Subject:- Community

Health Nursing

Topic:- Public Health

PRESENTED BY,
MR. KAILASH NAGAR
ASSIST. PROF.
DEPT. OF COMMUNITY HEALTH NSG.
DINSHA PATEL COLLEGE OF NURSING, NADIAD
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 Introduction to Public Health, Community
2 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?

T h e 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.

Public health is a science and artof saving

the 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
 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

 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

Public Health is many things
A System

A Profession

A Method
Government
Service

The Health of the

Public Health Approach

Public Health Medical

Versus
Model Model


 Public Health Approach
 Public Health Model  Medical Model
 Population  Individual
 Disease Prevention  Diagnosis
 Health Promotion  Treatment
 Interventions
 Intervention
 Environment
 Human behavior  Medical care
 Public (Some private)  Private (Some public)
 11
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Core Functions of Public Health
Core Activities of Public Health (Fn)
1. Prevents epidemics and the spread of
disease

2. Protects against environmental hazards

3. Responds to disasters and assists
communities in recovery
4. Prevents injuries
5. Promotes healthy behaviors
6. Assures the quality, accessibility and
Core Activities of Public Health
7. Monitoring the health status of the population

8. Mobilizing community action

9. Reaching out to link high-risk and hard-to-reach

people to needed services

10. Researching to develop new insights and

innovative solutions

11. Leading the development of sound health policy

and planning
Ten Great Public Health Achievements

 Vaccination  S af er and healthier

foods
 Motor-vehicle safety
 Healthier mothers and
 S af e r workplaces
babies
 Control of infectious  Family planning
diseases
 Fluoridation of drinking
 Decline in deaths from
water
coronary heart disease
and stroke  Recognition of tobacco
Public Health Problems and Diseases
• Communicable diseases  Measles

• N o n communicable diseases  Influenza

• Environmental pollution  Poliomyeliti

•  Maternal child health Tuberculosis
problems  Cholera
•  Malnutrition and  Dengue
micronutrient deficiency
 Malaria
•  Municipal and hospital
waste  HIV/AIDS

• Geriatric health  Obesity

 Public Health Organizations
Governmental Others
 District health office
Academic institutions
 Public health office  Research
 Regional health directorate organizations
 Regional training center
Community
 Department of health development
services organizations
 Ministry of health
Quality control
and population
offices
 Primary health care
institutions
Health training
centers
A Sampling of Public Health Professions
 Population, Family
Planning &Reproductive  Gerontological health
Health  HIV/AIDS
 Maternal Child health  Injury control and
 Public Health Education and emergency health
Health Promotion Services
 Community health planning  International Health
and policy development
 Mental Health
 Public health
administration  Oral Health
 Epidemiology and disease  Public Health Nursing
control  School Health
 Alcohol, tobacco and other Education and Services
drugs  Women’s health and
 Environmental & occupational gender development
health and safety
 Community Health Indicators :
1. Demographic Characteristics and Demographic
profile.

2. Socioeconomic Characteristics:
3. Availability of Health Resources:
4. Risk factors in community :

5. Environmental Health Indicators :

6. Social and Mental Health :

7. Maternal and Child Health :

“Healthy People in Healthy Community.”

Thank You!