of Health. The
Bureau of Health was merged with the Bureau of
Hospitals to form the Bureau of Health and
Medical Services.
1967
- In the Burea of Disease Control, Mrs. Zenaida
Panlilio – Nisce was appointed as
Nursing Program Supervisor and served as
consultant on the nursing aspects of the 5
special diseases: TB, Leprosy, Venereal Disease,
Cancer, Filariasis, and Mental Health.
1974
- The Project Management Staff was organized
as part of Population II of the
Philippine Government with Dr. Francisco
Aguilar as Project Manager.
1975
- The roles of the public health nurse and the
midwife were expanded. 2000 midwives
were recruited and trained to serve in the rural areas.
1987-1989
- Executive Order No. 119 reorganized the
Department of Health and created several
offices and services within the Depratment of Health.
1990-1992
- Department Order No. 29 designated Mrs.
Neila F. Hizon, Nurse VI, then President
of the National League of Philippine Government
Nurses, as Nursing Adviser. She was
detailed at the Office Public Health Services. As
Nursing Adviser, matters affecting nurses and
nursing are referred to her.
May 24, 1999
- Executive Order No. 102 was signed by
President Joseph Ejercito Estrada,
redirecting the functions and operations of
the Department of Health.
2005-2006
- The development of the Rationalization Plan to
streamline the bureaucracy further was
started and is in the last stages of finalizatio
Roles and Responsiblities of a Community Health
Nurse
Planner/Programmer
Identifies needs, priorities, and problems
of individuals, families, and
communities
Formulates municipal health plan in the
absence of a medical doctor
Interprets and implements nursing plan,
program policies, memoranda, and
circular for the concerned staff personnel
Provides technical assistance to rural
health midwives in health matters
Provider of Nursing Care
Provides direct nursing care to sick or
disabled in the home, clinic,
school, or workplace
Develops the family’s capability to take
care of the sick, disabled, or dependent
member
Community Organizer
Motivates and enhances community
participation in terms of planning,
organizing, implementing, and
evaluating health services
Initiates and participates in community
development activities
Coordinator of Services
Coordinates with individuals, families,
and groups for health related
services provided by various members
of the health team
Coordinates nursing program with other
health programs like
environmental sanitation, health
education, dental health, and
mental health.
Trainer/Health Educator
Identifies and interprets training needs
of the RHMs, Barangay Health
Workers (BHW), and hilots
Conducts training for RHMs and hilots
on promotion and disease
prevention
 Conducts pre and post-consultation
conferences for clinic clients; acts as
a resource speaker on health and health
related services
Initiates the use of tri-media (radio/TV,
cinema plugs, and print ads) for
health education purposes
Conducts pre-marital counseling
Health Monitor
Detects deviation from health of
individuals, families, groups, and
communities through contacts/visits
with them.
Role Model
Provides good example of healthful
living to the members of the
community.
Change Agent
Motivates changes in health behavior in
individuals, families, groups, and
communities that also include lifestyle in
order to promote and maintain
health.
Recorder/Reporter/Statistician
Prepares and submits required reports
and records
Maintain adequate, accurate, and
complete recording and reporting
Reviews, validates, consolidates,
analyzes, and interprets all records and
reports
Prepares statistical data/chart and other
data presentation
Researcher
Participates in the conduct of survey
studies and researches on nursing and
health-related subjects
Coordinates with government and non-
government organization in the
implementation of studies/research
Summary
Community health Nursing is the synthesis
of nursing and public health practice applied to
promote and protect the health of population. It
combines all the basic elements of professional,
clinical nursing with public health and
community practice.
Public health nurses provide healthcare to
people and communities who are unable to seek
assistance. Community health nursing involves
advocacy and policy development to eliminate
healthcare disparities.
Community health nurses wear many hats
while conducting day-to-day practice. The
focus of nursing includes not only the individual,
but also the family and the community, meeting
these people needs requires multiple roles:
Planner/Programmer
Provider of Nursing Care
Community Organizer
Coordinator of Services
Trainer/Health Educator
Health Monitor
Role Model .
Change Agent
Recorder/Reporter/
Statistician
Researcher
Test yourself
1. According to C.E. Winslow, which of the
following is the goal of Public Health?
A. For people to attain their birthrights and
longevity
B. For promotion of health and prevention and
diseases
C. For people to have access to basic health
services
D. For people to be organized in their health
efforts
2 . Which of the following is the most prominent
feature of public health nursing?
A. It involves providing home care to sick people
who are not confined in the hospital
B. Services are provided free of charge to people
within the catchment area
C. The public health nurse functions as part of a
team providing a public health nursing
service
D. Public health nursing focuses on preventive,
not curative services
3. According to Freeman and Heinrich,
community health nursing is a developmental
service. Which of the following best illustrates this
statement?
A. The community health nurse continuously
develops himself personally and
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.
D. The goal of community health nursing is
to provide nursing services to people.
4. Which one of the following is a reason to study
nursing history?
A. To fulfill provincial/territorial nursing
requirements B. To help
fill up the necessary credit hours for graduation
C. To meet accreditation
requirements
D. To understand the present and plan for
tomorrow
5. Which of the following is the most prominent
feature of public health nursing?
A. Services are provided free of charge to
people within the catchment area.
B. Public health nursing focuses on
preventive, not curative, services.
C. It involves providing home care to sick
people who are not confined in the
hospital.
D. The public health nurse functions as part
of a team providing a public
health nursing service.
6. CHN is a community-based practice. Which
best explains this statement?
A. The service is provided in the natural
environment of people.
B. Priority setting is based on the
magnitude of the health problems
identified.
C. The services are based on the available
resources within the community.
D. The nurse has to conduct community
diagnosis to determine nursing needs and
problems.
7. The main aim of public health is to improve health
by:
A. Providing medical interven on
appropriate for the individual
B. Performing research to compare the
e&ecveness of treatments
C. Promong health and preventing disease
in populations
D. Providing advice on risk markers and
genetics to families
8. Perla is Elena's co-worker as a Community Health
Nurse. Which of the following is the general
duty of Perla?
A. Provides nursing care to the community
B.
Communicates to the Health Officer
C. Coordinates
with Municipal Health Officer
D. Establishes rapport with clients
9.Why is public health nursing appealing to many
nurses?
A. Its autonomy and independence
B. Its focus
on acute care and immediately visible outcomes
C. The backup support of other
health care professionals D.
The rapport among the nursing staff
10. A role of a Public health nurse who identifies
needs, priorities, and problems of individuals,
families, and communities.
A. Councilor B. Model C.
Planner D. Provider
11. A nurse role who study various aspects of health,
illness andhealth care. By designing and
implementing scientific studies, they look for ways to
improve health, health care services and health
care outcomes. ... Deliver health care services more
effectively and efficiently.
A. Nurse recorder B. Change
Agent C.
Researcher D. Planner
12. World Health Organization defined public health
as:
A. Science and art of preventing disease,
prolonging life, promoting health and
efficiency through organized community… .
B. The art and science of
preventing disease, prolonging life and
promoting health through the organized
efforts of society”
C. associated with “public” or
government agencies and in turn with
the care of the poor people.
D. a service
rendered by a professional nurse with
communities, groups,
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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