Unit 15 - Community Diagnosis Flashcards
C____________ d___________ is an in-depth process of finding out the p___________, h__________ s_________ of the community and the f________ affecting the present status.
Community diagnosis, profiles, health status, factors
This type of CDx aims to obtain a general information about the community
Comprehensive CDx
This type of CDx responds to a particular need.
Problem-Oriented CDx
What are the 5 elements of a comprehensive CDx?
- Demographic variables
- Socio-economic & Cultural variables
- Health & Illnesses Patterns
- Health Resources
- Political/ Leadership patterns
5 steps in CDx
- Preparation of CDx
- Conduct survey
- Make a graph or chart of the data
- Data analysis and intepretation
- Preparation of Action/ Project Plan
Data can be obtained in the:
- H__________ C___________
- N__________ S___________ O__________
- M___________ H_________ P__________ D__________
- B_________ H__________
- Other resources within the said community
- Health Center
- National Statistics Office (now PSA)
- Municipal Hall Planning Division
- Barangay Hall
The analysis of the community’s demographic character should show the s________, c_________ and g____________ distribution of the population
Size, composition, geographical
Growth rate, crude birth rate and life expectancy at birth
Demographic variables
Patterns of migration
Demographic variables
Demographic variables can be taken from i__________ or i____________ from the l________ g_________ such as total population of the barangay.
Interviews, information, local government
T/F: There are no limits as to the list of socio-economic and cultural factors that may directly or indirectly a ect the health status of the community.
True
What are the essential indicators or factors that should be considered in Socio-Economic & Cultural Variables?
Social Indicators, Economic Indicators, Environmental Indicators, Cultural factors
Communication network; transportation system; educational level; housing conditions
Social Indicators
Poverty level income; unemployment and
underemployment rates; proportion of salaried and wage earners to total economically active population; types of industry present in the community; occupation common in the community
Economic Indicators
Physical/geographical/topographical
characteristics of the community; water supply; waste disposal; air, water and land pollution
Environmental Indicators
Variables that may break up the people into
groups within the community such as: ethnicity, social class, language, religion, race, political orientation; cultural beliefs and practices that a ect health; concept about health and illness
Cultural factors
Socio-Economic & Cultural variables can be taken through o_________ and i________ of the people in the community
Observations, Interviews
T/F & Supply the missing words: In analyzing the health and illness patterns, one may collect p________ d_______ about the leading causes of i________ and d________ and their respective r________ of o___________. But,the use of secondary data is not allowed.
False, secondary data can also be used.
Supply: primary data, illnesses, deaths, rates of occurence
Important element of CDx mainly because they are the essential ingredients in the delivery of basic health services.
Health Resources
Health Resources: One must determine m__________ and m__________ r___________ provided by the government and other sources such as NGO’s and other institutions.
Manpower, material resources
This is a vital element in achieving the goal of high levels of wellness among the people. It reflects the action potential of the state and its people to address the health needs and problems of the community.
Political/ Leadership Patterns
T/F: Political/ Leadership patterns mirrors the sensitivity of the government to the people’s struggle for better lives.
True
Which step in CDx identifies the barangay to the surveyor required by the health center?
Step 1: Preparation of Community Diagnosis
i. Courtesy call on the brgy captain; kagawad for health
ii. Identification of key leaders and brgy health workers.
iii. Conduct an ocular survey of a few households.
iv. Start preparing the spot map.
Ocular survey (Step 1)
i. Inform people of the purpose of your presence in their barangay.
ii. Disseminate initial findings specially presence of infectious diseases in the area: explaining its mode of transmission; signs and symptoms.
Community assembly (Step 1)
What percent of the population should be used for random sampling?
10%
Employs house-to-house survey to check the total population to determine the true picture of barangay
Saturation
T/F: Saturation employs only one group
False, saturation employs several groups. Random sampling is the one that employs one group
Nature of the Problem criteria
Health Status problems
Health Resource problems
Health-related problems
They may be described in terms of increased and decreased morbidity, mortality, fertility or reduced capability of wellness.
Health Status problems
They may be described in terms of lack or absence of manpower, money, materials or institutions necessary to solve health problems.
Health Resource problems
They may be described in terms of the existence of social, economic, environmental and political factors that aggravate the illness-inducing situations in the community.
Health-related problems
Decision matrix criteria
- Nature of the Problem
- Magnitude of the Problem
- Modifiability of the Problem
- Preventive Potential
- Social Concern
The problems are classified either Health Status, Health Resources and Health-related problems.
Nature of the condition/ problem presented
This refers to the severity of the problem which can be measured in terms of the proportion of the population a ected by the problem.
Magnitude of the problem
This refers to the probability of reducing, controlling or eradicating the problem.
Modifiability of the problem
This refers to the probability of controlling or reducing the e ects posed by the problem.
Preventive Potential
This refers to the perception of the population or the community as they are a ected by the problem and their readiness to act on the problem.
Social Concern
Weight of Nature of the Problem, Magnitude of the Problem, Modifiability of the Problem, Preventive Potential, Social Concern
Nature 1
Magnitude 3
Modifiability 4
Preventive 1
Social 1
Criteria under nature of the problem and their respective scores
Health Status 1
Health Resources 2
Health Related 3
Criteria under magnitude of the problem and their respective scores
75-100% affected 4
50-75% affected 3
25-50% affected 2
<25% affected 1
Criteria under modifiability of the problem and their respective scores
High 3
Moderate 2
Low 1
Not 0
Criteria under preventive potential and their respective scores
High 3
Moderate 2
Low 1
Criteria under social concern and their respective scores
Urgent 2
Recognized 1
Not 0
Highest score attainable in the decision matrix
10
T/F: The problem with the lowest total score is given high priority
False, highest total score
What guide are we using for CDx?
Manila Health Department Training Office Community Diagnosis Guide
What are the 10 CDx elements seen in the Manila Health Department Training Office Community Diagnosis Guide (in chronological order)?
- Setting of the Community
- Population
- Economic Inidices
- Socio-cultural Indices
- Environmental Indices
- Health Indices
- Summary and Conclusion
- Problems Identified
- Suggestions and recommendations
- Action Plan
Construct a _____________ with the following:
- Title
- Directions
- Resources in the community
- Use of color legends
Spot map
Description (location, boundaries, climate, physical features, communication medium, means of transportation, resources available in the community)
Setting of the Community
- Total Population of the Brgy.
- Total Population of the Families surveyed
- Sex Ratio
- Age & Sex Distribution (Tabular & Population Pyramid)
- Civil Status
Population
- Dependency Ratio
- Occupation
- Average Income
Economic Indices
- Literacy Rate
- Educational Attainment
- Religion
- Place of Origin
- Population Movement
- Housing (types of houses, ownership, ventilation)
Socio-cultural indices
- Water Supply
- Excreta Disposal
- Garbage Disposal
Environmental Indices
- Food storage
- Infant feeding practice
- Immunization status
- Health seeking behavior
- Source of Health Information
- 10 leading causes of morbidity
Health Indices
How recent should the comparative analysis of the 10 leading causes of morbidity? Where should it be obtained? And how should it be presented?
2 years, Health center, Tabular and graphical forms
- Prioritization
- Problem/ Objective/ Alternative trees
Problems Identified
