Humans ; Public Health Practice

Communication Health Education (CHE) is the cheap sollution but it achieves high level of effectiveness and sustain in health care. In this study, we applied a new model of CHE-Club “Woman for health and environment". Objectives: assessing effectiveness of applying the Club "Woman for health and environment" on people's knowledge and practices for environmental hygiene in Minh Khai precinct, Phu Ly town. Method and subjects: Interventive study with 2 groups (case and control). Study subjects include: households and women representing the households. The sample size for each group is 250. Assessing efficiency based on efficiency index. Results and conclude: The club “Woman for environmental health" resulted in improvement on people's knowledge and practices of environmental hygiene. The knowledge and practices have improved significantly comparing to before intervention and are much higher than in the control group (the efficiency indices achieve 22.7-187.9%).
Health Education, Knowledge, Public Health Practice, Women

China ; Humans ; Mental Health ; Public Health Practice

Food Contamination ; prevention & control ; Public Health Practice

Human Activities ; Humans ; Public Health Practice

Background: Clinical Practice Guidelines are made to help practitioners in decision making towards improving appropriateness of care. However, successful implementation strategies are still lacking. Patient mediated intervention as away of CPG implementation is being recommended. Methods: This study is a three-phase, randomized controlled trial. Following a 3-month baseline period, a one-hour interactive lecture on guideline recommendations was conducted among family medicine residents. After 3 months, clinic days were randomized to days with and days without public health lecture. A one-hour interactive lecture on the recommendations on sinusitis and rhinitis was conducted on patients at the out-patient waiting area on pre-selected days. Appropriateness of care by chart audit was done at every phase. Results: Baseline appropriateness of care was low at 10.8 percent on history taking and physical examination, 56.8 percent on request for diagnostics, 75.7 percent on antibiotic prescription, 48.6 percent on overall treatment. Referrals at baseline were appropriately high at 94.6 percent. Interactive lecture did not increase appropriateness of care. The addition of public health lecture significantly increased appropriateness in history taking and physical examination to 25.9 percent, and request of diagnostics to 70.6 percent. No change noted on antibiotic prescription at 41.2 percent, overall treatment at 41.2 percent and referrals at 88.2 percent. Conclusions: The addition of public health lecture to interactive lecture was effective in increasing appropriateness of care in history and physical examination and request of diagnostics.
Human ; PATIENT EDUCATION ; PUBLIC HEALTH ; PRACTICE GUIDELINE

This study provides a closer look to the possibility of having advanced practice in public health nursing by analyzing the power relations between nursing practice and social structures. Representatives from the public health sector, national authorities, and the private sector were invited in a round table discussion. Transcriptions were coded and later on categorized and analyzed drawing upon the concepts of Foucault. Foucauldian analysis hands an important insight on how social structures and institutions can steer the creation of an advanced practice in public health nursing in the Philippines. Various social institutions view the relevance of a master's prepared nurse according to their societal roles and functions. Requisite competencies of a master's prepared nurse in public health nursing include fulfilling the role of a clinician, leader and manager, supervisor, and a researcher. PRBON, CHED, DOH, and nursing schools need to work together to define the knowledge of an advanced practice in public health nursing, to implement appropriate surveillance mechanisms, and to establish a compliant practice.

China ; Health Promotion ; Humans ; Preventive Health Services ; Public Health Practice

China ; Chronic Disease ; prevention & control ; therapy ; Humans ; Public Health Practice

Acquired Immunodeficiency Syndrome ; prevention & control ; therapy ; Humans ; Public Health Practice