Session

(Hrs.)

Topics

Methods of T/L

Remarks

1(10hrs.)

Introduction to the module

Introduction to concept of community

·  Definition of community

·  Characteristics of community

·  Functions of community

Factors related to community health

·  Structure of community

·  Social, cultural & economic factors: effect to health and stigmatization to the disease

Lecture,

Discussion Group work Assignment Self study

Students discuss       and share

individual culture

relevant to the topic

·  Human behavior & spiritual: way of life &

belief; physical activity & exercise, stress management,

·  Urban and rural community

·  Social problems of community

Concepts of Community Health Nursing

·  Definition

·  Purposes

·  Principles of community health nursing

·  Difference  between  community  nursing and hospital nursing

·  Review concept of PHC

2 (8hrs.)

Roles  and  responsibilities    of  community

health nurse

·  Roles and responsibilities

·  Process of community health nursing

·  Role of a nurse in PHC

·  Scope of community health nursing Current  concerns  of  community  health: HIV/AIDS, MSM & TG, drug abuse, RTA,

Suicide,  homicide,  mental  disorders,  natural disasters

Primary care management in community:

Definition

·  Self care in the context of PHC

·  Common  disease:  ARI,  Diarrhea chronic disease: Alcohol liver disease, DM, HT communicable disease: Tuberculosis, HIV/AIDS,  trauma:  Road  Traffic Accident,   suicide   &   homicide   mental

disorders.

Lecture,

Discussion Presentation Assignment

3( 20 hrs.)

Drug addiction or substance abuse

·  Definition

·  Reasons for drug use,

·  Range of drug use

·  Side effects of drug use

·  Drug use in Bhutan, substance addiction and consequences

·  Dependence and withdrawal

·  Interventions  in alcohol and drug use

·  Assessing   the   pattern   of   alcohol   use, medical, psychological and neurological

Violence/abuse

·  Definition.

·   Reasons

·  types

·  Common issues experienced by victims,

Lecture,

Discussion Presentation Assignment

Self   study   and report Case stu

dy and report

·  Principles responding to violence

·   Violence in Bhutan

·  Involvement of law enforcement

·  Role  of  health  care  system  to  prevent violence at various levels

·  Providing  support

Gender issues:

·  Definition

·  Gender equality

·  Gender roles

·  Why gender is related to health

·  Effects of women’s illness on their lives

·  Effects   of   family   members   illness   on women

·  Gender issues in Bhutan

4(5 hrs.)

Concept of health and disease

·  Definition of health

·  Determinants of health

·  Health for all

·  New philosophy of health

·  Concept of disease

·  Disease cycle

·  Factor responsible for disease causation

Lecture,

Discussion Presentation Assignment

5(3hrs.)

Goals of Community health nursing

·  Health promotion

·  Health maintenance

· Disease     prevention:     Concept     of prevention:  Primary,  secondary  and tertiary prevention

·  Restoration and rehabilitation

Lecture,

Discussion

Presentation

6(5hrs.)

The process of community health nursing:

·  Community  assessment:  data  collection, analysis, presentation, and report

·  Diagnosis of health related problem :

·   Priority setting

·  Planning health action

·  Implementation, monitoring and evaluation

Lecture,

Discussion Presentation Self study Assignment

7(5hrs.)

School Health

·  School health program evolution

·  Aims of school health program

·  Bhutan’s   school   health   program   and

strategies

·  Roles   and   functions   of   school   health coordinators.

·  Common  illnesses  &infectious  diseases,

Lecture,

Discussion

Presentation

Lecture, Discussion Presentation

first   aid,   basic   medical   care,   health

education

·  Reproductive health

·  Teenage pregnancy

·  Nutrition

·  Skin disease

·  Upper respiratory infection

·  Safe sex & early pregnancy

·  Injuries and accidents prevention

·  Oral – dental health

·  Substance abuse

·  Violence prevention

·  Water, sanitation and hygiene

·   First-aid room in school

·  School health activities

8 (5hrs.)

Home visiting

·  Definition and purposes

·  Principles

·  Approaches & advantages

·  Role of a community health nurse

·  Planning & evaluation in home visiting

Lecture,

presentation, small group study, presentations

Student should

discuss     what they know

9(5hrs.)

Family health

·  Concept of family

·  Family in the health and disease

·  Family issues

·  Child & women violence, and abuse

·  Family care study

Lecture,

Discussion

Presentation

10(5 hrs.)

Introduction to Environmental Health

·    What is Environmental Health

·    Environment and Human Health

·    Environmental Epidemiology

·    Environmental Psychology

·    Genetics and Environmental Health

(Gene – Environmental Interactions)

·    Population Pressure

·    Climate Change

·    Environmental Health Ethics and

Justice

Lectures

Discussion Group Work Classroom activity

Reading relevant materials

Class test

11(5 hrs.)

Specific Environmental Health issues;

·    Air pollution: Indoor and Outdoor

·    Environmental Sanitation , Hygiene and Water

·    Energy production

Lectures

Group work & Group Presentation Review of

Assignment

Energy sources and associated health risks

·    Waste management: Solid waste, Hazardous waste and Waste management strategies

·    Pest control and pesticide

·    Food safety

·    Disaster preparedness and management

relevant articles

12(5hrs.)

Occupational Health and safety

·   Work, Environment and Health

·   Hazardous Exposure and Adverse

Health Effects

·   Recognition, assessment and prevention  (PPE)

·   Workplace health and safety

Lecture

Discussion Problem  Solving Activities

13(10 hrs.)

Environmental   &   Occupational   Health

Risk Assessment;

·    Introduction to Risk Assessment in

Environmental Health

·    The Risk assessment-Risk

Management Paradigm

·    Risk Assessment in Workplace

·    Risk communication

Lecture

Discussion Problem  Solving Activities Presentations

14(5 hrs.)

Integrated Approach to Prevention

·    Clinical role in environmental and occupational health

Discussion

Group work

15(lab:15hr

s)

Site visits

·    Land fill

·    Water treatment plant

Report

submission following     field trip

Report writing