Advanced Community Health Nursing clinical 2nd Semester 2015 Community assessment: Ar-Ramtha City Presenter:Hani Abu Dieh

1. Advanced Community Health Nursing
clinical I
2nd Semester 2015
Community assessment:
Ar-Ramtha City
Presenter:
Hani Abu Dieh

2. Introduction
Community core
Community subsystem
Prospective plan
Conclusion
Outlines

3. Introduction:
Ar-Ramtha City is one of Irbid city; it has wide range of
lands, lawns, farm, water sources and surround by many
villages. It provide simple life, calm environment, beautiful
nature and moderate clime around the year. It has a
simple, good and homogenous population.
I selected Ar-Ramtha city for many reasons Ar-Ramtha is
the city where I live, give clear view about the beautiful
simple life in Village dressed “dress the city” in a quick
period.
Community-as-partner model has been used as a framework to
conduct this assessment.

4. History
Demographics and Characteristics
Value and beliefs
Community core

5. History
Ar Ramtha, also known as Al-Ramtha (Arabic: ‫)الرمثا‬
is a city situated in the far northwest of Jordan. It
covers 40 km, and has a population of 120,365
people.
Ar Ramtha is named after a local desert plant, Al
Ramath (Arabic: ‫.)الرمث‬ During its occupation by
the Roman Empire, the city was known as Ramatha.

6. • During the past the Roman Empire utilized Ar
Ramtha as a remote hub to cross-link their
colonies.
During the past the Roman Empire utilized Ar
Ramtha as a remote hub to cross-link their colonies.
. During the Islamic expansion, Ar Ramtha, which
was in the Houran territory, was a port for Muslim
scholars crossing between Syria and Al-Hijaz.
Historically and sociologically, the city is the twin
to Daraa city in Syria, which is located on just the
other side of the border.

8. Ar-Ramtha districts consist of (5) villages: Shajarah, Ar-Ramthah,
Emrawah, Thunibah and Lebwedah, its cover 458 km, and has a
population of nearly 150,000. (Municipality, 2013).
Ar-Ramtha city is the center of Ar-Ramtha districts, Located in
the “Sahel Horan” area , that far 15 kilometer north of Irbid
center, Ar-Ramtha city located between Irbed in south-west, Al-
Ar-Ramthah village from west and from north and east is border
line with Syria.
In Ar-Ramtha there Major milestones at all levels: industry (Al
Hassan Industrial City), education (University of Science and
Technology), health (King Abdullah University Hospital).

10. Demographics and Characteristics
 According to Municipality statistics in 2013, the number of
residents was 120,000
the average number of family members for each family is 5
Persons and the most families is described by nuclear family type.
The total family numbers are about 15500 families (Municipality,
2013).
52.0%48.0%
females
males

11. The main family tribes which reside in Ar Ramtha are:
AL Mayyas (mostly in Al bowetha town)
AL Shboul (town of Al shajarah & Ar-Ramtha)
Ad-Dardour (west & north and downtown)
Al Jahmani (west side and downtown )
AL Zoubi (mostly..North side )
AL Nasr ( down town arownd hesbeh ( chayyal) & at Emrawah
town ).
AL Abdilaziz (west side and far south west)
AL Samarah (around "dab'bet nemer")
AL Bashabsheh (North East along the international highway
"khat al sham")
AL Khazaleh (north)
AL Theyabat (south west)
AL Shogran (south west)
AL Saqqar (south west)

12. Ethnicity
All families are Muslims and they
shared in one homogenous social
culture, Jordanian Islamic Arab
culture.
Value and beliefs
There are 40 Mosques in the city.
Sheikh declared that there is a small
number of prayers frequenting the
Mosque daily.
residents believe that social and
relative relationship and social
collaboration are very important and
they get them from their Islamic
religion.
They share most of norms in sadness
and happiness events.

13. Community subsystem
Physical environment:
It’s a wide range of lands, lawns, farm, water sources.
Located in the “Sahel Horan” area , that far 15 kilometer
north of Irbid center.
Ar-Ramtha has mild to moderate climate; the geographical
distribution of the area of about 550 meters above sea level
gives it this moderate climate. Summers are hot and dry at day,
moderate at night to cold, and winters are cold.
The most beautiful season is spring where all the different
plants grow. Lands covered with green grasses, lawns, flowers
and farms which flourish during the spring season.

