Community Health Interventions Planning

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Questions and Answers

What is the significance of the problem in priority setting?

  • The community's financial resources available
  • The community's historical health issues
  • The technology available for interventions
  • The number of people affected by the problem (correct)

Which factor relates to how much priority community members give to a health concern?

  • Ability to identify the target population
  • Availability of resources
  • Level of community awareness (correct)
  • Cost of reducing risks

What is NOT a criterion for priority setting in community health nursing?

  • Availability of resources
  • Determining cost of reducing risk
  • Historical health records of the community (correct)
  • Ability to reduce risk

Which aspect is considered when determining the ability to reduce risk?

<p>Expertise of the health team (C)</p> Signup and view all the answers

Goals in family health nursing represent which of the following?

<p>The desired outcomes at the end of interventions (A)</p> Signup and view all the answers

What does the SMART process emphasize in goal formulation?

<p>Specificity to help achieve clarity in goals (B)</p> Signup and view all the answers

Which factor is NOT included in the criteria for determining the cost of reducing risk?

<p>Technological advancements (A)</p> Signup and view all the answers

What does the nominal group technique in group decision-making ensure?

<p>Equal voice for all group members (D)</p> Signup and view all the answers

What is the primary goal when organizing within a community?

<p>To build confidence and capacities of people (A)</p> Signup and view all the answers

What is the consequence of using the 'Padrino or patron' strategy?

<p>Creates false hopes among community members (D)</p> Signup and view all the answers

Which entry strategy involves exploiting the community's weaknesses?

<p>Bongga entry (D)</p> Signup and view all the answers

What does community integration require?

<p>Immersion in community life (B)</p> Signup and view all the answers

What is an appropriate conduct for a community organizer during integration?

<p>Adhere to community norms in conduct and dress (A)</p> Signup and view all the answers

What style involves a community organizer renting a room but not fully integrating?

<p>Boarder style (A)</p> Signup and view all the answers

Which activity is an essential part of a community organizer's role?

<p>Engaging in community social events (B)</p> Signup and view all the answers

What is prohibited for community organizers during social engagements?

<p>Gambling and drinking alcohol with community members (B)</p> Signup and view all the answers

What is a key indication that a community organizer is ready to exit?

<p>The goals of the community organizing efforts have been attained. (A)</p> Signup and view all the answers

Which of the following is NOT one of the goals of community organizing?

<p>Increasing funding for community projects (A)</p> Signup and view all the answers

What does Participatory Action Research (PAR) primarily focus on?

<p>Promoting change among participants through active involvement. (D)</p> Signup and view all the answers

What is the primary purpose of social analysis in community organizing?

<p>To gain understanding of community conditions and identify problems (B)</p> Signup and view all the answers

What action should an organizer take during the exit phase?

<p>Remain a friendly consultant for the first community. (B)</p> Signup and view all the answers

What is the primary focus of Community Organizing Participatory Action Research (COPAR)?

<p>Utilizing community insights to implement projects for improvement. (C)</p> Signup and view all the answers

Which of the following is NOT a type of data collected in social analysis?

<p>Political data (C)</p> Signup and view all the answers

What characteristic is essential for potential leaders in community organizing?

<p>Trust and confidence of the community (A)</p> Signup and view all the answers

What is a challenge faced in community organizing regarding leadership?

<p>Training potential leaders from ordinary backgrounds (A)</p> Signup and view all the answers

Why is it important for new recruits in a core group to share similar problems?

<p>To foster a sense of belonging and shared responsibility (D)</p> Signup and view all the answers

What quality should potential leaders express regarding community change?

<p>Belief that change is necessary and possible (B)</p> Signup and view all the answers

In community organizing, why is it important to allow time for potential leaders to develop?

<p>To create opportunities for skill development through experience (B)</p> Signup and view all the answers

Which of the following best describes community diagnosis in nursing practice?

<p>A comprehensive analysis of health-related problems (D)</p> Signup and view all the answers

What is the primary focus of the action phase in community organizing?

<p>Implementing planned projects and programs (C)</p> Signup and view all the answers

Which of the following best emphasizes the importance of the project's process?

<p>Learning from the experience can make a project worthwhile. (A)</p> Signup and view all the answers

What is a key consideration during the mobilization phase?

<p>The community should set the pace and scope of implementation. (A)</p> Signup and view all the answers

What type of evaluation occurs during the mobilization phase?

<p>Formative evaluation (A)</p> Signup and view all the answers

Which area is NOT mentioned as a focus of evaluation in community organizing?

<p>Financial evaluation (A)</p> Signup and view all the answers

What does evaluation in community organizing primarily compare?

<p>Current organizational state against planned goals (C)</p> Signup and view all the answers

What type of project might a community start with during the mobilization phase?

<p>A simple barangay project like clean and green (B)</p> Signup and view all the answers

What should regularly be conducted for monitoring during the mobilization phase?

<p>Meetings for continuous training of community leaders (A)</p> Signup and view all the answers

What is the primary focus of the community-based learning approach in nursing education?

<p>Addressing priority health concerns of the community (C)</p> Signup and view all the answers

Which of the following is NOT a specific objective of training future nurses?

