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Identification of needs in a high risk population

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.

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Identification of needs in a high risk population

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  1. Identification of needs in a high risk population By Hamda Qotba, B.Med.Sc, M.D, ABCM

  2. What is need? • Capacity to benefit from intervention • The ability to benefit from health care (DoH) Dr.Hamda Qotba

  3. Health • Is a state of complete physical, mental, and social well-being and not merely absences of disease or infirmity (WHO) Dr.Hamda Qotba

  4. 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 It’s Process not task Of no benefit by it self it’s a tool helps to achieve other objectives Dr.Hamda Qotba

  5. 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 Dr.Hamda Qotba

  6. 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 Dr.Hamda Qotba

  7. Approach to needs assessment • Epidemiological approach • Comparative approach • Corporate approach Dr.Hamda Qotba

  8. profile your population 10 steps of health need assessment measure the extend of the problem (prevelence, incindence ) calculate the expected number of cases collect and analyze routin data on service utilization calculate unmet needs or excessive service provision segment your population into diffrent strata review curent evidence on the effectivness of intervention measure your population perceptions and expectations seek the opinions of professional about the size of the problem, best practice and delivery plan project type and size of the action programs and services need to deal with the identified problem Dr.Hamda Qotba

  9. 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%) Dr.Hamda Qotba

  10. The risk factors of CHD (NFS) • Smoking • Physically inactive lifestyles • Poor diets • Excess salt intake • Obesity • Alcohol • Diabetes Dr.Hamda Qotba

  11. 10 steps of health need assessment Dr.Hamda Qotba

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