PRIORITISATION OF

IDENTIFIED HEALTH AND

HEALTH-RELATED PROBLEMS
IN A COMMUNITY
 WHY PRIORITISE?
• In any human community, needs are
numerous particularly felt needs in
the developing world. However, the
resources are limited hence the
need to address the most pressing
first i.e. prioritization of these
needs.
 WHY PRIORITISE contd
• Prioritization serves to rank already
identified community problems. A
problem is a deviation from what
ought to be to what id obtainable.
Problems could be described as
either health problems or health
related problems. This is necessary
because of limited resources which
must be wisely allocated and hence
the need for proper scientific and
thorough approach to put these
problems in a scale of preference.
 CRITERIA AND SCORING
SYSTEM
• For today’s presentation,
• Health problems: HYPERTENSION,
HIV/AIDS, COUGH
• Health-related problems: LOW
LITERACY RATE, POOR POWER
SUPPLY, POOR SANITATION
• In ranking these problems, the
following criteria and scoring
system was used.
•
 CRITERIA AND SCORING
SYSTEM contd
• CRITERIA SCORE
• Who sees the problem?
• a. Health
worker…………………………………………………………………………
……… 1
• b. Community
members…………………………………………………………………….
2
• c.
Both……………………………………………………………………………
………………… 3
•  
• Who is affected?
• a.
Elderly…………………………………………………………………………
…………………… 1
• b. School
children………………………………………………………………………
………… 2
• c. Work
 CRITERIA AND SCORING
SYSTEM contd
• Feasibility of intervention.
• a. Long term………………………………………………………………………………………
1
• b. Short term…………………………………………………………………………………….
2
•  
• Cost of intervention
• a.
Expensive……………………………………………………………………………………
…. 1
• b. Cheap……………………………………………………………………………………………
2
• c. Very cheap…………………………………………………………………………………….
3
•  
• Relative magnitude of problem in terms of mortality and morbidity
• a.
Low………………………………………………………………………………………………
…… 1
• b.
Medium…………………………………………………………………………………………
…. 2
• 6. Seriousness and social impact of
health problem
• a. Loss of working
days/hours…………………………………
…………………………………. 1
• b.
Disability……………………………………
…………………………………………………
………. 2
• c.
Fatal…………………………………………
…………………………………………………
……….. 3
 SPECIFIC PRODUCT
DISEASE WHO SEES WHO IS FEASIBILIT COST OF RELATIVE SOCIAL TOTAL NEW ORDER
THE AFFECTED? Y OF INTERVENTI MAGNITITU IMPACT SCORE
HEALTH PROBLEM? INTERVENTI ON DE
PROBLEM ON
1.HYPERTEN1 3 1 1 2 1 9 3RD
SION
2. HIV/AIDS 1 4 1 1 3 3 13 1ST

3. COUGH 3 2 2 3 1 1 12 2ND

HEALTH
RELATED
PROBLEMS
1.POOR 3 3 1 1 2 1 11 3RD
POWER
SUPPLY
2.LOW 1 4 1 1 3 2 12 1ST
LITERACY
3.POOR 3 2 1 2 2 1 11 2ND
SANITATIO
N
 SPECIFIC PRODUCT contd
• From the table it can be seen that in
this community, the priority health
problem is HIV/AIDS while the most
important health-related problem is
LOW LITERACY.
 SPECIFIC PRODUCT contd
• It is important to address the most pressing
health and health related issues identified
in this community. The goals of any
intervention planned must include
• HIV/AIDS
• 1.reduce the burden of the disease on the
community
• 2.reduction of the mortality and morbidity
resulting from the disease.
• 3.improve quality of life of PLWHA
• 4.creation of awareness and education on
the disease
• LOW LITERACY
• 1.promotion of primary education
• 2.encouragement of adult education
• 3.encouragement of girl child
education