Appidex 1

INTERVIEW GUIDE FOR HEALTH NEED ASSESSMENT (SHEDDHER)

We are students from Amoud collage health science and we are carrying out a health need assessment in
your area and you have been chosen to participate. Please note that it is purely academic and any
responses obtained will be treated with utmost confidentiality.
1: general information or bio data
1: sex a) male b) Female
2: marital status a) Married b) Single c) Widowed n d) Divorced
3: Age group: a) 15-20 b) 21-25 c) 26-30 d) 31-35 e) Above40
4: highest level of education attended
a) Primary b) secondary c) tertiary d) non formal education e) none
5: Employment status
a) Self-employed b) not employed c) employee d) help by others
6:INCOME
A} <40-50 b} 51-101 c} 102-151 d} 152_201 E)aabove 221
2: Need assessment
1: what is your perception of health care services in this area?
A} bad b} very bad c} good
d}very good
3: what do you perceive as the most important health problems facing the community? .
A)hypertention
B.diabetic
C.gastric
D.UTI
F.sanitation
G.drainage
K.solidwast
N.others
H.noidea
4) What do you think can be done to solve the above problems?
a) Information and orientation b) health education and counseling
c) Immediate referral to hospital d) diagnoses e) others specify s