Professional Documents
Culture Documents
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I.DOH PROGRAM AND HEALTH CONCEPT
Vision:
Mission:
National Objectives:
• Improve the general health status of the population (reduce mortality and morbidity rates etc.)
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•
• Promote healthy lifestyle through healthy diet and nutrition, physical activity and fitness, personal hygiene,
mental health and less stressful life violent and risk-taking behaviour.
• Promote health nutrition of families and especial population through child adolescent, and youth, adult health,
women’s health, elder’s people health, health of indigenous people, health of migrant workers, and health of
the rural and urban poor
• Promote Environment health and sustainable development through the promotion of healthy homes, school
workplaces, establishment and community.
•
•
•
•
•
•
•
DOH GOAL:
General Objective:
FOURmula ONE for Health is aimed at achieving critical reforms with speed, precision and effective coordination
directed at improving the quality, efficiency, effectiveness and equity of the Philippine health system in a manner that is
felt and appreciated by Filipinos, especially the poor.
Specific
Fourmula One for Health will strive, within the medium term, to:
• Secure more, better and sustained financing for health
• Assure the quality and affordability of health goods and services
• Ensure access to and availability of essential and basic health packages
• Improve performance of the health system
1. Launch and implement the Basic Emergency Obstetric Care or BEMOC strategy in coordination with the
DOH –
3. Reduces woman exposure to health risks through parenthood and healthcare packages Essentials Health Services
Packages Available in the Health Care Facilities (every woman has to receive before and after pregnancy and
or delivery of a baby.
4. LGUs, NGOs and other stakeholders must advocate for health through resources generation and allocation for health
services.
• Objectives: to improve the health and nutritional of the infant and young children
CONCEPTS
HEALTH- state of complete physical, mental and social well being, not merely the absence of disease or infirmity
(WHO)
PUBLIC HEALTH
• Prolonging life
1.
2.
3.
HANLON
Public Health is “dedicated to the highest levels of physical, mental and social well-being and longetivity consist with
available knowledge and resources at given time and place.” It holds this goal as its contribution the most effective total
development and life of the individual and hi level of functioning through teaching s society.
JACOBSON states that CHN is a learned practise discipline with the ultimate goal __________________________
__________________________________________________________________________________________________
________________________________________________________________________________________________
RUTH FREEMAN
Special field of nursing that combines skills in of work Public health Nursing and some phases of social
assistance to further community health.
Is a “service rendered by a Professional nurse with community, groups, families and individuals at homes, in health
centers, in clinics, in school, in places for the promotion of health, prevention of illness, care of the sick and rehabilitation.
Political
Safety
Oppression
Behavior
Socio Culture
Economics Habits
Empolyment Mores
Education Ethnic
OLOF Costumes
INDIVIDAUL
FAMILY/GRO
UP Heredity
Environment POPULATION Generic
Air COMMUNITIE Endowment
Water S -Defects
Urban/rural
-strengths
Noise
Health Care -Risks:
Radiation
Delivery Familial
System Ethnic
Preventive Racial
Curative
rehabilitative
Principles of CHN:
1. __________________________________________________________________________________________
2. __________________________________________________________________________________________
3. __________________________________________________________________________________________
4. ___________________________________________________________________________________________
5. __________________________________________________________________________________________
6. CHN nurse works as a member of the health team
7. Periodic evaluation of CHN services is an integral professional growth and CHN must provide for opportunities
for continuing staff education program.
8. The CH nurse is responsible for his own professional growth and CHN must provide opportunities for continuing
staff education program.
9. The CH nurse make use of used of community available resources
10. The CH nurse utilize existing active organizing community group
11. There must be provision for educative supervision in CHN
12. There should be accurate recording and reporting in CHN
Poverty
Poor Education
Reduce Poor Nutrition
Productivity Poor env.
Sanitation
Prone to illness/
disability
NOTES IN PRIMARY HEALTH CARE Page 3
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (pls refer to supplemental notes)
Communicable Diseases
“Tuberculosis is a highly infectious, chronic respiratory disease caused by TB Bacilli. It is one of the 10 leading causes of morbidity
and mortality in the Philippines, which is also known as “Koch’s Disease.”
