IMPLEMENTING

FAMILY CARE
PLAN
This particular lesson is divided into 5 topics:

Lesson 5.1: Categories of Intervention

Lesson 5.2: Evaluation
Lesson 5.3: Tools of Public Health Nurse
Lesson 5.4: Types of Family Nurse Contact
Lesson 5.5: Inter Professional Care in the Community
Family Nursing Care Plan (FNCP)

● The nursing care plan focuses on actions

which are designed to solve or minimize
existing problem.
● The nursing care plan is a product of a
deliberate systematic process. The nursing
care plan, as with all plans, relates to the
future. ...
● The nursing care plan is based upon
identified health and nursing problems.
A. Implementing Family Care Plan
❏ The step when the family and/or the
nurse execute the plan of action.
❏ Is determined by the mutually agreed
upon goals and objectives and the
selected courses of action
BARRIERS TO IMPLEMENTATION
❖ Family related:
➢ Apathy
➢ Indecision
❖ Nurse related: nurse’s behavior such as:
➢ Imposing ideas
➢ Negative labeling
➢ Overlooking family strengths, and
➢ Neglecting cultural and gender implications of
family interventions (Friedman 1998)
Categories of Intervention
An intervention is something that comes between two things or
something that changes the course of something. It can be a
combination of program elements or strategies designed to produce
behavior changes or health status in the among individuals or in the
family or an entire population. Interventions may include education
programs, new or stronger policies, improvement in the
environment or a health promotion campaign. Depending on the
needs as well as the goals and objectives of the identified family,
intervention or interventions may range from simple or immediate
to complicated or prolonged.
3 Categories / Types of Nursing Interventions (Freeman and Heinrich. 1981)

1. Supplemental interventions – actions that the nurse performs

in behalf of the family when it is unable to do things for itself
Ex: Providing direct nursing care to a sick member of the family
2. Facilitative interventions – actions that removes barriers to
appropriate health action.
Ex: Assisting the family to avail of maternal and child care services
3. Developmental interventions – aim to improve the capacity of
the family to provide for its own health need.
How to help the family perform the health tasks:

1. Assist or help the family recognize the problem

2. Guide the family on how to decide on appropriate health actions to take
3. Develop the family’s ability and commitment to provide nursing care to
its members.
4. Enhance the capability of the family to have a home environment
conducive to good health maintenance
5. Facilitate the family’s capability to utilize community resources for
health care.
How to help the family perform the health tasks:

a. Assist or help the family recognize the problem.

Examples of nursing interventions to enhance the family’s ability to recognize

its health needs and problems include:

● Increasing the family’s knowledge on nature, magnitude and cause of the

problem.
● Helping the family see the implications of the situation or the consequences
of the situation.
● Relating health needs to the health and non-health goals of the family.
● Encouraging positive emotional attitude toward the problem by affirming the
family’s capabilities and providing information on available options.
How to help the family perform the health tasks:

b. Guide the family on how to decide on appropriate health actions to take.

This can be done through:

● Identifying and discussing with the family the courses of action available
and the resources needed for each
● Discussing the consequences of each course of action
● Analyzing with the family the consequences of inaction
How to help the family perform the health tasks:

c. Develop the family’s ability and commitment to provide nursing care to

its members.

The nurse can increase the family’s confidence in providing nursing care to its
sick, disabled and dependent member through demonstration and practice
sessions on procedures, treatment or techniques using readily available materials,
equipment and other resources.
How to help the family perform the health tasks:

d. Enhance the capability of the family to have a home environment

conducive to good health maintenance.

The nurse can teach or demonstrate to the family competencies or steps to

have a healthy and home environment through environmental modifications or
management to eliminate or minimize health threats.
How to help the family perform the health tasks:
e. Facilitate the family’s capability to utilize community resources for
health care.

