Chna Workshop

Community
Health
Needs
Assessment
Dr Hamza Radhwan Derkaoui
Public Health Consultant
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Plan
Presentation title 20XX 2
CHNA
community
Assessment
Terminolgy
Abraham Maslow (1908-1970)
American Psychologist Maslow’s hierarchy of needs (1954)

(1932-2020) was
an American
figure in the
history of
educational
technology and
performance
improvement
Needs Father of the Needs Assessment
Assessment
What is need?
What is demand?
How does supply fit in the picture?

• A need is something that is necessary for organisms to live a
healthy life
• Need = factors which must be addressed to improve the

health of the population
• N A= Is a process for determining and addressing needs, or
"gaps" between current conditions and desired conditions

Demands Services requested when costs are
known; What the patient asks for
Needs Expert opinion what ought to be

provided
Supply What is provided
Venn diagram:
health care need, demand and supply.

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Health
determinants
is a collaborative analysis of the population, resources, services, health care statuses, health
care outcomes, and other data in a defined community or service area that helps identify
potential health issues for improvement.(1)
Community health needs assessment is a process that:

• Describes the state of health of local people;
• Enables the identification of the major risk factors and causes of ill health; and
• Enables the identification of the actions needed to address these.
A community health needs assessment is not a one-off activity but a developmental
process that is added to and amended over time. It is not an end in itself but a way of using
information to plan health care and public health programs in the future.(2)
Community The Community HNA is a systematic process for assessing the health needs of a given
community/local area through the collection of multiple information and data, either
Health routine data on the population demographics and health status (where available), on the
access and utilization of services, as well as qualitative information retrieve from key
Needs
informants at the community level.(3)
Assessment
(1) https://www.healthworkforceta.org/community-health-needs-assessment/
Presentation title (2) Community Health Needs Assessment An introductory guide for the family health nurse in Europe WHO
20XX 2001 10
(3) ACO Manual June Health Holding Company
• Opportunistic HNA
Based on the preliminary understanding of population health profile
Aims to target sub-groups (opportunistic) with the administration of a short-HNA
questionnaire at PHC Centre
Allow profiling patients according to targeted or primary conditions detected in the
cluster-health profile.
• Comprehensive HNA
A detailed survey administered individually at the local level by surveyors.
It includes collecting multiple information on health and social determinants to
better understand the broad spectrum of factors that could influence either the health
status and the capabilities to access care and be responsible/activated for self-care
(autonomy levels and disabilities).
It is a comprehensive approach to conduct HNA and entails a broader spectrum of
questions under the HNA Survey with a broader data collection scope.

Identify priority health needs, target resources to address inequalities and involve local.
(1)
Describes the state of health of local people;

Enables the identification of the major risk factors and causes of ill health; and
Enables the identification of the actions needed to address these. (1)
gives organizations comprehensive information about the community’s

current health status, needs, and issues.
This information can help develop a community health improvement plan by
justifying how and where resources should be allocated to best meet community
Why CHNA needs.(2)
is important
Presentation title (1) https://www.healthworkforceta.org/community-health-needs-assessment/ 20XX 12
(2) https://www.cdc.gov/publichealthgateway/cha/plan.html
“If I had an hour to solve
a problem, I'd spend 55 minutes
thinking about the problem and 5
minutes thinking about solutions.”

CHNA
Steps
Presentation title https://www.healthycommunities.org/resources/community-health-assessment-toolkit 20XX 14
• Reflect on the previous assessment
• Get feedback on the previous assessment
• Review the data sources
• Establish the assessment infrastructure
• Obtain leadership support
• Build the staff team
• Identify and obtain resources

• Develop an engagement approach
• Map assets that support community health improvement
• Identify stakeholders to participate in the CHNA
• Form an external assessment committee

• Profiling the community
• Catchment area (The scope and area of responsibility of the primary health care
centers in the cluster).
• Geographic boundaries.
• General history.
• Key people and leaders.
• Demographics.
• Beliefs and values
• Expenses and income.
• Important issues.
• Morale and involvement levels.(1)
• Identify population groups

• Identify other organizations conducting health assessments
(1) https://ctb.ku.edu/en/assessing-community-needs-and-resources
• Considerations for data collection
• Apply research principles to the CHA process
• Develop a data strategy
• Decide what data to include
• Collect secondary quantitative data
• Access electronic health record data
• Collect community-engaged primary data :
• Community surveys
• Key stakeholder interviews
• Focus groups
• Town hall meetings
Nee
ds
• Identify criteria for prioritization
• Select community health priorities
• Describe which needs were not prioritized

• Publish the CHNA process and results
• Present material in an accessible way
• Publicizing CHNA results

• Engage strategic partnerships both within the hospital and with
external stakeholders
• Align strategies with the hospital and other community stakeholder
organizations
• Collaborative strategies increase potential for impact
• Determine your community assets
• Identify the drivers of community health improvement
• Select strategies to address priority needs
• Type of strategy
• Level of intervention
• Identify interventions with evidence of success
• Set goals and objectives for the implementation strategies
• Tailor strategies to community culture
• Consider evaluation from the start
• Identify funding sources and opportunities
• Document the implementation strategies

• Continue engaging stakeholders
• Assemble an implementation committee and team for each
strategy
• Develop an action plan
• Goals and Objectives
• Anticipated Impact
• Responsibilities and Timelines
• Develop a budget

• Find your baseline
• Engage stakeholders
• Focus the evaluation design
• Gather credible evidence
• Measure progress on each priority early and often
• Justify conclusions
• Use the results to improve or modify programs
• Communicate results

Presenter
name
Email address
Website
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Community

American Psychologist Maslow’s hierarchy of needs (1954)

Presentation title 20XX 4

Needs Father of the Needs Assessment

Presentation title 20XX 6

• Need = factors which must be addressed to improve the

Presentation title 20XX 7

Needs Expert opinion what ought to be

Supply What is provided

Presentation title 20XX 8

Community health needs assessment is a process that:

Presentation title 20XX 11

Describes the state of health of local people;

gives organizations comprehensive information about the community’s

Why CHNA needs.(2)

Presentation title 20XX 13

Presentation title 20XX 16

Presentation title 20XX 17

• Identify population groups

Presentation title 20XX 20

Presentation title 20XX 21

Presentation title 20XX 23

Presentation title 20XX 24

Presentation title 20XX 25

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