Key Policies:
Prevention
○ BCG vaccination under the EPI Program
○ Annual identification of at least 45% of its prevalence
○ Public health education re: PTB mode of transmission, methods of control, and importance of early diagnosis
○ Provide outreach services for home supervision of patients in Multi-Drug Therapy and also for preventive treatment of
contacts
Case Finding
○ Direct sputum microscopy for identified TB symptomatics
○ X-ray exam of TB symptomatics who are (-) after 2 or more sputum exam
○ Establishment of passive and active collection points for sputum samples of all identified TB symptomatics, as well as
validation centers to ensure the standard and quality of sputum exam
○ Case finding and treatment services shall be made available in the BHS/RHUs
Treatment
○ All TB cases must be treated for free, on ambulatory and domiciliary (home) basis, except those with acute complications
and emergencies
○ All sputum positive and cavitary cases shall be given priority for short course chemotherapy or SCC for 6 mos.
○ Standard Regimen or SR for a year or intermittent SCC for 6 mos. shall be given to all infiltrative but sputum negative.
Categories: 6 SCC
Patient will be:
Rifampicin Rifampicin
2 mos. on Isoniazid + 4 mos.
Pyrazinamide Isoniazid
8 SCC
Patient will be:
4 SCC
Patient will be:
Rifampicin Rifampicin
2 mos. on Isoniazid + 2 mos.
Pyrazinamide Isoniazid
Rifampicin
1 - Intensive Phase 2 mos. on Isoniazid
Pyrazinamide
Diagnostic: Sputum Exam
if (+), proceed to
Rifampicin
2 - Maintenance Phase + 4 mos. on
Isoniazid
if still (+) TB Colonies proceed to
Rifampicin
3 - Extensive Phase up to 12 mos. on
Isoniazid
What is the purpose of SCC-MDT?
- prevent developing resistance against the three drug combinations
- shorten duration of treatment usually treatment lasts from 5-10 years. With SCC-MDT. tx can be reduced to a minimum
of 6 mos.
- eradicate and completely prevent the relapse of the disease
Part of the “23 in ‘93” is the integrated disease control of TB together with schistosomiasis and malaria through the
formulation of a strategic plan for infectious disease control by specific DOH units.
“Health for More in ‘94” had “Malakas na Baga, Malinaw na Mata” as its strategy National Focus: TB Control Month
► laboratory and drug supplies were available to local governments in 1994 aimed to accelerate case finding and
treatment
Strategies done:
Ensure that every microscopy and treatment center has the ff:
Exnal microscope
Microscopist trained within the last 3 years
A 90% agreement rate in microscopy reading between the microscopist and validator
Available NTP manual of procedures
Drugs for at least 6 months supply
Reagents, sputum cups for at least 6 months
Utilization of an itinerant team composing of at least 2 microscopists, nurse, midwife,
and a medical officer who will stay for 2 – 3 days in far flung communities to identify TB
and start treatment
LEPROSY is a chronic disease of the skin and peripheral nerves caused by Myobacterium Leprae
Key Policies:
- MDT as the core strategy for the National Leprosy Control Program
- Procurement and supply of MDT Drugs, IEC and Training Materials by CDCS
- Health education
- Supervision and Control of leprosy Control Activities
Strategies:
Prevention
- Health Education
- BCG vaccination
- Case Finding
- Validate old registered cases
- Early referral of suspected leprosy patients
- Epidemiologic investigation
Treatment
- Ambulatory
- Domiciliary chemotherapy through the use of MDT as embodied in RA 4073 which advocates home treatment
• Leprosy Patients must be taught ways to prevent secondary injury caused by burns and rough sharp objects
• Emphasize importance of sustained therapy, correct dosage, effects of drugs and the need for medical check-up from
time to time
• Provide mental and emotional support to the families of leprosy patients
• Refer patients as needed
Rehabilitation:
• Imbibe patient’s participation in occupational activities
• Family and community health (PD 304)
o non-segregation of leprosy patients
o counseling and guidance
Leptospirosis · an infectious disease that affects humans and animals, is considered the most common zoonosis in the
world
Causative Agent:
S/S: -high fever -severe headache -chills -muscle aches -vomiting -may include jaundice (yellow skin and eyes) -red eyes
-abdominal pain -diarrhea
MALARIA
· Malaria (from Medieval Italian: mala aria - "bad air"; formerly called ague or marsh fever) is an infectious disease
that is widespread in many tropical and subtropical regions.
