Roderos, Yessamin Paith M.

BSN – 2

1. What are the roles of a Community Health Nurse?

Community health nurses have the primary role in providing treatment to patients. In addition,
community health nurses provide community members with education about maintaining their health so
they can reduce the occurrence of diseases and deaths. They plan educational assemblies, hand out fliers,
conduct health screenings, dispense medicines and administer vaccines.
Nurses also may distribute health-related items like condoms and pregnancy tests. Examples of some
health issues that community health nurses try to control or eliminate are:
 Infectious and sexually transmitted diseases
 Obesity
 Poor nutrition
 Substance abuse
 Smoking
 Teen pregnancy

The 7 major roles of a community health nurse are:

 Care provider
 Educator
 Advocate
 Manager Role
 Collaborator Role
 Leadership Role
 Researcher Role

2. Common vaccines & immunization

a) OPV - Live attenuated polio virus types1,2 & 3-developed by sabin ,1961. Dose – 2 drops orally. Virus
reach the intestine; infect the mucosal cells to elicit immune response. Adverse reactions - Vaccine derived
poliovirus; Vaccine associated paralytic poliomyelitis. CI- inherited or acquired immunodeficiency;
symptomatic HIV. IAP recommends additional doses of OPV as a part of pulse polio program every year till
age of 5.
b) DTP - Diphtheria toxoid, Tetanus toxoid & killed whole cell pertussis/ acellular pertussis vaccine. 0.5
ml injected IM on anterolateral aspect of mid-thigh. Progressive neurological disease or serious adverse
reaction to earlier dose, encephalopathy within 7 days of previous dose are contraindications for DPT
(replace with DT).
d) MMR - Combination of Measles, Mumps, Rubella vaccines. Mumps- Jeryl Lynn strain Rubella- RA 27/3
strain. Dose is 0.5 ml s/c preferably right upper arm. Adverse reactions- fever, transient rash, arthralgia,
aseptic meningitis, lymphadenopathy. CI- malignancy, immunodeficiency, untreated tuberculosis.
e) Hepatitis A - 0.5ml (im) deltoid. 2 doses beyond 1yr of age, given 6m apart. Aluminum hydroxide –
adjuvant. Indication- children with c/c liver ds seronegative for HA virus, children attending creches & day
care facilities, travelers to endemic areas. Effective if administered to unimmunized household contacts of
pts symptomatic with HAV within 10 days.
f) Hepatitis B vaccine - Recombinant DNA vaccine. 0.5ml IM in <1yr & 1ml >1yr. 3 doses at 0, 1, 6
months. HBIG gives passive immunity- dose 0.5ml in newborns & 0.6ml/kg for all other ages. It should be
given within 48 hrs. of exposure.
g) Pneumococcal vaccine - High risk groups- children< 2yrs, congenital immunodeficiency, HIV,
asplenia, hyposalemia, nephrotic syndrome. 0.5ml IM 3 doses 6, 10, 14 wks. with a booster at 15-18m.
 h) Rotavirus Vaccine - Two live oral vaccines available – Rotarix & RotaTeq. Rotarix – monovalent
(RV1) live attenuated vaccine human rotavirus G1P(8) strain given orally 1ml in a 2 dose schedule. RotaTeq
– pentavalent (RV5) vaccine strains reassorted between the bovine & human WC3 rotaviruses given orally 2
ml in 3 dose schedule 2, 4 & 6 months.

3. NDP of DOH
One of the projects under the Department of Health (DOH) Deployment Program that aims to deploy,
community-oriented and dedicated nurses to difficult areas. Deployment of registered nurses for the
improvement of local health systems and support to the attainment of Universal Health Care or Kalusugan
Pangkalahatan. Notably, the project aims to achieve the following:
 Augment the nursing workforce in the Rural Health Units/Birthing Homes and Barangay
Health Stations thus provide access to health services for the marginalized population;
 Provide employment and work experience for nurses in rural areas and underserved
communities and
 Address the proliferation of the so-called “volunteer nurses for a fee” (i.e., working in
hospitals without being paid, albeit, they themselves pay the hospital to obtain a certificate
of work experience

4. TB Dots program in Philippines

Vision: TB -free Philippines
Mission: To reduce TB burden (TB incidence and TB mortality)
To achieve catastrophic cost of TB-affected households
To responsively deliver TB service
Program Components
Health Promotion Financing and Policy Governance
Human Resource Information System
Regulation Service Delivery
Target Population / Client: Presumptive TB and TB affected households
Area of Coverage: Nationwide
Partner Institutions
Department of Health : Food and Drug Administration, Bureau of Quarantine
Other Government: DepEd, DSWD, DILG (BJMP), DOJ (BuCor)
Non Government Organizations: PhilCAT, PBSP
International Organizations: WHO, USAID, GFATM, ICRC, HIVOS-KNCV
Policies and Laws: RA 10767 : Comprehensive TB Elimination Plan Act of 2016
Strategies, Action Points and Timeline
2017-2022 Philippine Strategic TB Elimination Plan
 Activate communities and patient groups to promptly access quality TB services
 Collaborate with other government agencies to reduce out-of-pocket expenses and
expand social protection programs
 Harmonize local and national efforts mobilize adequate and competent human
resources
 Innovate TB information generation and utilization for decision making
 Enforce standards on TB care and prevention and use of quality products
 Value clients and patients through integrated patient-centered TB services
 Engage national, regional and local government units/ agencies on multi-sectoral
implementation of TB elimination plan