This involves use of available resources through coordination, collaboration,

and teamwork.
Categories of Intervention
● Promotive –tending or serving to promote measures promotive of good
health.
● Preventive – a medicine or other treatment designed to stop disease or ill
health from occurring.
● Curative – remedy
● Rehabilitative – Health care services that help you keep, get back, or
improve skills and functioning for daily living that have been lost or impaired
because you were sick, hurt, or disabled. These services may include physical
and occupational therapy, speech-language pathology, and psychiatric
rehabilitation services in a variety of inpatient and/or outpatient settings.
Evaluation
Evaluation
● Determining the value of nursing care that has been given to a
family.
● The product of this step is used for further decision making, to
terminate, continue or modify the intervention/s.
● Well formulated goals and objectives in the nursing care plan
serve as the framework for evaluation
Well formulated goals and objectives in the nursing care plan serve
as the framework for evaluation.
Evaluation
Evaluation methods:
● Direct observation
● Interview
● Oral or written tests
● Health and/or physical examination
● Record review
TYPES OF EVALUATION: (Maurer and Smith, 2009)

1. Formative Evaluation
○ Judgment made about effectiveness of nursing interventions
○ Ongoing and continuing
○ Results guide the nurse and family in updating plans
2. Summative Evaluation
○ Determining the end results of family nursing care and
usually involves measuring outcomes or the degree to which
goals have been achieved.
Aspects of evaluation that are useful in family health care

❖ Effectiveness - The determination of whether goals and

objective were attained. It answers the questions:
➢ “Did we produce the expected result?
➢ “Did we attain our objectives?”
❖ Appropriateness - The suitability of the goals/objectives and
interventions to the identified family health needs. It answers
the question:
➢ “Are our goals/objectives and interventions correct in relation to
the family health needs we intend to address?”
Aspects of evaluation that are useful in family health care

❖ Adequacy- The degree of sufficiency of goals/objectives and

interventions in attaining the desired change in the family. It
answers the question:
➢ “Were out interventions enough to bring the desired change in
the family?”
❖ Efficiency- The relationship of resources used to attain the
desired outcomes. It answers the question:
➢ “Are the outcomes of family nursing care worth the nurse’s time,
effort and other resources?”
 SAMPLE EVALUATION PLAN:

OUTCOMES EVALUATION EVALUATION EVALUATION

STANDARDS
CRITERIA/

INDICATORS

METHOD TOOL/DATA
SOURCE
Goal: Improve the Weight (as
nutritional status nutritional status Increase at least Weighing scale,
of the criterion) Weight Early Childhood
1 kilogram in six Monitoring
one-year-old Care and
weeks
family member Development
Card for 0-6
years.
 SAMPLE EVALUATION PLAN:
OUTCOMES EVALUATION EVALUATION EVALUATION
STANDARDS
CRITERIA/

INDICATORS
METHOD TOOL/DATA
SOURCE

Objectives:
Dietary history
The family will be Performance taking Food recall form
able to: Criteria/Indicators Correct or food frequency
: identification of record
1. Provide inadequacies in
adequate care to 1.a Identify intake of specific
the one-year-old inadequacies in macronutrients,
member specific nutrients vitamins and
generated from minerals critical
the baseline to growth, bone
dietary intake of Record review
development and
the child. strong immune
system
 SAMPLE EVALUATION PLAN:

OUTCOMES EVALUATION EVALUATION EVALUATION

STANDARDS
CRITERIA/

INDICATORS

METHOD TOOL/DATA
SOURCE
1.b Prepare meals
based on cycle Accurate Menu plan
Observation
menu plan application of
Daily Nutrition
Guide Pyramid Performance
for Filipino evaluation
children 1-6 Checklist
years.
 SAMPLE EVALUATION PLAN:
OUTCOMES EVALUATION EVALUATION EVALUATION
STANDARDS
CRITERIA/

INDICATORS
METHOD TOOL/DATA
SOURCE

Record Review
1.c Feed the child Estimated food
based on agreed Preparation of Observation and record
upon quality and meals guided for performance
Interview
quantity of food principles such evaluation
as nutrient checklist
preservation,
increased variety
and appealing to
taste
 SAMPLE EVALUATION PLAN:

2. Utilize Bring the child to Clinic follow up at Record Review Early Childhood
community the health least once during Care and
resources for center/clinic for the month Development
care regular early Card for 0-6 years
childhood growth old
monitoring and
care.

