The purpose of this participatory action research was to enhance the community nurses performance and heath care providers in primary health care system and community health networks in order to support and develop District Health System (DHS), This study involved the primary health care and community health network in DHS at the 1st , 2nd, 3rd public health region was carried out during June 2015 - June 2017. The result showed that 12 districts achieved in to develop a community health and promote health-promotion behaviors, including 40 community nurses, 106 participants in 16 interdisciplinary teams and 72 community health networks. The result of this study suggest that the approach to primary care system development and health, community, which contained important elements was 1) the development of the potential of primary care nurses in the participant of health- promotion; 2) the encouragement for health-promotion based on the community context learning; 3) the development process with tools “four main and three sub-components” in order to analyst the problem, foundation and communication of community; 4) the encouragement of the local government and public sector for integration in the common goal; 5) facilitator for sharing and learning in the health care provider between community health networks. This result can inform health care providers and researchers interested in enhancing the community nurses competency. The encouragement for nurses and health care providers and community health networks should be supported based on the context based of community in order to create a sustainable health system.