Causative Agent: Anopheles female mosquito
Signs & Symptoms:
Treatment: Chemoprophylaxis:
FILIARIASIS
name for a group of tropical diseases caused by various thread-like parasitic round worms (nematodes) and their
larvae
larvae transmit the disease to humans through a mosquito bite
can progress to include gross enlargement of the limbs and genitalia in a condition called elephantiasis
Asymptomatic Stage
Characterized by the presence of microfilariae in the peripheral blood
No clinical signs and symptoms of the disease
Some remain asymptomatic for years and in some instances for life
Acute Stage
Lymphadenitis (inflammation of lymph nodes)
Lymphangitis (inflammation of lymph vessels)
In some cases the male genitalia is affected leading to orchitis (redness, painful and tender scrotum
Chronic Stage
Hydrocoele (swelling of the scrotum)
Lyphedema (temporary swelling of the upper and lower extremities
·Elephantiasis (enlargement and thickening of the skin of the lower and / or upper extremities, scrotum, breast)
Management:
No treatment can reverse elephantiasis
Causative Agent:
Treatment:
DENGUE is a mosquito-borne infection which in recent years has become a major international public health concern..
· It is found in tropical and sub-tropical regions around the world, predominantly in urban and semi-urban areas.
Mode of Transmission: Vector Borne Disease (Mosquito Bite) Aedes aegypti typically Day biting (Early morning and evening)
Aedes albopictus Known as Asian Tiger Mosquito
S/S: (VLINOSPARD)
V
Low platelet
I
N
Onset of fever
Severe headache
TREATMENT:
CONTROL OF CARDIOVASCULAR DISEASE – should be controlled on the 1st trimester, last trimester only
premature delivery
Middle age: CAD (Coronary Artery Disease) and IHD (Ischemic Heart Disease)
CHN Functions:
- Health Education on:
-
-
-
-
-
-
CANCER CONTROL
Types:
- Carcinoma
- Leukemia
- Lymphoma
- Sarcoma
-
Warning Signs of Cancer:
C
A
U
T
I
O
N
U
S
RH – Reproductive Health
Concepts
• Married couple has the capacity to procreate
• RH is the exercise of reproductive rights with responsibility,
• RH includes sexual health for the purpose of enhancement of the life and personal relationship.
• RH includes protection from unwanted pregnancy by access to safe and acceptable F.P method
• RH includes protection from harmful procedure practices and violation
• RH assures accesses to information on sexual to achieve sexual enjoyment.
Goals:
• To archive healthy sexual development and maturation.
• To achieve their reproductive intention.
• To avoid illness, injury, disability, related to sexual and reproduction
• To receive appropriate counselling and care of RH problem
Strategies:
• Used of modern and more effective way of contraceptives
• Provision of RH services in clinics and hospitals
• RH cares focus on adolescent, unmarried, men, etc. Concerned high risk
• Strengthen outreach and referrals
• Prevent specific RH problems
Ten Elements of RH
MATERNAL CARE
Prenatal Care
I-Physical Exam
Wt. Gain - should not exceed 2 lbs. For the first trimester and 11 lbs for the 2 nd trimester and 11 lbs on the 3rd trimester.
BP - should not exceed 30 mm Hg of baseline BP
Heart Rates of Fetus
Respiratory Rates of Mothers
II – Prenatal Check – Up
Services:
1. _______________________________
2. _______________________________
3. _______________________________
4. _______________________________
Cervical Smear – for high risk women with multiple partner – to prevent STD
Health Teaching – personal hygiene, mental health, Nutrition, exercise, avoids sick individuals, avoid taking medication
without prescription.
Services:
1.
2.
3.
4.
1. To many -
2. Too soon -
3. Too sickly –
4. Too Young –
5. Too Old –
-
-
-
Frequent Visit
- 1-7 months – once a month
- 8th month – 2x month
- 9th – weekly until delivery
Mother Child
1. 1.
2. 2.
3. 3.
4. 4.
