Assessment of Community Health Needs
Assessment of Community Health Needs
Assessment of Community Health Needs
COMMUNITY DIAGNOSIS
-
- aims to obtain
- type of assessment
general information
responds to a
particular need
about the community
STEPS:
Preparatory Phase
1.
2.
3.
4.
5.
6.
7.
site selection
preparation of the community
statement of the objectives
determine the data to be collected
identify methods and instruments for
data collection
finalize sampling design and methods
make a timetable
Implementation Phase
1.
2.
3.
4.
5.
6.
7.
8.
data collection
data organization/collation
data presentation
data analysis
identification of health problems
prioritization of health problems
development of a health plan
validation and feedback
Evaluation Phase
BIOSTATISTICS
A. Demography
-study of population size, composition
and spatial distribution as affected by
births, deaths and migration.
* Sources:
Census complete enumeration of the
population
jure
- People were assigned to the place
where they usually live regardless of
where they are at the time of census.
De facto
- People were assigned to the place
where they are physically present at the
time of census, regardless, of their usual
place of residence.
COMPONENTS:
Population
size
Population composition
* Age Distribution
* Sex Ratio
* Population Pyramid
* Median age
- age below which 50% of the population fall and
above which 50% of the population fall. The lower
the median age, the younger the population (high
fertility, high death rates).
* Age Dependency Ratio
used as an index of age-induced economic drain
on human resources
* Other characteristics:
- occupational groups
- economic groups
- educational attainment
- ethnic groups
POPULATION DISTRIBUTION
* Urban-Rural
- shows the proportion of people living in urban
compared to the rural areas
* Crowding Index
- indicates the ease by which a communicable
disease can be transmitted from 1 host to another
susceptible host.
* Population Density
- determines congestion of the place
B. VITAL STATISTICS
- the application of statistical measures to
vital events (births, deaths and common
illnesses) that is utilized to
gauge the levels of health, illness and health
services of a community.
-
MORTALITY RATES
Crude
Death Rate
= No. of Deaths X 1000
Population
Infant Mortality Rate
= No. of Deaths under 1 year of age X 1000
No. of registered live births
Neonatal Mortality Rate
= No. of deaths under 28 days of age X 1000
No. of registered live births
Maternal
Mortality Rate
= No. of deaths from maternal causes X 1000
No. of registered live births
Swaroops Index
= No. of deaths 50 yrs old and above X 100
Total no. of deaths
Case Fatality Ratio
= No. of deaths from specific disease X 1000
No. of registered cases from the same disease
Incidence Rate
= No. of new cases of a particular disease X 1000
No. of population
* Prevalence rate
= No. of old and new cases of a certain diseas X 1000
No. of persons examined at the same given time
CATEGORIES
According to the Type of Service
Primary
Type
Example
Secondary
Health
Promotion Information
and
illness Dissemination
Prevention
Diagnosis
and Screening
Treatment
Tertiary
Rehabilitation
PT/OT
Health Indices
I.
Basic Health Indicators
A. Nutrition
B. Disease Patterns
Leading Causes of Morbidity
Leading Causes of Mortality
Other Indicators
A. Infant Mortality Rate
B. Maternal Mortality Rate
C. Life Expectancy at Birth
D. Median Age
E. Crude Rates
1. Crude birth rate
2. Crude death rate
HEALTH SECTOR
DOH
-
GOALS OF
FOURMULA ONE FOR HEALTH
Better
Health Outcomes
More responsive health systems
Equitable health care financing
Financing
Health regulation
Health Service Delivery
Good Governance