Community Diagnosis Flashcards
Family definition
Intergenerational social group organized and governed by social norms regarding descent and affinity, reproduction, nurturant socialization
What are assumption made about the family concept
Dominance of men
Head ensure welfare of members
Fathers and mothers have joint responsibility for childrens maintenance
Parents support children
When children are economically able they support parents
Family members reside in same household
Type of families
Extended Multigenerational Nuclear Single parents with children Reconstituted
Basic features of families
Intimate
Interdépendant
Stable over time
Identity
Anthropology view of family
Source and carrier of culture
Social psychology view of family
Small groups with task to master
Clinical psychology view of family
Environment within which normal or abnormal behavior begins
Why is family important in healthcare
Disease genetics Health promotion Disease and injury prevention Chronic disease management Health surveillance
Types of relation in families
Blood
Marriage
Adoption
Affiliation
Main way of formation of Families
Marriage
Types of marriage in African society
Légal marriage Civil Religious Customary Combinations
What is consensual union
Cohabitation
Visiting union
Persons do not live together but marital relationship with children
Cause of family dissolution
Divorce
Seperation
Widowhood
Variations of family structure
Single parent family Blended family Grandparents headed family Foster care family Adoptive family Unmarried couple as parent
What are some issues that bring community together to solve them
Public goods ( security,Infrastructure , Roads , Schools)
Amenities (water, electricity, services, healthcare )
Environmental issues ( noise, sanitation ) Social problems, unemployment , streetism
Types of membres of the community
Local community individuals Opinion leaders Organized groups Religious organizations Businesses NGOs Government
What is a community
People living together in some social organization and cohesion
Members kno each other, have interpersonal relationships and communicate
Characteristics of community
Location
Identification ( norms, values, )
Is a community completely homogeneous
No can differ in religion, politics, ideological affiliations
What is a healthy community
Members come together to improve community conditions health and well-being
Déterminants of healthy community
Income
Water
Sanitation
Social relationship
Characteristics of healthy community
Safe clean physical environment
Basic need met
Social harmony and involvement of all
Good knowled of structures in community and how they function
Participation in solving community problems
Accès to varied experiences , interactions, communication
Primary healthcare services available, accessible and affordable
Upheld cultural and social values
Diverse local economy
Sustainable and available community resources
Community stakeholders definition
Individuals, groups, organizations, affected by issues affecting coMmunity and benefit from programmes institued for community
Why are community leaders important stakeholders
Have power to influence decisions in community
Type of community leaders
Tribal leader
Political leader
Religious leader
Social institution definition
Organized body in which members participate and pool resources to promote collective wellbeing of group members
Légal Rules , norms and valued upheld by members
Community mobilization definition
Process of bringing together as many stakeholder as possible to raise awareness and demand programme , assist in delivery of resources and services and strengthen community participation for sustainability and self reliance
Community mobilization steps
Bring people together
Raise people awareness
Assist in delivery of resources
Facilitate and strengthen community participation
Advantages of community mobilization
Power to influence Sharing of resources Effective problem solving from different skills, experiences, background Accountability and transparency Barriers or obstacles reduced Motivation to bring change Awareness
Structured of community important in decision making
Political
Traditional
Religious
National level of political structure
Ministry of local government
Regional level of political structure of community
Regional coordination council
District level of political structure of community
District assembly
district chief executive
Community level of political structure of community
Assembly
Unit committee head
Traditional structure of community
Chiefs , elders
Traditional council members
Religious structure of community
Churches, mosque
Etc
Key components of community mobilization
Thé Community Community participation Community ownership Sustainability Dialogue of knowledge
Even with medical research And good education of the population there’s still low adherence to good health, why
Because of people believe system and values which affect health
Definition of culture by Robert Redfield
Peoples congressional understanding manifest in acts and artifacts
Components of culture
Environment behaviors the way things are done values attitudes fundamental assumption’s beliefs
Is culture objective or subjective
Subjective
What concept was created to avoid poor health outcomes due to proximate cultural factors
Cultural
What is cultural competence
Awareness and understanding of the culture of people and the appropriate use of these understanding in professional setting
How can clinicians demonstrate cultural competence
Incorporate patients and caregivers perception of health status and expectation of outcomes of healthcare delivery into management and communication
Reconcile this is perspective of the biomedical framework and that of the patients
Incorporate patient values into healthcare decisions
What are some question that clinicians can ask in cultural competency
What is the cause of this condition
what do you think this health problem is
is it serious
how do you think the course of this problem will be
what effect do you believe this condition will have on your organs
how do you think it will affect your life ,relationships ,and finances
how do you harbor any fears about this condition
what is your greatest fear about this treatment
Should orthodox medicine still consider cultural system as primitive an obstacle to science and evidence-based medicine
No
How does increasing wealth improve health
Improved health infrastructure, technology
improved nutrition
improved public health systems like sanitation ,hygiene , waste management etc.
increased lifespan
Increased trial survival
Why is it important for community to participate in health decision
Make them more convinced about health development processes and make them more involved in the processes
Make those programmer cost effective more sustainable more effective
What is a communicable disease
This is transmit it directly from one person to another by actual contacts
What is a non-communicable disease
This is in a person with absence of infectious agents
What is an endemic disease
Disease that is present at relatively low level or with habitual presence in a given geographic area
What is an epidemic
This is that is in excess of cases in the community from what is normally expected
Can both communicable and noncommunicable disease be endemic and become epidemic
Yes
What is the beings model in risk factor of disease
Biological behavioral factors environmental factors immunological factors nutritional factors genetic factors services social sexual factors
Direct route of transmission
Human to human through water or food
Autoinfection person to person
Intermediate host to route of transmission
Snails
Copepods
animals tapeworm
What is a vector host
Insect which act as an agent of this is dissemination or inoculation or both of a parasite which causes disease
What is a definitive host
Host in which adults and sexually mature forms of parasite found
What is a Intermediate host
Who sandwich on the immature forms of parasites or sounds
Type of vector transmission
Biological transmission
mechanical transmission
What is biological transmission
Essential part of life cycle of parasites take place in body of the vector
What is mechanical transmission
No essential part of life cycle take place in the body of the Victor
What is Infectivity
Proportion of exposed persons who become infected
What is pathogenicity
Population of exposed persons would who develop clinical diseases
What is virulence
Proportion of persons with clinical disease will become severely I’ll or die
Formula number of newly infected person
Forces infection x number of susceptible
Force of infection formula
Number of infectious individuals x transmission rates
Prevalance compared to incidence in endemic disease
Prevalence equal to incidence
Routes of entry of parasites in host
Alimentary tract respiratory tract penetrate skin penetrate mucous membrane bites of bloodsucking insect
How do parasite exit a host to another
Natural secretioN
biting insect
direct contact with skin or mucous membrane
contaminated food or drink
survival adaptation likes spore or cysts