Assessment of Community Health Needs

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ASSESSMENT OF

COMMUNITY HEALTH NEEDS

COMMUNITY DIAGNOSIS
-

A process by which the nurse collects data about


the community
in order to identify factors which may influence the
deaths and illnesses of the population,
to formulate a community health nursing diagnosis
and develop and implement community health
nursing interventions and strategies

Types of Community Diagnosis


Comprehensive
Problem-Oriented
Community Diagnosis 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

2 WAYS OF ASSIGNING PEOPLE


De

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.
-

Crude Birth Rate


= No of live births X 1000
Population

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

HEALTH CARE DELIVERY SYSTEM


the totality of all policies, facilities,
equipments, products, human resources
and services which address the health
needs, problems and concerns of the
people. It is large, complex, multi-level
and multi-disciplinary.

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

NATIONAL HEALTH SITUATION

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
-

Vision: leader, staunch, advocate in


promoting
Health for All
Mission : Guarantee equitable, sustainable
and
quality health for all Filipinos
Goal: HSRA (Health Sector Reform Agenda)
Framework for Implementation of HSRA:
FOURmula one for Health

GOALS OF
FOURMULA ONE FOR HEALTH
Better

Health Outcomes
More responsive health systems
Equitable health care financing

FOUR ELEMENTS OF THE STRATEGY


Health

Financing
Health regulation
Health Service Delivery
Good Governance

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