Professional Documents
Culture Documents
Topic Outline
1. Community Health Assessment Tools
1.1 Approaches in Conducting Community Assessment
1.1.1 Comprehensive Need Assessment
1.1.2 Problem-Oriented Assessment
1.2 Tools for Community Health Assessment
1.2.1 Sources of Data
1.2.1.1 Primary Data
1.2.1.2 Secondary Data
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Learning Objectives
After studying this unit, you will be able to:
Utilize the nursing process in managing community health concerns.
Choose from several schemes appropriate in stating community diagnoses.
Apply skills in recording and reporting system of DOH in monitoring the health status of the population
at different levels.
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1.2 Tools for Community Assessment
1.2.1 Sources of Data
1. Primary Data – data that have been gathered before and are collected by the nurse observation, survey,
informant interview, community forum and focus group discussion
2. Secondary Data – data taken from existing data consists of vital registries, health records and reports,
disease registries and publications for example census
1.2.2 Collecting Primary Data
1. Observation – through an ocular or windshield survey, either by driving or riding a vehicle or walking
through it
Participant observation is a purposeful observation of the formal and informal community activities. A
technique used in COPAR.
2. Survey – a series of questions may be oral or written
3. Informant interview – purposeful talks with either key informants or ordinary members of the community
4. Community forum – an open meeting initiated by the nurse in coordination with the leaders of the
community
5. Focus group – made of smaller group usually 6-12 members only and this method is effective in the
assessment of the health needs of specific groups in the community.
1.2.3 Collecting of Secondary Source of Data
1. Registry of Vital Events
Act 3753 aka Civil Registration Law
RA 7160 aka Local Government Code
PSA
The Administrator
The physician, nurse or midwife or anybody who attended the delivery either or the parents may also
register the birth.
A child should be registered within the 30 days from the occurrence of the birth.
Where? At the LCR office of city or municipality where the birth occurred.
PD 856 aka Sanitation Code
The health officer within 48 hours
The nearest relative or any person who has knowledge of the death shall report to the health officer
within 48 hours.
To the mayor, municipal secretary, or any member of the Sangguniang Bayan who shall issue the
death certificate for purposes of burial.
It shall be made within 30 days from occurrence of death at the LCR office of the city/municipality
where the birth occurred.
2. Health records and reports
Field Health Service Information System (FHSIS) – the official recording and reporting system of the DOH to
generate health statistics. (This will be discussed under the documentation and reporting topic.)
3. Disease registries – listing of persons diagnosed with specific type of disease in a defined population for
example HIV-AIDS and chronic NCD’s particularly CA, DM, COPD and stroke
4. Census data – a periodic governmental enumeration of the population.
Batas Pambansa Blg. 72
Every 10 years
Two ways of allocating census based on the assign locality in the Philippines
1. De Jure
2. De facto
1.2.4 Methods to Present Community Data
Community data is presented to the health team and the members of the community. Depending on the context
and purpose of the presentation the community data is presented as text, in tables, or in pictorial form such a
maps or graphs.
2 Community Diagnosis
Is the process of determining health status of the community and the factors responsible for it; it allows
identification of problems and areas of improvement, thereby stimulating action. (WHO, 1994).
Community health action potential which is essential for a healthy community is to be attained and maintained.
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2.1 Types of community diagnosis
1. Comprehensive community diagnosis
2. Problem-oriented diagnosis
2.2 Schemes in Stating Community Diagnosis
1. Shuster and Goeppinger – proposed practical application of a format of nursing diagnoses for
population groups previously presented as three part statement: health risk, specific aggregate and
related factors.
2. Omaha System – is comprehensive and research-based classification system for client problems that
exists in the public domain not under copyright.
Three components of the Omaha classification system that are to be used together
1. Problem classification scheme – which serves as a guide in collecting, classifying, analyzing, documenting
and communicating health and health-related needs and strengths.
Four Levels of Classification of identified problems or areas of concern:
First level – has 4 domain
Second level – consists of problems or areas of concern under the four domains
Third level – the problem area is classified according to two sets of
qualifiers Categories
First – the area of concern is categorized into health promotion, potential problem or actual
problem then
Second – the level of clientele involved is identified.
Fourth level – is made up of clusters of S/S that describe actual problems (Omaha System, 2011b)
2. An intervention scheme
3. Problem rating scale for outcomes
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4 Implementing Community Health Interventions
Often referred to as the action phase and is the most exciting phase for most health workers. This requires a
common understanding of the goals, objectives and planned interventions among the members of the
implementing group. Collaboration with other sectors and other agencies is necessary.