Succeeding Visits:
Mother
1. Check signs of bleeding and infection
2. Check V/s. Breast Feeding practices
Child
1. Check sucking reflex and breast feeding practice problem
2. Check umbilical Stump for signs of infection
3. Observes s/s of pathological jaundice
Venue of Delivery
1. Home
2. Lying In Centers or Birthing Centers (BEmONC)
3. Hospitals
3’C’s
C
C
C
* the high CHON and mineral content of cow’s milk may overwhelm the newborn’s kidney, thus it still needs to be
diluted. Casein is more difficult to digest
Maternal Care
DOH policy on maternal Care
Grassroots Worker:
• BHW- Barangay Health Workers
• TBA – traditional Birth Attendant (HILOT)
• Record –HBMR-HOME BASED MOTHERS RECORD
FAMILY PLANNING
Objectives:
A. Increase the number of mother of reproductive age participating to contribute to improvement of mother and
child health and reduction of fertility by:
• Expanding the program coverage
• Quality Service Provision
B. Promote Value of:
• Responsible sexual behaviour
• Delayed marriage
• Promote safe motherhood
• Child survival
• Counteracting trend toward abortions
C. Strengthening
• Management
• Logistics
• Research
• Training
• Important objectives
• Reduce High Risk
• Reduce total fertility Rate
Components:
1. Service Delivery
•
•
•
2. Information, Education, Communication and Motivation- sustained public awareness on responsible parenthood
and health and family welfare.
3. Training – upgrade skills of health workers
4. Research and Development –
5. Monitoring and supervision –
FAMILY PLANNING METHOD – couples decision/ whatever fits/suits with the patient.
1. Permanent
A. Female – BTL- Bilateral Tubal Ligation –
b. Cutting or blocking two fallopian tubes (BTL)
c. 99.5% of effectiveness
B. Male (Vasectomy)-
Effective 3 months after sterilization,
B. Non Permanent
A. Pill
G. Sympto-thermal method
a. Combination of BBT and Billing/Mucus method
b. 9% to 80% effective
H. Two day method
a. Simple fertility awareness based method
i. Cervical secretions as an indicator of fertility
ii. Checking the presence of secretions daily
b. 86% to 96.5% effective
I. Standard days method
a. Users with menstrual cycle between 26 and 32 days are counseled to abstain from SI on days 8-19 to
avoid pregnancy
b. 88% to 95% effective
• Safe and immunologically effective to administer all EPI vaccine on the same day at different sites of the body
• Measles vaccine should be given as soon as the child is 9 months old
• 9 months – 85% protection
• 1 year above – 95% protection
• Vaccination schedule should not be restarted from the beginning even if the interval between doses exceeded the
recommended interval by months or years
• Moderate fever, malnutrition, mild respiratory infection, cough, diarrhea and vomiting are not contraindicated to
vaccination; unless the child is so sick that he needs to be hospitalized
• Absolute contraindications to immunizations are:
• DPT2 or DPT3 to a child who has had convulsions or shock within 3 days the previous dose
• Vaccines containing the whole pertussis component should not be given to children with an evolving neurological
disease
• Live vaccines like BCG must not be given to immunosuppressed due to malignant disease (child with clinical
disease), therapy with immunosuppressive agents or irradiation
• Safe and effective with mild side effects after vaccination. Local reaction, fever and systemic symptoms can result
as part of the normal immune response
• Giving doses of vaccine at less than the recommended 4 weeks interval may lessen the antibody response.
Lengthening the interval between doses of vaccines leads to higher antibody levels
• No extra doses must be given to children who missed a dose of DPT/HB/OPV/TT
• Strictly follow the principle of never, ever reconstituting the freeze dried vaccines in anything other than the
diluents supplied with them
• Repeat BCG vaccination if the child does not develop a scar after the 1 st injection
• Use one syringe one needle per child during vaccination
Immunization Guidelines
• Don’t be burden by the remarks of the mothers on the inconveniences of receiving 3-4 vaccines on the same day.
• Continue giving immunization according to the # of doses even if the interval exceeded by weeks, months or
years.
• No contraindication in giving immunization moderate fever, cough and colds, diarrhea and malnutrition; not
unless the child is assessed by the physician to be serious enough needing hospitalization.
• No BCG to child born positive to clinical AIDS.
• No food 30 min. after OPV; if the child vomits after receiving OPV, give additional drop.
• Contraindication of Vaccination
Schedule:
•
• 1 ½ months:
• 2 ½ months:
• 3 ½ months:
Elements of Immunization:
1. Target setting
2. Cold chains logistic management – ensure that the vaccines will still be potent
3. Information, education and communication (IEC)
Location of Screening:
Hospitals, lying-in centers, RHU and Health Centers
Nutrition Program
Main Objective:
- Aims to promote protect and preserve the nutritional and health status of the Filipino population
particularly the vulnerable group such as infants, pre-schoolers, pregnant and lactating mothers.
