2.  Health is a state of dynamic balance of an
individual's ability to perform personality valued
roles and responsibilities, to deal and cope with
physical, biological, psychological and social
stresses and challenges throughout the life while
continuing to maintain sense of wellbeing.
 Nursing is a professional services for enabling a
person to maintain and sustain health and
wellbeing.
 In community the individuals/families groups who
are in need of assistance from community health
nurse to maintain and sustain their health and
wellbeing.

3.  In community the vulnerable groups those who
are disadvantages due to physical and economic
reasons e.g. - women, children mentally and
physically challenged including elderly groups
need for more attention for their health and
wellbeing.
 Activities carried out by community health
nurse are promotive, preventive, curative (only
minor aliments). Referral services and
rehabilitative services for the individual and
families in the community.

4. code of professional
conduct.
 ional responsibility and
Profess
accountability.
 Qualitative standard nursing
practice.
 Valuing human being.
 Communication and interpersonal
relationships.
 Effective management.

5.  Respect Qniqueness of an individual.
 Respect rights of an individual .
 maintain privacy and confidentiality and share
information judiciously.
 Competency based quality nursing services.
 Obliged to practice within the framework of
ethical, professional and legal boundaries.
 Work harmoniously with the members of health
team.
 Commits to reciprocate the trust invested in
nursing profession by society.

6.  Legislation
in health field is to
execute heath services and
family welfare services
through an established and
recognized organization:

7. PUBLIC
Social
HEALTH
Value
LAW
Health
Local law Social
government depends standard
on
Interpersonal
relationship

8. Public health laws comprise of:
(a) Health law - Dealing rights and duties
- Legal act
- Legal procedures
- Jurisprudence
(b) Health ethics-
- Social and individual values
- Health philosophy
- Religion
(c) Community health nurse and patients/individual -
Performance as per the nursing act
- Privacy
- Confidentiality
- Right to refuse
- Social regulations
- Mal practice

9. Fitness in occupation
In professional
duties
at community
Medical
work
Circulation
Treatment
of
prisoners
Hunger Court
strikers witness
Blood
test

10. Legal aspect in public health
Surgery and
IN Anesthesia
Efficiency
C
U
L Psychiatric
Emergency T management
U
Infectious R
case A
L Autopsy
Organ
transplant C
A Drug-reaction
Blood R shock
Transfusion E and sudden
death

11. In preventive activities
In professional
duties at
community work
Mass
Immunization
screening
Limiting Prophilaxis
religious against
activity Limiting
diseases
commercial
activity

12.  Law is a code which regulates
human behaviour in the society.
 Law imposes a duty on every
individual to conform standard of
conduct so as to protect right of
every individual.
 Basic law of our country is
constitution which provides rights
and duties of citizens and functions
of the states.

13. Purposes
To connect To protect To make To punish
inequalities rights of amendments people
in society individuals in rights of indulging
individual to in
said the forbidden
prevailing acts (not do
requirements so)
of society

14. Law of the constitution are formed under
different sections as follows:
 Common laws - by judges of court
 Labour laws - Right and obligations between
employers and employees.
 Statutory laws - Define obligations of citizens to act
in a particular manner.
 Criminal laws - Laws are closure to the statutory
laws.
 Tort - This kind of law includes demamation,
assault, negligence and frauds etc.
Tort is a civil wrong for which remedy is
common. law action for damages that are not
liquidated and which is not exclusively the breach
of contract or trust or a more equitable obligation.

15. For constitute tort following conditions must
be satisfied:
 Act or omission - for a person liable for a tort
she/he must have some act which is not expected to
do or must have failed in her/his duties.
 Wrongful or omission - If more moral or social
wrong, these can not be a liability for a person.
 Legal damage - Infringement of a legal right.
 Legal remedy - It must give rise to legal remedy in
the form of action or damage.
 Supreme Court is the highest judiciary with
highest power of the country.

16. STATUTES- COURT
CONSTITUTION
STATUTORY DECISIONS-
OF INDIA
LAW TORT LAW

17.  License is a legal document that
permits a person to offer special
skills and knowledge to the
public in a particular jurisdiction.
 Licenser - Establishes standards
to entry into professional practice
defines scope of practice and
allow disciplinary action.

18.  Being found guilty of professional
negligence.
 Practising nursing without license.
 Obtaining license by fraud or
allowing others to use your license.
 Conviction of grave crime for any
offence substantially related to the
function or duties.

