NCM 113

COMMUNITY HEALTH NURSING 2

ASSOC. PROF. ALLAN A. VALENZUELA, MAN RN

ST LUKE’S a OF NURSING
CRITICAL STEPS IN COPAR
• Integration • Role Play
• Social Investigation • Mobilization or action
• Tentative program planning • Evaluation
• Groundwork • Reflection
• Meeting • Organization
PHASE 1 PRE ENTRY
PHASE 1 – PRE ENTRY
A. Preparation of the Institution
B. Site Selection
C.Conduct Preliminary Social Investigation
D. Identification of Potential Barangay
 A. Preparation of the Institution

PHASE 1 – PRE ENTRY B. Site Selection

C. Conduct Preliminary Soc Investig
D. Identification Potential Brgy

• Is the initial phase of the organizing

process where the community
organizer looks for communities to
serve and help. Activities include:

A. Preparation of the
Institution
• Train faculty and students in COPAR.
• Formulate plans for institutionalizing
COPAR.
• Revise/enrich curriculum and
immersion program.
• Coordinate participants of other
departments.
PHASE 1 – PRE ENTRY
B. Site Selection
• Initial networking with local government.
• Conduct preliminary special investigation.
• Make long/short list of potential communities.
• Do ocular survey of listed communities.
PHASE 1 – PRE ENTRY
Criteria for Initial Site Selection
1. Must have a population of 100-200 families.
2. Economically depressed. No strong resistance from
the community.
3. No serious peace and order problem.
4. No similar group or organization holding the same
program.
PHASE 1 – PRE ENTRY
C. Conduct Preliminary Social Investigation
• Conduct of ocular observations, noting accessibility, geography,
terrain, settlement patterns and physical resources
• Use data from various government offices like RHUs
• Use of secondary data from other community based health programs
• Coordination with extension workers from government and NGO

D. Identification of Potential Barangay

• Conduct informal interviews with community residents and take note
of political undertones because these may affect organizing activities
• Assess if COPAR is needed in the area
PHASE 2 ENTRY
PHASE 2 - ENTRY
A. Guidelines for Entry
B. Activities in the Entry Phase
Integration
C. Social Investigation
D. Identification of Potential Leaders
E. Provision of Health Services
PHASE 2 - ENTRY
• sometimes called the SOCIAL PREPARATION PHASE.
• Is crucial in determining which strategies for organizing
would suit the chosen community.
• Success of the activities depend on how much the
community organizers has integrated with the community.
PHASE 2 - ENTRY
A. Guidelines for Entry
1. Recognize the role of local authorities by paying them
visits to inform their presence and activities.
2. Appearance, speech, behavior and lifestyle should be in
keeping with those of the community residents without
disregard of their being role model.
3. Avoid raising the consciousness of the community
residents; adopt a low-key profile.
PHASE 2 – ENTRY
B. Activities in the Entry Phase
Integration
• The process of establishing rapport with
the people in continuing effort to imbibe
community life.
PHASE 2 – ENTRY
Through integration we will become one with the people in
order to:
1. Immerse him/herself to the community life and be accepted as a
member of community
2. Experience the liberating aspect of culture and how it gives
strength to the people as a group
3. Understand deeply the culture, economy, leaders, history and
lifestyle of the community
4. Be more tolerant, realistic and committed to working for the
development of poor communities
PHASE 2 – ENTRY
• Methods of integration
• Conducts house to house visits
• Participation in social activities like birthday
celebration and feasts
• Conversing with the people where they usually
gather like in stores, waterwell, church etc
• Helping out with household chores
PHASE 2 – ENTRY Data for Social Investigation
1. physical/geographic area
2. Demographic area
C. Social Investigation 3. Economic conditions
• also known as COMMUNITY 4. Mortality and morbidity
STUDY 5. Food supply and nutrition
6. Cultural patterns (health beliefs and
• Systematic and scientific practices)
process of collecting, 7. Health services and facility
collating and analyzing data 8. Education
to draw a clear picture of 9. Community leadership and organization
the community 10. Development agencies
11. Community problems as articulated by
the people
PHASE 2 – ENTRY
D. Identification of Potential Leaders
They are considered the future community organizers and
possible partners to the delivery of health services to the
community
• They are also expected to form and lead the community
Health Organization (CHO) and take on managerial roles in
the community program must belong to the poor sector in
the community
➢Respected member of the community
➢Responsive and willing to work for change
➢Possess good communication skills
PHASE 2 – ENTRY
D. Identification of Potential Leaders
CORE GROUP FORMATION
• Potential leaders are formed into a core group, a
transitional phase towards CHO formation
• Group of 8 – 10 individual, community residents who
possess leadership potential
PHASE 2 – ENTRY
FUNCTION OF THE CORE GROUP
1. Social preparation of the community
2. Aid in the conduct of community diagnosis
3. Setting up of CHO, identify BHW
4. Mobilization of the community
5. Participation in the delivery of essential health
services
PHASE 2 – ENTRY
FOUR DISTINCT & INTERRELATED STRATEGIES DONE IN
THE CORE GROUP FORMATION PHASE
1. Integration with the core group members
2. Deepening social investigation
3. Training & education of core group members
4. Mobilization of core group
PHASE 2 – ENTRY
TRAINING OF CORE GROUP
• Local health situation
• National health situation
• PHC – concept, principles & strategies
• Conduct of community survey and community diagnosis
• Team building
PHASE 2 – ENTRY
TRAINING OF BHW brgy health workers
• Local health situation
• National health situation
• PHC primary health care
• Common illnesses in the community
• Maternal and child care, including Family planning
• Common emergencies and 1st aid
• Environmental sanitation
• Traditional medicine
• Public health referral system
• Recording and record keeping
PHASE 2 – ENTRY
E. Provision of Health Services
• To respond to acute health problems
• To provide immediate interventions
• To put emphasis on the preventive aspects of health care
• To enhance the integration of the community organizer in
the community
END OF COPAR PART 2