COMMUNITY HEALTH NURSING

UNIT 1 – CHN: An overview

A. COMMUNITY

Community- a group of people w/ common characteristics or interest living together w/n a

territory or
geographical boundary.
-place where people are found.
Community as the client/patient in CHN ( client- well; patient- sick)

World Views on Community:

1. Family, Community & Society – an integral part of society & is composed of families

Family- Intra-Familial Community- Intra-community Society- Intra-

Societal
Inter-Personal (self) Inter-Familial -
parochial , Inter-community
-strong
regional, parochial,

2. Contraindications/ Conflicts –always present in the community (there is a solution)

3. Change – comm. Is always in a state of continuous movement & change. Dev.t onward &
upward movement.

Community As Setting in CHN Practice:

- (as a setting) place where people under usual or normal conditions are found (ex.
School, Homes, Work)
- Outside of purely curative institutions (hospital is not a part of population)

*Hospital not included d/t/: > centers for wellness as an element in PHC
> health promotion& disease prevention projects
(Sentrong Sigla Movement)
> vital element in the comm.-based-referral network

B. HEALTH

1. *Health-Illness Continuum Model

• Degree of client wellness ranging from optimum wellness to death
• Dynamic state, matters as a person adopts to changes in internal & external
environment to maintain a holistic well-being
Ex. Coital Debut- sex before age 20- increase cervical CA

Ex. Optimal Wellness Death

=
Dynamic State
External environment--------Political
(macrosystem) Economic
Socio-cultural -----Attitudes

2. High- Level Wellness Model

• Maintain a continuum balance & purposeful direction with env't.
 • Involves progress to a higher level of functioning , an open-ended & ever-expanding
challenge to live to the fullest potential

Ex. 1978------ UNICEF & WHO- Alma Ata, Russia

- global health situation
- Strategy/ approach: PHC
- Goal: HEALTH FOR ALL BY 2000 (old)
1979 – Phil. LOI # 949 in relation to the Alma Ata declaration
- PHC as the Thrust of DOH

VISION of DOH- HEALTH FOR ALL BY 2000 & HEALTH IN THE HANDS OF
THE PEOPLE BY 2020
MISSION- In partnership w/ the people, provide equity & access to quality health
services to the
marginalized.
VISION & GOAL- same with DOH, PHC program
1994- Riga----HEALTH FOR ALL BY 3000 AND BEYOND!
3. Agent-Host Environment Model- (EPIDEMIOLOGIC)
- Refers to the interplay of the agent (causative etiologic factor), host (w/ intrinsic
factor) & env’t.
- Requires the individual to maintain a continuum of balance & purposeful direction w/
env’t.
Ex. Etiologic factor of Dengue? ---virus