Achievement of Universal Health Care (UHC) in the Philippines requires capable health workers who can navigate changes and lead in the local implementation of health system reforms. Public health nurses are in a strategic position to lead in UHC implementation as they constitute the largest cadre of health workers in the public health setting, and core concepts of UHC intersect with principles of public health nursing practice. This paper aims to describe the development and implementation of a leadership training program for public health nurses in the Philippines, in response to UHC. Document reviews of training reports and evaluations, including course site data analytics, and evaluation of the training program were done for the four cohorts of the course. The University of the Philippines Manila College of Nursing, with support from the Department of Health, responded to the increased demand of the Philippine health system for public health nurses with strong foundations and advanced skills by designing and offering a leadership development course specific to PHNs. From November 2019 to March 2022, a total of 183 participants from 17 regions completed the training. With the COVID-19 pandemic and dynamic changes in governance, the experiences of the project highlighted the need for flexibility in delivering the training program, updating module contents according to the latest developments, and improving course duration and evaluation. Barriers to course engagement and completion must be addressed for PHNs, their workplaces, clients, and the health system to benefit the most from the training.
Nurses, Public Health ; Universal Health Care ; Nursing

INTRODUCTION: Fifteen to fifty percent of all sports injuries commonly occur in the knee joint. Active women are more susceptible to Patellofemoral Pain Syndrome (PFPS) than men. Aims: This study aims to associate the presentation of different movement compensations at the different body segments such as the hip, knee, and foot with the presence of PFPS among female collegiate football players at the University of Santo Tomas. METHODS: In this descriptive observational cross-sectional study, purposive sampling was used to recruit participants. A total of 11 participants were included. PFPS has a strong association with Anterior Knee Pain (AKP), and it was diagnosed using the Physical Examination questionnaire. With the use of dynamic and transitional assessments, namely overhead squat test (OST) and tuck jump test (TJT), movement patterns were observed using standardized data sheets and video analysis. RESULTS: Among those 11 female participants (mean age 19 ± 1.7 years old), 8 were diagnosed with PFPS and 3 were negative of PFPS. An association between different compensations and PFPS was sought using Fisher’s exact statistical tool. In the OST, compensations such as the foot turning out, foot flattening, knee directing inward and outward, lumbo-pelvic-hip complex patterns. In the TJT, PFPS was associated with three general compensations: foot placement, landing contact noise, and lower extremity valgus. CONCLUSION There was no direct association found between movement compensations and PFPS in dynamic and transitional assessments among female collegiate football players in this study. Although there are a few associations between different lower extremity movement compensations with PFPS. The majority of those with PFPS had knee out and LPHC compensations with the OST. With the TST, those with PFPS have positive foot placement compensations as compared to the majority of those without PFPS.