230 nud reorienting hen Ith c.-1r1a: syslems Comprchcnsivl' RJlpro Ac h which strike)' 11t the root of the problem nnd addresses the sociu I dctcnninan ts r,f health C<'rnn1ui1ily or)!nnizin~ work is c.,rric J out by the nur Sl' with the ~oat of motivating, , J,:,min):\ 11nd srckini widl·· 1·om1111111ity p<1rti<·ipalicm in ucc:ision-making i,, aclivilic R ~;nt hnn' 1hc_11;>:"ntiul to impact posi~ively 0~1 com1111111ity health. Unli~c in t_,callh cducalinn ;Kt,,,tu·:< whl'rl..' th~ nur~,. nm::: to 111f111c11~·c. drnngc. ind ~1vcl1fy n1t1tudcs J t,chiwior of p,npll· as 111d1v1Cl11nlt:. the nur.,;c s efforts nrc dll"cc. :Lcd towords :Hl I ·1 ·. I I... ·'. 1 01117;11)'. and mn '1 111r1~ t H' pcop c to 111111;:itc nnu sustnm c rnngcs ns ;_1 group or ns n[1?:o"''ani7. ~1tir-n. Tlw p L'oplc. 1rt 1101 :L~ individ11nl:s h11l n:; member s of thc,w groups or -'11.,_ · I I.. I. t1 rg;iniznlions. !11 nmm11t11ty,)r~n111z111g.. t H. ' cmp 1:1s1s 1s more on stren~t 1cn1ng 1c 0 ember,-· capahili!:)· in prohll:'m-sold n~ and decision-making skills nece..c;s:, ry for scl r-111.... rdi:rnl de,-dop1rnmt 1111Untl\"l'l', Conununit y 011!. llli Ting i, a pn)ce~ whereby the community mcmhers de,·clop the abilit,· to ns~cs. s 1h.. 1r health tl L'etls a. nd problems. pl. 1n. ind implement net-ions to ~i--e tb~ prnblem,;. pul ~p ~md su;;tain_ o~an_izational structur e..-. which,,ii! !<upport and monitor implementation of health lll Jbati~·es by the people. 1n orgoni7. ing lhe c:ortimunit:-·. the nurse $toes through the fo Uo,-,og phases (Andamo, J986; Manalili, 1985): A. Prepanito~· Pl~ase. T!1e acth. iti~ in the prep~atory _phase i~1clm J~ area selection. commurut y pro-filing. entry in the com111urut y and mteg,-at,on with the p('OPle. 1. A roa sclec:n'ort To ~uide rhe nurse in choosini:1. a. nd prioriti7. ing areas for community hc,1lt h development. the follo"ing quest. iun. s must be answered: L,; rhe comm uni~ in n,ei:<l ofassistam. :e? Do the r::urnmuni~-rno.,111110.,n. fol. '! the need to work logclhcr to overcome o.,pccific hc:alth pnc Jl,lcm? Art> there cvnccrned groups and 1Jrganiz;1tions that the nurse c. 111 pos~ihly h'nrk "ith? \-\'hat,,;II be the counterpar1 of the community in terms of c'1mmunity-;-upport, commil'ment ;md hum. in resources':' 2. Community pr-ofili119 Once th, a,,.,. h:i$ been scl<:cte. <l. ;t Cl)mmunily member who ii-known r111<l ;icc('Jltl'cl b, tl1t' r><·npl,~ ";II h<: chosen to acl ns the contact person. TIie c11ntac-t per-. nn r:111 id,·ntify otlwr pcr. ;;nns who C. "1. 11 b1· depended 11pon to in11101t.-,wt" 111,--. in the r-nmnrnnity. ·111,·s< people will com rose the c«irc ~rnufl "h<1" ill. ~,-.,~t the· nur<:1. : 111 dning n <:t>n11nunity profile. A <:<J1111111111ity prnhlc pr11,1dt,-:tn n,crv1e-,,· r)f dern<\,:rnphir· chnr:1t ·1crislic,-. co111111u11il)' and 1i~11lth-rdat l'd,-..-r. ·in.-,;; and fac-dit,c,. II will,-cr"c a. s,111 initi,d d11tahasc o( the ron1r111111it:,. :,nd pnn·id<· the basi,-for pla11ni11K ;ind pro~r;,mmi nµ of Orj1. :Jl117. llli?, :l<'ll\llll"'-. It c.,n nl'--'J help d L'termin(· llw :ippr·opriall· 11ppnmc. il and me-thn<l ol or)?. ani7Jn)?.,;p,. :cific to the popula1ion group or sct:lor. s thnt ,-. ;11 he-or:i:,ani Ted. 3. Rnrry in thf' <'ommu11iry and imc:gration u-itl1 the people. l:iefon· :'H'tu,J cn1. ry into I ht" com mu 11ity. ha. sic inform,r tion about the II rca in nfatinn tll tla· (·uhural practice:. and lif Mtyle of the p<'oplc· m11~t lw kno"'11. F. ~ahh,hrns,: r.. r,,xirt,md i111. c. i:,rntin,I! '"1th Lhcm will hr much c-11sic-r if one Is at-)1.-I{, unde~-iand. accept or imbibe their l. 'Ommunit y life. Lh·ing with 