17. CommunityAnalysis and Diagnosis

Question 1

Pres Poverty in Children

Answer 1

Less education
MB  highest rate of child poverty 20.6%
Malnutrition, obesity, immune function, mental illness
Reduced access to health services (reduced health literacy)

Question 2

Transgender Access to Healthcare

Answer 2

70% had to educate their HCW. Others were denied care or given wrong language
Lack of resources. You basically need to go to Kinlic to get gender affirming care in Manitoba
Increased wait times, unmet needs

Question 3

Weight Bias and Stigma in Media

Answer 3

Doc’s still use BMI as indicator which doesn’t take into account lifestyles, culture etc.
Media perpetrates stigma (slow, lazy, unattractive), says fatness is personal responsibility
Weight stigma is schools, workplace, etc.
Social Determinates: health serves, income, child care, etc.
HCW spend less time with fat individuals and give less education
HTN may be due to improper blood pressure cuffs (too small of a cuff = inflated bp)

Question 4

Functions and Purpose of Analysis

Answer 4

• Determine community health needs, barriers, risks
• Determine community resources, strengths, opportunities, readiness
• Identify patterns of health responses and trends in health care use
• Reveal need for further data collection

Question 5

Phase 1

Answer 5

Classification

Goal is to describe the population and community’s normal line(s) of defence (Pop-NLD and Comm-NLD)
Locate sources of risk, hazards, barriers, and challenges (stressors) and identify the flexible lines of defence (FLD)
Focus of analysis is the people (community core)

Question 6

Phase 2

Answer 6

Summarization

Summarize complex measures into easily understood rates, charts, and graphs

Question 7

Phase 3

Answer 7

Interpretation

Requires comparison to
Established standards or benchmarks
Provincial/territorial/national statistics
Local statistics

Ex. How does the downtoen compare to Winnipeg as a whole? To the rest of canada?
Ex. This is the rate of povery in Manitoba vs. this is what times more the rate of povery in MB is compared to the rate of poverty in the rest of Canada

Question 8

Phase 4

Answer 8

Validation

Solicit feedback about the interpretation of the data
Validation can be carried out by town hall or focus group meetings, purposive surveys, or interviews

Question 9

Although no standard format exists, most community diagnoses have four parts:

Answer 9

1. A description of the issue, problem, response, or state
2. A statement indicating the aggregate, population, or community of focus
3. Identification of factors related to the issue, problem, response, or state
4. Signs and symptoms (manifestations) that are characteristic of the issue, problem, response, or state