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Area Program-Based Health

Planning (APBHP) Methodology


as Tool in Community Health
Nursing (CHN) Immersion

Marvin M. Pulao RM, RN, MAN


PURPOSE

 To assist nursing student in formulating


program-based development plans while
providing comprehensive nursing care to
clientele during intensive community
health nursing immersion in the
catchment's area.
BACKGROUND
 It is a decentralized planning process owned by
increasing autonomous service managers and frontline
service workers.
 Developed in response to the need to reconcile national
program plans and area plans for health.
 Has been used by health workers as a tool for managing
their day-today operations.
 A systematic reconciliation of the two streams of
planning applications, namely, area operations planning
and program operations.
 The goal of is to translate agreed national program plans
into guidelines for undertaking area operations planning.
FRAMEWORK
1. Problem Analysis 1. Monitoring and
 Health data review. evaluation
 Program Review.  Supervisory
 Statement of area- scheme of
specific problems. program activities
 Analysis on priority  Evaluation scheme
health problems of program
 Analysis of activities
area/program
specific problems.

APBHP
METHODOLOGY 1. Plan consultation
and
implementation

1. Formulation of
1. Goal setting 1. Activity and
measures
 Statement of resource
 Operational and
program and planning
augmentation plan
operational goal
by program with
budget
requirements
METHODOLOGY
 The student assimilated the roles and functions
of a Community Health Nurse (CHN).

General orientation on APBHP.

Consensus was built and agreement on guidelines
was agreed. The agreement contained program
parameters and numerical cut-off points to be used
as indicators of problems.
 Minimum health data (morbidity/mortality) statistics,
program performances, socio-economic conditions,
situation of available facilities, client behavior, peace
and order conditions, geographic spread of
catchments, etc) were presented and used as
baseline for worksheets (prescribed matrices).
SUMMARY OF RESULTS
 It required consolidations of all prioritized activities,
physical, financial and other resources to achieve targets
and set goals/objectives.
 The plan was reviewed and approved in a collaborative
workshop meeting.
 During implementation, feedbacks from partner
stakeholders and modification of actions were closely
monitored to carry out the plans.
 Participative monitoring and evaluation of programs/
projects were imparted to among partner stakeholders.
 Sustainability was assured by building political
partnerships in the forms of agreement (e.g
memorandum of agreement, manifesto of support,
barangay resolutions and endorsement of various
developmental organizations).
IMPLICATION FOR ACTION:
NURSING EDUCATORS.
A major challenge to prepare nursing student for
his/her future role as CHN.
 The key of successful transfer of KSJ to the
student depend on the teacher’s ability to
improve the student understanding of concepts
related to PHC.
 Since the design (APBHP) is more focus in the
management of DOH programs, it is imperative
that student must internalize the concept then
materialize it in actual setting.
This abstract was presented during the “1st Global
Symposium on Revitalizing Primary Health Care (PHC)
in Nursing Education and Practice”, August 21-22, 2009,
Dumaguete City, Philippines

By:

Marvin M. Pulao RM, RN, MAN


Dean, DMMC-IHS
College of Nursing
Tanauan City, Batangas,Philippines
Tel. No. +63-437-786-352
Mobile Phone No. +639-291-994-145
Email: marvin_pulao@yahoo.com

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