Why Learning Community Diagnosis

To Promote Health

To Prevent Health Problem

Treating and Managing Health Problem

Public Health

Macro Environment

Meso Environment

Community Health

Family Health Micro Environment

Individual Health

Identify the Potential Risk Factor of Health

Clinical Science
Identify the IndividualCommunity Health Problem

Basic Medical Science

Understanding the process, resources and client behavior

Designing Intervention Strategies

The Concept Of Health and Illness Health Determinant Factors The Indicator of Health Problem

Public Health & Preventive Medicine

Scientific Problem Solving Approach

Individual Health Problem Clinical Diagnosis Treatment Plan Community Health Problem Community Diagnosis

Action Plan

Community Health Data

Analysis

Diagnosis Action Plan

Tools Epidemiology Demography Bio-statistic

Learning method: Lectures Group activities Presentation & Discussion

 Class will be divided into 4 groups; each group will be considered as a community assessment team The team should analyze the community situation based on a set of data (read the study case in your module) The team should follow step-by-step manual of community based health assessment by completing worksheets provided (the worksheets will be distributed to class everyday) After complete the worksheet, each group will present their findings and it will be followed by a discussion (see schedule)

Introduction Lecture (1st day):

Community Dx Process The tools: epi-demo-statistic Action Plan Design

Group Discussion (2nd-3rd days):

Determine the diagnosis and action plan based on

a given set data

Class Discussion Wrap up Module Exam

Class and group attendance is a compulsory Evaluation are based on:

Participant activities (value: 10%) Group work and outcome (value: 20%) Module exam (value: 70%)

Understand the concept and the aim of community diagnosis Understand the process of community diagnosis

Community diagnosis concept:

The definition and aim The community diagnosis cycle

Community diagnosis process:

The process Determine data needed & source of information

Determine community diagnosis

Analyzing data Determine health priorities Determine risk factor and community level indicator

The foundation for improving and promoting the health of community member The role: to identify the health problem and factors that affect the health of population and determine the availability resources within the community to adequately address these factors

Objective examination

What? Where? When? Why? How?

Chief complaint: subjective complaint

What is the disease? Prompt treatment? Patient expectation: complaint relief, back to normal function, no side effect, Affordable treatment etc

Writing prescription

Medical intervention
Examine risk factors, patient health behavior and capability

Ensure prompt treatment, affordability, suitability, continuity of treatment

Who, Where, When?

Health issues, needs, demands

What is appropriate, feasible health program

Fulfilling need and demands, health status improvements

INDIVIDUAL & COMMUNITY Subjective and Objective data Primer and Secondary data What is the health problem Why: what is the risk factors How is the resources capability Problem solving? Health status improvement? What is the intervention program

1.

Establishing a community Assessment team 2. Analyzing the county health data book 3. Collecting community data

4) Combining county health statistic with community data

5. Choosing health priorities 6. Developing the community health action plan 7. Measuring environmental and policy changes 8. Creating the Community Assessment Document

Establishing community assessment team

Secondary data collection

Primary data collection

Data Analysis (combining data)

List of Problem

Health problem priorities

Analysis of risk factor and resources

Health Action Plan

What are our problem? What factor contribute to these problem? What resources are available in the community to address these problem? Data? Bloom Theory Source of Information?

Psychobiologic

Environment

Health Status

Lifestyle

Health Services

Nutrition, Violence, Immunization

Pollution, Sanitation, Demography Morbidity, Disability, Mortality Data Insurance, smoking behavior

Health Facilities, Health Provider, Utilization

What are the demographic, social & economic characteristics of the community? What is the health status? What are the levels of health risk? What is the utilization pattern for health services? What are the key environmental & occupational health issues?

What are the expenditures for health care services? What are the available community health resources? Is the supply of health care providers sufficient? Does the population have access to health care?

Secondary Data
PHC data
BKKBN BPS Hospital data Provincial data

Primary Data
Community

perception survey Focus Group Discussion Community leader interview

Entry the data Summarize : table and graph Analysis:

Compare with provincial, national or target Made a trend analysis if possible Analysis the relationship between problem

identified

Comparing with national or provincial data Understanding the local pattern Inferring the impact on community health

List of health problem and its risk factor

List of community strength

List of problem? Related problem or independent problem? What is the underlying problem? Can we address all the problem? Choosing health problem priority

Magnitude: how many persons does the problem affect, either actually or potentially? Seriousness of the consequence: what degree of disability or premature death occur because of the problem? What potential burden to your community result, such as economic or social burden? Feasibility of correcting: Is the problem amenable to intervention? What technology, knowledge or resources are necessary to effect a change? Is the problem preventable?

Identify the risk factor or possible causes of each problem based:

Data Brainstorming

Identify the capability of resources available:

Man Money Material Community and political support

Problem: infant malnutrition Correlates:

inadequate diet, poverty
community norms, teenage pregnancy disturbed mother-child relationship
Source Stanhope & Lancaster, 2004, p. 358

Community oriented Risk of..among..related to

risk of: identifies a specific problem or health risk among: specific community client related to risk factors: characteristics of community & environment
source: Stanhope & Lancaster, 2004, p. 360

Infant malnutrition among families in Your County, NC related to (correlates) as evidenced by (give supportive data)

Health Problem Statement

Tingginya angka kematian bayi dan ibu maternal ( statistik) Tingginya prevalensi penyakit infeksi/menular (statistik kelompok

penyakit)

Risk Factor or Possible Causes

High risk pregnancy, nutrition status and other socio-culture factors Environment quality : poor sanitation, lack of clean water

Resources Capability

Ratio of health provider and maternal cases Ratio of health service Community economic capability National program