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HAN 333: exam 2 > han 440 quiz 2 > Flashcards

han 440 quiz 2 Flashcards

1
Q

first 4 phases of the P/P model

A

social assessment
epidemiological assessment
administrative and policy assessment

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2
Q

what is the protocol if you mess up the sequence of the P/P model phases?

A

go back to the beginning, phase 1

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3
Q

what direction does the P/P model read

A

right to left and downwards

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4
Q

which phases of the P/P model are assessment

A

first 4 phases
- social assessment
- epidemiological assessment
- administrative and policy assessment

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5
Q

which phases of the P/P model are evaluation

A

last 3 phases
- process evaluation
- impact evaluation
- outcome evaluation

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6
Q

primary goal of the P/P model

A

to develop/implement and evaluate a community health program, which attempts to solve a specific problem in a community

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7
Q

tools for assessing phase 1 of the P/P model

A
  • observation
  • survey
  • structured interviews
  • telephone surveys
  • mail-out questionnaires
  • social reconnaissance
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8
Q

quality of life is identified by what three factors

A
  • poor social connectedness
  • fear
  • poor self concept (lacking self confidence)
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9
Q

after assessment of QOL issues, which issue should be tackled first by any agency within their consideration/resources? easiest or hardest?

A

easiest issue should be tackled first

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10
Q

in which phase of the P/P model is social assessment done?

A

phase 1 - quality of life

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11
Q

what is the best mean of gathering data for the social assessment?

A

social reconnaissance

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12
Q

in what phase of the P/P model do we take epidemiological assessment?

A

phase 2

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13
Q

what type of data is collected in the epidemiologic phase?

A

health
genetic
behavior
environment

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14
Q

what do you assess in phase 2 of the P/P model?

A

epidemiologic data

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15
Q

what are various behavioral indicators?

A

compliance
consumption patterns
preventative actions
coping
self care
utilization

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16
Q

what are the social indicators of QOL

A

crime
aesthetics
overcrowding
unemployment
poverty
social connectedness

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17
Q

what are the health indicators of QOL

A

self-perceived health
longevity
health behaviors
mental and physical illness
productivity

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18
Q

what should be the most important aspect to consider when funds are limited?

A

development of education programs

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19
Q

what should be the least important aspect to consider when the funds are limited

A

political unrest

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20
Q

what is target population?

A

the group of individuals that is conducted research upon to make a change

ex: pregnant women and children <5 living in Sub-Saharan Africa

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21
Q

under what circumstance an exception can be made while working with the target population?

A

when you are working in a lace where you can directly take patient data (ie: hospital)
- could be secondary data instead of primary data

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22
Q

how should you prioritize health issues to addressed after collecting data between the target population?

A

always prioritize the easiest health issue to address

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23
Q

what should be your approach if there is any discrepancy between TP Qol issues and the mission of your organization?

A

ensure that the mission of the organization aligns with quality of life and epidemiological data

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24
Q

what is the stage that comes after assessment phases?