Nutrition Program:
- Garantisadong pambata (Apr. 10-24 2000)
- Micronutrients malnutrition
1. VAD-VIT. A DEFICEINCY
Prob:
• Night blindness, bitot’s spot in the eyes-foamy white spot in the eyes
• Crater like defect on cornea (late s/s) decrease result to permanent blindness
- 100,000 iu- (6-11 mos in infants) 200,000 iu 12-83 mos. Vitamin A capsule
Problems:
Tremors
Management:
___________________________________________________________________________________________
__________________________________________________________________________________________
Problems:
S/s:
1.
2.
Management:
-
-
-
-
-
Forms of Malnutrition
MACRO MALNUTRITION
Marasmus - -
Kwashiorkor - -
MICRO MALNUTRITION
Xeropthalmia -
Endemic Goiter - -
Pellagra -
Beriberi -
Rickets -
Scurvy -
Anemia -
Go to your Nearest Health facility for the Garantisadong Pambata package of Services:
1. Immunization
2. Vit. A supplement
3. Deworming
4. Health Information on 9 ways to save your child
Lagundi
Ulasimang-Bato
Bawang
Bayabas
Yerba Buena
Sambong
Akapulko
Niyog-niyogan
Tsaang-gubat
Ampalaya
Parts utilized:
• leaves
Use:
• Anti-fungal: Tinea Flava, ringworm, athlete’s foot and scabies.
Preparation:
• Fresh, matured leaves pounded. Apply as soap to the affected part 1-2 times a day.
• Skin Diseases (dermatitis, scabies, ulcer, eczema) and wounds – prepare a decoction of the leaves. Wash and
clean the skin/ wound with the decoction.
• Rheumatism, sprain, contusion insect bites- pound the leaves and apply on affected part.
• Aromatic bath for sick patients - prepare leaf decoction for use in sick and newly delivered patients.
Stress – a state where one’s coping is not enough to maintain a balance of equilibrium; a state of body disequilibrium.
Sources of Stress:
1.
2.
3.
4. Organizational Problems a. Functionalism c. Low Morale
b. Lack of communication d. Burn out Feeling
12’S
BOTIKA NG BARANGAY
GOAL:
To promote equity in health by insuring the availability and accessibility of affordable safe and effective quality
essential drugs to all, with priority for marginalized, underserved, critical and hard to reach areas.
LIST OF OVER THE COUNTER (OTC) DRUG PREPARATION FOR BOTICA NG BARANGAY (BnB)
1. ANALGESICS/ANTIPYRETICS 13. SOLUTION CORRECTION WATER AND
2. ANTACIDS ELECTROLYTE
3. ANTIHELMINTICS 14. LAXATIVE/CATHARTICS
4. ANTI-HISTAMIN 15. ANTI-SCABIES
5. NON-STEROIDAL ANTI-INFLAMATORY 16. ANTI-ANEMIC
6. (NSAIDs) 17. ANTIFUNGAL
7. ANTI-VERTIGO 18. VITAMINS
8. BRONCHODILATORS 19. VITAINS AND MINERALS
9. DIURRETICS 20. MINERALS
10. ANTITUSSIVE 21. ANTI-INFECTIVES
11. NASAL DECONGESTANT 22. MEDICATION FOR CHRONIC DISEASE
12. ANTI MOTILITY 23. TOPICAL NASAL DECONGESTANT
24. DISENFECTANTS
*Community Organizing Participatory Action Research (COPAR) Please refer to your supplemental notes
COMMUNITY DIAGNOSING
Community
Is a group of people sharing common geographical boundaries and common values and interest. It functions
within a particular sociocultural environment. A physical environment so coping and behaviour varies.
COMMUNITY DIAGNOSING
Community Diagnosis:
• Descriptive research
• Profile general picture of comm., a direct health indicator
• Process by which the people in the connection & Health team assess the community. Health problems & needs as
bases for Health programs development.
• A learning process for the comm. to identify their own H problems & needs
• A profile that deposits the Health problems & potentials of the community
2 Types of Community Dx
Steps:
Preparatory Phase
2. Interview method
• Implementation Phase
1. Data collection-uses instruments
2. Data organization/ collation
3. Data Presentation (narrative, tubular, graphical)
4. Data Analysis
• Median age decrease – young population
• Preferred Pop. – older population—longer life span, less people dying
5. Identification of health problems
6. Prioritization of health problems
7. Development of a health plan
8. Validation and feedback- presentation of results
• Evaluation Phase
1. Process evaluation
2. Product evaluation
Family
The fundamental units of any society, composed of father, mother and children related by blood or marriage.
