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The Indian Health Service (IHS) Public Health Nursing (PHN) Scope of Work (SOW) describes population-based program components, goals, objectives and activities. The levels of PHN practice include individual/family, community and systems. The focus of PHN services are on primary, secondary and tertiary prevention interventions. An overview of the PHN program and services are provided in the following tables:
Population-Based PHN Programs and Services
Table 1: Maternal Child Health
Primary Secondary Tertiary – PHN Case Management
Preconception counseling Prenatal case-management—low risk Prenatal - high risk
Age-appropriate anticipatory counseling Well child care Special needs
Parenting education Depression screening High risk postpartum management & referral
Family planning education Domestic Violence (DV) screening High risk newborn
Immunization education & management Environmental assessment
Breastfeeding Postpartum assessment
SIDS prevention Newborn care management & referral
Newborn assessment
Other
Population-Based PHN Programs and Services
Table 2: Child & Adolescent Health
Primary Secondary Tertiary – PHN Case Management
Conception prevention Risk behavior screening: tobacco; drug/alcohol; unprotected sex; abstinence
High risk behavior referral
Age-appropriate anticipatory counseling Nutrition & exercise screening Special needs management & referral
Parent education Depression screening
Family planning education Domestic Violence (DV) screening
Immunization education & management School health screenings
Healthy lifestyle choices Assessment & referral
Risk behavior prevention
Suicide prevention
School health education staff/parents/students
Other
Population-Based PHN Programs and Services
Table 4: Communicable disease
Primary Secondary Tertiary – PHN Case Management
Immunization Screening
Tuberculosis Sexually transmitted infections
Outbreak containment
Hygiene education
Hand washing
Food preparation
STI prevention
Risk communication Interagency coordination
Surveillance Case Finding Treatment follow-up
Investigation & Reporting
Community outreach education Environmental risk assessment
Drug/ETOH screening
Risk reduction education
Other
Population-Based PHN Programs and Services
Table 5: Population-based community – focus (changes community norms, attitudes, beliefs, practices & behaviors)
Primary Secondary Tertiary
Community education Community assessment – Detects & treats problems through collaboration, partnerships, outreach, advocacy, social marketing, consultation & coalition building
Limits further negative effects from problems through collaboration, partnerships, outreach, advocacy, social marketing, coalition building & consultation
Community assessment – Health protection & promotion
Targets high risk populations
Collaboration, partnerships, outreach, advocacy, social marketing & coalition building
Other
Table 6: Population-based systems – focus (changes organizations, policies, laws and power structures)
Primary Secondary Tertiary
Development of, or changes in policies, laws & power structures that protect & promotes the health of the community
Development of, or changes in policies, laws, & power structures that detects, treats and/or reduces health risks & threats in the community
Development of, or changes in policies, laws, power structures that limit further negative effects in the community
Other
