A Comprehensive Textbook of Community Health Nursing Bijayalaskhmi Dash
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fm1A Comprehensive Textbook of Community Health Nursing
(As per INC Syllabus)
Bijayalaskhmi Dash Lecturer, Community Nursing (ONES Cadre) Govt College of Nursing, MKCG Medical College Berhampur, Odisha
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A Comprehensive Textbook of Community Health Nursing
First Edition: 2017
Printed at
fm3Dedicated to
This book is dedicated to my parents late Rama Chandra Panda and late Nayana Sundari Panda for their revered memory.
It gives me immense pleasure to write the book A Comprehensive Textbook of Community Health Nursing and this first edition of the textbook has evolved to reflect the continuous advancements in the field of nursing education, to meet the growing information source required for nursing students. This extraordinary textbook contains all the aspects of community health nursing comprehensively. It covers almost all the chapters as per the latest syllabus of Indian Nursing Council (INC) for BSc, MSc and General Nursing and Midwifery course. This textbook will prove to be an unceasing source of information.
‘Gaining knowledge is a never-ending process’. The core subject community health nursing in nursing syllabus requires information and knowledge in current affairs. This textbook contains eighteen chapters written in simple language and all the chapters are well-defined with updated knowledge, information and data findings. This book will supply all the updated information like NITI Aayog , new emerging and re-emerging diseases (Ebola virus and Zika virus), new changing policies and National Health Programmes in details. Separate chapters based on community mental health, international health, occupational health and quality assurance in community health nursing and rehabilitation which are rarely available are emphasized.
I have been encouraged to write this book because of the fact that the students of community health nursing speciality will be highly benefitted by this book. I hope, this book will benefit nursing students. This is my first endeavor of short steps towards contributing my knowledge and experience with the students who are encouraged to move forward. I welcome healthy comments and suggestions from readers which will help me to improve the book.
Bijayalaskhmi Dash
I especially acknowledge the contributions of all the Editors and Scholars who have applied their editorial expertize with valuable comments.
I deeply express my gratitude to my teachers especially Dr Laxmi Rana, PhD Nursing for her support, encouragement and blessings which was an input to write the book.
I convey my sincere thanks to Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India for their efforts and suggestions, especially Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President), Ms Chetna Malhotra Vohra (Associate Director – content strategy), Ms Payal Bharti (Project Manager), Ms Ruby Sharma (Project Manager) and Mr Sabyasachi Hazra (Commissioning Editor) for helping me through my idea. I also express my gratitude to them, for accepting my proposal and encouraging me to complete this book by providing me timely corrections.
I extend my thanks to my husband Mr Pravash Ranjan Dash, my daughter Ms Sayanshree Dash and my son Subhasatya Dash for their support and encouragement.
Finally, I am thankful to all my friends, and my colleagues for their support and encouragement.
Bijayalaskhmi Dash
fm9INC Syllabus
Community Health Nursing I
Placement: Second year
Time: Theory - 90 hours
Practical - 135 hours
Course description: This course is designed for students to appreciate the principles of promotion and maintenance of health.
Time (Hrs)
Learning Objectives
Teaching Learning Methods
Assessment Method
  • Describe concept and dimensions of health
  • Community health nursing
  • Definition, concept and dimensions of health
  • Promotion of health
  • Maintenance of health
  • Lecture discussion
  • Short answers
  • Describe determinants of health
Determinants of health
  • Eugenics
  • Environment:
    • Physical: Air, light, Ventilation, Water, Housing, Sanitation; disposal of wate, disposal of dead bodies, Forestation, Noise, Climate, Communication: infrastructure facilities and Linkages
    • Acts regulating the environment: national pollution control board
    • Bacterial and viral: Agents, host carriers and immunity
    • Arthopods and Rodents
  • Food hygience: Production, Preservation, Purchases, Preparation, Consumption
  • Acts regulating food hygience Preventation of food adulteration act, Drug and consmetic act.
  • Sociocultural:
    • Customs, taboos
    • Marriage system
    • Family structure
    • Status of special groups; Females, children, elderly, challenged grops and sick persons
  • Life Style
  • Hygience
  • Physical activity
    • Recreation and sleep
    • Sexual life
    • Spiritual life philosophy
    • Self-reliance
    • Dietary patern
    • Education
    • Occupation
  • Financial management:
    • Income
    • Budget
    • Purchasing power
    • Security
  • Lecture discussion
  • Explain using Charts, graphs, Models, films, slides
  • Visits to water supply, sewage disposal, milk plants, sluaghter house, etc.