19.  Participating professionally in
criminal abortion.
 Not reporting sub-standard care.
 Providing care while under
influence of drug or alcohol.
 Giving narcotic drugs without
an order.
 Falsely found as a community
health nurse practitioner.

20. Conditions of work and life of community health
nursing personnel:
1. Standard hours of work 8 hrs/day. In between
working hours half an hour Lunch-break.
It should not be more than 12 hours
2. Over time Time relaxation (leave)
Extra remuneration
2 days rest/week
Two weeks advance notice for any roster duty.

21. 3. Leave - 4 weeks with pay/year
- Sick leave with pay until recovery
- Maternity benefit
12 weeks/ No posting in
pregnancy risk areas
4. Remuneration As per qualification
Experiences
Responsibilities
Cleaning facility

22. 5. Legal control on appointment letter specify:
- Rights
- Duties
- Responsibilities
- Degree of authority attach to it
6. Nursing - education (student's):
- Supervised clinical/community nursing practice
- Adequate housing with reasonable privacy
- Suitable uniform
- Adequate health protection
- Vaccation, leave
- Grants (stipend/study loan)
7. Continuing education:
- Facilities for continuing education for updating
knowledge and skills.

23.  1825- Quarantine act
Quarantinable diseases
Yellow fever
Typhus fever
Cholera
Relapsing fever
Plague
Small-pox
 1855 - Fatal accident act
This act provides compensation to families or loss occasioned by
the death of a person caused by actionable wrong i.e. neglects,
default.
 1873- Birth and death registration act - Promulgated
 1880 - Vaccination act was passed
 1897 - Epidemic disease act (Modified in 1956)

24.  1948 - Minimum wages act (Promulgated)
 1950 - Constitution of India formed
 1950 - The drug control act (price - order)
 1954 - Air craft rules (Quarantine act)
 Air craft act - 1934, Public health rules – 1946
 Indian air - craft (Public health rules) was passed
forquarantinable diseases by our constitution
(a) Vaccination certificate.
(b) Medical authority certificate for travelling by
AIR CRAFT.
 1825 Quarantine act was passed

25.  1955 - Marriage act passed
 18 yrs boy/15 yrs girls
 1956 - Immoral traffic act
 1956 - Epidemic disease act
 4th Feb 1897 extends to whole India except (territories) and
modified and passed on 1st Nov. 1956
 (Special power to manage epidemic)
 Prescribed regulations as to dangerous epidemic diseases.
 Power of central govt. - Inspection of air craft, vessels etc
suspected.
 Protection to person.
 1956 - The Hindu Adaptations and maintenance act
 1961 - The maternity benefit act
 1962 - Atomic energy act
 Quality assurance.
 Qualified staff and personnel monitoring badges in x-ray
department.

26.  1963 - Personal injuries compensation act
 ESI ACT- Payment for surgery, medical treatment etc,
 1969 - Registration of birth and death act within 21 days
with late fee 30 days after occurrence and came into force 1st
April, 1969
 Birth - live birth or still birth.
 Death - Permanent disappearance of all evidence of life at
any time after live birth.
 1970 - Drug and public health
 Drug control, sale, supply and distribution of drugs.
 Public health laws relating to drug dealt with accessibility
of drug (sale and marketing).
 Dispensation of drug, administration of drugs = Quality of
drug (Drug-adulteration).
 Presence of essential drugs (by WHO) in a functioning
health system at all times in adequate quantities, in
appropriate doses form with assured quality and reliable

27.  1971 - M.T.P. Act (Medical Termination of Pregnancy)
 MTP act permits of foetuses with disabilities.
 Aim - to make possible to use abortion as a mechanism of
family planning.
 Abortion can lawfully be done.
 Abortion as a right to women.
 Risk of death or grave mental or physical injury to the
health of pregnant women.
 Where pregnancy caued by safe.
 Risk of the child (serous abnormality) .
 When contraceptive device failure .
 1971 - Family pension scheme
 1974 - Prevention and control of pollution act

28.  1975 - Prevention of food adulteration act (1954)
 Food quality, adding any other substances.
 Food kept in insanitary conditions (contaminated).
 If the product decomposed and not fit for human
consumption .
 If the article is obtained from contaminated animal and
fish etc.
 If poisonous substances added.
 If prohibitive preservative or colouring materials in
excess of prescribed unit.
 Adulteration results grievous health problems even
death -
 For death - Imprisonment and fine
6 months to 3 yrs Rs. 5000.00 orabove

