Identification of needs in a high risk population培训讲义.pptVIP

Dr.Hamda Qotba Identification of needs in a high risk population By Hamda Qotba, B.Med.Sc, M.D, ABCM What is need? Capacity to benefit from intervention The ability to benefit from health care (DoH) Health Is a state of complete physical, mental, and social well-being and not merely absences of disease or infirmity (WHO) Health Needs Assessment (HNA) Process of exploring the relationship between the health in a community and the resources available to address those problems in order to achieve a desired outcome Systematic method of identifying unmet health and health care needs of a population and making changes to meet these unmet needs Applications: Service planning and resources allocation Program planning, management and development Program evaluation It helps in socio-political changes Different aspects of needs Felt needs: what people consider and say they need (what people feel) Expressed needs: needs expressed by action (visiting doctor, demand) Normative needs: what health professional define as need based on provision of service Approach to needs assessment Epidemiological approach Comparative approach Corporate approach 10 steps of health need assessment CHD in Qatar Total population in Qatar In 1999 was 173,000 while the age group 15years accounts for 101,000 (53%), CHD prevalence among 15 years was (13%), those who access the services were according to hospital records were 8909(68%) The risk factors of CHD (NFS) Smoking Physically inactive lifestyles Poor diets Excess salt intake Obesity Alcohol Diabetes 10 steps of health need assessment * * It’s Process not task Of no benefit by it self it’s a tool helps to achieve other objectives project type and size of the action programs and services need to deal with the identified problem seek the opinions of professional about the size of the problem, best practice and delivery plan measure your population perceptions and expectations review curent evidence on the effectivness of intervention se