15. All houses are supplied by water from the water station by
management of ministry of water.
Residents suffer from a shortage of water at all time. The rate of
water pumping is 1:14 days in all season.
they claiming of water pollution since one months as a result of
rusty and old water pipes or unclean water reservoir as stated by
Mr. Yousef al-Qadir.
However, most homes buy filtered water for drinking.

16. Health services
 Ar-Ramtha have 2 comprehensive health center and 8
Primary health centers, in addition there are many
private medical clinics and laboratories.
- The health care center provides primary care, very
simple treatments, immunizations, and screening
programs for school health one time yearly.
There two hospitals in Ar-Ramtha, Ar-Ramtha
governmental hospital and king Abdullah university
hospital which Provide comprehensive services to Ar-
Ramtha and district.

17. Social services
There is a strong social relationship between Ar-Ramtha
populations as a one family, they participate in happy and sad
events, and some families from neighborhood villages select Al-Ar-
Ramthah to live.
There are in Ar-Ramthah several centers belonging to the youth
aimed at skills and capacity development of cultural and, scientific
to the young men and women discover talents and abilities in
various fields, and Highlight the problems faced by youth, the
community and find appropriate solutions. Such as: Ar-Ramthah
Youth Cultural Forum, Ar-Ramthah Sports Club, cultural and social,
also do programs for children, such as a save ALQRAN
ALKAREM, Conducting educational activities.

18. Economic
About 60% are employee (Military and civilian) 15% are
unemployed. 5% in Agriculture, and 10% others, (Municipality). The
average of income 300 – 550 . Ar-Ramthah is contain several
productive projects and market is contains all services (see Table 1),
also there many people work in Al Hassan Industrial City, University
of Science and Technology and King Abdullah University Hospital.
There are a large number of people from Ar-Ramthah are
working outside Jordan in the Arab and European countries, this
contributes to the support of the Ar-Ramthah economy

19. Name of place Number Name of place Number Name of place Number
Brick Factory 5 Carpentry 28
Cloths & shoes
shop
47
Diary product 32 Internet coffee 29
Home appliance
shop
43
Bakery & Restaurants
43
Vegetables & fruits
shop
56
Appliance
electrical shop
26
Supermarkets And
consumer organizations
590 pharmacy 27 Book shop 24
Gas station 7 Dental center 5
Billiards and
Games Shops
16
(Labour units and Business organizations,2013)

20. Transportation and safety
There Public transportation system in the city.
Also many of people in the city use their own cars.
Ar-Ramthah Security Center this Center to keep security in the
community, provide public education program as crime prevention
program are offered to community and school groups.
Road:
Ar-Ramtha city has major streets, 1) “Jaber” street connect Ramtha city with Al-
Mafraq and lead to Syrian border. 2) “Boshra” street connect Ramtha City with
Irbed from west side. 3) “Al-Wehda” Street leads to the center of Ar-Ramtha city,
4) “Al-Sham” Street divides the City into eastern and western section and leads to
Syria border. .
Most streets to and from Ar-Ramtha city asphalt; with poor lighting, no traffic
signs, narrowed streets, and increase the risk of accidents.

21. Politics and government
HJGHJand government

22. Communication
 Common meeting places used community center, hall: Ar-Ramthah contain
several tribes, most of these tribes have which called “Dewan” their own.
Ar-Ramthah has all of communication ways the Traditional, Modern, Official, Non-official
and important communications. Traditional like barber, teachers, retired people, official all
sources of media are available in Ar-Ramthah to communicate with the world such as
telephone include Umnia, Zain and Orange, television, mail delivery and internet access with
modems, are available can reach to home, also from daily newspaper as AL-Rai, AL-Doustor
and AL-Ghad and have sport club for football, young center, and culture center.
Recreation :
There 3 parks in Ar Ramtha
There ”alshallaleh”

24. Education
The total number of students in all school about (16793) about 1800 in Al-
tawjehy and about 2400 in the first class in 22 public schools; 9 secondary female,
9 secondary male and 21 primary schools, 8 private schools and 13 nursery.
( Ministry of Education at Ar-Ramtha).
Ar-Ramtha City schools suffer from overcrowding in classrooms as a result of
receiving the Syrian Students (11,000 Syrian students in all schools Ramtha
Brigade). (Ministry of Education at Ar-Ramtha,).
There are in Ar-Ramtha eight private schools.
Ar-Ramtha students studying in Al-yarmook university, Jordan university of
Science and technology, al-balqa’a university in Irbid, and AL-Albayt University in
Al-Mafraq city Because of the proximity of these universities.
College in Ar-Ramtha City.

