CHARITY INGUSAN-CANAPI, MD, MPH,MHA

PUBLIC HEALTH
Edward A. Winslow (1920)
The science and the art of preventing disease,
prolonging life, and promoting physical health and
efficiency through organized community efforts for the
sanitation of the environment, the control of community
infections, the education of the individual in principles
of personal hygiene, the organization of medical and
nursing services for the early diagnosis and preventive
treatment of disease, and the development of the
social machinery which will ensure to every individual
in the community a standard of living adequate for the
maintenance of health.
TEN ESSENTIAL PUBLIC HEALTH SERVICES
Assessment:
1. Monitor health status to identify community health
problems
2. Diagnose and investigate health problems and
health hazards in the community
Policy development:
3. Inform, educate and empower people about
health issues
4. Mobilize community partnership to identify and
solve health problems
5. Develop policies and plans that support
individual and community health efforts
Assurance:

6. Enforce laws and regulations that protect

health and ensure safety

7. Link people to needed personal health

services and assure the provision of health
care when otherwise unavailable

8. Assure a competent public health and

personal healthcare workforce

9. Evaluate effectiveness, accessibility, and

quality of personal and population-based
health services
Serving all functions:

10. Research for new insight s and innovative

solutions to health problems
 COMMUNITY MEDICINE
• The field concerned with the study of health and
disease in the defined community or group.

• Its goal is to identify the health problems and

needs of people (community diagnosis) and to plan,
implement and evaluate the effectiveness of health
care system.

>Providing medical services to the community

> Understanding community resources
> health promotion and disease prevention
> occupational health
> care of populations
> community participation in health care activities
 Five Star Doctor
Leader

Manager Care Provider

Communicator
Decision Maker
 4 Dimensions of Community Medicine

• Paying attention to socio-cultural aspects of

patient care
• Coordinating a community’s health resources
in the care of patients
• Identifying and intervening in a community’s
health problem
• Assimilating into a community and
participating in its organizations
COMPARISON OF CLINICAL
MEDICINE AND COMMUNITY
MEDICINE
 Public
Clinical Medicine Health/community
medicine
- Individual patient; - Community; entire population;

- Varied patients
- mostly sick person
- Assessment, Policy
- Hx; P.E.,Lab, Medicine Development, Assurance
- Focuses curative and - Focuses on prevention,
rehabilitative mgt promotion, curative

- Achievement: - Achievement: Difficult to

Recognizable benefit recognize
- Government: Political
- Decision of patient
decision; people
himself
BASIC COMMUNITY ORGANIZING
 What is community?

Combination of social units and systems which perform

the major social functions having locality development.

Composed of people who have relationship that is

systematic, interactive and interdependent.
Social Function:

•Production-distribution-consumption of those goods

and services needed in daily living

•Socialization which involves the process in which

members of the community pass on prevailing
knowledge, social values and behavior patterns
•Social control which provides control over the
behavior of the members, the government, family,
school, and church may exert this influence on the
behavior of the people

•Social participation which involves the widely

prevalent social units like the church, welfare
agencies, kinship groups which provide avenue for
social participation to its members

•Mutual support in the local level : moral and material

support
What is Community
Organization?
… is a continuous process of:

•Educating

•Organizing them

•Mobilizing them
To be an effective CO, you must
first be able to understand what is
development and most
importantly, for whom is
development
This is important because…
- will help you decide where you
stand in the society and clarify
your approach towards solving the
society's problem
COMMUNITY ORGANIZING IS A…
Problem -solving approach whereby
the community is empowered with the
knowledge and skills to identify and
prioritize its needs, and problems,
harness its resources to deal with
these problems and to take action
participatively.
Your Role as CO…
is to facilitate that process and
bring the people closer to their
goal of self determination
stages of organizing:
1. community analysis
2.Design and initiation
3.Implementation
4.Program Maintenance
5.Dissemination
 Guiding Principles of
Community Organizing
 Go to the people.
Live among them.
Learn from them.
Plan with them.
Work with them.
Start with what they know.
Build on what they have.
Teach by showing.
Learn by doing.
Not by showcase, but a pattern.
Not odds and ends, but a system.
Not piecemeal, but an integrated approach.
Not to conform, but to transform.
Not relief, but release.