METHOD TOOL/DATA
SOURCE
Documentation:
The family nursing care plan is a written guide of the nurse and family to
ensure a systematic approach to plan behavior change.
Tools on how to set to set up a record keeping system:
1. The Family Service and Progress Record (FSPR)
2. Used of the Family Service and Progress Record
3. Charting Nursing Care
4. Progress Notes
5. Client Responses/ Outcomes
 Tools of Public Health Nurse

The Nursing bag or the PHN bag is an important tool during home
visit. It is used by the nurse during home and community visits to be able
to provide care safely and efficiently. In the community, even in many
urban areas, the nursing bag has been synonymous to the nurse in much
the same way that the stethoscopes have been identified with a doctor.
Contents of the bag depend on the type of services is to deliver to the
community or to the homes. Aside from the obvious reason that it is a
case or container for items needed for nursing care, the nursing bag also
serves as reminder of the need for hygiene and other measures to
prevent spread of disease or infection.
CONTENTS OF THE BAG
● Soap in a covered soap dish and
*articles of infection control:
linen or disposable paper towel for
hand washing
● Apron
● Bottles of antiseptics
● Sanitizers

● Body thermometer of family

*articles for assessment:
members
● Measuring tape
● Newborn weighing scale
● Portable diagnostic aids
● Items for Benedict’s test
CONTENTS OF THE BAG

● Adhesive tapes
*articles for nursing care
● Bandage
● Scissors

● Or lining the soap dish if the home

*clean articles
sink is used

● And for lining the bag, and folded

*pieces of paper
paper to be used as waster
receptacle if needed

Note: stethoscopes and sphygmomanometer are carried

separately
General Principles in the use of the Nursing Bag:

● Bag technique helps the nurse in infection control

The proper use of the bag allows the practice of medical
aseptic technique during the home visit where the family members
and the articles in the home are considered potential sources
infection. The nurse protects herself or himself and the nursing
bag and its contents from contaminations. The nurse uses the bag
technique as live demo to the family of practical method of
infection control such as hand washing.
General Principles in the use of the Nursing Bag:

● Bag technique allows the nurse to give care efficiently

It saves time and effort by ensuring that the articles
needed for nursing care available. It is important for the
nurse to check the contents of the bag (Is it complete? Are all
functioning well?) before any home visit. The bag is
constructed to allow efficient arrangement of the contents.
Articles must be arranged according to use, with the article to
be used first placed on top.
General Principles in the use of the Nursing Bag:

● Bag technique should not take away the nurse’s focus

on the patient and the family
The nursing bag is simply a tool in providing care.
General Principles in the use of the Nursing Bag:

● Bag technique may be performed in different ways

There may be variation in using the bag technique
because of agency policies and the home situation.
However, principles of asepsis are of the essence and
should be practiced at all times.
For infection control, the following activities should be practiced during
home visits and as part of the bag technique:

● Remember to proceed from clean to contaminated

● The bag and its content should be well protected from contact
with any article in the patient’s home
● Line the table/surface with paper/washable protector
● Wash your hands before and after each physical assessment
physical care
● Bring out only the articles needed for the care of the family
● Do not put any of the family’s articles on your paper
lining/washable protector
For infection control, the following activities should be practiced during
home visits and as part of the bag technique:

● Whenever possible and as necessary, wash your articles

before putting them back into the bag. If this is not
possible, wrap them properly to prevent contaminating
the bag
● After using an article such as an apron, fold the
contaminated side inward
● Wash the inner cloth lining of the bag as necessary
Types of Family Nurse Contact
The family-nurse relationship is developed through family-nurse
contacts, which may take the form of clinic visit, home visit, group
conference, telephone contact, written communication, messages via
text, messenger, viber, and other social media text messaging
platforms. The nurse uses the type of family nurse contact or
contacts that is or are most suitable to the situation or purpose.
Major criteria for selecting the type of family-nurse contact:
● Effectivity
● Efficiency
● Appropriateness
Types of Family Nurse Contact
● Clinic visit – may take place in a private clinic, health center, barangay center
or in a mobile clinic. Major advantage is the fact that a family member takes
the initiative of visiting the professional health worker indicating the family’s
willingness to take part in the health care process. It also allows the nurse to
maximize resources – the nurse has the opportunity to use equipment that
cannot be taken to the home; other team members in the clinic can be called
upon to help or provide additional service. And yes, it is less expensive to the
nurse.

