Dr. Kailash Nagar Assist. Prof. Dept. of Community Health Nsg . Dinsha Patel College of Nursing, Nadiad Introduction of Public Health Nursing
Welcome into your next milestone of your journey in the nursing filed.
Life is a Journey Not a Destination
Certificate course in Community Health (CCCH)
Certificate course in Community Health (CCCH) Total Duration- 6 Months Start from- August to February-2020 After 6 month an exam will be conducted About this course Under AYUSHYAMAN Bharat , Government of India is planning to convert all sub centers in the country as Health and Wellness Center to provide Comprehensive Primary Health Care.
Human resources are key to success of any intervention.. To Operationalize these HWC, a Mid Level Provider will be posted at these centers. Certificate Course in Community Health is designed to train these MLPs by IGNOU/GOI. In Gujarat, this course is offered by IIPHG University (Indian Institute of public health Gandhinagar ) in coordination with State Institute of Health and Family Welfare, Government of Gujarat
Module 1 Basics of Community Health Services and Primary Health Care Unit No Topic Unit 1 and 2 Introduction to Public Health, Community Health and Health Care delivery in India 3 Environment including WASH 4 Basics of Epidemiology and Disease Surveillance 5 Demography 6 and 7 Basics of Data management , Presentation and Interpretation
Module 2 Primary Health Care in Common conditions Unit No Topic Unit 1 Community Health Nutrition 2 Communicable Diseases 3 Non communicable diseases 4 RMNCH+A ( Reproductive, Maternal, Newborn, Child Health+ Adolescent) 5 Common Clinical Conditions at Primary Health Car 6 Essential Drugs
Ch. No. Title Module-3 1.1 History taking & patient examination skills 1.2 Laboratory Skills 1.3 Drug Dispensing Practices 1.4 Documentation Skills 1.5 Universal work precaution / Standard precaution in health care 2.1 A RMNCH+A (Maternal and Reproductive health components) 2.1 B RMNCH+A (Neonatal, Child and Adolescent health components 2.2 A Communicable diseases – 1 2.2 B Communicable diseases – 2 2.2 C Non-communicable diseases – 1 2.2 D Non-communicable diseases – 2 2.3 Nutritional Assessment 2.4 A Mental and Oral health 2.4 B Dermatology, Eye and ENT Health 2.5 First Aid, Basic Life Support (BLS) 2.6 Geriatric and Palliative care
Module-3 3.1 Community Need Assessment Approach (CNAA) 3.2 Behaviour Change Communication (BCC) and other soft skills 3.3 Organizing Special Clinic 3.4 Investigation of an outbreak 3.5 Data and IT Skills 3.6 Yoga and Health
Module 4: National Health Programs and Policies Unit No Topic Unit 1 Introduction to NHM 2 National Programs for communicable diseases and non-communicable diseases. 3 National Nutrition Programs 4 National programs on maternal child and adolescent health 5 National Disease surveillance system.
Module 5: Management Leadership and Communication in Public Health Practice Unit Topic Unit 1 Program Management 2 Health Management Information System 3 Work Management and Administration 4 Quality of Care 5 Health Promotion including Health Communication, Community Mobilization and Ensuring Wellness 6 Grassroots Leadership 7 Finance Management
Public Health The “Big Picture”
What is Public Health? The sum of all official or governmental efforts to the people’s health. promote , protect , and preserve.
Public Health “ The science and art of preventing disease , prolonging life and promoting health and efficiency through organized community effort of society ” -CEA Winslow, 1920 “The process of mobilizing and engaging local, state, national, and international resources to assure the conditions in which people can be healthy” - The Oxford Textbook of Public Health
Public Health “The science and practice of protecting and improving the health of the community, as by preventive medicine , health education , control of communicable diseases, application of sanitary measures , and monitoring of environmental hazards. ” -The American Heritage Dictionary of Public Health
Public Health “ Public health is what we, as a society, do collectively to assure the conditions in which people can be healthy.” - Source: Institute of Medicine Report (IOM). THE FUTURE OF PUBLIC HEALTH. Washington DC: National Academy Press. 1988 . Pub l i c hea lt h i s a s c i enc e an d a r t o f s a v i ng t h e lives of millions at once by single decision or intervention.
Community A social group of any size whose members reside in a specific locality, share government, and often have a common cultural and historical heritage Or is a social group determined geographical boundaries and or common values and interest its member know and interact each other.
Community health nursing Community health nursing is synthesis of nursing practice and public health practice applied to promoting and preserving the health of population. OR Community health nursing is to “assist the Individual, family and community in attaining their highest level of holistic health. To provide and promote healthy life style choices through education, public awareness and community activities.”
Community Health The WHO defines community health as: environmental, social, and economic resources to sustain emotional and physical well being among people in ways that advance their aspirations and satisfy their needs in their unique environment. Community health tends to focus on a defined geographical community. these populations can be local communities, villages , towns districts or as large as states / countries. A large part of Community health is promoting healthcare equity, quality and accessibility.
Community health professionals: Community health professionals: Community health professionals are individuals who try to prevent / promote problems from happening or recurring through implementing educational programs, recommending policies, administering services and conducting research. Hence Community health professionals plays an important role in rendering essential public health delivery.
Public Health is many things A System A Profession A Method Government Service The Health of the Public
Public Health Approach Public Health Model Me di ca l Model V e rsus
Public Health Approach Public Health Model Population Disease Prevention Health Promotion Interventions Environment Human behavior Public (Some private) Medical Model Individual Diagnosis Treatment Intervention Medical care Private (Some public)
11 What physician see s ? W ha t th e p h y si c i a n d o e s n o t s e e ?
Core Functions of Public Health
Core Activities of Public Health (Fn) Prevents epidemics and the spread of disease Protects against environmental hazards Responds to disasters and assists communities in recovery Prevents injuries Promotes healthy behaviors Assures the quality, accessibility and accountability of health services
Monitoring the health status of the population Mobilizing community action Reaching out to link high-risk and hard-to-reach people to needed services Researching to develop new insights and innovative solutions Leading the development of sound health policy and planning Core Activities of Public Health
Ten Great Public Health Achievements Vaccination Motor-vehicle safety Safer workplaces Control of infectious diseases Decline in deaths from coronary heart disease and stroke Safer and healthier foods Healthier mothers and babies Family planning Fluoridation of drinking water Recognition of tobacco use as a health hazard CDC, 1999
Public Health Problems and Diseases Communicable diseases Non communicable diseases Environmental pollution Maternal child health problems Malnutrition and micronutrient deficiency Municipal and hospital waste Geriatric health problems Population problems Measles Influenza P olio m y el i ti Tuberculosis Cholera Dengue Malaria HIV/AIDS Obesity Cancer Diabetes
Public Health Organizations Governmental District health office Public health office Regional health directorate Regional training center Department of health services Ministry of health and population Primary health care institutions Others Academic institutions Research organizations Community development organizations Quality control offices Health training centers Local development offices
A Sampling of Public Health Professions Population, Family Planning & Reproductive Health Maternal Child health Public Health Education and Health Promotion Community health planning and policy development Public health administration Epidemiology and disease control Alcohol, tobacco and other drugs Environmental & occupational health and safety Food and nutrition Gerontological health HIV/AIDS Injury control and emergency health Services International Health Mental Health Oral Health Public Health Nursing School Health Education and Services Women’s health and gender development
Community Health Indicators : Demographic Characteristics and Demographic profile. Socioeconomic Characteristics: Availability of Health Resources: Risk factors in community : Environmental Health Indicators : Social and Mental Health : Maternal and Child Health : Non-Communicable and Communicable Disease :