Which of the following are parts of the Quad Council?

Environmental, physical, and social determinants explain most health disparities in the United States.11,12,13,14,15
Socioeconomic disadvantages such as poverty, low levels of education, and belonging to a racial or ethnic minority group, are more robust risk factors of poor health than a lack of access to health care or predominantly genetic factors of disease.16,17,18

generalist community/public health nurses (C/PHN) who carry out day‐to‐day functions in community organizations or state and local public health organizations, including clinical, home visiting and population‐based services, and who are not in management positions.

Responsibilities may include working directly with at-risk- populations, carrying out health promotion programs at all levels of prevention, basic data collection and analysis, field work, program planning, outreach activities, programmatic support, and other organizational tasks. Although the CoL competencies and the C/PHN competencies are primarily focused at the population level, C/PHNs must often apply these skills and competencies in the provision of services to individuals, families, or groups. Therefore, Tier 1 competencies reflect this practice.

C/PHNs with an array of program implementation, management, and supervisory responsibilities, including responsibility for clinical services, home visiting, community‐based and population focused programs.
For example, responsibilities may include: implementation and oversight of personal, clinical, family focused, and population based health services; program and budget development; establishing and managing community relations; establishing timelines and work plans, and presenting recommendations on policy issues.

Sets with similar terms

Quad Council Coalition Releases 2018 Community/Public Health Nursing Competencies

In 2018, the QCC updated its C/PHN Competencies. The C/PHN Competencies align with the Core Competencies for Public Health Professionals (Core Competencies) developed by the Council on Linkages Between Academia and Public Health Practice. Also, other related nursing competencies, including the American Organization of Nurse Executives’ Nurse Executive and Nurse Manager Competencies (2015), World Health Organization’s Nurse Educator Core Competencies (2016), American Association of Occupational Health Nurses’ Competencies in Occupational & Environmental Health Nursing (2015), Global Health Competencies for Nurses in the Americas, and Interprofessional Global Health Competencies, were used to support additions or changes to the C/PHN Competencies. The final competencies more fully reflect the American Public Health Association Public Health Nursing Section’s 2013 definition of Public Health Nursing and the focus practice environments, services, and standards of practice outlined in the American Nurses Association’s 2013 Public Health Nursing: Scope and Standards of Practice, Second Edition.

The C/PHN Competencies use the same eight domains and three-tier structure as the Core Competencies and can be used by public health nurses from entry-level to senior management/leadership in a variety of practice settings. The C/PHN Competencies reflect the unique competencies required for the practice of public health nursing.

The C/PHN Competencies are available as a PDF to aid in adoption and integration into practice, academia, research, and policy. Visit the QCC website to download a copy of the competencies.

Questions may be directed to Kathleen Amos at .

What does the Quad do?

The Quad, officially the Quadrilateral Security Dialogue, is a group of four countries: the United States, Australia, India, and Japan. Maritime cooperation among them began after the Indian Ocean tsunamiof 2004. But today the countries—all democracies and vibrant economies—work on a far broader agenda, which includes tackling security, economic, and health issues.

Over the years, the Quad’s diplomacy has waxed and waned. It is a loose grouping rather than a formal alliance. Japan initially emphasized the democratic identity of the four nations, whereas India seemed more comfortable emphasizing functional cooperation. Australian leaders have been reluctant about creating the impression that the group is a formal alliance.

Leaders of the Quad countries meet virtually in March 2021. Olivier Douliery/AFP/Getty Images

As of 2021, leaders in all four countries have become more aligned in their shared concerns about China’s increasingly assertive behavior in the region and are more willing to define a constructive agenda of cooperation. All four navies participated in their first joint exercise in over a decade in November 2020. And in March 2021, U.S. President Joe Biden convened a virtual Quad meeting attended by Australian Prime Minister Scott Morrison, Indian Prime Minister Narendra Modi, and Japanese Prime Minister Yoshihide Suga. They formed working groups on COVID-19 vaccines, climate change, and technological innovation and supply-chain resilience.

What are U.S. interests in the Quad?

Working closely with these countries is natural for the United States. Australia and Japan are U.S. treaty allies, and India is an important strategic partner. The Donald Trump administration worked closely with these countries, and the Biden administration is expanding the Quad’s agenda.

The Indo-Pacific spans two oceans and several continents, making it important to U.S. maritime interests. In 2019, $1.9 trillion [PDF] worth of U.S. trade passed through the region. This year, 42 percent of the world’s exports and 38 percent of global imports are expected to pass through, according to a UN report.

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China’s growing willingness to challenge the regional status quo worries Washington, and Beijing’s challenging of democratic values over the past year has deepened other Quad partners’ concerns as well. China’s pursuit of its regional interests—including its crackdown on Hong Kong’s freedoms and criticism of nations that take issue with its actions—has not been slowed by the COVID-19 pandemic. However, the Quad’s agenda is not all about China. Leaders of the four nations also see a need for a more proactive approach to solving humanitarian and economic challenges caused by COVID-19.

What are Japan’s aims for the Quad?

Former Japanese Prime Minister Shinzo Abe was a strong believer in the Quad’s power to ensure a “free and open Indo-Pacific.” Abe worked to persuade the Trump administration of the value of this coalition approach across the Indo-Pacific. 

Japan depends heavily on open sea lanes for its trade with the world. The U.S. and Japanese militaries already work closely across the region, and Japan’s Self-Defense Forces have slowly built relationships [PDF] with their Australian and Indian counterparts. Similarly, Japan has played an important role in supporting investment [PDF] in manufacturing, trade, and infrastructure development across the region. 

Japan and its Quad partners share concerns about China’s role in the region and Beijing’s challenges to the rule of law. Beijing’s assertion of its sovereignty in the South China Sea, as well as Chinese provocations toward islands China and Japan both claim in the East China Sea, has made Tokyo wary of China’s military build-up. Strategic consultations with other Quad partners are vital.

Similarly, Japan is watching carefully as China imposes economic conditionality on countries in the Indo-Pacific, and it wants to offer Southeast Asian countries alternative sources of assistance and commerce to offset China’s growing influence. Tokyo has joined with Washington and Canberra to deepen the funds available for quality infrastructure. Bolstering the resilience of the Quad nations, especially for critical supply chains for goods such as semiconductors, will also be a Japanese priority.

How has China responded?

China’s relations with each of the Quad members have become more tense during the pandemic. U.S.-China tensions remain high; Beijing’s frustration was conspicuous when the new Biden foreign policy team had its first meeting with its Chinese counterpart in Alaska in March. Australia continues to bear the brunt of Chinese economic sanctions after suggesting a World Health Organization investigation into the origins of COVID-19 last year. India and Japan have clashed with China over territorial disputes. China’s ambassador to Tokyo has publicly criticized Prime Minister Suga, claiming that the new Quad diplomacy reflects a “Cold War mentality” and that it is “100 percent outdated.” In addition, recent polls have shown negative views of China have soared among publics across the region.

Yet, few policymakers in the Quad countries see an advantage in trying to contain Chinese influence militarily. Instead, the Quad leaders have emphasized cooperation across areas of shared interest to bolster confidence in the democracies’ ability to counter China’s assertion of regional influence. As long as tensions with China remain, the Quad’s agenda is likely to expand as the democracies of the Indo-Pacific seek to balance China’s growing power.

What is the Quad Council?

What are core competencies in public health?

What is community health nursing in your own words?