Community Diagnosis strategy
DR OLAREWAJU SUNDAY
Community Medicine Department, Uni-Osun.
Outline
• Community diagnosis and strategies:
• Steps towards community diagnosis
• Community Description
• Disease problems and contributory factors
• Community diagnostic Tools
What is Community
Diagnosis?
What is Community Diagnosis?
It is the identification of community
health problems/diseases within the
Community and the predisposing
factors
Community Diagnosis
strategies
Strategies for Community Diagnosis
• This can be done in two major ways:
i. Community survey – use of questionnaires or focus group discussion tools -
Primary data tools
ii. Use of existing health record – General Outpatient Department registers -
secondary data tools
• This entails interaction with the following gatekeepers- community
members/individuals/household heads/community health system /school
health system/LGA health authority e.t.c
Steps towards community Diagnosis
Steps towards community Diagnosis
• Division of students into group/appointment of group leader
• Identification of the communities/visitation/entry
• Review and design Community diagnostic tool- Questionnaire & Checklist
• Assessment of health problem
• Data collection and Analysis
• Report writing and group presentation
REPORT WRITING
Report writing format
• Title Page
• Acknowledgement page
• Introduction:
• Materials and method: How the process was carried out?
• Findings- Result using assessment tools-
Disease problems
Environmental health problems
Community health system assessment
• Conclusion and recommendation
Community Description
• Location of the community
• Number of streets/villages within the community
• Demographic and socio-economic characteristics
• Existing culture, religion and traditional belief
• Available infrastructure: Schools, Churches/Mosques, Public and Private
hospitals, water supply and waste management.
• Festivals conducted within the community
Diseases/Health Problems
• Reported within the hospital/Observed within the community
• Communicable or Non- Communicable
• Contributory factors-
i. Environmental Factors:
ii. Health system Factors
Environmental Factors
• Water supply
• Refuse disposal
• Food and air hygiene
• Housing system
• Waste management
Health System factors
• Assessment of Health care structure: Traditional/Modern
• Type of services and referrals provided with the health care structure
• Common ailments seen, diagnostic method and treatment given
• Challenges encountered within the health system
• External support: NGOs and Philanthropic organizations
School Health System
• Type of schools – Public and Private, Primary and secondary
• Assessment of the school environment using checklist: water supply,
waste disposal, toilet system, noise/air pollution e.t.c.
• Inspection of the students in terms of personal hygiene
• Health education session
Community Diagnostic Tools
Review of existing Tool ( Each student with 5 tools)
• Disease identification Tool
• Environmental Health Inspection Tool
• School health inspection Tool
• Community health system tool
Skills needed to do community diagnosis
• Ability to ask questions using questionnaires
• Ability to review existing record-
• Good observation skills
• Basic computer skills- Data entry and analysis using excel
• Power point presentation
Thank you