Health Need Assessment

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Information about Health Need Assessment

Published on December 26, 2008

Author: rajbir

Source: slideshare.net

Description

health need,steps of health need assessment,benefits, challenges

Health Need Assessment

Need refers to lack of something. Need is not an absolute concept There are gradations of need Importance is who perceives it. Doctors, sociologists, philosophers & economists all have different views of what need is. What is need?

Need refers to lack of something.

Need is not an absolute concept

There are gradations of need

Importance is who perceives it.

Doctors, sociologists, philosophers & economists all have different views of what need is.

Health Need Perceived needs -need for health services experienced by individual & which (s)he is ready to acknowledge. Professionally defined needs -need for health services experienced by health professionals from the point of view of benefit obtainable from advise, preventive measure, management or specific therapy

Perceived needs -need for health services experienced by individual & which (s)he is ready to acknowledge.

Professionally defined needs -need for health services experienced by health professionals from the point of view of benefit obtainable from advise, preventive measure, management or specific therapy

Scientifically confirmed needs – the need confirmed by objective measures of biological, anthropometric or psychological factors, expert opinion or passage of time.

Scientifically confirmed needs – the need confirmed by objective measures of biological, anthropometric or psychological factors, expert opinion or passage of time.

Health need determinants Populations have different health needs depending upon many factors: demography socioeconomic status environmental situation genes behavior health care

Populations have different health needs depending upon many factors:

demography

socioeconomic status

environmental situation

genes

behavior

health care

Importance of health need assessment Review of existing health planning Basis of health planning Ensures efficient use of resources Identifies the inequalities in health & access to services

Review of existing health planning

Basis of health planning

Ensures efficient use of resources

Identifies the inequalities in health & access to services

Steps in health need assesment

Planning Step I

Planning involves Funding of project Goals & objectives of project Definition of individual research staff roles assigning responsibility allocation methodological design necessary supplies

Planning involves

Funding of project

Goals & objectives of project

Definition of individual research staff

roles assigning

responsibility allocation

methodological design

necessary supplies

Step II Data Choice

Basic demographic data (age, socioeconomic status, sex etc.) Variables of interest in research Both of these are decided in the first step of planning when the whole layout and procedure is made.

Basic demographic data (age, socioeconomic status, sex etc.)

Variables of interest in research

Both of these are decided in the first step of planning when the whole layout and procedure is made.

Types of data Primary data collected for health need assessment by two major ways. 1.Surveys 2.Interviews (costly and time consuming)

Primary data

collected for health need assessment by two major ways.

1.Surveys

2.Interviews

(costly and time consuming)

Secondary data Census Civil registration system Hospital & indoor records Clinical Laboratories Epidemiological Studies National Sample Survey Special Studies (World fertility survey, Demographic health survey, Multicluster indicator survey)

Census

Civil registration system

Hospital & indoor records

Clinical Laboratories

Epidemiological Studies

National Sample Survey

Special Studies (World fertility survey, Demographic health survey, Multicluster indicator survey)

Research design identifies the data to be used

Step III Sampling Techniques

Most common sample survey Different techniques of probability sampling are known Some commonly used are simple random sampling stratified random sampling cluster sampling

Most common sample survey

Different techniques of probability sampling are known

Some commonly used are

simple random sampling

stratified random sampling

cluster sampling

Simple Random Sampling Each individual in population has an equal chances of being selected Generally done by using random tables Some uses the digits of currency notes

Each individual in population has an equal chances of being selected

Generally done by using random tables

Some uses the digits of currency notes

Stratified Random Sampling Population is divided into two or more sub populations or strata Sample is drawn out of those subunits

Population is divided into two or more sub populations or strata

Sample is drawn out of those subunits

Cluster Sampling Numbering population Randomly selecting units Example - states, city blocks

Numbering population

Randomly selecting units

Example - states, city blocks

Step IV Modes of Data Collection

1.Close ended questions Mail surveys Telephone surveys In person surveys 2.Open ended questions

1.Close ended questions

Mail surveys

Telephone surveys

In person surveys

2.Open ended questions

Disseminating Data

Preparing presentation Brief summary of the assessment Effective communication Targeting population according to specifications (education etc.)

Preparing presentation

Brief summary of the assessment

Effective communication

Targeting population according to specifications (education etc.)

Benefits of health need assessment Strengthened community involvement in decision making Improved public participation Professional developments of skills & experience Improved patient care Better use of scarce resources

Strengthened community involvement in decision making

Improved public participation

Professional developments of skills & experience

Improved patient care

Better use of scarce resources

Challenges of health need assesment Working across professional boundaries Developing shared language between sections Obtaining commitment from top Assessing relevant data Assessing target population Maintaining term impetus& commitment Translating findings into effective action

Working across professional boundaries

Developing shared language between sections

Obtaining commitment from top

Assessing relevant data

Assessing target population

Maintaining term impetus& commitment

Translating findings into effective action

References   1.Henderson RH and Sundaresan T. Cluster sampling to assess immunization coverage: a review of experience with a simplified sampling method. Bulletin of the World Health Organization 1982;60(2):253-60. 2.   Lareau L. Needs assessment of the elderly: Conclusions and methodological approaches. The Gerontologist 1983;23(5):518-26.

3.Lareau L and Heumann L. The inadequacy of needs assessments of the elderly. The Gerontologist 1982;22(3):324-30. 4.McKillip J. Need analysis: Tools for the human services and education. Newbury Park (CA): Sage; 1987. 5. Miles MB and Huberman AM. Qualitative data analysis: an expanded sourcebook. 2nd ed. Thousand Oaks (CA): Sage; 1994.

3.Lareau L and Heumann L. The inadequacy of needs assessments of the elderly. The Gerontologist 1982;22(3):324-30.

4.McKillip J. Need analysis: Tools for the human services and education. Newbury Park (CA): Sage; 1987.

5. Miles MB and Huberman AM. Qualitative data analysis: an expanded sourcebook. 2nd ed. Thousand Oaks (CA): Sage; 1994.

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