Introduction of

Public Health Nursing

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 art of 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 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 Medical
Model Versus
Model


Public Health Approach
 Public Health Model  Medical Model
 Population  Individual
 Disease Prevention  Diagnosis
 Health Promotion
 Treatment
 Interventions
 Intervention
 Environment
 Medical care
 Human behavior
 Public (Some private)  Private (Some public)
11
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
accountability of health services
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 a f e r and healthier

 Motor-vehicle safety foods
 S a f e r workplaces  Healthier mothers and
 Control of infectious babies
diseases  Family planning
 Decline in deaths from  Fluoridation of drinking
coronary heart disease water
and stroke  Recognition of tobacco
use as a health hazard
CDC, 1999
Public Health Problems and Diseases
 Communicable diseases
Measles
 N o n communicablediseases
Influenza
 Environmental pollution
Poliomyeliti
 Maternal child health
Tuberculosis
problems
Cholera
 Malnutrition and
micronutrient deficiency Dengue
 Municipal and hospital Malaria
waste HIV/AIDS
 Geriatric health problems Obesity
 Population problems Cancer
Diabetes
 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 offices
and population
Health training centers
 Primary health care
institutions 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
andpolicy 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 andServices
 Women’s health and
gender development
 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 :
8. Non-Communicable and Communicable Disease :
“Healthy People in Healthy Community.”

Thank You!