University of Gondar collage of medicine and
health science institute of public health team
training program community diagnosis report
of woreta TTP site, group one
Acknowledgment
First and most of all we would like to show our greatest and
deepest gratitude for our supervisors who were guiding us by
giving helpful and constructive comments throughout the whole
process which enlighten and broaden our knowledge in
performing community diagnosis and enabling to write this report.
We want also to give our best acknowledgment to institute of
Public health, college of medicine and health science, University
of Gondar and TTP office for giving us this opportunity on doing
this team training program as it open away for us to work as team
and hold a responsibility for our doings.
A great consideration must also be given to the residents of
woreta town who welcome us with heart whelming welcoming and
give interest in our survey and show great participation in it.
Lastly, special thanks to our group members on the team who
participated in all the work that has been done on finalizing this
project.
contents
acronym ……………………………………………………………
Summary…………………………………………………………..
Introduction …………………………………………………...........
Mission ……………………………………………………………..
vision ………………………………………………………
Objective …………………………………………………………
Methods and materials ………………………………………….
Findings ……………………………………………………………
Discussion …………………………………………………………
Conclusions ………………………………………………………
Recommendations ……………………………………………….
Reference …………………………………………………………
Acronyms
FP family planning
BCG bacillus Chalmette-Guerin
BF breast feeding
EPI expanded program on immunization
TT tetanus toxoid
PCV pneumococcal conjugated vaccine
OPV oral polio vaccine
TTP team training program
IUCD intra uterine contraceptive device
OCP oral contraceptive
EDHS Ethiopian demographic health survey
FGC female genital cutting
Summary
Background: Woreta is a town located in the north west part of
Ethiopia, south Gondar zone of Amhara region. It is located 589
km from Addis Ababa, capital city of Ethiopia and 47 km from
bahirdar. The town is found at 2092m above sea level. The town
is divided into 4 kibbles and have a total population of 42 595;
male 21 298 and female 21 297. Amharic is the major language
spoken in the town accounting 99.8% and orthodox Christianity is
the major religion followed, 92%. The weather condition is “kola”.
There is only one health center in the town and seven private
clinics. There are 1 preparatory, 2 secondary schools, 2
elementary schools and 4 KGs in the town.
Objective: To assess the major health and health related
problems of the community members in wereta town and to
provide community health service (school, prison, home visits and
health education….etc.). Creating awareness in students about
the community which they will serve in the future. And to
strengthen interpersonal relations and developing team sprit
between students of different departments.
Methodology: A community based cross sectional study
design has been used.
Result:
Introduction:
Mission
Providing prevention based quality health service to the community &
expanding it through research & training programs to bring behavioral
changes & great healthy society.
Vision
To see improved quality health service, clean, safe environment, healthy &
productive community in woreta town by the end of March , 2018.
objectives
A.General objectives
- To assess the major health and health related problems of
the community members of woreta town and to provide
community health service (school, prison, elderly people)
B.Specific objectives
- To identify cause of death
- To describe birth and mortality rate
- Identify environmental problems and their effect on the
community
- Describe the possible cause of maternal childhood mortality
and morbidity
- Describe the vaccination status of under five children and
women in the reproductive age group
- To assess the applicability of family planning methods
- To assess drug usage practices in the community
- To assess nutritional practices of pregnant women and
children in the community
Methods and materials
• Study design and period: Community based cross sectional
study design was conducted from march 27- march 28 /2018
• Study area: woreta town in fogera wereda of south Gondar zone,
Amhara region. We divided the town into four zones and this study
was conducted in zone D of our zoning system.
• Study Population: study populations from the mentioned zone
were selected by simple random sampling method
• Materials: We used a structured questionnaire to collect data from
zone D of woreta town by assigning students in to different groups.