<p>Promoting individual patient isolation (B)</p> Signup and view all the answers

Which criterion assesses the community's willingness to engage with health organizers?

<p>The degree of community hostility (D)</p> Signup and view all the answers

What does the term 'GIDA' refer to in community selection criteria?

<p>Geographically Isolated and Disadvantaged Area (A)</p> Signup and view all the answers

How does immersion in the community benefit student nurses?

<p>By raising awareness of health needs and psychosocial dimensions (B)</p> Signup and view all the answers

What is one key skill future nurses are trained to enhance according to the objectives?

<p>Accountability to client care (B)</p> Signup and view all the answers

Which of these factors is NOT included in the community selection criteria?

<p>Economic status of the community members (B)</p> Signup and view all the answers

What role does the World Health Organization emphasize regarding medical schools?

<p>The obligation to address community health concerns (D)</p> Signup and view all the answers

Flashcards

Priority Setting Criteria

Factors considered when deciding which health concerns need immediate attention in a community.

Significance of the Problem

The number of people affected by a health concern in a community.

Community Awareness

Community's understanding and concern about a health problem.

Reducing Risk Ability

The community's and health team's ability to take action to lower health risks.

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Cost of Reducing Risk

The financial, social, and ethical costs of planned actions.

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Community Intervention Goal

The desired outcome after a health program ends.

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Community Intervention Objective

Short-term changes visible during the program.

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SMART Objectives

Specific, Measurable, Achievable, Relevant, and Time-bound Objectives used in planning health interventions.

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Social Analysis

The process of gathering, organizing, and interpreting data to understand community issues, identify problems, and pinpoint their root causes.

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Community Diagnosis

Similar to social analysis, but with a focus on health and health-related challenges within a community.

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Potential Leader

An individual from the community who is trusted, has leadership qualities, and is committed to addressing community issues.

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Target Group

The specific population a community organizer aims to help, often sharing similar issues or concerns.

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Core Group Formation

Building a group of trusted community members who are committed to addressing community issues and share core values.

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Community Organizing

A process of empowering communities to identify and address their own issues through collective action.

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Leadership Training

Equipping potential leaders with skills, knowledge, and confidence to effectively guide community initiatives.

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Community Values

Shared beliefs and principles that guide a community's actions and understanding of what's important.

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Padrino Entry

A strategy for gaining entry into a community that involves a patron or influential figure advocating for the organizer, creating a false sense of hope.

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Bongga Entry

A strategy for gaining entry into a community characterized by a showy, attention-grabbing approach often involving handouts, leading to unreasonable expectations.

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Community Integration

The process of immersing oneself in a community, understanding its customs, and building rapport with its residents in order to effectively carry out organizing efforts.

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Guest Status

A style of integration where the organizer is present in the community temporarily and maintains a separate lifestyle, not fully embracing community life.

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Elitist Style

A style of integration where the organizer primarily interacts with community leaders instead of engaging with the broader population, leading to a lack of understanding of the community’s needs.

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People-Centered Integration

A style of integration where the organizer focuses on establishing close relationships with community members through various techniques, gaining a deeper understanding of their lives and struggles.

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Pagbabahay-bahay

A technique used in community organizing that involves visiting homes to observe routines and understand everyday life, emphasizing respect for personal space.

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Huntahan

Informal conversations held in various community spaces (like laundry areas, basketball courts, sari-sari stores) to build rapport and gather insights from community members.

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Mobilization Phase

The stage where the community puts their planned projects and programs into action. It involves implementing the strategies and activities developed during the planning phase.

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Community-Led Implementation

In the mobilization phase, it's crucial to let the community decide the pace and scope of project implementation.

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Process Over Output

Even if a project doesn't achieve its desired outcome, the experience and lessons learned during the process are valuable.

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Continuous Monitoring and Training

Regular meetings and ongoing training for community leaders are essential throughout the mobilization phase.

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Evaluation in Community Organizing

A systematic assessment of the organization's progress and projects, comparing the current state to the set goals and objectives.

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Formative Evaluation

Evaluation conducted periodically during the mobilization phase to allow for adjustments and improvements based on the current state of the projects.

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Summative Evaluation

Evaluation done at the end of a project to assess if the goals and objectives were achieved and to learn from the experience.

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Program-Based Evaluation

Focuses on assessing the effectiveness of the implemented programs or projects by analyzing if goals were met, which strategies worked, and what could be improved.

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Exit Plan in Community Organizing

A strategic plan for organizers to withdraw from a community after successful organizing efforts, ensuring that the community can independently address its problems.

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Indicators of Community Readiness for Exit

Signs that the community is capable of sustaining its own progress, including achieving organizing goals, having functioning people's organizations, and active community participation in decision-making.

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What is Participatory Action Research (PAR)?

A research approach where community members actively collaborate in all phases of the research, from planning to analysis, aiming to address their own issues and promote change.

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COPAR: The Community Takes Charge

A community development process where the community directly engages in analyzing their situation, planning solutions, and implementing projects to improve their lives.

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What is the main aim of COPAR?

To empower communities to take ownership of their development by using research, planning, and action to address their specific needs and challenges.

