pre-determined goals, agendas and process. According to the Director-General of the World Health Organization (1999), twenty years later we knew we had failed. Therefore, another paradigm shift was warranted. Clinicians need to listen to the voice of the community and the community needs to develop a responsibility and ownership of its own health. This presentation discusses the role of nursing in the development, implementation and outcomes of Christian community-based health care programs (CBHC) in India and Papua New Guinea. CBHC as prevention requires each community to define health through identification of their personal, cultural, societal, spiritual, environmental, and political causes of disease, illness and risks. Through this process, these medically underserved are empowered to develop and mobilize strategies for improvement and/or elimination of there causers and together improve their broader definition and expectation of health. CBHC domains include the childbirth year, nutrition, sanitation, pure water supply, immunizations, environmental safety/violence prevention, and the prevention and intervention relating to chronic disease and infectious disease. All domains are implemented and sustained through indigenous developmental programs, especially those established for women and through the use of Village Health Workers and Traditional Birth Attendants.     

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See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)