Community Health Nursing
Rhea Mallari-Espenorio RN,MAN
NEW Classification of HOSPITALS and other health facilities
NEW HOSPITAL CLASSIFICATIONS:
1.General Hospital:
provides services for all kinds of
illnesses, injuries, deformities
Example: PGH, QUEZON CITY GEN. HOSP.
2.Specialty Hospital:
Provides services for a
specific disease or condition or
type of patient such as:
children,
women,
and other groups
Example: National Childrens Hospital,Fabella Hospital
NCMH, San Lazaro Hospital, Phil. Heart Center
Other Health care facilities CLASSIFICATIONS:
Category A- Primary health care facility
First contact facility
Offers basic services,
Emergency services,
Normal deliveries
Examples:
Health centers,
outpatient clinics,
dental clinics
infirmaries,
lying in clinics
Category B- Custodial Care Facility
Patient with chronic conditions
Provides long term care
Basic services + Food + Shelter
Examples:
Custodial psychiatric facilities
Subtance abuse treatment
Rehab centers, nursing homes
Category C- Diagnostic Facility
Facility for the examination of
human body- laboratory facility
Examples:
Blood service facility
Drug testing laboratory
Newborn screening laboratory
COVID testing facilities
Drinking water analysis
RA 9275 – Clean Water Act
Smoke emission testing centers
RA 8749 – CLEAN AIR ACT
Category D- Out patient Specialized facility
Facility that performs highly specialized procedures
Examples:
Dialysis clinic
Ambulatory surgical clinic
Cancer clinic
Rehabilitation clinic
RA11223:Universal Health Care Act
An Act instituting Universal Health Care for All Filipinos
(Kalusugan Pangkalahatan)
Universal Health Care Is focused on Economically
Disadvantage Filipinos
Gives all Filipinos equal access to
quality and affordable health care services
Free basic accomodation to public hospitals
Free medical consultation
Free laboratory test
Free basic maintenance medication
Automatically enrolls all Filipino citizens in the
National Health Insurance Program
To be administered by the PhilHEALTH
signed by: Pres. Duterte Feb. 20, 2019
SAVE YOUR BABIES FROM MENTAL RETARDATION HAVE
NBS DONE
Legal Basis:
Republic Act 9288 otherwise known as
“Newborn Screening Act of 2004”
What is Newborn Screening?
To find out if your baby has a
congenital metabolic disorder that may lead to
mental retardation and
even death if left untreated.
When is Newborn Screening done?
Ideally done on the 48th hour of life
upto 2 weeks after birth
How is Newborn Screening done?
Heel prick method,
a few drops are taken from the baby's heel and
blotted on a special absorbent filter card.
The blood is dried for 4 hours and
sent to the Newborn Screening Laboratory
Who will collect the sample for Newborn Screening?
A physician, a nurse, a midwife or medical technologist
Where is Newborn Screening Available?
(Hospitals, Lying-ins, Rural Health Units and Health Centers).
What are the common disorders included in the Newborn Screening
Package?
1.Congenital Hypothyroidism (CH)
2. Congenital Adrenal Hyperplasia (CAH)
3. Galactosemia (GAL)
4. Phenylketonuria (PKU)
5. Glucose-6-Phosphate Dehydrogenase Deficiency (G6PD)
CO-PAR
CO emphasis:
strengthening the community members capability in:
problem solving and decision making skills
necessary for self reliant development
PAR OBJECTIVES
To encourage consciousness of the suffering
To empower people to determine the cause of their problem
To analyze these problems
To develop competence for changing their own situation
To act by themselves in responding to their own problems
COPAR PHASES:
I.Pre-entry Phase
Activities include:
Dialogues and courtesy call with the MAYOR
Preliminary social investigation (PSI)--- Review of records
Training and Orientation of CO-PAR staff
Area/Site selection
COMMUNITY PROFILING
OCULAR SURVEY
II. Entry Phase
Activities include:
Courtesy call to the Brgy.Captain
Integration/Immersion with the community
Core group formation:
a.Development of criteria for the selection of a
core group members /potential leaders:
b.Defining roles and functions of the core group
Conduct (SALT)
Deepening Social Investigation (DSI: identify the pressing needs
III. Community Diagnosis Phase
Activities include:
a. Selection of the research team
b.Training on data collection
c. Planning for the actual gathering of data
d. Data gathering
e. Training on data tabulation
f. Community tabulation
g. Analyzing data
h. Presentation of the community study/ diagnosis and
recommendations
i. Prioritization of community needs/ problems for action
IV. Community Organization
Activities include:
a.Community meetings to draw up guidelines for the CHO
b.Election of officers
c.Development of management systems:
(Delineation of the roles,functions and task of officers)
d.Training of Leaders
e.Team building Exercises
f. A-R-A-S
V. Community Action Phase
Activities include:
a. Exercise of people’s power
b. Organization and training of (BHWs):
c. PIME of health services
d. Setting up of linkages/ network/ referral systems
e. Resource mobilization
VI. Sustenance and Strengthening Phase
Activities include:
a. Formulation and ratification of constitution and by-laws
b. Identification and development of “ secondary” leaders
c. Setting up of a financing scheme
d. Continuing Education and training of BHW
e. Negotiate for the absorption of BHW
f. Development of long term Community health devt. Plans
g. Formalizing linkages, networks and referral systems
VII. TURN-OVER and PHASE-OUT
After 5 years of activities the nurse gradually prepares for:
a. Turn over of work
b. Subsequent follow up of the organizations activities.
c.Transfer of Community Organizing roles and responsibilities and
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