• Data quality assurance: - Training was given for the data
collectors
• Data processing and analysis:-Data was checked and
coded by tally sheet. And data analysis was made step by
step in a group.
findings
table 1. Sociodemographic conditions
variables frequency percentage
sex Male 138 45.54%
Female 165 54.46%
Total 303 100%
age <1yr 7 2.3%
1-5yr 26 8.5%
6-15yr 65 21.45%
16-49yr 170 56.1%
>=50yr 35 11.55%
total 303 100%
Educational Age<7yr Unable to 44 14.52%
status read or write
Read/write 34 11.22%
Grade 1-8 91 30.03%
Grade 9-12 67 22.11%
Grade >12 24 7.92%
Age>7yr Under kg 29 9.57%
Attending kg 10 3.3%
Formal 4 1.32%
education
total 303 100%
Marital status Unmarried 60 19.8%
Married 96 31.68%
Separated 5 1.65%
Divorced 17 5.61%
Widowed 11 3.63%
Under 18 114 37.62%
Subtotal 303 100%
responsibility Father 52 17.16%
Mother 69 22.77%
Child 150 52.14%
Grand child 14 4.62%
Grand parent 9 2.97%
Others 9 2.97%
Subtotal 303 100%
Result:
Table 2: birth registration
frequency percentage
Live birth in Male 3 50%
the past 12 Female 3 50%
months Total 6 100%
Children under Male 13 40.63%
5 alive Female 19 59.37%
Total 32 100%
Result:
Table 3: environmental health
variables frequency percentage
1.housing
construction Merged with 30 39.47%
others
separated 46 60.53%
No of rooms 1 15 19.74%
2 23 30.26%
>=3 38 50%
Area in m2 <20 16 21.05%
>20 60 78.95%
No of people 2 10 13.16%
living per 3 24 31.58%
house >=4 42 55.26%
cleanness Good 30 40.54%
Fair 25 33.78%
bad 19 25.67%
ventilation Good 30 40.54%
Fair 35 47.3%
bad 9 12.16%
lighting Good 29 39.12%
Fair 39 52.7%
bad 6 8.1%
2.energy
Separate Yes 51 73.91%
kitchen No 18 26.09%
If yes, is there Yes 34 66.66%
smoke pipe no 17 43.44%
source Wood 65 80.25%
Gasoline 3 3.7%
electricity 13 16.05%
If electricity, is Yes 0 0%
wire exposed no 13 100%
flammable Yes 8 10.81%
object in the no 66 89.19%
kitchen
3. water
source Pipe water 74 100%
Protected 0 0%
spring
Unprotected 0 0%
spring
river 0 0%
storage Clean “jerican” 64 86.45%
Pot/tanker 10 15.55%
other 0 0%
Separate Yes 7 87.5%
equipment for no 1 12.5%
taking water
from
pot/tanker
Time taken to <30 min 70 94.56%
bring water >=30 min 4 5.44%
Consumption <20 L 26 35.13%
per day >=20 L 48 64.87%
4. food
Equipment Water 8 10.8%
washing Water + soap 66 89.2%
others 0 0
drying Garment 46 62.2%
air 28 37.8%
Putting food Floor 5 6.76%
instruments Traditional 41 55.4%
shelf
Modern shelf 28 33.78%
Using left over Yes 30 40.54%
food no 44 59.44%
If yes, do you Yes 22 73.33%
heat it no 8 26.66%
Prepaid food Yes 19 25.68%
while sick No 55 74.32%
Touch your Yes 17 22.97%
body while No 57 77.03%
preparing
Cover hair Yes 34 45.96%
while no 40 54.04%
preparing
5. hand
washing
When Before 66
preparing food
After toilet 68
After cleaning 48
children
After touching 26
material
After touching 13
body
How Water + soap 54 77.14%
Water only 20 22.86%
others 0 0
6. toilet
Do you have Yes 66 89.12%
No 8 10.88%
Is it fenced Yes 56 84.85%
No 10 15.15%
Distance from <10M 52 70.27%
house >=10M 22 29.73%
utilization Proper 64 86.45%
Improper 10 13.55%
type Routine latrine 70 94.59%
Ventilated pit 1 1.35%
latrine
Water carriage 2 2.7%
Others 0 0
Is it clean Yes 57 77%
No 17 23%
7. solid
waste
disposal
where Everywhere 14 18.9%
Private well 10 13.51%
Common 50 67.57%
waste disposal
area
Result:
Table 4: child and maternal health
3.1 Maternal health Frequency Percentage
