Situation Analysis

A. Population Characteristics:
a. Demographic profile
i. Size, growth
ii. Distribution
iii. Composition (age, sex)
iv. Vital rates
v. Migration
vi. Religious, educational & cultural characteristics

B. Area characteristics:
a. Geographical and topographical situation
b. Socio-economic situation
i. Occupations/economic activities
ii. Possible shifts in pattern of occupation
iii. Income/ purchasing power
iv. Inequity
v. Casualisation of labour
C. Infrastructure:
a. Transport
b. Communication
c. Water/sanitation facilities
d. Utilities- electricity/fuel
e. Public and private organizations in the area
D. Policy + political environment:
a. Overall national policies
i. National health policy (NHP)
ii. State health plan/ state population plan
iii. District health plan/village health plan
iv. Other development policies
1. Health
v. Political environment (influence, support/opposition)
E. Health needs:
a. Medically perceived health needs
b. Community perception of health needs
F. Non-health sector:
a. Plans and services
i. Plans of other sectors
ii. Priorities
 1. Education
2. Agriculture
3. Social welfare
4. PWD
5. Industrial sector
G. Non illness related rates:
a. ANC/PNC/NC
b. Immunization
c. FPA etc
d. Awareness/ knowledge indicators
H. Health services:
a. Facilities
i. Type and no.
1. PHC
2. SC
3. CHC
4. RH
5. District hospital
6. Tertiary hospital
7. Mobile clinics
8. Dispensaries
9. Traditional practitioners
10. Private facilities
11. NGO run health facilities
ii. Capacities
iii. Location and ownership
iv. Type of services offered
b. Service utilization
i. Attendance ratio
ii. Occupancy ratio
iii. Non-illness related service utilization
c. Service gap:
i. Current and future
d. Service arrangement
i. Public-private composition
ii. Opportunity for community participation
iii. Decentralization possibilities
iv. Inter-sectoral co-ordination
I. Resources:
a. Financial
i. Currently available
 ii. Requirement for future
iii. Possible future availability (from different sources)
iv. Inflation
b. Personnel
i. Current no. of staff in various categories/population
1. In public health sector (PHS)
2. In private sector
ii. Future availability and requirement of staff
c. Other
i. Land, buildings, equipments
ii. Vehicles, supplies
J. Efficiency, effectiveness, equity, quality of health services:
a. Goals/aims/objectives
b. Priorities
c. Justification for the priorities

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