overview-cmmdxprocess vr.2.ppt

8/13/2019 overview-cmmdxprocess vr.2.ppt

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Why Learning Community Diagnosis


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To Promote

Health

To Prevent

Health Problem

Treating and

Managing

Health Problem


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Identify the

Potential Risk

Factor of HealthIdentify the

Individual-

Community HealthProblem

The Concept Of Health

and Illness

The Indicator of Health

Problem

Health Determinant

Factors

Understanding theprocess, resources and

client behavior

Designing Intervention

Strategies

Basic Medical

Science

ClinicalScience

Public Health &

Preventive Medicine


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Scientific ProblemSolving Approach

Individual HealthProblem

Community HealthProblem

Treatment Plan

Community

Diagnosis

Clinical Diagnosis

Action Plan


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Community HealthData

Analysis

ToolsEpidemiologyDemographyBio-statistic

DiagnosisAction Plan


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Learning method: Lectures Group activities Presentation & Discussion


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Class will be divided into 4 groups; each group will be

considered as a community assessment team The team should analyze the community situation based on

a set of data (read the study case in your module) The team should follow step-by-step manual of community

based health assessment by completing worksheetsprovided (the worksheets will be distributed to classeveryday)

After complete the worksheet, each group will present theirfindings and it will be followed by a discussion (seeschedule)


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Introduction Lecture (1stday): Community Dx Process

The tools: epi-demo-statistic Action Plan Design

Group Discussion (2nd-3rddays): Determine the diagnosis and action plan based on

a given set data Class Discussion Wrap up Module Exam


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Class and group attendance is a compulsory Evaluation are based on:

Participant activities (value: 10%) Group work and outcome (value: 20%)

Module exam (value: 70%)


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Understand the concept and the aim ofcommunity diagnosis

Understand the process of communitydiagnosis


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Community diagnosis concept: The definition and aim

The community diagnosis cycle Community diagnosis process:

The process

Determine data needed & source of information

Determine community diagnosis Analyzing data

Determine health priorities

Determine risk factor and community level indicator


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The foundation for improving and promotingthe health of community member

The role: to identify the health problem andfactors that affect the health of population and

determine the availability resources within thecommunity to adequately address these

factors


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Chief complaint:

subjective

complaint

What?

Where?

When? Why?

How?

Patient expectation:

complaint relief, back

to normal function,

no side effect,

Affordable treatment

etc

What is the

disease? Prompttreatment?

Objective

examination

Writing prescription

Medical intervention

Examine risk factors,

patient health

behavior and

capability

Ensure prompt treatment,

affordability, suitability,

continuity of treatment


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Fulfilling need and

demands, health

status improvementsWhat is appropriate,

feasible health

program

Health issues,

needs,

demands

Who, Where,

When?


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What is the health problemWhy: what is the risk factorsHow is the resourcescapability

What is theintervention program

Problem solving?Health statusimprovement?

INDIVIDUAL COMMUNITYSubjective and Objective dataPrimer and Secondary data


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1. Establishing a communityAssessment team

2. Analyzing the county healthdata book

3. Collecting community data

4) Combining county health statisticwith community data


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Establishing community

assessment team

Secondary datacollection

Primary datacollection

Data Analysis

(combining data)

List of Problem

Health problem

priorities

Analysis of risk factor and

resources

Health Action

Plan


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What are our problem?

What factor contribute to these problem?

What resources are available in the community

to address these problem?

Data? Bloom Theory

Source of

Information?


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Health Status

Health Services

Environment Lifestyle

Psychobiologic


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Morbidity, Disability,

Mortality Data

Health Facilities,

Health Provider,

Utilization

Insurance,

smoking

behavior

Pollution,

Sanitation,

Demography

Nutrition, Violence,

Immunization


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What are the demographic, social &economic characteristics of thecommunity?

What is the health status? What are the levels of health risk? What is the utilization pattern for

health services? What are the key environmental &occupational health issues?


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What are the expenditures for healthcare services?

What are the available communityhealth resources? Is the supply of health care providers

sufficient? Does the population have access to

health care?


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Primary Data

Community

perception survey Focus Group

Discussion

Community leader

interview

Secondary Data PHC data

BKKBN

BPS

Hospital data Provincial data


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Entry the data Summarize : table and graph

Analysis: Compare with provincial, national or target

Made a trend analysis if possible

Analysis the relationship between problem

identified


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Comparing with national or provincial data

Understanding the local pattern

Inferring the impact on community health

List of health problem and its risk factor

List of community strength


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List of problem?

Related problem or independent problem? What is the underlying problem? Can we address all the problem? Choosing health problem priority


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Magnitude: how many persons does the problemaffect, either actually or potentially?

Seriousness of the consequence:what degree ofdisability or premature death occur because of theproblem? What potential burden to your communityresult, such as economic or social burden?

Feasibility of correcting:Is the problem amenableto intervention? What technology, knowledge orresources are necessary to effect a change? Is theproblem preventable?


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Problem: infant malnutrition Correlates:

inadequate diet, poverty

community norms, teenage pregnancy

disturbed mother-child relationship

Source Stanhope & Lancaster, 2004, p. 358


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Community oriented Risk of..among..related to

risk of:

identifies a specific problem or health risk

among:

specific community client

related to risk factors: characteristics of community & environment

source: Stanhope & Lancaster, 2004, p. 360


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Infant malnutrition among families in YourCounty, NC

related to (correlates) as evidenced by (give supportive data)


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overview-cmmdxprocess vr.2.ppt