Quiz #1 Flashcards
Components of Health Equity Model
o Social Determinants o Health Problems o Population Outcomes: ♣ Quality of Life ♣ Morbidity/Mortality ♣ Life expectancy
Importance of community health assessments
- assess community needs
- helps tailor interventions in the communities based on needs
- identifies health problems or concerns unique in the community
Types of community assessments
-Needs assessment = understand perceived and actual needs within community
-capacity assessment = strengths of community
-health assessment = Identifies dimensions of health status to be described &
Acquires, summarizes and interprets relevant data in order to reveal the health status of a community and groups within the community
Essential components of CHA
o Capacity assessment o Community Engagement/mobilization strategies o Primary data collection o Secondary data collection o Data analysis and integration o Summarizing/presenting to stakeholders o Action (based on results of CHA)
Methods/resources available for CHA
o Key informant interviews o Focus groups o Surveys o NGT o Sociodemographic/health indicator data o Past CHAs
Importance of community mobilization and engagement
o Gain support of community o Ethical obligations/trust in community o Important for leveraging resources o Accurate representation o Power to change/implement policies, programs, or practices.
Community Mobilization and Engagement (CME) definition
process of enlisting individuals/groups in a collaborative fashion to address the needs of the community
Principles of CME
o Purpose (of CHA/research) + Knowledge (about community) => Engagement o Relationships o Diversity o Self-determination = power o Partnership o Assets o Autonomy and Flexibility o Long-term commitment
Levels of CME
- Understand the community (challenges, health concerns): Who is in the community? Who might you work with?
- Partnership building: mobilizing/leveraging resources
- Form coalitions
Why do a CHA?
- Meet regulatory requirements
- Secure funding
- Provide insight into the community context
- Encourage community engagement in data collection, analysis and planning
- Make decisions about where to focus resources and interventions
What is MAPP?
- a CHA framework
- “Mobilizing Action through Planning & Partnership”
- Can be used as a framework for CHA planning and partnership building
MAPP health assessments
♣ Community themes and strengths
♣ Local public health system
♣ CH status
♣ Forces of change assessment
MAPP Guiding principles
- systems thinking
- dialogue
- shared vision
- data
- partnerships & collaboration
- strategic thinking
- celebration of success
What is CHAPS?
- CO Health Assessment and Planning System
- Another framework for CHA
- Combines needs and community capacity assessment local health improvement plan.
Dever definition of Health indicator
standardized measure calculated from previously collected data
Health Indicator vs. Health Index
o Indicator = single measure from single component or variable; reflects the health status of an individual or clearly defined group
♣ E.g. infant mortality
o Index = composite measure from multiple data sources
♣ E.g. gender gap index
Static vs. dynamic data
• Static – one point in time
• Dynamic – birth, death, migration
o Fluctuate over time
Sources of health indicators
o Healthy people 2020
o County health rankings
o CDC
Applications of health indicators
o Assist with prioritization
o Create interventions
o Assist in needs assessment
-Means to communicate a picture of community
-Key in prioritizing and planning to improve population health
Categories of primary data collection
- quantitative
- qualitative
Advantages/disadvantages of qualitative data collection
♣ More cost/time-intensive
♣ Helps to engage community/build trust
♣ Helps answer your specific questions
Methods of qualitative data collection
♣ Interviews ♣ Focus groups ♣ Key Informant ♣ Photo Voice ♣ Survey
Health Indicator frameworks
- Healthy people 2020
- CHAPS- Health Equity
- County Rankings Model
- MAPP
Health indicators are based on:
A. Health outcomes: measures of health state
B. Structure: description of healthcare system
C: Process: how the healthcare system is used