3. EGALITARIAN- husband and wife exercise a more or less amount of authority, father and mother decides
5. AUTHOCRATIC- only the father or the mother has the power with complete control over the family(Strict policey)
7. MATRICENTRIC- the mother decides/takes charge in absence of the father (e.g. father is working overseas)
I. Assessment
1. Data gathering- first level of assessment
2. initial data(Health Threat, Health Deficit, Foreseeable Crisis, Wellness Deficit)
a. Health Threat- conditions conducive to disease, accidents or failure to realize one’s health potential
- healthy people
- Ex. Family hx of illness- hereditary like DM, HPN
• nutritional problems- eating salty foods
• personal behavior- smoking, self-medication, sexual practices, drugs, excessive drinking
• inherent personality char- short temperedness, short attn span
• short cross infectx
• poor home env't.
• lack/inadequate immunization
• hazards- fire, falls, or accidents
• family size beyond what resources can provide
b. Health Deficits- instances of failure in health maintenance ( disease, disability, dev’tl lag)
3 Types:
a. Disease/ illness- URTI, marasmus, scabies, edema
b. Disabilities- blindness, polio, colorblindness, deafness
c. Developmental Problems like mental retardatx, gigantism, hormonal, dwarfism
II. PLANNING
1. Prioritize the problem
a. Nature of conditions-wellness state, health treat, health deficits and foreseable crisis
b. Modifiability of the problem-probability of success in improving conditions
c. Preventive potentials-refers to probability of minimizing/preventive future problem
Salience
-refers to family perception and evaluation of the problem in terms of serious and urgency of attention needed.
Modifiability:
- Current knowledge, technology and intervention
- Resources of the family
- Resources of the nurse
Preventive Potentials
- Gravity and severity
- Duration of the problem
- Current management
- Exposure to any risk group
III. IMPLEMENTATION
Guide in the selection of nursing intervention:
1. Analyze with the family current situation and determine choices and possibilities based on lived experiences of
meanings and concerns
2. Development / enhance family’s competencies as thinker, doer and feeler
3. Focus on the interventions to help perform the health tasks
4. Catalyst behaviour changes through motivation and support
IV. EVALUATION
Home Visit
Definition: a professional face to face contact made by PHN or RHM to the patient or the family to provide necessary
health care to further the objective of the agency.
Principles of Home Visit: should be “”from the cleanest to the dirtiest case” eg Newborn, Postpartum to morbid case.
Clinic Visit
Patient visits the Health Center to avail of the services thereto offered by the primarily for the consultation on matters that
allied them physically.
Phases
Phase I: Pre Consultation/ Conference Phase II: Consultation / Conference Phase III: Post Conference
1. Pt. Records 1. Rx is Given 1. Schedule of the next visit
2. V/S 2. Treatment and Prevention 2. referral
3. Assessment
4. Record findings
Community Assembly
Phase I: Planning and Preparation Phase II: Assembly Phase III: Evaluation
1. Setting Objectives 1. Presentation of Data and 1. Assessment and result
2. Organizing Community leaders Survey 2. Referral/coordination/networking
and Community 2. Program Presentation 3. Follow-up
Bag Technique
-steps which are carried out by the nurse to facilitate the performance of nursing procedures with ease and deftness
-a tool making use of the public health bag through which the nurse during the visit can perform nursing procedures with
ease and deftness, saving time and effort at the end in view of rendering effective nursing care.
