جستجوی مقالات مرتبط با کلیدواژه « community assessment » در نشریات گروه « پزشکی »

Public participation in different projects is one of the most important strategies for development. Community health assessment is a process by which community members gain an understanding of the health concerns and the health care system by identifying, collecting, and disseminating information on the community’s strengths, resources, and needs. This study aims to identify and prioritize the problems of Cholicheh county in Farsan city, Chaharmahal and Bakhtiari Province, Iran.

This study was conducted in 8 stages based on the North Carolina Community Health Assessment Model in the winter of 2021; the first seven stages include identifying and prioritizing the problems, and the eighth stage includes developing an action plan to solve priority problems. After establishing the assessment team, primary and secondary data were collected.

A total of 42 problems were identified, which were classified into six different groups, including health, education and culture, economics and employment, social and civil rights, security, and urban services. Using the nominal group technique, the priority problems were drinking water pollution, economic problems and unemployment, and low knowledge of health issues

The problems in Cholicheh county are related to cultural, social, and economic areas, in addition to the health area. To solve these problems, cross-sectoral collaboration, support from managers and officials, and public participation are needed.

Developing appropriate programs for community problem solving and community development and prosperity will be possible only after realistic identification of the community’s problems. Community health assessment is a process by which researchers and community members understand the health care system and community concerns through data collection and analysis, determining strengths and weaknesses and defining the community’s resources and demands. Basmenj is a town located 10 kilometer from the metropolitan City of Tabriz, Iran and on the verge of adjoining this metropolis. This paper reports results of the community assessment of this town. This study was conducted in autumn 2017. The methodology used for community assessment was based on the eight-stage model of North Carolina. In the first seven stages the Basmenj community problems were identified and prioritized, followed, in the eighth stage, by developing an action plan for solving the problems in order of priority. Approximately 100 different problems were identified at the end of the first stage. Based on the Hanlon classification model, the top prioritized problems of the region were found to be, in that order, youth addiction, urban trashes, stray dogs, environmental pollution caused by Pars Color Company, narrowness of the main street, inner-city livestock farming, early marriage among girls, wastewater problems, youth unemployment, and high consumption and self-administration of anti-biotics.
From among these problems, the urban trashes problem was studied briefly. Factors playing a role in its causation were found to be as follows: lack of waste reduction and waste sorting programs, low citizens’ knowledge about trash gathering, absence of an appropriate urbane wastewater system, and, finally, lack of participation of citizens and the private sector in trash gathering and burying A wide range of social, cultural and economic problems was identified. The top priority was found to be focusing on problems related to urban trashes. However, it should be noted that solving all the community problems identified requires the co-operation and support of all the governmental organizations, as well as involvement of the community at large.

Gastric cancer is the most common gastrointestinal cancer in Iran, especially in the northwestern part of the country. The purpose of this study was to investigate the factors affecting gastric cancer in the village of Aghbolagh MeshginShahr, Ardebil. This study was carried out in the village of Agbolaghlocated in Meshginshahr, Ardebil province in which gastric cancer was considered as a highly prioritized concern. Hence, a case-control study was designed on 21 patients with gastric cancer diagnosed during 2013-2015. This study included 63 control subjects who were randomly and purposefully selected from the adjacent villages and matched for age and sex. Odds ratio and logistic regression were calculated for probable risk factors. The meanage in the case group was 64.7 years and in control group was 61.1 years. In multivariate analysis, using logistic regression, educational level variables (OR = 0.38, CI = 0.15-0.88), family history (OR = 12.9, CI =2.5-72.5) and low fruit consumption (OR =3.06, = 0.49-9.89) were significantly different compared to control cases. Also, single-variable analysis revealed a significant difference for the.intervals between meals (OR =3.5, CI =1.2-9.9). Given the high odds ratio for family history variables, genetic studies are recommended to identify the involved genes and their interactions with the environmental factors in this region.

The awareness of the health knowledge level of a population and the weaknesses in people's health literacy is essential for educational planning. This community assessment study, which was conducted to develop an appropriate infrastructure for educational planning, examined the level of health literacy in Hormuz Island’s residents.
This analytical cross-sectional study was done on a sample of people over 18 years in Hormuz Island. Data were collected by two questionnaires which included basic information such as age, sex, marital status, age at marriage, and also indirect questions regarding the economic status of the individuals. Also, the Short Test of Functional Health Literacy in Adult (S-TOFLHA) was used to measure the patient's ability to read and understand health-related concepts. The linear regression analysis was performed.
The data provided by 486 individuals were analyzed in this study. The mean age was 39 years (18-79) and 48% were female. The mean household size was 4.5 people. The mean score of the subjects was 58.06. Thirty-five percent had less-than-sufficient health literacy, 18.21% had sufficient health literacy, 12.29% had insufficient, and 7.14% had higher health literacy. Education level (P Community assessment showed that older age groups did not have sufficient health literacy. Low economic status accompanied by low levels of literacy makes individuals less motivated to improve their health knowledge and, consequently, leads to low levels of health literacy in Hormuz.