A

implementation

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25
what are environmental indicators
economic physical services social
26
factors affecting community health
physical/environmental factors social and cultural issues community organization individual behaviors
27
factors affecting community health - physical factors
geography environment community size industrial development
28
factors affecting community health - social/cultural factors
community economy politics social norms socioeconomic status beliefs, traditions, norms, religion
29
factors affecting community health - community organization
influences a community's ability to solve problems avoids duplication of services avoids the imposition of solutions which may not be consistent with community/cultural needs or beliefs
30
factors affecting community health - individual behavior
ex: recycling trash wearing seatbelts immunization against disease
31
phase 1
social assessment quality of life indicators
32
phase 2
epidemiological assessment - health indicators - genetics - behavior - environment
33
phase 3
educational and ecological assessment - predisposing, reinforcing, enabling factors
34
phase 4
administrative and policy assessment and intervention alignment - agency assessment and intervention development
35
phase 5
implementation - educational strategies
36
phase 6
process evaluation
37
phase 7
impact evaluation
38
phase 8
outcome evaluation
39
assessment phase combination of ___
community concerns and data based evidence
40
community empowerment
social action process promotes participation goals: - increased individual and community control - political efficacy - improved quality of community life
41
strategies that help foster community empowerment
asset mapping and capacity analysis
42
asset mapping
map of what the community already has places focus on solutions rather than needs or deficiencies
43
capacity analysis
measures the ability to ensure proposed outcomes examining what community can achieve, given current assets and additional resources
44
needs assessment - needs categories
health educational resource social
45
assessment sources
prior studies and existing records - local state and federal - data reflecting a similar population target population **most valuable source of information
46
primary building blocks
individual level
47
secondary building blocks
controlled by outsiders (chain stores)
48
potential building blocks
remote village, one store has the potential to grow, improve community health
49
social reconnaissance
use of community leaders to determine relevant aspects of social structure, processes, and needs of the community - identify felt needs - rank and prioritize needs and problems - organize the community - assist in the development of action plan ** best way to get data on community
50
focus group
requires skilled moderator
50
community forum
all interested people can participate
50
surveys
structured interviews telephone surveys mail-out questionnaires delphi technique traditional knowledge tests
50
forums and group discussions
representative sample non-threatening environment several standard techniques - nominal group process - focus group - community forum
50
nominal group process
without discussion - not debated
51
structured interviews
pre-selected questions one on one open ended questions
52
mail out questionnaires
subject to ethical constraints of informed consent and confidentiality accompanied by cover letter
53
delphi technique
multi-step survey technique series of questions given to same group of people
54
QOL indicators - social indicators
crime aesthetics overcrowding unemployment social connectedness
55
QOL indicators - health indicators
self-perceived health longevity healthy behaviors mental and physical illness productivity
56
QOL is identified as:
poor social connectedness fear poor self concept
57
phase 2 - epidemiological assessment
health genetic behavior environment
58
epidemiological assessment - health
program planning ex: - american heart disease initiative focuses on heart-related health issues - no need to conduct open-ended social assessment
59
epidemiological assessment - health goals are ____
- directly linked to social problems identified in phase 1
60
epidemiological assessment - distribution and determinants are identified through measurement of
disease cause of death utilization of services
61
epidemiological assessment - two step process
1. identify the specific health issues or conditions that contribute to social problems (QOL) 2. select health problems deserving the most attention - justify by reviewing and analyzing epidemiological health-related data
62
epidemiological assessment - related epidemiologic data
incidence rates prevalence rates trend data cause specific mortality rates
63
health problems which can affect the quality of life
communicable diseases chronic diseases health-related risk factors substance addictions domestic violence
64
phase 2 tools
- national center for health statistics - center for disease control and prevention - local and state health departments - NGO (non-governmental organization) - WHO - census bureau
65
our health issue
high incidence of malaria high incidence of low-birth-weight babies high incidence of mortality among pregnant women and children age <5
66
epidemiological assessment - genetics
age gender family history ethnicity and race no genetic predisposition however; low immune response - pregnant women - children under age five
67
epidemiological assessment - behavior
behavior indicators - compliance - consumption patterns - preventative actions - coping - self care - utilization
68
what behaviors do people do that can lead to contracting and transmitting malaria
- not taking anti malarial meds - not giving anti malarial meds to children - not using insecticide treated nets - not using insect repellant - now wearing long sleeve clothing - not removing standing water - being outside at dusk - sharing needles or syringes with contaminated blood - receiving contaminated blood transfusion
69
epidemiological assessment - environment
environmental indicators - economic - physical - services - social
70
behavioral risk factors
- not taking anti malarial drugs - not giving anti malarial drugs to children - not using insecticide treated nets - not removing standing water - not wearing long sleeve clothing
71
environmental risk factors
- political instability - drug resistance - poverty - poor drainage - location of clinic - socio-cultural norms - lack of education problems
72
possible solutions for malaria
- institute malaria education program - use insecticide-treated nets - remove standing water - location of clinic

HAN 333: exam 2 (10 decks)

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