COMMUNITY HEALTH NURSING INTRASECTORAL LINKAGES: 2 WAY REFFERAL SYSTEM

- Working outside the hospital Primary  Secondary  Tertiary  Secondary 

PUBLIC HEALTH NURSE Primary  Bahay
- Paid by the government
SG15 Use of Appropriate Technology
- 35,000 salary
RA 7305  A poor family with 5 children are high Risk of
- Magna Carta for Public Health Workers Kwasiorkor. Which appropriate food should
Night Differential you teach to mother?
- 10% is added o Green/Leafy Veggy- rich in vitamins
Tenure and minerals
- Every 5 years, it will increase 5% o Beef- for rich families
o Tofu
4 TYPES OF CLIENTS IN CHN o Futo
Individual
Family Department of Health: National Authority for Health
Group/Aggravate/Population E.O. 102  3 Functions
Community

Goal of CHN: OLOF (Optimum Level of Functioning)

High Level Wellness

Goal of PHN: Self- Reliance

Goal of COPAR
- Community Health Development
- Social Transformation Vision: Filipinos are Healthiest in Southeast Asia in
2022
PHCDS Basis: Life expectancy 
- Philippine Health Care Delivery System Filipinos: 70 yo
Singapore: 83.8 yo
LEVELS OF PRIMARY HEALTH CARE HK: 85 – have money
Primary
- Accessible Mission: Develop PREP (Productive, Resilient,
- 30 mins ride Equitable, People Centered) Health System
- BARANGAY HEALTH STATION 23.7% poverty index in the Ph
- 3-5 km
- Only midwife is present Goal: NOH (National Objective for Health)
*May naaachieve na goal kaso the same problem din
Health Center or RHU lang naman due to life expectancy

Public Health Midwife: front liner
Public Health Nurse:
Supervisor – oversee the work of midwife and coach
Rural Health Physician/Health Officer: Manager
Medical Technology:
*main problem ng mga bata is may bulate  check
ang tae ng bata
Sanitary Inspector: checks the environmental
sanitation
Dentist: Dental Health Program – preventive function
is going to school  fluoride  para tumibay ang
ngipin ng mga bata
HSRA: Health Sector Reform Agenda
- Overriding goal of DOH
- Started during GMA: Fourmula one for Health
- Noynoy: AHA (Aquino Health Agenda)
PhilHealth for All Theme: Universal Health Care
- Duterte: Fourmula One for Health plus 1 (5
Pillars) Theme: Boosting Universal Health Care
a. Health Financing
 Better investment for health (using
of Philhealth) unlike abroad they
are covered with their life
insurance.
  RA 11223  Universal Health Care Law 
all Filipinos are automatically enrolled in
Philhealth
 Direct Contributor – nagbabayad
(employees with formal
employment, kasambahay, OFW,
Lifetime members (10 years – 120
mos) above 21 yo capacity to pay
 In direct Contributor – hindi
nagbabayad (indigents,
beneficiaries of 4Ps (they invest in
human capital for education,
nutrition) Senior Citiizen, PWD, Sk
officials, sponsored by LGU)
 Case Rate Method  based on the final
diagnosis of thee patient
b. Health Regulationn- affordable and quality of
health care services - vaccines ( choose the
cheapest one) Sinovac – 1800 pesos in PH
 RAQ – Regulation on
Affordable and Quality
c. Health Service Delivery – accessible and
available of health care services
- Nurse Deployment Program
4. Good Governance – stakeholders (holding the
money of the government) Transparent,
Accountable, Efficient (TAE)
5. Performance Accountability
- outcome based indicators
FRS GG PA
BASIC UNIT OF SERVICE
Family Care Plan
- Use of Nursing process
- APIE
a. Assessment – data collection via
interview, observation.
 First Level Assessment
What are the problems?
-Wellness of State – Healthy
-Health Deficit – with
disease/disability
-Health Threat – situations that make
you high risk for injury or illness.
Foreseeable Crisis- Stress point in the
future, anticipated problem that can
cause adjustment in life
(Developmental (pinagdadaanan sa
buhay, retirement of work) or Social
Problem (nawalan ng trabaho) in
nature)
 Second Level Assessment –
inability (why problems)
IMPLEMENTATION
EVALUATION – outcome of care; if successful
ang outcome or not QAE (quality assurance
elements.
3 ELEMENTS
Structural elements – pertains to physical
settings  may health center ba o wala
3M Man Power, Money, Man Power
Outcome elements – changes resulting from
Nursing Intervention
Ex. From 39C to 38C
Process elements – steps on the nursing
process itself, checks on procedure ‘APIE’
EDUCATION
Competency-Based Teaching
- Learning is an intellectual and emotional
process
- Learning is facilitated when experiences have
meaning to the learner – mas mabilis ka
matuto kapag ang isang bagay meron ka nang
previous encounter
- Learning is an individual matter: ensure
mastery of compensation sustained actions
CHLOROQUINE – (+) Malaria – secondary
CHLOROQUINE 1 wk before going to Palawan –
primary (prevention, prophylaxis)
Determine if the area is endemic of malaria –
screening (secondary)
Insecticide Treated Mosquito Net – prevent malaria
and dengue (primary)
IMCI – secondary
Low Fat Diet- Primary
Low Fat Diet after cholecystectomy – Tertiary
Regular Insulin to Hyperglycemia – Secondary
Daily Insulin for Diabetes – Tertiary
Operation Timbang – Secondary
Avoid carcinogenic - Primary