3. CONCEPT OF PUBLIC HEALTH EVALUATION
Public Health evaluation is the process of monitoring health care programs from planning phase to the execution of the program. Evaluation is the process of examining the worth of an object.
Evaluation is done in public health to determine the progress of health program objectives and goals. Public health evaluations are important information that serves as a database in nursing diagnoses and also community nursing diagnoses from the assessment data that was analyzed, for any program in public health to be relevant; health program must be evaluated regularly. Evaluation is crucial in public health nursing practice as evaluation finding and existing program can be terminated unless evaluation evidence
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It helps me to determine my area of weakness and strength.
3.2 Social Context: Socially, evaluation helps me to review previous similar program and present the information to the communities for use in decision making. Evaluation of program helps me to know the impact of the program on individual community knowledge, behavior and attitudes toward the program.
3.3 Professional Context: Program evaluation helps me to understand the uniqueness of each community. Professional, I should be able to applied nursing process in community health nursing/public health nursing. Applications of nursing technique in health of a community make my professional unique and stand out.
3.4 Current Research in Public Health Evaluation: Public health research and evaluation (July 2010) (focus Area profile) stated that program evaluation should be integrated into day to day management of programs; that the five elements of program evaluation should be integrated:
Use science as a basis for decision making and public health action.
Expand the quest for social equity through public health action.
Perform effectively as a service agency.
Make effort outcome oriented and be
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Determinant are factor that affect the occurrence of disease in a given population and mostly those determinant varied as such nursing researcher should study those varied determinant by using different epidemiological approach in a disease investigation. Understanding the intricate factor of changes that occur during disease process can help determine how effective the disease will be control. Determinant could be intrinsic or extrinsic. Intrinsic determinant of disease can by (1) living agent such as viruses, bacteria protozoa etc (2) non living agent such as toxic substance nutrient, and water etc (3) host agent. Extrinsic determinant of disease are factors that arises as a result of human interaction to his environment which could be climate, soils and