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Social Accountability of Medical Schools

The responsibility of medical schools to focus their education, research, and service activities on addressing the most pressing health concerns of the communities they serve.

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Community-based Learning

An educational approach where students learn in real-world community settings, engaging with community members and addressing local health issues.

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What is the goal of immersion in the community for future nurses?

To raise student nurses' awareness of the health needs of the community and the social and emotional factors that influence these issues.

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What are the key objectives for training PHN?

To prepare future nurses to be competent public health nurses who can effectively respond to the health needs of individuals and communities.

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What is the significance of community selection criteria?

Ensuring that a community is suitable for community-based learning programs by considering factors like need, receptivity, safety, and existing initiatives.

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Geographically Isolated and Disadvantaged Area (GIDA)

A region that is geographically isolated and faces socioeconomic challenges, often characterized by limited access to healthcare and resources.

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Community Perception of Need

The community's awareness and understanding of their health issues and their perception of the need for assistance.

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Community Willingness or Hostility

The attitude of the community towards the organizer or agency, whether they are receptive to collaboration or resistant.

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Study Notes

Planning Community Health Interventions

  • Planning is a logical decision-making process to prioritize health concerns needing immediate attention. Setting priorities involves considering factors like the number of people affected by a problem, community awareness levels, ability to reduce risk, cost considerations, target population identification, and resource availability.

Criteria for Priority Setting

  • Significance of the Problem: Based on the number of people affected.
  • Level of Community Awareness: The community's concern for the health issue is vital.
  • Ability to Reduce Risk: Expertise and influence of the healthcare team within the community is key. This involves the team's influence in decision-making.
  • Determining Cost of Reducing Risk: Economic, social, and ethical factors of planned actions need consideration as these affect the community.
  • Identifying the Target Population: Availability of data resources (e.g., FHSIS, census surveys) is a necessary factor.
  • Availability of Resources: Technological, financial, and other material resources of the community, the nurse, and the health agency are crucial for intervention planning.

Formulating Goals and Objectives

  • Goals are desired outcomes at the end of interventions.
  • Objectives describe short-term changes observed as the community and the health team work towards the goals.
  • Objectives provide specific instructions on what aspects of the community need to be noted during implementation.
  • SMART goals (Specific, Measurable, Attainable, Relevant, Time-bound) are used to ensure clarity, measurability, and achievability.

Deciding on Community Interventions

  • The team analyzes reasons for health behaviors and focuses on underlying causes.
  • Strategies address underlying causes like sociocultural factors, and effort is directed towards developing skills and gaining trust.
  • Demographic factors, like physical, social, cultural and economic conditions, and available health resources are important considerations.

Implementing Community Health Interventions

  • The action phase involves addressing the priority health concern.
  • Collaboration with various stakeholders (people's organizations, health organizations, educational institutions, local governments, religious groups, socio-civic organizations, sectoral groups) increases the probability of accomplishing goals.
  • Activities include advocacy work regarding causes, discussion regarding solutions, and supporting people's rights and choices, as well as influencing public opinion.

Community Organizing and Social Mobilization

  • Social Mobilization: A strategy that emphasizes community participation in local institutions, leaders, and group members toward a common purpose. It involves a build-up of community capacity and promotes empowered decision-making.
  • Advocacy: Encourages positive environment for service delivery by creating conducive environments.
  • Information, Education, and Communication (IEC): Aims to provide consistent accurate information about programs and services in response to the community's needs.
  • Community Organizing: Enables individuals and groups to comprehend their situation and work towards improvement.
  • Capacity Building: Creates sustained advocacy and mobilization through building network systems.

Community Organizing as a Process

  • Community Organizing is a continuous process of empowering and strengthening the community's ability to identify problems, find solutions, and implement these solutions and monitor results.
    • Identifying key stakeholders,
    • Building organizational structures, and
    • Promoting participatory leadership
    • Empowering communities to improve their health by participating in planning, and implementing health issues solutions.

Phases of Community Organizing

  • Pre-entry: Involves preparation for community entry, including understanding community goals, criteria for site selection, and identifying resource information.
  • Entry: Formalizing the organizing process by establishing connections with the community, understanding their needs, and recognizing leaders and key groups.
  • Community Integration: Fosters close relationships, creates trust and understanding between the organizer and community members. Techniques include learning about community norms, lifestyle, and active participation in community life.

Core Group Formation and Community Organization

  • Core group formation begins identifying potential community leaders who believe in the same goals and strategies.

  • Groups are kept manageable in size for effective communication.

  • Core groups are trained in organizing skills.

  • Community-wide dissemination of ideas to foster a common understanding of the important issues.

  • Mobilizing towards a unified action plan.

  • Mobilization: Implements community-planned programs, and involves community participation and leadership in deciding the pace and scope of implementation.

Evaluation

  • Evaluation is a systematic and critical analysis of community progress in relation to predetermined goals and objectives.
  • Includes examining program-based and organizational evaluation parameters like whether objectives were completed, and how resources were used.
  • Formative evaluations can help revise strategies as needed and summative evaluations are carried out at the end of a program period.

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