Ion Of Identified Health And Health-related Problems In

PRIORITISATION OF IDENTIFIED HEALTH AND HEALTH-RELATED PROBLEMS IN A COMMUNITY

WHY PRIORITISE? • In any human community, needs are numerous particularly felt needs in the developing world. However, the resources are limited hence the need to address the most pressing first i.e. prioritization of these needs.

WHY PRIORITISE contd • Prioritization serves to rank already identified community problems. A problem is a deviation from what ought to be to what id obtainable. Problems could be described as either health problems or health related problems. This is necessary because of limited resources which must be wisely allocated and hence the need for proper scientific and thorough approach to put these problems in a scale of preference.

CRITERIA AND SCORING SYSTEM • For today’s presentation, • Health problems: HYPERTENSION, HIV/AIDS, COUGH • Health-related problems: LOW LITERACY RATE, POOR POWER SUPPLY, POOR SANITATION • In ranking these problems, the following criteria and scoring system was used. •

CRITERIA AND SCORING SYSTEM contd • • • • • • • • • •

CRITERIA SCORE Who sees the problem? a. Health worker………………………………………………………………………… ……… 1 b. Community members……………………………………………………………………. 2 c. Both…………………………………………………………………………… ………………… 3   Who is affected? a. Elderly………………………………………………………………………… …………………… 1 b. School children……………………………………………………………………… ………… 2 c. Work

CRITERIA AND SCORING SYSTEM contd • • • • • • • • • • • •

Feasibility of intervention. a. Long term……………………………………………………………………………………… 1 b. Short term……………………………………………………………………………………. 2   Cost of intervention a. Expensive…………………………………………………………………………………… …. 1 b. Cheap…………………………………………………………………………………………… 2 c. Very cheap……………………………………………………………………………………. 3   Relative magnitude of problem in terms of mortality and morbidity a. Low……………………………………………………………………………………………… …… 1 b. Medium………………………………………………………………………………………… …. 2

• 6. Seriousness and social impact of health problem • a. Loss of working days/hours………………………………… …………………………………. 1 • b. Disability…………………………………… ………………………………………………… ………. 2 • c. Fatal………………………………………… ………………………………………………… ……….. 3

SPECIFIC PRODUCT DISEASE

WHO SEES WHO IS FEASIBILIT COST OF RELATIVE SOCIAL THE AFFECTED? Y OF INTERVENTI MAGNITITU IMPACT PROBLEM? INTERVENTI ON DE ON

TOTAL SCORE

NEW ORDER

HEALTH PROBLEM 1.HYPERTEN1 SION 2. HIV/AIDS 1

3

1

1

2

1

9

3RD

4

1

1

3

3

13

1ST

3. COUGH

2

2

3

1

1

12

2ND

3

1

1

2

1

11

3RD

4

1

1

3

2

12

1ST

2

1

2

2

1

11

2ND

3

HEALTH RELATED PROBLEMS 1.POOR 3 POWER SUPPLY 2.LOW 1 LITERACY 3.POOR 3 SANITATIO N

SPECIFIC PRODUCT contd • From the table it can be seen that in this community, the priority health problem is HIV/AIDS while the most important health-related problem is LOW LITERACY.

SPECIFIC PRODUCT contd • It is important to address the most pressing health and health related issues identified in this community. The goals of any intervention planned must include • HIV/AIDS • 1.reduce the burden of the disease on the community • 2.reduction of the mortality and morbidity resulting from the disease. • 3.improve quality of life of PLWHA • 4.creation of awareness and education on the disease

• • • •

LOW LITERACY 1.promotion of primary education 2.encouragement of adult education 3.encouragement of girl child education