Nowadays, prioritizing problems and distribution of resources is determined according to the basic needs of the individuals in the population. Based on the study done by researchers in Tehran University of Medical Sciences School of Public Health in Golhesar Village, Tehran, taking action about "drug abuse" was ranked by the community as the first priority. Therefore, the present study aimed to estimate the size of the population of drug abusers using the network expansion method.
This cross-sectional study was conducted on a purposive sample of 320 persons 15-65 years old. The study included two parts: 1. estimation of the social network based on 32 population subgroups using the frequency of network expansion approach; 2. estimation of the size of the hidden population. The relevant correction coefficients were used for adjusting errors usually observed in this method.
The mean of the social network was 160.79±16.68) 95% CIs: 128.78-194.30.(The frequencies of cigarette smoking, hookah smoking, alcohol consumption, opium use, meth use, crack use, heroin use, injecting drugs and ecstasy were 103.43, 88.25, 96.9, 76.46, 69.37, 30.03, 20.48, 7.36, and 4.23 per 1000; respectively. The percentage of drug abusers was higher among men.
As compared to results of previous reports, the size of drug abuser population in Golhesar Village is currently higher. In order to solve this problem an appropriate action plan should be implemented by the planners and policy-makers in partnership with community members.

Nowadays¡ in health promotion and disease prevention great emphasis is put on participatory community-based approaches. These approaches are considered as the main strategy of health promotion by using multiple interventions. Community assessment is a participatory research approach in which problems prioritization and resource distribution are done using information collected in a region aiming at promoting health of the community.
In this applied research community assessment was made in the Chahestaniha region in the City of BandarAbbas with the objective of identifying and prioritizing the main problems. The assessment consisted of eight phases¡ namely¡ the formation of a community assessment team¡ Primary and secondary data collection¡ data analysis and interpretation¡ combining district-level health statistics with community assessment data¡ reporting to the community¡ prioritizing health problems¡ and prepared a community assessment document. In the eighth phase¡ after considering all risk factors that cause high prevalence of Children head lice¡ the action plan was designed and implemented to solve the problems.
The Chahestaniha community assessment led to identifying 52 problems. The priority problems were classified. High prevalence of lice on children’s head was chosen as the top major problem to be solved¡ an action plan for solving it was developed and implemented.
The full cycle of community assessment methodology can be applied¡ with only some small changes¡ in most communities with different sizes¡ cultures¡ traditions and social habits. The method can obtain participation of the people in conducting the study and implementing interventions.

Community assessment is the process of collecting data about the community, identifying problems and prioritizing needs, with the participation of community members. The aim of this study was to identify and prioritize problems of Hormoz Island with the direct participation of local people.
This study was conducted based on North Carolina model and the study population were residents of the Hormoz Island in the south of Iran. The Problems of Island were identified through in-depth interviews and focus group discussions with residents, key informants, and some local authorities. Then, using nominal group technique and ranking problems the priorities were identified. Criteria for selecting the priorities included the magnitude, consequences, solving easiness and urgency of the problem.
In the community assessment process, totally 64 problems were identified and classified in six domains including health, food security, environment, social problems, economic problems, and management and substructure issues. Identified problems in the environment domain was more extended than other domains. Also the results showed that from the twenty priorities, nine of them were in social and economic domains
Identified problems included a wide range and in order to solve them, intersectoral activities, support of managers and administrators, and community participation is essential. Moreover, community assessment provide opportunities for active participation of community members and provide information for decision making.

Community assessment is a key tool for improving and promoting the health of the community. The role of community assessment is to identify the most important factors affecting the population health. To get a comprehensive picture of problems, priorities and suggested community health action plans in Iran, this review aims to summarize community assessments in various areas of Iran conducted between 1992 – 2013. This study was a retrospective review in which community assessments were compared and the results of several studies conducted in different regions of the country covering both rural and urban health centers were analyzed. Since 1999, department of Epidemiology and Biostatistics has conducted these community assessments in eight phases and follows 2002 North Carolina Community Health Assessment model. Assessment teams typically included MPH students and/ or PhD and masters (epidemiology) students from the School of Public Health. Data was collected through observation, interview, and focus group discussion. Assessment teams in each region prioritized the list of problems using Hanlon method and Nominal Group Technique. The results identified substance abuse, economical, and water-related problems as the most important problems in different parts of the country which indicates the need for developing a comprehensive action plan andimplementing measures. A review of the community assessments performed in this study shows the ability of community assessment to detect community health problems in all aspects. Therefore, this approach is recommended to evaluate and prioritize health problems and to formulate action plans.

understanding the real needs of a community is necessary for planning towards improvement and solving the problems of the community. In most cases, there is a gap between the needs identified by the public authorities and the needs considered by people. One of the best ways to reduce this gap is community assessment which is recognition, maintenance, and mobilization of resources for creating and achieving a shared vision of the community. This study was conducted in Aliny village which is located in Meshkin-shahr city in Ardabil Province using North Carolina 8-stage model and the model which has been developed in health school of the Tehran University of Medical Sciences. The study identified a range of problems and which were prioritized in the following order: Unemployment, psychological disorder and depression, drug abuse and addiction, marriage at an early age, no proper roads, inadequate waste disposal and sewage systems, high blood pressure, lack of drinking water and water outage in summer, shortage of water resources for agriculture, insufficient water dams, lack of cooperation from the authorities to grant loans to create jobs. Finally, a program for decreasing the unemployment in Aliny village was developed. This study showed that the investigated community has a wide range of social, economical, cultural and health problems and community assessment model is an efficient method for recognition of the community problems.