● Group conference – provides an opportunity for initial contact between the

nurse and target families. Example is a conference of mothers in the
community. It may take place at a clinic, health facility or in a social hall in the
community. This type of family-nurse contact is appropriate for developing
cooperation, leadership, self-reliance, or community awareness among group
members. However, attendance in group conference is affected by
motivation and availability of the target family members. The nurse,
therefore, my not be able to reach the family in greater need of help.
Types of Family Nurse Contact
● Telephone conference – if resources are possible, telephone conference via
landline or cell phone provides easy access between the nurse and the family.
Telephone conference maybe effective, efficient and appropriate if the
objective is immediate access to data and there are problems of distance or
travel time. Telephone calls affords easy access to data like monitoring of
health status, or progress during acute phase of illness, updates on response
to care or treatment. However, information transmitted through telephone
may be limited. Accurate assessment of family conditions usually requires
face-to-face contact.
● Written communication – less time-consuming option for the nurse in
instances that there are priority families needed follow-up. This type of
family-nurse contact is usually used to give specific information to families.
Example is instruction given to parents through their children. One problem
with this is there is no assurance that the information is received by the
intended recipient.
Types of Family Nurse Contact
● School visit – this can also be a school conference. This provides the
opportunity to work with the family and school authorities on how to
determine the degree of vulnerability of children and adolescents to health
risks, hazards or adjustment problems. This also offers the chance to work
out interventions needed.
● Industrial plant or job site visit – is done when the nurse and the family
need to make an accurate assessment of health risks or hazards in the
workplace, and work with the employer or supervisor on what can be done to
improve on provisions for health and safety of workers.
● Home visit – professional and purposeful interaction that takes place in the
residence of the family. It is one where instead of the family going to the
nurse, it is the nurse going to the family
When the nurse makes a home visit:
● Resources
● Promotes family participation and focuses on the family as a
unit
● Teaching families in their homes is easier
● Personalized home visit gives the family a sense of self
confidence in themselves and the agency
ADVANTAGES OF HOME VISIT
● Allows first hand assessment of the home situation
● The nurse is able to seek out previously unidentified needs
 Phases of Home visit:
❖ Pre visit phase- nurse contacts family, determines family’s willingness for a home visit, and sets an
appointment
❖ In-home phase – begins as soon the nurse seeks permission to enter the house and ends when the
nurse leaves the family’s home
Three Phases of In-Home:
1. Initiation- Upon entering the room, the nurse acknowledges the family member/s with a
greeting and introduces and the agency the nurse represents. To establish rapport, the nurse
initiates a short social conversation. Then state the purpose of the visit and the source of
information.
2. Implementation- It involves the application of the nursing process--- assessment, provision of
direct nursing care as needed and evaluation.
3. Termination – This consists of summarizing with the family the events during the home visit
and setting a subsequent home visit or another form of family nurse contact such as clinic visit.
This is also the time for record findings, such as vital signs of family members and body weight.
❖ Post visit phase – takes place when the nurse has returned to the health facility and does the
documentation of the visit.
Specific Principles in Planning a Home Visit:

1. The home visit should have a purpose - The nurse is the guest in
the family and not for social reason and should be therapeutic.
(Maurer and Smith,2009)
2. Use information about the family collected from all possible
sources such as records, other personnel and/agency or
previous contacts with the family.
3. The home visit plan focuses on identified family needs,
particularly needs recognized by the family as requiring urgent
attention.
4. The client and family should actively participate in planning for
continuing care.
5. The plan should be practical and adaptable
Purposes of Home Visit:
1. To have a more accurate assessment of the family’s living
conditions and adapt interventions accordingly.
2. To educate the family about measures for health promotion,
disease prevention and control of health problems.
3. To prevent the spread of infection among family members and
within the community.
4. To provide supplemental interventions for the sick, disabled or
dependent family member and whenever possible guide the
family on how to give care in the future.
5. To provide the family with greater access to health resources in
the community by establishing a close relationship with them,
providing information and making referrals as necessary.
 Records in Family Health Nursing