3.1.1 No. of reproductive 90 29.7%
age women
3.1.2Age at marriage
<18 34 49.18%
≥18 35 50.72%
3.1.3 No. of pregnant 5 5.56%
women
3.1.4 No. of pregnant 3 60%
women on ANC
3.1.5 If not on ANC, why
A. Because they don’t 2 100%
know the importance
B. Because they don’t 0 0%
want to
C. Because they don’t 0 0%
know it exists
D. No health facility 0 0%
around
E. Poor service by helath 0 0%
professionals
3.1.7 Age at first delivery
<18 28 46.67%
>=18 32 53.33%
3.1.8 Abortion (within 12
months)
Yes 0 0%
No 90 100%
3.1.9 No. of abortion
Once 0 0%
Twice p 0%
More than twice 0 0%
3.1.10 No. of maternal 0 0
death (in 12 months)
3.1.11 No. of mothers 25 27.78%
having <5 year child
3.1.12 Infants born (in 12
months)
At home 1 16.67%
At health institution 5 83.33%
3.1.13 No. of twins (in 12 0 0%
months)
3.1.14 No. of C/S births(in 0 0%
12 months)
result:
Table 5: family Planning
Variables Frequency Percentage
3.2.1 Additional birth
Yes (now) 4 5.2%
Yes (later) 28 36.36%
No 35 45.45%
3.2.2 Knowledge about
FP
Yes 64 98.5%%
No 01 1.5%
3.2.3 What methods do
you know
Pills (OCP) 52 39.09%
Injectable 50 37.59%
Implant 19 14.29%
Permanent 1 0.75%
IUCD 5 3.76%
condom 6 4.51%
3.2.4 Used before
Yes 46 72%
No 18 28%
3.2.5 Currently using FP
Yes 27 40.23%
No 40 59.77%
3.2.6 Which method
Pills (OCP) 7 25.93%
Inject able 13 48.12%
Implant 5 18.52%
IUCD 2 7.4%
Permanent 0 0%
Condom 0 0%
3.2.7 If no why?
Don't want 13 39%
Causes health problem 0 0%
Not accessible 01 3%
Expensive 0 0%
Religious view 0 0%
Partner opposition 4 20%
Sick 0 0%
Others 19 57.6%
3.2.8 FP use in the future
Yes 44 64.7%
No 24 35.3%
Result:
Table 6: child and maternal vaccination
Variables Frequency Percentage (%)
3.3.1 Vaccinated (<1year 5 55.56%
old)
3.3.2 Children having 4 44.44%
vaccination card(among
vaccinated)
3.3.3 Vaccinations
BCG 5 %
Polio
I 4 %
II 4 %
III 4 %
Pentavalent
I 4 %
II 4 %
III 4 %
PCV
I 4 %
II 4 %
III 4 %
Measles 4 %
3.3.4 No. of TT 45 42.2%
vaccinated women (15-
49 yrs old)
Among TT vaccinated
How many times
Once 5 11.11%
Twice 20 44.44%
3x 6 13.33%
4x 11 24.44%
5x 3 6.66%
3.3.6 No. of pregnant 3 60%
women TT vaccinated
Result:
Table 7: infant and child health
Variable Frequency Percentage
3.4.1 Sick children <5
yr within last 2 weeks
Yes 2 6.25%
No 30 93.75%
3.4.2 Symptoms of
illness
Diarrhea 1 50%
Cough 0 0%
Others 1 50%
3.4.3 No. of under 5
children who had
Uvulectomy 17 53.12%
Milk tooth removal 1 3.12%
Eyebrow slicing 0 0%
FGC 0 0%
Result:
Table 8: public health
VARIABLE FREQUENCY PERCENTAGE
Type of disease
Migraine 1 %
HIV/AIDS 1
Asthma 2
Heart failure 0
Cancer 0 %
Gastritis 0 %
Tuberculosis 1
Goiter 0
diabetes 0
hypertension 0
Age
<5 0 0
5-15 0 0
16-49 4 %
>50 1 %
Sex
Male 1 20%
Female 4 80%
Result:
Table 9: disability
VARIABLE FREQUENCY PERCENTAGE
Type of disability
Vision 2 25%
Leg 1 25%
Deafness 0 0%
Handicap 0 0%
Mental 2 50%
Age
<5 0 0%
5-15 0 0%
16-49 3 60%
>50 2 40%
Sex
Male 3 60%
Female 2 40%
Where do you go
when you feel sick
Health institution 62 88.57%
Traditional healers 2 2.86%
Holly water 8 11.43%
Witch craft 0 0%
Others 0 0%
Result:
Table 10: medication use
Variable Frequency Percentage
Source
Pharmacy 75 98.68%
Shop 0 0%
Traditional 1 1.32%
medication
Other 0 0%
Properly taken
Yes 60 78.95%
No 15 19.74%%
Never 1 1.32%
If no what is the
consequence
Unable to be cured 55 72.34%
Drug resistance 8 10.53%
