Community Health Nursing

EO No. 489

EO No. 489

Inter-Agency Committee on Environmental Health (IACEH)

Healthy settings for all Filipinos

What is the vision of Inter-Agency Committee on Environmental Health (IACEH)?

Provide leadership in ensuring healthy settings

What is the mission of Inter-Agency Committee on Environmental Health (IACEH)?

Reduction of environmental and occupation related diseases, disabilities and deaths through health promotion and mitigation of hazards and risks in the environment and workplaces

What is the goal of Inter-Agency Committee on Environmental Health (IACEH)?

Solid waste, Water, Air, Toxic and hazardous waste, Occupational health, Food safety, and Sanitation

What are the 7 components of environmental health assigned to the members of IACEH?

EHR or Environmental Health Records

Maintenance of ________ is one of the responsibilities given to a city, municipality, and provincial health nurses

Field Health Service Information System (FHIS)

It is the current data management used by the DOH

Midwife

Who is the person in charge of maintaining a monthly record of the environmental health programs?

Households with access to improved or safe water supply

This refers to those covered by or have access to any of the three levels of safe water resources that conforms to the national standards for drinking water.

Level 1

Protected well or a developed spring with an outlet but without a distribution system

Level 2

A system composed of a source, a reservoir, a piped distribution network and communal faucets

Level 3

A system with a source, a reservoir piped distribution network and household taps; Requires minimal treatment or disinfection

Level 1

This level has 15 to 25 households.

Level 2

This level has an average of 100 households

Level 3

This level has more than 100 households

Households with Sanitary Toilets

This refers to households with their own flush toilets connected to septic tanks and/or sewerage systems or any other approved treatment system, sanitary pit latrine, or ventilated improved pit latrine.

Households with complete basic sanitation facilities

This refers to those that satisfy the presence of the following basic sanitation elements, namely: Access to safe water, Availability of a sanitary toilet

Food establishments

This refers to those places where food or drinks are manufactured, processed, stored, sold, or served, including those that are located in vessels.

Sanitary Permit

It is a written certification of the city or municipal health officer or sanitary engineer that the establishment complies with

PD 856

Code of Sanitation in the Philippines

Food Handlers

This refers to a person who handles, stores, prepares, or serves any food item, drink, or ice, or who comes in contact with any eating or cooking utensils or food vending machine.

Health Certificate

A written certification using the prescribed form, issued by the municipal or city health officer to a person after passing the required physical and medical examinations and immunizations.

Microbial Quality

This is one of the general requirements for safe drinking water, wherein it is tested through the parameters of total coliform, fecal coliform, and heterotrophic plate count.

Chemical and Physical Quality

This is one of the general requirements for safe drinking water, wherein it is tested through the parameters of pH, chemical specific levels, color, odor, turbidity, hardness, and total dissolved solids.

Radiological Quality

This is one of the general requirements for safe drinking water, wherein it is tested through the parameters of gross alpha activity, gross beta, and radon.

System Assessment

It is one of the key components of water safety plans, wherein it is used to determine if the drinking water supply chain as a whole can deliver quality water that meets health-based targets.

Operational Monitoring

It is one of the key components of water safety plans, where it is used to identify control measures in a drinking water system that will collectively control identified risks, ensure health-based targets are met, and rapidly detect any deviation from the required performance.

Management Plans

It is one of the key components of water safety plans, where it is used to describe actions to be taken during normal operations or incident conditions.

1 minute

Pediatricians advise boiling water for how many minutes?

Boiling

It is a disinfection process wherein the water should be brought to a "rolling boil" and kept in that state for at least 1 minute.

Chemical Disinfection

It is a disinfection process that can be done using various chemicals

Solar Disinfection (SODIS)

It is a disinfection process that can be done by filling transparent plastic containers 1 to 2 liters in size with clear water and exposing them to direct sunlight for about 5 hours

Aeration

This is used to remove volatile substances, reduce carbon dioxide content, and oxidized dissolved minerals.

Settlement

It is done by allowing water to stand undisturbed in the dark for a day. This process causes death to more than 50% of most harmful bacteria and the settling of suspended solids.

Filtration

It is done by utilizing filters to block particles while allowing water to pass through.

Wide-necked containers with tight fitting lids

This type of container are the best for water storage as they are easy to clean between use.