Family health nursing is a nursing aspect of organized family

health care services which are directed or focused on family as the
unit care with health as the goal. To identify health & nursing needs
and problems of each family.
Nursing Records & Reports
● All professional persons need to be accountable for the
performance of their duties to the public.
● Since nursing has been considered as profession, nurses need to
record their work on completion.
● Records are a practical and indispensable aid to the doctor,
nurse and paramedical personnel in giving the best possible
service to the clients.
● Report summarizes the services of the person or personnel and
of the agency.
PURPOSES OF RECORDS
● Supply data that are essential for programmed planning and
evaluation.
● Provide the practitioner with data required for the application of
professional services for the improvement of family's health.
● Tools of communication between health workers, the family &
other development personnel.
● Effective health records show the health problem in the family
and other factors that affect health.
● Indicates plans for future.
● Help in the research for improvement of nursing care.
RECORDS
● A record is a permanent written communication that documents
information relevant to a client’s health care management.
● A record is a clinical, scientific, administrative and legal
document relating to the nursing care given to the individual
family or community.
● Records are a practical and indispensable aid to doctor, nurse
and paramedical personnel in giving the best possible service to
their clients.
● Recorded facts have value and scientific accuracy for more than
mere impression of memory and there are guidelines for better
administration of health services.
PRINCIPLES OF RECORD WRITINGS
● Nurses should develop their own method of expression and
form in record writing.
● Written clearly, appropriately and adequately.
● Contain facts based on observation, conversation and action.
● Select relevant facts and the recording should be neat, complete
and uniform
● Valuable legal documents and so it should be handled carefully,
and accounted for.
● Records should be written immediately after an interview.
● Records are confidential documents.
● Accurately dated, timed and signed
● Not include abbreviations, jargon, meaningless phrases
 VALUES AND USES OF THE RECORDS IN HOSPITAL OR
HEALTH CENTERS
● For the Individual and Family
● Records serve to document the history of the client.
● Records assist in the continuity of care.
● Records serve as evidence to support or to manage or face the legal questions
that arise.
● Records serve to recognize the health needs and can be used as a research
and teaching tool.
VALUES AND USES OF THE RECORDS IN HOSPITAL OR
HEALTH CENTERS

For the Doctor

● Serves as guide for diagnosis, treatment, follow up and evaluation of
services.
● Indicate progress and continuity of care.
● Help self-evaluation of medical practice.
● Protect the doctor in case of legal issues
● Records may be used for teaching and research.
VALUES AND USES OF THE RECORDS IN HOSPITAL OR
HEALTH CENTERS

For the Nurse

● Provide with documentation of services rendered, i.e. shows
health condition of the client.
● Provide data essential for planning and evaluation of services for
further improvement.
● Serve as a guide for professional growth.
● Enable to judge the quality and quantity of work done.
● Serve as communication tool between staff and other members
involved in care.
● Indicate plans for the future.
VALUES AND USES OF THE RECORDS IN HOSPITAL OR
HEALTH CENTERS
For Authorities
● Provide the management with statistical information necessary for
decision in regard to utilization of resources, planning for
administrative control and future references.
● Help the supervisor evaluate the services rendered, teaching done
and a person’s action and reactions.
TYPES OF RECORDS
Cumulative or continuing records
This is found to be time saving, economical and also it is helpful
to review the total history of an individual and evaluate the progress
of a long period.
TYPES OF RECORDS
Family records
● These are records which relate to members of family, should be
placed in a single family folder.
● Gives the picture of the total services and helps to give effective,
economic service to the family as a whole.
● Separate record forms may be needed for different types of
service such as TB, maternity etc. all such individual records
which relate to members of one family should be placed in a
single family folder.
 RECORDS MAINTAINED IN COMMUNITY SETTINGS

