Nancy Milio’s framework theory:

>A doctor of Philosophy and Professor Emeritus of Nursing and of Health Policy and Administration,
School of Public Health.

>She is a leader in public health policy and education, addressing the effects of all areas of public policy
on health.

>She worked with the Detroit Visiting Nurse Association as a staff nurse and field teacher, and began to
look for ways to comprehend the health and social problems afflicting poor communities. She
investigated methods likely to effect positive changes in public health among ghetto populations

>Nancy Milio is a nurse and leader in public health policy and public health education where she
developed a framework for prevention that includes concepts of community-oriented, population
focused care.

>She challenged and tackled that the common notion for unhealthful behavioral choice is lack of
knowledge and habitual selection from limited choices.

>Examined the determinants of community health and attempting to influence those determinants
through public policy.

Milio’s Framework for Prevention:

- Illustrate a diagram showing the relation of HBF AND Milios framework and how they
supplement each other.
- Complements the Health belief Model and at the same time emphasized change at the
community level, focusing on relationship between health deficits and availability of health
promoting resources
- Behavior changes within a large number of people can ultimately lead to social change
- Nursing intervention is an opportunity given to population level.
- This framework initiates a mechanism for upstream policies – a more collective approach in
health promotion rather than providing care individually. It critically examines the precursors
where the real problems lie (origin of disease, social, political, environmental, and economic
factors that lead to poor health options for both individuals and populations)
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