Day 1 : Oral Presentations (Theme: Education for Service)

Utilization of health needs assessment survey for delivering health education by medical students in community based education program at Shifa College of Medicine

Location

Lecture Hall 3

Start Date

26-1-2013 10:30 AM

Abstract

Background: Health Needs Assessment (HNA) is a recommended public health tool to plan for community health services. In order to look into the status of a community’s health, elements of Primary Health Care needs to be assessed. Community Based Education (CBE) is in practice at Shifa College of Medicine (SCM), Islamabad as part of 4th year Community and Family Medicine Clerkship. As narrated by Magzoub, there are 3 classes of CBE. Among the service oriented programs there is community development and health interventions. With an aim to improve health care delivery at Nurpur Shahan through CBE, a Primary Health Care Centre in collaboration with Rotary and SCM is in place. Objectives: 1. To determine the health needs of Nurpur Shahan community based on elements of PHC 2. To assess students performance regarding deliverance of heath education to the community at the Primary Health Care Centre.

Methods: A Cross Sectional Survey for the HNA was carried out at Nurpur Shahan after taking approval from the Institutional Review Board of Shifa Tameer –e- Millat University. For this purpose Muslim Colony with a registered population of 3,500 adjacent to Rotary Clinic was selected for data collection. This was surveyed by 4th year Medical students while they were attending Community & Family Medicine (CFM) clerkship. This project is spread over a period of one year through the entire CFM clerkship of 5 batches, so far one clerkship has undergone this project. Questionnaire designed for this study has been divided into 9 sections questions regarding Demography and Elements of PHC .A sample size of 500 was calculated using WHO sample size calculator keeping an arbitrary figure of 50% for the health needs; absolute precision required 4.5%, level of significance 95%. As such data of 100 households per clerkship was collected, thus achieving a sample size of 500 at the end of 5 clerkships. Households were approached through community based workers through simple random sampling. Survey was carried out by interviewing the house hold lady after taking informed consent with the help of a questionnaire which was translated into Urdu after validating through pilot testing. Following collection of data, students entered the data in SPSS and performed data analysis under supervision to identify the health needs. Two days student led interactive sessions were then conducted for the community members from whom data collection was done through interactive session at Rotary clinic. Students’ performance regarding the HNA survey performance was assessed through checklist, which has been adapted from WHO report on Community-based Education of Health Personnel 1987. • Data was entered and analysed using SPSS version 19.0. Descriptive statistics were calculated for both Qualitative and Quantitative variables. For qualitative variables, frequency and percentage were calculated. For quantitative variables, mean ± SD were calculated.

Results: Out of a total of 100 households surveyed in one clerkship, the most common health needs identified included: non-availability of safe drinking water 80.76%, solid waste disposal by throwing away in open 76%, oro-dental health problems in 48%, smoking in 48%, antenatal visits less than 4 in 43%, , Hypertension in 43%, Tuberculosis in 25% , physical disability in 30%, contraception use among couples in 29%, incomplete immunization in 15% under 1 year of age Out of 20 students in one clerkship, 8 performed satisfactory while 2 scored excellent on the health education.

Conclusions: Identification of health needs through community based survey by the students of CFM would help to provide targeted services at the PHC. Moreover, deliverance of health education by the students helped to build their confidence and improve their communication skills by interacting with community. This project can be utilized to achieve the CANMED’s competencies in undergraduates.

Key words: HNA, Health Education, PHC, CBE

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Jan 26th, 10:30 AM Jan 26th, 10:50 AM

Utilization of health needs assessment survey for delivering health education by medical students in community based education program at Shifa College of Medicine

Lecture Hall 3

Background: Health Needs Assessment (HNA) is a recommended public health tool to plan for community health services. In order to look into the status of a community’s health, elements of Primary Health Care needs to be assessed. Community Based Education (CBE) is in practice at Shifa College of Medicine (SCM), Islamabad as part of 4th year Community and Family Medicine Clerkship. As narrated by Magzoub, there are 3 classes of CBE. Among the service oriented programs there is community development and health interventions. With an aim to improve health care delivery at Nurpur Shahan through CBE, a Primary Health Care Centre in collaboration with Rotary and SCM is in place. Objectives: 1. To determine the health needs of Nurpur Shahan community based on elements of PHC 2. To assess students performance regarding deliverance of heath education to the community at the Primary Health Care Centre.

Methods: A Cross Sectional Survey for the HNA was carried out at Nurpur Shahan after taking approval from the Institutional Review Board of Shifa Tameer –e- Millat University. For this purpose Muslim Colony with a registered population of 3,500 adjacent to Rotary Clinic was selected for data collection. This was surveyed by 4th year Medical students while they were attending Community & Family Medicine (CFM) clerkship. This project is spread over a period of one year through the entire CFM clerkship of 5 batches, so far one clerkship has undergone this project. Questionnaire designed for this study has been divided into 9 sections questions regarding Demography and Elements of PHC .A sample size of 500 was calculated using WHO sample size calculator keeping an arbitrary figure of 50% for the health needs; absolute precision required 4.5%, level of significance 95%. As such data of 100 households per clerkship was collected, thus achieving a sample size of 500 at the end of 5 clerkships. Households were approached through community based workers through simple random sampling. Survey was carried out by interviewing the house hold lady after taking informed consent with the help of a questionnaire which was translated into Urdu after validating through pilot testing. Following collection of data, students entered the data in SPSS and performed data analysis under supervision to identify the health needs. Two days student led interactive sessions were then conducted for the community members from whom data collection was done through interactive session at Rotary clinic. Students’ performance regarding the HNA survey performance was assessed through checklist, which has been adapted from WHO report on Community-based Education of Health Personnel 1987. • Data was entered and analysed using SPSS version 19.0. Descriptive statistics were calculated for both Qualitative and Quantitative variables. For qualitative variables, frequency and percentage were calculated. For quantitative variables, mean ± SD were calculated.

Results: Out of a total of 100 households surveyed in one clerkship, the most common health needs identified included: non-availability of safe drinking water 80.76%, solid waste disposal by throwing away in open 76%, oro-dental health problems in 48%, smoking in 48%, antenatal visits less than 4 in 43%, , Hypertension in 43%, Tuberculosis in 25% , physical disability in 30%, contraception use among couples in 29%, incomplete immunization in 15% under 1 year of age Out of 20 students in one clerkship, 8 performed satisfactory while 2 scored excellent on the health education.

Conclusions: Identification of health needs through community based survey by the students of CFM would help to provide targeted services at the PHC. Moreover, deliverance of health education by the students helped to build their confidence and improve their communication skills by interacting with community. This project can be utilized to achieve the CANMED’s competencies in undergraduates.

Key words: HNA, Health Education, PHC, CBE