Public Health Bag- essential and indispensable equipment of the Public Health Nurse
Principles: Should minimize if not totally prevent the spread of infection; should save time and effort
Special Consideration: HAND WASHING
Contents of the Bag: BP apparatus and stethoscope are carried separately; medicines also include-
Betadine, 70% alcohol, Benedict’s solution
Place waste paper bag outside the work area to prevent contamination of the work area
Remember the :
Bag -and its contents must be protected from any possible contamination
1. prevention of contamination
- place waste paper bag outside the work areas
2. protection of the caregiver
- clean and alcoholize all articles after use
3. make articles readily accessible
- place the articles in one corner of the work area
4. make follow-up care
- set the date and the time for the next visit
Source of Data:
- Municipal Treasurer
- Civil Register General
- City Health Officer
Types of Record:
- Birth record - record of live birth and fetal death
- Mortality Record – records of deaths, date and causes
- Morbidity Record – CD and important Chronic Disease
- Reportable Disease
6 Quarentinable Diseases:
1. Small Pox
2. Cholera
3. Plague
4. Yellow Fever
5. Typhoid
NOTES IN PRIMARY HEALTH CARE Page 3
6. Relapsing fever
FERTILITY RATE
MORTALITY RATE
Total # of death among all maternal cases in a given calendar year X 1000
Estimated population as of July 1 of the same calendar year
EPIDEMIOLOGY
Basic Concepts:
2. Transmission of CD: Common vehicle, source- serial- transfer- propagated from host to host
3. Incubation period: Entry of pathogens w/ enough infections load , up to appearance of the 1 st s/sx
2. Place
- Extrinsic factors, existence of etiologic factors & exposure & susceptibility of human host,
influenced by extrinsic factors.
3. Time
- Temporal patterns- fluctuations of incidence
Epidemic
• A situation when there is a high incidence of new cases of a specific dse in excess of the expected.
When the proportion of the susceptible are high compared to the proportion of the immunes.
Endemic
• Habitual presence of a disease in a given geographic location accounting for the low number
of both immunes & susceptible.
• Causative factor is constantly available or present to the area
Ex. Malaria, constant
Sporadic
• Disease occurs every now & then affecting only a small number of people relative to the total pop
• Intermittent
Pandemic
• Global occurrence of a disease, bigger population
- Patient epidemic- easily the person can identify the cause
MORBIDITY RATE
1. Prevalence Rate
2. Incidence Rate
3. Attack Rate
Total # of person who are exposed to the disease X 100
Estimated population as of July 1 of the same calendar year
Primary Health Care was adopted in the Philippines through LOI 949 signed by Pres. Marcos on October 19,
1979 and has an underlying theme of “Health in the hands of the People by 2020”
PHC was declared in the ALMA ATA CONFERENCE in 1978, as a strategy to community health development. It is a
strategy aimed to provide essential health care that is:
Community-based
Accessible
Part and parcel of the total socio-economic development effort of the nation
Acceptable
Sustainable at an affordable cost.
Framework
People’s Empowerment and Partnership is the Key Strategy to achieve the goal, “Health For all Filipinos by the
year 2000 And Health in the Hands of the People by the year 2020”
Levels of Care
WHAT DOES ESSENTIAL HEALTH CARE IN PHC MEANS?
It stands for: 2-way referral
NOTES IN PRIMARY HEALTH CARE Page 3
Education of prevailing Health Problems system
Locally-endemic Disease Prevention and Control Goal Tertiary Level
Rehab
Expanded Program of Immunization -National
Health services
Maternal and Child Health and Family Planning Medical and
Environmental Sanitation and Safe Water Supply Training centers
-Regional Medical Centers
Nutrition and Food Supply Secondary
Treatment of Communicable & Non-communicable Diseases/ Conditions Level
Supply and Proper use of Essential Drugs and Herbal Medicine Goal: Curative
-Provincial / City Hospital
Dental Health Promotion -Provincial / City Health Services
Access to and use of hospitals as Centers of Wellness -Emergency / District Hospital Primary
Mental Health Promotion Level
Goal: Promotion of Health and Prevention
Acronym: ELEMENTS + DAM Of Illness
-Rural Health Unit, Barangay Health Station
-Community Hospital and Health Center
-Private Practitioner, Puericulture Center
Pillars (major elements):
A. Multi-sectoral approach
• Intersectoral linkages
• Intrasectoral linkages
B. Community
C. Appropriate Technology
- method used to provide a socially and environmentally acceptable level
of service or quality product at the least economic cost.
Criteria: Feasible
Acceptable, Affordable
Complex Tertiary Level
Effective
Safe
MHO
Scope-wise Secondary
PHN
Primary
RHM
BHM
SI
Concept of PHC is characterized by;
PHC is a strategy
which focuses responsibility for health on the individual, his family and the community
towards the development of self-reliant people, capable of achieving an acceptable level of health
and well being
PHC recognizes the interrelationship between health and the overall political, socio-cultural and
economic development of society
b. PHN
c. RSI
d. RHM