Principles of Primary Health care

Subtopic:

Community Feedback Meetings

Community Survey

A community survey is a way of collecting information and facts about a specific community.

This follows the process of getting Community Entry.

Information to Gather During a Community Survey

 (a) Total Population: The survey counts the number of people living in the community. This helps understand the population size for planning and resource distribution.

(b) Geographic Area: The survey pinpoints the community’s location and its boundaries. This is important for mapping, allocating resources, and understanding the local environment.

(c) Local Climate: Information is gathered on the community’s climate, like temperature, rainfall, and typical weather. This helps understand the environment and can affect things like farming, health, and infrastructure.

(d) Cultural Groups: The survey collects information on the different ethnic groups living in the community. Understanding this diversity is important for being culturally sensitive, providing fair services, and encouraging community unity.

(e) Economic Situation: Information is gathered about the community’s economic status. This includes things like income levels, poverty, jobs available, and economic indicators. Understanding this helps address economic differences and create targeted support.

(f) Education Levels: The survey collects data on education levels and how many people can read and write. This provides insights into educational needs, the availability of schools, and potential barriers to getting an education.

(g) Living Standards: Data is collected on the overall quality of life in the community. This might include housing, access to basics (like clean water, sanitation, and electricity), and indicators related to health and well-being.

(h)Types of Work: The survey gathers information on the kinds of jobs people have in the community. This data helps understand the local economy, job market, and possible skill gaps or opportunities.

(i) Religious Practices: Information is collected on the religions and religious activities in the community. This helps understand the religious diversity and cultural practices that might influence community life.

Questions to Explore During a Community Survey
  1. What are the main difficulties or challenges the community faces?

  2. How well is the local health center addressing these issues?

  3. What are the strengths and areas for improvement for health workers in their jobs?

  4. What problems and needs do health workers have in providing healthcare?

  5. What problems and needs do community members have regarding their healthcare?

  6. Are community members happy with the quality and ease of getting healthcare?

  7. What makes it difficult for community members to get healthcare?

  8. Are there specific health problems or diseases common in the community that need attention?

  9. Do community members know about ways to prevent illness and promote health?

  10. Are there specific groups in the community (e.g., children, older people, those often overlooked) that need specific healthcare support?

  11. Are there cultural or social reasons that affect how people seek healthcare in the community?

  12. Are there any existing local healthcare efforts or programs? How well are they working?

  13. What do community members think and feel about healthcare providers and services?

  14. Are there any missing healthcare facilities or resources in the community?

  15. How do community members feel about the cost and availability of healthcare?

Why Conduct a Community Survey?
  1. Pinpointing Community Needs: A community survey helps identify the specific needs, challenges, and problems the community faces in a systematic way. It provides useful information for making decisions and allocating resources effectively.

  2. Providing Data for Action: The information gathered through a community survey acts as a starting point for planning, carrying out, and checking community health and development programs. It ensures that actions are based on evidence, focused, and meet the community’s needs.

  3. Developing Community Involvement: A community survey helps create ways to actively involve the community in planning and implementing programs. It encourages participation, ownership, and empowerment within the community.

  4. Boosting Community Awareness: By conducting a survey, the community becomes more aware of its existing problems, challenges, and possible solutions. It gives the community a chance to think about its strengths and weaknesses and work together to fix the identified issues.

  5. Tailoring Services to Needs: The data from a community survey helps match project activities and services to the specific needs and priorities of the community. It ensures that resources and interventions are customized to the unique characteristics of the community.

  6. Understanding Local Context: A community survey provides insights into the social, cultural, and environmental aspects of the community. It helps understand how best to implement actions and adapt strategies to the community’s specific characteristics.

  7. Facilitating Collaboration: A community survey helps identify opportunities for different sectors, like healthcare, education, social services, and environmental groups, to work together. It promotes coordination among stakeholders to address the various needs of the community.

How to Carry Out a Community Survey

When planning a survey, consider the following:

  1. Time needed for the survey.

  2. Specific information to be collected.

  3. Main health issues in the community.

  4. Skills of the local health workers.

  5. Community opinions of health workers.

  6. Available health resources in the community.

  7. Environmental health issues like water, housing, food, and hygiene.

  8. Where the information will be collected.

  9. How the information will be analyzed.

  10. How the information will be used.

Steps in a Community Survey

Planning:

  • Clearly state the purpose and goals of the survey.

  • Seek advice from people with experience in designing and carrying out surveys.

  • Visit the community to learn about the people, culture, and specific health concerns.

  • Decide on the main questions or things to observe in the survey and make sure they are consistent.

  • Create the survey form or questionnaire and finalize how it looks and is presented.

  • Choose an appropriate number of participants and a method for selecting them.

  • Allocate the necessary resources, including staff, materials, and funding.

Organizing:

  • Get help and support from local community members who can assist in organizing and conducting the survey.

  • Recruit and train survey staff or volunteers who will administer the survey.

  • Arrange for any necessary lab facilities or equipment if needed for collecting data.

  • Develop a detailed plan outlining the tasks, responsibilities, and schedule for each part of the survey.

  • Prepare all the necessary resources, such as survey materials, data collection tools, and logistics.

Implementation:

  • Supervise the survey staff to ensure they have the necessary equipment and resources for collecting data.

  • Oversee and coordinate with senior members of the local community who are helping with the survey.

  • Make sure the survey is administered correctly and participants are treated well.

  • Monitor data collection to ensure the information is good quality and accurate.

Evaluation and Feedback:
  • Analyze the collected survey data using appropriate statistical methods.

  • Discuss the results with medical staff and community members to get more insights and perspectives.

  • Prepare a short report summarizing the findings, including suggestions for action.

  • Share the report and recommendations with relevant authorities, such as the Ministry of Health or community leaders.

  • Provide feedback to the community, sharing the survey results and discussing possible actions and next steps.

Roles of a Nurse in a Community Survey
  1. Planning and Design: Nurses are key in planning and designing a community survey. They use their knowledge to identify relevant health indicators, create appropriate health-related questions, and ensure the survey captures important health data.

  2. Data Collection: Nurses actively participate in collecting data during a community survey. They administer surveys, conduct interviews, and talk to community members to gather accurate health information. Nurses ensure data collection is ethical and respects cultural norms.

  3. Health Education: Nurses can provide health education messages during the community survey. They can share information about prevention, healthy habits, and available healthcare services. This helps raise awareness and encourage positive health practices.

  4. Health Assessment: Nurses help assess the health of individuals, families, and the community. They might conduct basic physical checks, take vital signs, and screen for common health problems. This assessment helps identify prevalent health issues and plan appropriate actions.

  5. Collaboration: Nurses work with other healthcare professionals, community leaders, and organizations involved in the survey. They collaborate to ensure the survey runs smoothly, share health insights, and work together on follow-up actions, such as referrals or interventions.

  6. Data Analysis: Nurses participate in analyzing and interpreting the health data collected. They use their clinical knowledge to analyze health indicators, identify patterns, and draw meaningful conclusions. Nurses help interpret data to inform healthcare planning and decision-making.

  7. Reporting: Nurses are vital in documenting survey findings, outcomes, and recommendations. They help prepare reports summarizing health data, observations, and identified health needs. Nurses ensure accurate documentation and communication of survey results to relevant people, including healthcare teams and community leaders.