This document outlines the process of community diagnosis and health planning. It involves 5 phases - assessment, community diagnosis, planning, action, and evaluation. Community diagnosis involves comprehensively assessing the status of the entire community and its social, political, economic, physical, and biological environment. The planning phase determines the causes of action to meet community health needs by analyzing problems, prioritizing them, setting goals and objectives, and formulating an action plan. The action phase implements the plan. Evaluation determines the effectiveness of the program and process.
2. Objectives
• describe community diagnosis
• list the purpose of community diagnosis
• explain the community health planning
• restates the steps in community health
planning
• enumerate the action phase
• describe evaluation stage
• differentiate types of evaluation
3. Introduction
Community is the client or target
of service in community health
nursing practice. Here community
identification becomes initial
assessment.
4. Community diagnosis
It is comprehensive assessment of
status as an entire community in
relation to its social, political,
economic, physical and biological
environment.
5. Purpose of community diagnosis
• It helps to identify community needs
and problems.
• It is a prerequisite for planning ,
implementing and evaluation of
successful community based health and
development programme.
• It helps to decide strategies
6. Purpose continued
• It helps to match project organizati
on and with community needs.
• It can be used to help the communi
ty become conscious of its existing
problems and find solutions.
7. Community health planning
It is very important to determine the
causes of action to be implemented
to meet community health need and
resolves community health problems.
8. Steps in Planning phase
1. Analyzing health needs or he
alth problems
2. Establishing priorities
3. Setting goals and objectives
4. Formulating community
health action plan to achieve the
objectives.
9. 1. Analysing health needs/ health pro
blems
The data analysed to clarify the na
ture and extent of problems, the fa
ctors associated with problems and
the resultant consequences
10. 2.Establishing priorities
a.Types of health problems
b.- Health deficit
c.-Health treats
d.-Foreseeable crises or stress points
e.Extent of problems
12. 3. Setting goals and objectives
The goal is a broad statement of de
sired outcomes and directions to re
solve identified problems. Objecti
ves are precise statements determi
ning actions relevant to goal.
13. 4.Formulating community health
actions plan
It refers to identification of approp
riate community health and nursin
g intervention and preparing an op
erational plan to be implemented t
o achieve the established goals and
objectives.
14. Criteria for choosing alternative
action are
• Agency policy
• The resources available
• The nature of problems
• Community interest and feasibility
• Competence of health professional
Practicability and efficiency
15. Planning with community
Planning must be done together with
community. This will improve their
self-esteem, interest and develop sense
of responsibility and autonomy.
16. Implementation of community he
alth (Action phase)
It refers to putting the plan into action
to achieve the set goals and objectives
of community health.
17. According to Ruth freeman ,there
are 3 types of nursing
intervention
1. Supplemental
2. Facilitative
3. Developmental
18. Evaluation of community health ( Ev
aluation Phase)
Evaluation is the process of ascertaining
the effectiveness of something or some
organized activity or programme in
relation to some set standards and
criteria.
19. There are two types of evaluation
1. Formative or concurrent evaluation:
evaluation is of the each stage of the
process
2. 2. Terminal or summative evaluation:
evaluation determines the achievement
of outcomes.
20. Conclusion
Community health nurse must use
appropriste skills and knowledge in
practicing in different phases of commu
nity diagnosis. Community health nurse
should be able follow the guidelines and
form the need and interest based commu
nity diagnosis.
21. SUMMARY
Community health process invoves 5
phases, they are assessment,communit
y diagnosis, planning, action and eval
uation phase.
22. REFERENCES
Book:
1. Gulani, K.K. (2009).Community health nursing principl
es and practice(2nd ed.).New Delhi:Kumar publishing hou
se.
2.Kamalam, K. (2012). Essentials in community health nur
sing practice(1st ed.). New Delhi: Jaypee Brothers Medical
3. Kozier, B., Erb, G., Berman, A., & Snyder, S. J. (2004).
Fundamental Of Nursing: Concepts, Process, And Practice
. Prentice Hall.