Relapse 13 17.1%
No problem 0 0%
Have you ever used
traditional
medication
Yes 7 9.46%
No 67 90.54%
If yes for what
For Rabies 0 0%
For Liver disease 0 0%
For Hemorrhoid 0 0%
Result:
Table 11: mental illnesses
VARIABLE FREQUENCY PERCENTAGE
Do you know what mental illness is
Yes 59 79.7%
No 15 20.3%
Subtotal 74 100%
Do you know the causes
Yes 54 73%
No 20 23%
Subtotal 74 100%
Do you believe it is communicable
Yes 3 4%
No 71 96%
Subtotal 74 100%
Is there family member with mental illness(including epilepsy)
Yes 2 2.7%
No 72 97.3%
Subtotal 74 100%
Do you think mental illness is treatable
Yes 64 86.5%
No 10 13.5%
Subtotal 74 100%
If there is family member with mental illness where do you take
him/her
Health institution 63 76%
Holly water 20 24%
Witch craft 0 0%
Traditional healers 0 0%
Others 0 0%
Subtotal 74 100%
Is there family member using drugs
Yes 4 5.4%
No 70 94.6%
Subtotal 74 100%
Do you think addiction causes mental illness
Yes 60 81%
No 14 19%
Subtotal 74 100%
Result:
Table 12: trachoma
Regarding trachoma
Variable Frequency Percentage
1. Do you know about trachoma
yes 68 91.98%
no 6 8.1%
Subtotal 74 100%
2. If yes, what are the possible methods of transmission
poor env’t hygiene 68 91.89%
poor personal hygiene 63 85.13%
direct contact with an 15 20.27%
infected person
houseflies 50 67.57%
others 0 0%
Total 74 -
3. Do you believe that trachoma can be prevented
Yes 68 91.89%
No 0 0%
i don’t know 6 8.1%
Subtotal 74 100%
4. If yes, how can we prevent
With good personal 68 91.89%
and env’t hygiene
With modern medicine 54 72.98%
Traditional healer 0 0%
Do nothing 0 0%
5. Is there any family member affected by trachoma
Yes 0 0%
No 74 100%
Result:
Table 12: child feeding habit
Children feeding habit
Start of breast Immediately after 10 91%
feeding birth
1 hr after delivery 1 9%
No. breast feeding 0 0%
at all
Other than breast Yes 1 9%
feeding given to No 10 91%
the child
Given colostrum Yes 7 63.6%
No 4 36.4%
Exclusive breast Yes…..10 <6 months 91%
feeding >=6 months 0%
No……1 9%
Breast <8 2 20%
feeding/day >=8 8 80%
Start of <6 month 1 9%
supplementary >=6month 10 91%
feeding
Type of Gruel 9 81.8%
supplementary Porridge 2 18.2%
food started Family diet 0 0%
Type of container Bottle 3 27.3%
used to feed Cup 8 72.7%
Others 0 0%
Breast feeding Yes 9 81.8%
now No 2 18.2%
Presence of Yes 0 0%
bilateral leg No 11 100%
edema
Result:
Table 13: maternal nutrition
Maternal nutritional status
Background Frequency Percentage
Who has anemia symptom 3 42.85%
Total 70 100%
Who has anemia sign 0 0%
Total 70 100%
Fe taken during Yes 8 61.53%
pregnancy (in the
past 2 yrs and No 5 38.47%
currently)
90 days 2 25%
If yes, for how
long <90days 6 75%
For how many <2 0 0%
times do you eat 2-3 10 76.92%
during pregnancy >=4 3 23.08%
per day for those
who were
pregnant in the
past 2yrs and
currently
Total 13 100%
For how many >3 2 25%
times do you eat
per day during BF <=3 6 75%
for those who
were BF in the
past 2yrs and
currently
Total 8 100%
Not eating certain Yes 3 23.08%
foods during No 10 76.92%
pregnancy
Not eating certain Yes 0 0%
foods during B. No 8 100%
feeding
Sight problem Yes 0 0%
during dim light No 13 100%
Result:
Table 14: family feeding
Type of salt Amole 0 0%
Iodized 3 4.05%
Non iodized 71 95.96%
Time While cooking 23 31.08%
After cooking 51 68.92%
Storage Open container 2 2.7%
Closed 72 97.3%
container
Result:
