The Public Health Intervention

Wheel application

Under Supervision
prof / Mahbouba Sobhy

Prepared by
Fatma Mohamed Mohamedy
3rd master
2023
The Public Health Intervention Wheel (PHIW) model was developed by
Public Health Nurses in Minnesota in 1988 through a collaborative
process and a synthesis of relevant literature to define the scope of public
health nursing practice (Keller et al., 2004a; Minnesota Department of
Health Division of Community Health Services Public Health Nursing
Section, 2001). The PHIW encompasses three levels of practice
(community, systems, and individual/family) and graphic color-coded
wedges illustrate 17 public health nursing interventions. All are
population-based
Application to COVID-19 pandemic:
(red wedge)

Scenario: Influenza Outbreak in a Community

1. Surveillance:
 Monitor influenza cases in the community, gathering data on the
number of cases, affected demographics, and locations of outbreaks.
2. Disease and Health Event Investigation:
 Investigate the source of the influenza outbreak, analyze patterns of
transmission, and identify risk factors contributing to the rapid spread.
3. Outreach:
 Develop an outreach campaign to educate the community about the
symptoms of influenza, modes of transmission, and preventive
measures, such as vaccination.
4. Screening:
 Implement influenza screening clinics to identify individuals with
symptoms and provide guidance on appropriate care and isolation.
5. Case Finding:
 Identify and trace contacts of confirmed influenza cases to prevent
further transmission within households and communities.
Green wedge

6. Referral and Follow-up:

 Collaborate with healthcare providers to refer individuals with severe
symptoms to medical care and ensure follow-up for those who have
been treated.
7. Case Management:
 Provide case management for individuals with severe or complicated
influenza cases, coordinating care and support services.
8. Delegated Functions:
 Train community health workers to assist with contact tracing,
symptom monitoring, and education about preventive measures.
blue wedge

9. Health Teaching:
 Conduct educational sessions on proper hand hygiene, respiratory
etiquette, and the importance of getting vaccinated against influenza.
10.Counseling:
 Offer counseling to individuals and families affected by the influenza
outbreak, addressing concerns, reducing stigma, and promoting
adherence to public health recommendations.
11.Consultation:
 Consult with local healthcare facilities to ensure adequate resources,
including testing kits and antiviral medications, are available to
manage the outbreak.
orange wedge

12.Collaboration:
 Collaborate with schools, workplaces, and community organizations
to implement infection control measures and share information on
preventing the spread of influenza.
13.Coalition Building:
 Build coalitions with local businesses, community leaders, and
healthcare providers to coordinate a unified response to the influenza
outbreak.
14.Community Organizing:
 Mobilize community members to participate in vaccination clinics,
practice preventive measures, and support those affected by the
outbreak.
yellow wedge

15.Advocacy:
 Advocate for increased vaccination coverage, improved access to
healthcare services, and policies that support paid sick leave to reduce
the risk of influenza transmission.
16.Social Marketing:
 Utilize social media, posters, and other communication channels to
disseminate clear and accurate information about influenza prevention
and control.
17.Policy Development:
 Advocate for policies that promote rapid response to communicable
disease outbreaks, including clear guidelines for isolation, quarantine,
and resource allocation.