One of the most important steps in providing services is to identify and prioritize community health problems. This study was designed and implemented to identify and prioritize problems and, also, to determine the factors related to the problem with the highest level of priority in Divandarh district, Kurdistan province. This study was performed based on the North Carolina’s Community Health Assessment model which includes 8 steps. According to this model, the study was conducted in two phases. First, in steps 1 to 7, qualitative and quantitative methods were used to assess the community and to indentify the existing problems. In the second phase, i.e. in Step 8, a cross-sectional study was designed to determine the size of the major problem and its effective factors. Overall, 10 main problems were found in the first phase. After prioritization, unintended pregnancy was determined as the problem with the highest priority. Based on the results of the next phase, the prevalence of unintended pregnancy was 33%. This study found statistically significant relationships between unintended pregnancy and variables such as education level of spouses, residence, age, number of children, number of previous abortions and spouse's job. Based on the obtained results, intervention programs such as training women and proper counseling are necessary to prevent unintended pregnancies. Also, as part of the health team’ tasks, community assessment should be carried out in the health system with an appropriate methodology.

Substance drug abuse and re-addiction is one of the most important problems in the community. The objectives of this study was to assess the viewpoints of care providers and self-reported substance drug addicts referring to centers for addiction treatment in Khoramabad about etiology of re-addiction. This study was conducted based on the results of a community assessment study. At the beginning، a focus group discussion (FGD) was held to determine health problems and priority by Hanlon method. Re-addiction was identified as the most important problem. After that، a cross-sectional study was performed on 200 substance drug addicts with a history of at least one relapse referring to centers for addiction treatment in Khoramabad in July 2010 and 24 health care providers in these centers. Data collection was performed by structured interview. Informed consent was obtained from all the patients. Easy access to substance drugs، unemployment and having addicted friends were said to be the major factors of re-addiction in addicts’ views. Health care providers'' views showed that having addicted friends، unemployment and emotional problems have the most important roles in re-addiction. Based on our findings، we suggest planning and intervening based on identified problems including easy access to substance drugs، unemployment and emotional problems. Further and more focused research with higher standards is needed to investigate applied methods in order to reduce re-addiction rate.

The role of community assessment is to identify factors which influence the health of community and to determine the accessibility of the sources within the community. This study was carried out with the aim of identifying the problems of two different regions in Shahroud and of selecting a problem for a deeper analysis and determining the size of the problem in the two regions. Using the 8-stage model of North Carolina community Assessment, the problems of two regions of Mahdiabad and Bastam were identified and prioritized. Then, the mental problem was selected as a common priority problem in the two regions and in order to determine the size of this problem, 450 people in Mahdiabad and 407 people in Bastam were selected through random cluster sampling and were studied using a demographic questionnaire and the general health questionnaire (GHQ-28) and WHO-5 well- being index. Mental health problem was the sixth priority problem in Mahdiabad and the fourth priority problem in Bastam. Overall prevalence of undesirable mental health (confidence interval) in Mahdiabad and Bastam were 43.9% (39.3-48.5) and 25.1% (20.9-29.3). There were greater percentages of men and women with mental health problems in Mahdiabad than those in Bastam. In terms of somatic and anxiety sign subscales, Bastam, and in terms of social function and depression subscales, Mahdiabad had more undesirable conditions. The process of community assessment is a highly useful tool for needs analysis, identification and solution of society problems and its application is suggested for promotion of health and welfare of any community.

Community assessment process is the foundation for developing the basis for effective community health strategies. The aim of this study was providing a framework for comprehensive and participatory community assessment in Shahin-Shar, Isfahan, Iran.

This assessment performed in Shahin Shar city based on some experiences of Community Medicine and Epidemiology and Biostatistics departments of Tehran University of medical sciences since 1989 and North Carolina Community Assessment Guide Book (2002). The community assessment team included wide ranges of key stakeholders and local people. Our community assessment team has three levels of participants: An advisory group, a work group and a project facilitator. Observation, interview, focus group discussion and summary list of health resources used for data collection. The map of asset was also provided. We reported data to community and Hanlon method -based on magnitude of the problem, seriousness of the consequences and feasibility of correcting- was used for selecting health priorities.

Drug abuse, smoking among adults and depression were the important health priorities. After creating community assessment document, Based on the risk factors that contribute to each problem, the health action plans were developed.

The results of this study showed that community assessment could be the foundation for improving and promoting the health of community members. It could be the basis for effective community health strategies in Iran.