COMMUNITY DIAGNOSIS - -- Determining COMMUNITY HEALTH STATUS is a process
called community assessment.
- It is the process of COMMUNITY DIAGNOSTICS & KEYSTONE in developing community health
nursing process.
Community diagnosis in nursing consist of 2 parts - -1) The nurse COLLECTS DATA about
the community in order to --> find different factors that may directly & indirectly influence
health of the population.
2) ANALYZE & SEEK EXPLANATION to the occurrence of health needs and problem of the
community.
Types of Community Diagnosis: COMPREHENSIVE COMMUNITY DIAGNOSIS - -AIM:
obtain GENERAL INFO OF COMMUNITY with the intent of
--> determining PREVALENT HEALTH CONDITIONS and RISK FACTORS (epidemiologic approach)
--> LIFESTYLE BEHAVIORS & ATTITUDES that affects their health (behavior approach) as well as
their socio-economic condition (socio-economic approach)
APPROACH:
> EPIDEMIOLOGIC: determining health conditions & RF
> BEHAVIOR APPROACH: deetrmining Lifestyle, behaviors, attitudes that affect their health.
> SOCIO-ECONOMIC: determining socio-economic conditions
Types of Community Diagnosis: Problem-oriented Community Diagnosis - -- Made to
responds to a PARTICULAR NEED OF A TARGET GROUP
, - Ex. April 2020, a reported incidence of a certain incinerator in Navotas that is expelling huge
black of fumes in frequent numbers this pandemic. The residents near the area complained and
feared its effect for their health.
- The PHN will investigate the community: the people its environment
- PHN will identify the POPULATION AFFECRD, characterize INFO SPECIFIC TO PROBLEM:
---> biophysical
--> psychological
--> physical environment
--> socio cultural & behavioral
--> health system factors
Elements of comprehensive community diagnosis - -- Demographic variables
- Socio-economic and cultural variables
- Health and illness pattern
- Health resources
- Political / leadership pattern
1. Demographic variables - -This shows the SIZE, COMPOSITION, GEOGRAPHICAL
CHARACTERISTICS OF POPULATION
Consist of:
, 1) Total population, geographic distribution including URBAN-RURAL INDEX & POPULATION
DENSITY
2) AGE & SEX composition
3) HOUSEHOLD SIZE
4) Selected VITAL INDICATORS: growth rate, crude birth rate, crude death rate and life
expectancy at birth
5) Patterns of MIGRATION
6) POPULATION PROJECTIONS
- Be sure to indicate groups needing special attention such as indigenous people.
- Internal refugees and other dislocated population due to calamity, disaster and development
program
2. Socio-economic and cultural variables: These affects health of the community directly and
indirectly - -- Social indicators
- Economic indicators
- Environmental indicators
- Cultural factors
- Social indicators - -• Educational level - can be indicative of POVERTY, can also reflect in
the perception in terms of health and utilization of pattern of the community