1. Forms, case cards and Registers.

● Family record
● Eligible couple and child register
● Sterilization and IUD register
● MCH Card/ register
● Child Card/ register
● Birth and death register
● Sub centers/PHC/clinic register
● Stock & Issue register
● Reports of blood test of Malaria and Filaria
● Malaria parasite positive case register and others
 RECORDS MAINTAINED IN COMMUNITY SETTINGS

2. Diaries
● Diary of (M and F)
● Diary of HA (M and F)
RECORDS MAINTAINED IN COMMUNITY SETTINGS

3. Return - Monthly report of HW ( M and F) Complication report of

HW (M and F) PHC Monthly report In addition, each organization should
maintain:
● Cumulative records
● Family records
The Patient’s Clinical Record

● Records of nurses’ observations –Nurses’ Notes

● Records of orders carried out
● Records of treatment
● Records of admission and discharge
● Records of equipment loss and replacement ( inventory)
● Records of personnel performance.
 IMPORTANCE OF REPORTS
● Good reports save duplication of effort and eliminate the need for
investigation to learn the facts in a situation.
● Full reports often save embarrassment due to ignorance of situation.
● Patients receive better care when reports are thorough and give all
pertinent data.
● Complete reports give a sense of security which comes from knowing
all factors in the situation.
● It helps in efficient management of the ward.
CRITERIA FOR A GOOD REPORTS
● Reports should be made promptly if they are to serve their purpose
well.
● A good report is clear, complete, and concise.
● If it is written all pertinent, identifying data are include the following:
○ date and time
○ people concerned
○ Situation
○ Signature of the person making the report.
● It is clearly stated and well organized for easy understanding.
● No extraneous material is included.
● Good oral reports are clearly expressed and presented in an
interesting manner.
● Important points are emphasized.
TYPES OF REPORTS
Oral reports:
● Oral reports are given when the information is for immediate use
and not for permanency
● E.g. it is made by the nurse who is assigned to patient care, to
another nurse who is planning to relieve her.
Written reports
● Reports are to be written when the information to be used by
several personnel, which is more or less of permanent value, e.g.
day and night reports, census, interdepartmental reports, needed
according to situation, events and conditions.
COMPONENTS OF A PATIENT'S RECORDS INCLUDE:

● Medical records.
● Nursing records/progress notes.
● Medication charts.
● Laboratory orders and reports.
● Vital signs observation charts.
● Handover sheets and admission.
● Discharge and transfer checklists/ letters.
● Patient's assessment forms, such as nutrition or pressure area care
assessment.
NURSES RESPONSIBILITY FOR RECORD KEEPING AND REPORTING

● The patient has a right to inspect and copy the record after being
discharged
● Failure to record significant patient information on the medical
record makes a nurse guilty of negligence.
● Medical record must be accurate to provide a sound basis for care
planning.
● Errors in nursing charting must be corrected promptly in a manner
that leaves no doubts about the facts.
● In reporting information about criminal acts obtained during patient
care, the nurse must reveal such information only to the police,
because it is considered a privileged communication.
● FACT - Information about clients and their care must be functional. A
record should contain descriptive, objective information about what a
nurse sees, hears, feels and smells.
● ACCURACY - A client record must be reliable. Information must be
accurate so that health team members have confidence in it.
● COMPLETENESS - The information within a recorded entry or a report
should be complete, containing concise and thorough information
about a client care or any event or happening taking place in the
jurisdiction of manger.
● CURRENTNESS - Delays in recording or reporting can result in
serious omissions and untimely delays for medical care or action
legally, a late entry in a chart may be interpreted on negligence.
● ORGANIZATION - The nurse or nurse manager communicates
information in a logical format or order. Health team members
understand information better when it is given in the order in
which it is occurred.
● CONFIDENTIALITY - Nurses are legally and ethically obligated to
keen information about client’s illnesses and treatments
confidential.
CONCLUSION
● Maintaining good quality records and reports has both
immediate and long-term benefits for staff. In the long
term it protects individuals and teams from accusations of
poor record-keeping, and the resulting drop in morale. It
also ensures that the professional and legal standing of
nurses are not undermined by absent or incomplete
records, if they are called to account at a hearing.
RELATION OF RECORDS AND REPORT
REPORT
● Record and report are mutually interdependent
● Report can be prepared on the basis of record
● Similarly, report can be presented as record.
● Record is always in the written form from while report can be oral as well.
● Report, especially oral report, can be forgotten while record can be preserved
for a long time.
● Despite being literally different, record and report are synonymous and
interrelated, also they are the essential and important component of
community health, management and nursing.
RECORD
● Records are the information kept in the health unit on the work of the unit, on
the health conditions in the community, on the individual patients as well as
information on administrative matters: staff, equipment and etc.
Inter Professional Care in the Community

