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Needs Assessment. Process by which the program planner identifies and measures gaps between what is and what ought to be. Needs Assessment. Should also include the communities assets assessment. Needs Assessment. Define the community Define the target audience

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Needs assessment
Needs Assessment

  • Process by which the program planner identifies and measures gaps between what is and what ought to be.


Needs assessment1
Needs Assessment

  • Should also include the communities assets assessment.


Needs assessment2
Needs Assessment

  • Define the community

  • Define the target audience

  • Understand the community around the target audience

  • Demographic data of both


Needs assessment3
Needs Assessment

  • Perceived nutrition and health needs of the community & target audience


Needs assessment4
Needs Assessment

  • Health status of the community & target audience

  • Nutrition status of the community & target audience


Needs assessment5
Needs Assessment

  • Resources available in the community & target audience

  • Assets of the community & target audience


Epidemiology
Epidemiology

  • The study of the occurrence and determinants of health events among people.


Epidemiology1
Epidemiology

  • Behavioral epidemiology

    • assesses what people do and what they avoid


Epidemiology2
Epidemiology

  • Nutritional epidemiology

    • eating behavior and how that behavior influences health status, disease morbidity and mortality


Primary data
Primary Data

  • Collect the data your self

  • Qualitative

  • Quantitative

  • Use variety of methods


Secondary data
Secondary Data

  • Collected by someone else

  • Compiled

    • aggregated, summarized

  • Uncompiled

    • not aggregated


Define the community
Define the Community

  • Workbook pp. 3-5

  • Community and target audience separate

  • Geographic boundaries

  • Cultural boundaries


Define the community1
Define the Community

  • Demographic data

    • Workbook pp. 16-23

    • target audience

    • community

  • Media survey

    • Workbook pp. 6-7


Health status
Health Status

  • Define specific enough so know how to develop the program


Health problem
Health Problem

  • Condition-specific dimensions

    • How does it occur in the target audience?

    • Are any aspects of the health problem unique to the target audience?


Health problem1
Health Problem

  • Condition-specific dimensions

    • Will rate of problem change if addressed via education?

    • Will rate of problem change if change policy?


Health problem2
Health Problem

  • Condition-specific dimensions

    • Will rate of problem change if change policy?

    • How will people’s behavior have to change to reduce problem?


Health problem3
Health Problem

  • Condition-specific dimensions

  • Incidence rate: number of new cases of disease per time period


Health problem4
Health Problem

  • Condition-specific dimensions

  • Prevalence rate: number of existing cases of a disease at one time


Health problem5
Health Problem

  • People-specific dimensions

    • What is the health problem the target audience is most worried about?

    • Rate of health problem in that group?


Health problem6
Health Problem

  • People-specific dimensions

    • How do people behave that have the problem?

    • How do people behave that do not have the problem?


Health problem7
Health Problem

  • Gathering the information

    • Workbook pp. 24-27

    • Other WEB sites

  • Leading causes of death and disability


Health problem8
Health Problem

  • Gathering the information

    • Compare across communities

    • Compare county or city to state or national level

    • What else collect?


Nutritional status
Nutritional Status

  • Indicators of nutritional status, measures of food consumption & dietary habits, availability of different foods, food purchasing habits


Nutritional status1
Nutritional Status

  • Gathering the information

    • Workbook pp. 28-42

    • What might this include?


Nutrition monitoring
Nutrition Monitoring

  • NHANES III

    • 1988-94

    • CDC, HHS

    • 2 mo & older

    • FFQ & one 24-hr food recall

    • SES


Nutrition monitoring1
Nutrition Monitoring

  • NHANES III

    • biochemical analysis of blood and urine

    • physical exam

    • anthropometrics

    • bp, bone density, health


Nutrition monitoring2
Nutrition Monitoring

  • CSFII

    • 1994-96

    • USDA

    • 1-day & 3-day food records

    • 24-hr food recall


Nutrition monitoring3
Nutrition Monitoring

  • DHKS

    • 1994-96

    • USDA

    • linked to CSFII

    • knowledge, attitudes, behavior




Brfss
BRFSS simple procedures and all use same tools and procedures

  • Behavioral Risk Factor Surveillance System

    • random digit telephone

    • population based

    • some nutrition questions


PNSS simple procedures and all use same tools and procedures

  • Pregnancy Surveillance System

    • majority is WIC data

    • program based

    • trends in prevalence of prenatal and early infancy


Pednss
PedNSS simple procedures and all use same tools and procedures

  • Pediatric Nutrition Surveillance System

    • WIC, EPSDT & Head Start

    • program based

    • monitors nutritional status of children in public funded


YRBS simple procedures and all use same tools and procedures

  • Youth Risk Behavior Survey

    • monitoring system

    • asks a few nutrition questions


Epsdt
EPSDT simple procedures and all use same tools and procedures

  • Early and Periodic Screening, Diagnosis and Treatment


Research literature
Research Literature simple procedures and all use same tools and procedures

  • Compiled

  • NHANES, CSFII, & DHKS analyzed and published

  • Other studies


County state health dept
County & State Health Dept. simple procedures and all use same tools and procedures

  • Vital statistics

  • State results of BRFSS, YRBS

  • Other program data - WIC, EFNEP, Early Start


Community resources
Community Resources simple procedures and all use same tools and procedures

  • Identify other organizations

  • Human resources

  • Financial resources

  • Community strengths


Community resources1
Community Resources simple procedures and all use same tools and procedures

  • Policies and practices of other organizations

  • Who can be lead organization?

  • Availability of other nutrition services


What data to gather
What data to gather? simple procedures and all use same tools and procedures


Possible steps in needs assessment
Possible Steps in Needs Assessment simple procedures and all use same tools and procedures

  • Create a time line

  • Call people in the community

  • Ensure confidentiality

  • Systemize the data gathering process


Formative evaluation
Formative Evaluation simple procedures and all use same tools and procedures

  • Evaluation to assist in shaping the program, brochure, & to aid planning

  • Needs assessment, planning, pretesting

  • Quality assurance


Pretesting
Pretesting simple procedures and all use same tools and procedures

  • Assess comprehension

  • Assess attention & recall

  • Id strong & weak points

  • Gauging sensitive or controversial elements

  • Test acceptance of messages for cultural appropriateness


Needs assessment6
Needs Assessment simple procedures and all use same tools and procedures

  • Questions?



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