The document outlines the roles and history of community health and public health nursing in the Philippines. It discusses the nurse's roles as a clinician, advocate, collaborator, and educator. It then provides a brief history of community health nursing in the Philippines from the establishment of the Republic in 1946 to present day. Key events include the creation of the Department of Health in 1947 and various acts, executive orders, and programs focused on public health and the implementation of primary health care strategies. A similar overview is then provided of the early development of public health nursing in China from the 1970s to the 2000s.

1. Roles of the Nurse in Caring for Communities and Population Groups
1. Clinician – Focus on the health of individuals in the larger context of community.
2. Advocate- Advocates self-care, people’s ability to be active participant in their
own health, and self-determination, the right to make their own decision.
3. Collaborator- Bring together strengths and resources of people involved toward a
common goal.
4. Educator- Provide knowledge, skill, and attitude that the people need to make
appropriate choices or decision.
5. Hospice Care- Providing care skills in a home or other setting.
Brief History of Community Health/ Public Health Nursing Practice in
the Philippines
ERA OF THE REP. OF THE PHILIPPINES (1946 to present)
 1947 – Bureau of Public welfare was renamed DOH
 June 1957 – Rep Act 1891 (An act Strengthening Health and dental Services in
the Rural Areas
 1975 – Formulation of the National Health Plan and the restructured Health Care
delivery system
 1982 – E.O 851 Health Educ. And Manpower Dev. Service was created and
Bureau of Food and Drugs assumed the functions of the Food and Drug Admin.
 1986 – Min. of Health became DOH again
 1987 – Reorganization E.O – 119.
 Secretary Of Health covered 5 offices: Chief of Staff Public Health Services
Hospital & Facilities Services Standard & regulations Management Service
 Rep. Act 7160 Local Government Code passed & implemented
 1992 – Full implementation of rep. Act No. 7160 DOH Changed role from one of
implementation to one of governance
 Significant Changed: branching out of the office of Public health services to form
the office of special concern.
 Nat. Immunization Day Nat. Micronutrient Campaign (Araw ng Sangkap Pinoy)
Disaster Magt.
 Urban Health and Nutrition project
 Traditional Medicine Doctors to the Barrios Program Let’s DOH it became a
national battle cry.
 1996 – Primary Health Care as strategy to attain Health for All by the year 2000

2.  1999 – Creation of the National Health Planning Committee (NHPC) And
establishment of Inter-Local Health Zone
 1999 – 2004 = Health Sector Reform Agenda of the Phils. Was launched
 2005 – DOH launched Fourmula One for Health to ensure speed, precision and
effective coordination towards improving the efficiency, effectiveness and equity
of Health Care delivery.
Before mid 1800- Early home care with focus in sick and poor individuals.
 Orientation : creative
 Agencies: lay and religion orders
 St. Phoebe
Mid 1800s to 1900- District nursing with focus in sick and poor individual.
 Orientation: vreative less in prevention
 Agencies: Voluntary ans some government
 William Rathbone
1970 to present- Community Health Nursing focus in total community and
oriented to population health services, address health promotion , illness
prevention.
 Agencies: many kinds, some independent practice
 Ruth freedman
Public Health Nursing Development in China
Early Stages
 1975- Beijing Union Hospital- Public Agency
 Dr. Gland
 1930 Rural Health Education
 2000 Pay attention to city and rural areas community center development and
practice model.
 2006-2007- Government emphasizes the importance of community health,
improve community health centers, functions, farmer health insurance.
Reference: http://www.authorstream.com/Presentation/yumiko-1246410-community-health-
nursing/