ININTERPROFESSIONAL COLLABORATION
● Is defined as "when multiple health workers from different
professional backgrounds work together with patients, families,
carers (caregivers), and communities to deliver the highest quality of
care."
Inter Professional Care in the Community
1. Rural Health Unit Personnel
● Municipal Health Physician
● Nurses
● Midwife
● Sanitary inspector
● BHW
Inter Professional Care in the Community
2. Local Government Units – are institutional units whose fiscal, legislative and executive authority
extends over the smallest geographical areas distinguished for administrative and political purposes.

● RA 7160 - AN ACT PROVIDING FOR A LOCAL GOVERNMENT CODE OF 1991 (October 10, 1991)
● Officially local government in the Philippines, often called local government units or LGUs,
are divided into three levels:
1. Provinces and independent cities
2. Component cities and municipalities
3. Barangays
● Sitios and Puroks are often led by elected barangay councilors.
Inter Professional Care in the Community
3. Government Organizations – A government or state agency is a permanent or
semi-permanent organization in the machinery of government that is responsible for the
oversight and administration of specific functions, such as an intelligence agency. ... The
autonomy, independence and accountability of government agencies also vary widely.

● DSWD – The Philippines' Department of Social Welfare and Development (Filipino:

Kagawaran ng Kagalingan at Pagpapaunlad Panlipunan, abbreviated as DSWD) is the
executive department of the Philippine Government responsible for the protection of the
social welfare of rights of Filipinos and to promote social development.
● Nutrition Council – National Nutrition Council, abbreviated as NNC, is an agency of the
Philippine government under the Department of Health responsible for creating a
conducive policy environment for national and local nutrition planning, implementation,
monitoring and evaluation, and surveillance using state-of the art technology and
approaches.
● Population Commission – The Commission on Population (POPCOM) is a government
agency mandated as the over-all coordinating, monitoring and policy making body of the
population program. It is the lead agency promoting population activities.
Inter Professional Care in the Community
4. A non-governmental organization (NGO) is any non-profit, voluntary
citizens' group which is organized on a local, national or international
level.
● It is estimated that there are as many as 60,000 registered NGOs in
the Philippines today.
● This number includes all nonprofit organizations, including about
10,000 that are listed as people's organizations (POs).
People's organizations are also referred to as grassroots organizations or
community-based
Classification of other Health Facilities:
● Category A: Primary Care Facility – first contact health care facility
that offers basic services including emergency services and provision
for normal deliveries.
● Category B: Custodial Care Facility - a health facility that provides
long term health care, including basic services like food and shelter,
to patients with chronic conditions requiring ongoing health and
nursing care due to impairment and reduced degree of
independence in activities
Classification of other Health Facilities:
● Category C: Diagnostic/Therapeutic Facility – a facility for the
examination of the human body for the diagnosis, sometimes
treatment of disease. This category is further classified into:
○ laboratory facility
○ HIV testing facility
○ Blood service facility
○ Drug testing facility
○ Newborn screening facility
○ Laboratory for drinking water
● Category D: Specialized Outpatient Facility - a facility that
performs highly specialized procedures on an outpatient basis