  • Essay type
  • Short answers
  • Objective type
2, 4, 5fm10
  • Describe concept, scope, uses methods and approaches of epidemiology
  • Definition, concepts, aims, scope, uses and terminology used in epidemiology
  • Dynamics of disease transmission: epidemiological triad
  • Morbidity and mortality: Measurements
  • Levels of prevention
  • Methods of epidemiology of:
    • Descriptive
    • Analytical: Epidemic investiation
    • Experimental
  • Lecture discussion
  • Explain using Charts, graphs
  • Models, films, sides
  • Essay type
  • Short answers
  • Describe Epidemiology and nursing management of comon Communicable diseases
Epidemiology and nursing management of common Communicable Diseases
  • Respiratory infections:
    • Small Pox
    • Chicken Pox
    • Measles
    • Influenza
    • Rubella
    • ARI's and Pneumonia
    • Mumps
    • Diphtheria
    • Whooping cough
    • Menningococcal meaningitis
    • Tuberculosis
    • SARS
  • Intestinal Infections:
    • Poliomyelitis
    • Viral hepatitis
    • Cholera
    • Diarrhoeal diseases
    • Typhoid Fever
    • Food poisoning
    • Amoebiasisi
    • Hook worm infection
    • Ascariasis
    • Dracunculiasis
  • Arthropod infections:
    • Dengue
    • Malaria
    • Filariasis
  • Zoonoses
    • Rabies
    • Yellow fever
    • Japanese encephalitis
    • Kyasnur Forest Dieases
  • Bacterial
    • Brucellosis
    • Plague
    • Human Salmonellosis
    • Anthrax
    • Leptospirosis
  • Rockettsia diseases:
    • Rickettsial Zoonoses
    • Scrub typhus
    • Murine typhus
    • Tick typhus
    • Q fever
  • Parasitic zoonoses:
    • Taeniasis
    • Hydatid disease
    • Leishmaniasis
  • Surface infection:
    • Trachoma
    • Tetanus
    • Leprosy
    • STD and RTI
    • Yaws
    • HIV/AIDS
Any other
  • Lecture discussion
  • Explain using Charts, graphs
  • Models, films, slides
  • Seminar
  • Supervised field practice health centers, clinics and homes
  • Group projects/health education
  • Essay type
  • Short answers
  • Objective type
  • Describe Epidemiology and nursing management of common Non-communicable diseases
Epidemiology and Nursing management of Non-communicable disease
  • Malnutrition: Under nutrition, over nutrition, nutritional deficiencies
  • Anaemia
  • hypertension
  • Stroke
  • Rheumatic, Heart Disease
  • Cornonary heart Disease
  • Cancer
  • Diabetes mellitus
  • Blindness
  • Accidents
  • Mental illness
  • Obesity
  • Iodine Deficiency
  • Fluorosis
  • Epilepsy
  • Lecture discussion
  • Explain using Charts, graphs
  • Models, films, slides
  • Seminar
  • Supervised field practice-health centers, clinics and homes
  • Group pojects/health education
  • Essay type
  • Short answers
  • Objective type
  • Describe the concepts and scope of demography
  • Describe methods of data collection, analysis and interpretation of demography data
  • Definition, concept and scope
  • Methods of collection, analysis and interpretation of demographic data
  • Demographic rates and ratios
  • Lecture discussion
  • Community identification survey
  • Essay type
  • Short answers
  • Objective type
  • Assessment of Survey report
6, 8
  • Identify the impact of population explosion in India
  • Describe methods of population control
Population and its control
  • Population explosion and its impact on social, economic development of individual, society and country
  • Populaton control:
    • Overall development: Women empowerment, social, economic and educational development.
  • Limiting family size:
    • Promotion of small family norm
    • Methods: spacing (natural, biological, chemical, methods, etc.)
    • Terminal: Surgical methods
    • Emergency contraception
  • Lecture discussion
  • Population survey
  • Counseling
  • Demonstration
  • Practice session
  • Supervised field practice
  • Essay type
  • Short answers
  • Objective type
  • Assessment of Survey report