Ambulant

This type of food vendors shall comply with the requirement of acquiring a health certificate which includes monitoring the presence of intestinal parasites and bacterial infection

Right SOURCE, Right PREPARATION, Right COOKING, and Right STORAGE

Four Right's of Food Safety

Proper Solid Waste Management

This refers to satisfactory methods of storage, collection, and final disposal of solid waste

Rubbish

This refers to waste materials such as bottles, broken glass, porcelain, tin cans, waste paper, discarded textile materials, pieces of metal, and other wrapping materials

Garbage

This refers to leftover vegetable, animal, and fish material from kitchen and food establishments.

Ashes

The leftovers from the burning of wood and coal.

Stable Manure

It is an animal manure collected from stables

Dead Animals

This includes dead dogs, cats, rats, pigs, and chickens that are killed by vehicles on streets and public highways.

Yellow with black band

Pharmaceutical, cytotoxic, or chemical waste

Yellow bag that can be autoclaved

Infectious waste

Orange with radioactive symbol

Radioactive waste

Black or Colorless

Non-hazardous and non-biodegradable waste

Green

Non-hazardous biodegradable waste

Yellow with biohazard symbol

Pathological/Anatomical waste

Clean Air Act of 199 or R.A. No. 8749

This bans the use of incineration for municipal, biomedical, and hazardous wastes, but allows traditional small-scale community burning of waste.

Toxic Substances and Hazardous and Nuclear Waste Control Act of 1990 or R.A. No. 6969

Regulates the importation, use, movement, treatment, and disposal of toxic chemicals, hazardous substances and nuclear waste

Ecological Solid Waste Management Act of 2000 or R.A. No. 9003

Mandates a community-based approach to ecological solid waste management through composting and recycling

Clean Water Act of 2004 or R.A. No. 9275

Aims to establish wastewater facilities that will clean wastewater before it is released into bodies of water like the river or the sea.

Evaluation

A systemic way of collecting, analyzing, and using information to answer basic questions about a project/program.

Monitoring

A continuous internal process for making sure that the activities under the programme/project are on track (WHO)

Structure Evaluation

Involves looking into the manpower and physical resources of the agency

Process Evaluation

It assesses whether an intervention/model was implemented as planned, whether the target population was reached, and what were the major challenges and successful strategies used

Outcome Evaluation

It is used to determine whether and to what extent the expected changes occurred and whether these changes can be attributed to the program activities

Ongoing Evaluation or Monitoring

It is done during implementation to provide feedback on compliance in the plan to improve the process and outcomes of interventions

Formative Evaluations

These are conducted during program development and implementation and are useful if you want direction on how to best achieve your goals or improve your program

Summative Evaluations

It should be completed once the programs are well established and will tell you to what extent the program is achieving its goals

Utility

It is the value of the evaluation in terms of usefulness of results. This will help provide basis for utilizing the community health process in dealing with other community concern in the future.

Feasibility

It answers the questions of the plan for evaluation considering the resources available for conducting the evaluation.

Accuracy

It refers to the validity and reliability of the results of the evaluation. It beings with accurate documentation while the community health process is ongoing.

Propriety

The respect for worth and dignity of the participants upon data collection should be given consideration

The Stage of Orientation

It is one of the stages of group development wherein they must determine a way to achieve their primary task—the purpose for which they joined the group.

The Stage of Conflict

The experience on this stage is between members and leader. Its concern is over dominance, control, and power.

The Stage of Cohesiveness

After the previous conflict, the group gradually develops into this stage.

Work Group Stage

In this stage, members accept another's differences without associating "good or bad" with the differences

Orientation, Structure, and Direction

In this intervention, the level of anxiety can be reduced by helping provide the necessary orientation, structure, and direction to the group.

Process, Negotiate, and Resolve Conflicts to Member's Satisfaction

In this intervention, their dynamism characteristic of the work group is maintained if the hostility and conflict in the group are permitted to develop.

Awareness of the Effects of Behavior

In this intervention, the nurse of the facilitator of the group discussion exerts an influence on the behaviors and experience of the group members.

E-Health

It is the use of information and communication technologies (ICT) for health

Telemedicine

It is the umbrella of eHealth

Electronic Health Record (EHR)

It is a systematized collection of patient and population electronically-stored health information in a digital format.

Client Registry

Manages the unique identification of citizens receiving healthcare services

Provider Registry

Manages the unique identification of healthcare providers

Health Facility Registry

Manages the unique identification of places where health services are administered

Standards Terminology Service

Manages the unique identification of clinical activities, standards health data sets, terminologies, and formats.

Shared Health Record

A repository of clients' records with information in the exchange

Interoperability Layer

Receives communication from various application systems being used by the health facilities and orchestrates message processing