29.  1975 - The cigarettes regulation act
 Production, supply and distribution
 1975 - Indian factories act of E.S.I. act modified
 1978 - Child marriage restraint act
 Boy - 21 yrs, girl - 18 yrs
 1981 - The air (Prevention and control of pollution)
act was enacted
 1984 - The workmen compensation act came into
force 1st July 1984
 1984 - The Juvenile act
 1986 - The child abuse (Prohibition of regulation) act
 1986 - The environment (protection) act

30.  1986 - The consumer protection act
(except J.K.)
 Central consumer protection council .
 State consumer protection council.
 District consumer protection council.
Or
District forum
 Right to choose, right to safety, right to ward , right to
seek-redressal, right to be informed, right to consumer
education.
 Change of price, loss or damage any major trade practice,
price display in packet goods.
 Free service provider if demands anything.
 Imprisonment 1 month to 3 yrs with compensation not
less than 5 lacs.

31.  1987 - The child labour (Prohibition and regulation
act)
 1987 - NACO - Public Health Act
 HIV and AIDS rules
 HIV/AIDS kit to all hospitals.
 Use of Disposable syringe of needle use.
 Proper biomedical waste disposal.
 Free of cost anti AIDS drugs.
 Pension benefit not money but work .
 Blood bank safety programme.
 Confidentiality.

32.  1990 - The national commission for women act
 Functions of commission .
o Investigation for safe-guard for women under
constitution and law.
 Safe-guarding women's right.
 Recommendation for improving women's status.
 Taking up cases of violation.
 Deprivation of women's rights.
 Occupational health hazards.
 Equality and development.
 Socio-economic development for women.

33.  1994 - The transplantation of human organ act
 Regulation of removal, storage and transplantation of
human organ for therapeutic purpose.
 Prevention of commercial dealings in human organs.
 Authority for removal of human organ.
 Postmortem (medico legal).
 Unclaimed body in hospital.
 Certified death and volunteer organ donation.
 Registration of hospitals.
 Regulation of hospitals.
 Appointment of appropriate authority for this act by
central and state government.
 Preservation, transplantation, removal by illegal ways
without noticing authority. Punishment as imprisonment
and penalty One lac and above.

34.  1992 - Infant milk substitute act
 1994 - The Panchayat Raj act
 1995 - The disability act
 Equal opportunity, protection right and full participation by
disable persons.
 1996 - The prenatal diagnostic technique (PNDT act)
 Act prohibits all technologies of sex selection.
 By registered of qualified agencies.
 Cases - Genetic disorders, chromosomal abnormalities
congenital anomalies, sex-linked diseases.
 2003 - PNDT Act was enacted in 2003 for prohibition of
"Female-foeticide“.
 2000 - Noise pollution (Regulation and protection) act
 Silence zone - Hospitals, court, educational institutions.
 From 10 p.m. to 6 p.m. - No loud speakers/public address.

35.  2000 - The juvenile justice (Care of protection) of
children act
 2003 - The tobacco products prohibit act
 No smoking in public places.
 Size of cigarette - 90× 6 mm.
 Once not more than two - Prohibition of sales to
minor groups.
 2003 - Prenatal diagnostic technique (regulation and
prevention of misuse) act
 Prohibition of sex selection .

36.  2005 - The disaster management act
 National, State and District plan for management
strategies, capacity building, migration etc.
 Specify role of all workers including health during
emergencies and before emergencies.
 Strengthening each resource person by appropriate
training.
 As a CHN has to plan disaster preparedness plan
by accessing vulnerabilities, health education, first-
aid, drills etc.
 Relief, reconstruction in all plans in all levels.

37.  2005 - The protection of women from domestic violence act
 Protection of women from domestic violence aggrieved
person, respondent and domestic relationship.
 Physical abuse, economic abuse, dowry, unlawful demands
and treats to cause above harms.
 Relief for insurance of protection order.
 Ensure provision of legal aid.
 Service providers are legal aids, shelter homes and medical
facilities in local areas.
 Ensuring monetary relief for aggrieved person, loss of
earning, medical expenses, loss of any property.
 Maintenance of aggrieved and her children.
 Legal action against the respondent.
 2009 - The right of children to free and compulsory education
act
 2011 - The protection of children from sexual offences bill in
India