Health care services in India are provided through both public and private sectors. The public sector provides curative, preventive, promotive, and rehabilitative services at central and state levels through governmental, voluntary, and nonprofit agencies. The private sector comprises the largest segment of the health care system through non-governmental agencies. Nurses play an important role in health promotion through modeling healthy behaviors, educating clients, assisting individuals and communities to enhance health, and advocating for environmental changes to promote wellness. Health promotion involves information dissemination, health assessments, lifestyle changes, and environmental control programs targeted toward people of all ages.

1. Health care services

2. Health care services
Health care services are rendered by multi-
disciplinary team in India
1. Public sector
2. Private sector

3. Public sector
Health care services are provided to public
– Governmental agencies
– Voluntary agencies
– Non profit agencies
• Services
– curative services
– preventive services
– Promotive services
– Rehabilitative services
• It administered in the central level and state level

4. Private sector
• Non governmental agencies
• It comprises largest segment of the health care system

5. HEALTH PROMOTION

6. INTRODUCTION
• Health promotion is an important component
of nursing practice.
• It is a way of thinking that revolves around a
philosophy of wholeness ,wellness and well-
being.

7. DEFINITION
• Health promotion as a “behavior motivated by
the desire to increase wellbeing and actualize
human health potential”
(Pender ,Murdaugh and Parsons, 2006)
• Health promotion is a process of enabling
people to increase control over the
determinants of health and their by improve
their health.

8. PROGRAMES OR HEALTH
PROMOTION
• Information dissemination.
• Health risk appraisal and wellness
assessment.
• Lifestyle and behavioral change.
• Environmental control programs.

9. NURSES ROLE IN HEALTH
PROMOTION
• Model healthy life style behaviors and
attitudes.
• Facilitate client involvement in the assessment
, implementation and evaluation of health goal.

10. • Teach client health care strategies to enhance
fitness improve nutrition ,manage stress and
enhance relationships.
• Assist individuals, families and communities to
increase their levels of health.
• Educate client to be effective health care
consumers .
• Assist clients ,families ,and
communities to develop and
choose health promoting options.

11. • Guide clients development in effective problem
solving and decision making
• Reinforce clients personal and family health
promoting behaviors.
• Advocate in the community for changes that
promote a healthy environment.

12. HEALTH PROMOTION TOPICS
INFANTS
• Infant parent
attachment/bonding
• Breast feeding
• Sleep patterns
• Playful activity to stimulate
development
• Immunization
• Safety promotion and injury
control

13. CHILDREN
Health promotion topics..
• Nutrition
• Dental checkup
• Rest and exercise
• Immunizations
• Safety promotion and injury
control

14. ADOLECENTS
• Communicating with the
teen
• Hormonal changes
• Nutrition
• Exercise and rest
• Peer group influences
• Self concept and body image
• Sexuality
• Safety promotion and
accidental prevention.
Health promotion topics

15. Health promotion topics..
• Adequate sleep
• Appropriate use of alcohol
• Dental/oral health
• Drug management
• Exercise
• Foot health
• Health screening
• Hearing aid use
• Safety precautions
• Weight control etc.
ELDERS

17. PREVENTION
The management of those factors
that could lead to disease so as to prevent
the occurrence of disease .
Goal:-
• To maintain optimal health by preventing
disease

18. LEVELS OF PREVENTION
TERITIARY
SECONDARY
PRIMARY
PRIMODIAL

19. PRIMODIAL PREVENTION
• DEFINITION :
It is the prevention of emergence of risk factors in
population , in which they have not get appeared.
• INTERVENTIONS:
Health education
– Individual HE
– Mass HE

20. PRIMARY PREVENTION
• DEFINITION:
Primary prevention can be defined as action taken
prior to the onset of disease, which removes the possibility
that a disease will ever occur,
• STRATEGY:
 Population (mass) strategy
 High risk strategy

21. • INTERVENTIONS:
• General health promotion :-
–health education.
–Environmental modification.
–Nutritional interventions.
–Lifestyle and behavioral changes.

22. • Specific protection:-
–Immunization (BCG ,DPT, MMR Vaccine)
–Chemoprophylaxis ( tetracycline for cholera, dapsone
for leprosy , chloroquinine for malaria)
–Use of specific nutrients ( vitamin A for children ,iron
and folic acid for pregnant mothers)
–Protection against accidents (use of helmet , seatbelt
etc)
–Protection against occupational hazards
–Avoidance of allergens
–Protection from air pollution.

23. SECONDARY PREVENTION
• DEFINITION:
The action which halts the progress of a disease at its
incipient stage and complications.
• INTERVENTION:
–Early detection.
–Prompt treatment.

24. TERITIARY PREVENTION
• DEFINITION:
All measures available to reduce or limit impairment
and disabilities , minimize suffering caused by existing
departures from good health and to promote the patient
adjustment irremediable conditions.
• INTERVENTIONS:
–Disability limitation
–Rehabilitation

25. Disease
Impairment
Disability
Handicap

26. • Disease: a disorder of structure or function in a human
• Impairment: in health, any loss or abnormality of
physiological, psychological, or anatomical structure or
function, whether permanent or temporary
• Disability: is an impairment that may be cognitive,
developmental, intellectual, mental, physical, sensory, or
some combination of these. It substantially affects a
person's life activities and may be present from birth or occur
during a person's lifetime
• Handicap : Person having a condition that markedly restricts
their ability to function physically, mentally, or socially.

27. • Rehabilitation :
The action of restoring someone to health or
normal life through training and therapy after
imprisonment, addiction, or illness.
•Medical rehabilitation
•Vocational rehabilitation
•Social rehabilitation
•Psychological rehabilitation

28. THANK YOU