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Clinical report: community health assessment,cse of muhima villaga

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par community clinical KHI student team
khi - bsn level 3 2009
  

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Indicators of a Healthy Community

Respondents were asked to comment on what they felt were the signs or indicators of a healthy community; how do you know it when you see it? This question did not generate a wealth of discussion, but some notable contributions were made.

Among the indicators mentioned frequently were:

.low incidence of accidents

.low number of homeless

.adequate levels of subsidized housing

.low crime rate

.low incidence of domestic violence and child abuse.

.high immunization rates

.good/strong schools

.low school dropout and truancy rates

.sufficient recreational resources for all ages

.good hospitals and health care providers/services.

.high percentage of use of prenatal care

.prevalence rates of healthy behaviors (e.g., use of bicycle helmets or seatbelts, low levels of alcohol or drug abuse)

.low unemployment rates

.strong, lively «arts» community (e.g., theatre, dance, film)

Two focus group participants were somewhat less «statistically-oriented» in their response to this question. Noted one, «It's when people are walking around with smiles on their faces, «and another, «it's when you walk down the street and people say `hi' to you.»Is This a Healthy Community?

In general, respondents felt that the communities served by the Muhima health professionals are relatively healthy. Several people compared the Muhima region to other communities, often larger, more urban environments, with which they were familiar. The muhima region fared quite well in these comparisons. There is some variation, however, among the communities, and for particular «sub-communities;»

What Are the Program/Service Gaps in the Community?

Two basic approaches were employed to gather information regarding perceived program/service gaps. First, interviewees and focus group participants were asked specifically to identify and discuss such gaps. Second, the surveys asked respondents to identify areas where gaps exist. The results of both approaches are discussed in next

Focus Group Findings

By their very nature, interviews and focus groups tend to uncover more negative comments or recommendations for improvement than they do positive statements. This section of the report documents those areas perceived to be gaps or most in need of improvement. In addition, to make the information even more useful for muhima health center, the report presents the findings in three groupings or categories: Primary Perceived Needs; Secondary Perceived Needs; and Other Perceived Needs, based on the level of discussion and interest among respondents.

The groupings of issues discussed are:

Summary of Primary Perceived Needs

. Lack of information/education regarding programs and services in service area.

. Coordination and collaboration among organizations.

. Mental health services, particularly for younger children and for seniors.

. Enhanced activities/programming for teens; e.g., recreational, social.

. Dental services (oral health).

Summary of Secondary Perceived Needs

. Access to prescription drugs at an affordable price

. Intergenerational programming

. Respite care services

. Affordable childcare services

. Access to primary care services

. Drug/Alcohol prevention

. More active, flexible services

Age Group Perceived to Be Most in Need of Additional Services

1. Seniors (age 65+)

2. Youth (ages 13-18)

3. Adults (ages 19-64)

4. Infants/Toddlers (ages 0-5)

5. Children (ages 6-12)

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