19. Prioritization of Health Problem and MHP

8/18/2019 19. Prioritization of Health Problem and MHP

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Prioritization of health

problem


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How do we prioritize?

• First, your health post team shouldprioritize the disease burden

• Decide which disease are mostcommon and serious

• Decide which disease are most easilypreventable and easily treatable

• Assess your resources for preventing ortreating the most common and seriousillness


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• 2nd, after HP team has analyzed and

understood the community diagnosis,discuss the results with the health posthealth committee and chairman fromeach ward and other leader

• Third, disseminate the informationthrough HP committee members and

chairman of the wards to smaller groupsat ward level where it can be discussesand understood and acted upon


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• Fourth, after the results have beendisseminated and discussed throughoutD!, plan a large community meeting andarrange for each ward to participate insome aspect of presentation of communitydiagnosis

• Finally, after you have discussed the"nding with the community, ran# thecommunity priorities with respect to thevarious diseases$


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r or t zat on o t eproblems in the

community• A systematic method of assigning greater orlesser importance to various diseases,problems, interventions etc

• Allows to direct resources, time and energyto those issues that are deemed mostcritical and practical to address

• A process whereby an individual or group

places a number of items in ran# orderbased on their perceived or measured

importance or signi"cance$

%


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Criteria for prioritization

• &idespread problem and severity in terms ofmorbidity and mortality

• Felt need's of the people concerned with

signi"cance to them• Feasible to meet the need's in terms of

available resources (man, money, material)

• Ta#es only few months not years to solve the

problem

• Problems not being addressed by otheragency in the community

*


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Prioritization schemeProblem Importance Community

concernSeriousness

Prevalence Manageability Total

Large family, notenough food

++ + ++ +++ ++ !

Malnutrition +++ +++ ++++ ++ ++ "

Too little rain, no #ater ++ ++++ + ++ + !

$iarrhoea +++ ++ ++ ++++ ++++ %!

Pneumonia +++ ++++ +++ ++++ +++ 36

Lac& of &no#ledgeabout food value

+ +++ + + ++ '(

Illiteracy ++ + ++ +++ + '"

+

Manageability) Acceptability of action, People, Money, equipment, Feasibility


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Micro Health Project

• icro Health Pro-ect is a miniature pro-ect ofsmall scale pro-ect that is designed for shortperiod of time to demonstrate the ways of

solving community health problems• HP is a miniature form of short term

health pro-ect that is planned, implementedand evaluated in the community setting by

e.ective utilization of local resourcesthrough active participation of communitypeople


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Micro Health Project

• icro Health Pro-ect is a form of short term pro-ectdesigned to develop health related s#ills and selfreliance on the priority basis (real needs) amongthe common people through ma/imum utilization

of local resources and techni0ue

• 1t is to demonstrate the method of solvingcommunity health problems and should always besimple, action oriented, e.ective and sustainable

• HP is designed to develop helpful s#ills andhealth practices by raising self reliance amongpeople in the community


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Micro health Project

(MHP)• icro health pro-ect is a small scale pro-ectin which people organized to identifytheir real need and solve them by ta#ing

short duration of time, not depending andwaiting for government program$

• &e can use local resource, manpower,material, money for running HP

• 1n epal many HP are running eg$other3s group, A41 control programme etc$

56


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Importance of MHP

5$ 7asy to control disease with the help of HP$

2$ 1t helps to solve the problem early whendetected$

8$ 1t increases the interest about health and

disease for community member$

9$ 1t helps to mobilize the local resource for theirown village$

%$ 1t helps to increase participation of local people

to solve health problems$

*$ 1t economies the means and sources$

+$ People are involved in creative innovations$

:$ 1t reduce the dependency to outsiders for

development of their own village$ 55


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Micro Health Project5$ ;mall scale or short

2$ 7asy to do

8$ !an be done 0uic#ly

9$ Does not re0uire much outside help

%$ ;hould be based on community setting

*$ 1nvolves many people participation' Focus activecommunity participation

+$ &ill help many people in the community' build oncommunity participation

:$ Focus of e.ective utilization of local resources andlocal technology


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How to decide on MHP

• Find out the real need

• Assess and identify resources(internal and e/ternal)

• =btain commitment and developpartnership

• Time line and feasibility


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Criteria for prioritizinMHP

5$ agnitude of the e/isting health needs in thecommunity

2$ 7/tent of harming in the community

8$ 1mportance of health needs by community

9$ Available resources for solving health need of thecommunity

%$ The degree of awareness or consciousness to theful"llment of health need by the community

*$ Policy and strategy of governmental and localresources

+$ Feasible ( time, environment and security)


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!utline of Micro HealthProject

• 1ntroduction

• 4ational

• =b-ective• Process

* Planning (wor# plan)

* 1mplementation * 7valuation

• ;uggestion

"t f Mi H lth


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"teps of Micro#HealthProject

5*

ssessment, nalysisand $iagnosis of the

Community

Planning of ealth

ction

-rgani.ing and

Implementing a

Pro/ect

0valuation of the

Conducted Pro/ect


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"teps of MHP$% Plannin of MHP

> Planning is "rst and important stepsand without it, we can3t do anything$

> eed identi"cation

> ;cienti"cally, "nd the real need withthe community$> Prioritize the health problem$> ;earch for available resources

(internal and e/ternal)$> Prepare the plan of action (P=A) with

the community$

5+


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"teps of MHP

• Plannin of MHP

* need identi"cation (scienti"cally, "nd thereal need of the community)

* Prioritize the health problem

* ;etting of goal or ob-ective of community

* !hoosing the appropriate target

population * Finalize the contents to be taught

* Finalization of the methods and media


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"teps of MHP

• Plannin of MHP contd&

* ;earch for available resources (internal ande/ternal)

* Tentative time and venue should be "nalizedbefore hand

* Prepare the plan of action with thecommunity

* Planning of time schedule

* Planning of implementation

* Planning of evaluation


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"teps of MHP

• Plan of action of MHP includes

;$

o

Date Program

'Activities

Target

group

enue ethod

andmedia

4esponsi

bleperson

5$

2$


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"teps of MHP'% Implementation of MHP

> Form the HP implementation committee> ?ive responsibility for the committee

members> 1nform people about the program aim,

ob-ectives, status and progress$> HP may focus on@ 7nvironmental

sanitation, !H'FP, utrition,!ommunicable disease, ;chool health etc$

> 4egular monitoring and directing theprogram activities

> Disseminate the progress of program inmedia$

> 7ncourage other villages to learn lesson 25


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"ome of the eamples ofhealth action

• Health education programmes usingdrama, dance, festivals, art and songprogram, demonstration

• Health campaigns such asimmunization camps

• Adult literacy class

• obile FP'!H clinic


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"teps of MHP% *valuation of MHP

> 7valuation is e/amining an activity, pro-ect orprogram to see whether it has accomplished itsgoals and ob-ectives or not$

> 7valuation is comparing what has been achievedwith what was planned to be done$

> 1f program ob-ectives are speci"c and measurable,the tas# of evaluation is simple$

> 1n !HD, students are e/pected to get somefeedbac# from community regarding

understanding of the health education tas#,correctly ma#ing =4;, ;uperBour, Cse of latrineconstructed etc$

> ;tudents also evaluate themselves on the basis oftheir own ob-ectives and target$

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"ustainability of MHP

• !ommittee formation

• !ommitment ta#en

• 1nduction during HP• Follow up

19. Prioritization of Health Problem and MHP

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