25. - Major health problem in Ar-Ramtha City community
based on assessment:
1- Chronic diseases as diabetes mellitus, hypertension,
osteoporosis and respiratory disorders show through visit to
health centers.
2- Smoking and water pipe that appear in various ages
especially adolescent age and observed that mostly in
secondary school or high level of school.
3- School dropout phenomenon especially in male school, as
teacher said: recent time appear that increase of phenomenon
especially in male school which affect the learning process
and education achievement & outcome.

26. Prospective plan
major problems that need to solve by collaboration between government, social
services, and community members
Prospective plan:
1-Goal: To Improve the health of people with chronic diseases and
reduce the prevalence of chronic diseases.
1- Objective: To reduce the incidence of chronic disease and related
factors (obesity, smoking, unhealthy lifestyle) in a given Ar-Ramtha
community by 50% within 2 years, by doing several activities.

27. Activities:
Assess factors contributing to chronic disease.
Institute people life education program through school and
community groups.
Develop community resources to support health promotion
program.
Identify families in Ar-Ramtha village who are greatest risk (obese,
smokers, unhealthy lifestyle).
Use the several educational methods for Increase awareness about
the chronic diseases among the population of the region, such as
(Open discussion, Videos, and Posters about the chronic diseases.
Use several methods to improve the skills of the people who suffer
from chronic diseases, such as Focus group to share their
experiences and skills in control of their diseases. and Home visits to
provide ongoing treatment and teaching for chronic disease patients.
Develop early detection program through school, clinics, and
physicians offices, and promote enforcement of healthy lifestyle
program.
Establish rehabilitation programs for ill person including regular
exercise program, healthy diet, foot care, emotional treatment.

28. 2- Goal: To promote the health of students in all
schools in the city.
2- Objective: to reduce the incidence of smoking
among school students by 50% after 6 month, by
doing several activities.

29. Activities:
Assess factors contributing to smoking institute students life
education program through school, develop community resources to
support health promotion program.
Open discussion sessions about the hazard of smoking should be
held in schools.
Increase control over the students, especially in places side and put
strict penalties for smoking in schools.
Use Pamphlets and brochures about the hazard of smoking will be
distributed among the students to promote their health status.
Establish several incentive programs to quit smoking, such as
contests and prizes.
Establish program to provide prompt treatment for smoker students.
Establish rehabilitation programs for smoker students with disease
including regular exercise program, healthy diet, provide people life
education programs for smoker.

30. 3- Goal: school dropout prevention and improve
student’s attendance.
3- Objective: to reduce the school dropout among
students by 50% after 6 months, by doing several
activities.

31. Activities:
•Assess factors contributing to school dropout, by frequent visits to the school.
•Collect data about student performance and characteristics related to dropping out in order to identify potential problems
early in the student's school experience and thus refer students for specific prevention efforts.
• Tracking student attendance, test scores, grades, and behavior referrals, participation in activities, school attitudes and
family participation in school events can provide information to identify students most at risk for later dropping out.
•Encourage student to have positive attitude and effective communication skills, by give lectures on communication skills in
school.
•Support activities and strategies to help establish a climate that promotes attendance.
•Support activities might include incentives and supports to improve attendance; programs to encourage parent involvement;
early intervention for academic difficulties (such as peer tutoring programs).
•Encourage the student to attend school regularly and to be involved in at least one extra-curricular activity at school or with
groups of students who are currently in school. These activities make the student feel part of the group.
•Speak with the parent, school counselor and/or school psychologist to see if the student's goals can be reached in the current
school environment.
•Seminars and workshops for teacher and support staff can help encourage school involvement for students at risk for
dropping out:
•Serve as positive role models, developing mentoring programs for at-risk student and families.
•Educate students and their parents about consequences of Student dropout in school by use the several educational methods
such as (Open discussion, Videos, and Posters about the school dropout).
•Consult with parents and other school personnel to determine if the student might have a specific learning or behavior
problem interfering with learning. Low achievement, retention in grade and behavioral difficulties are highly predictive of
dropping out of school. Assessment of possible learning and behavior problems might help identify special services to help
the student find school more successful.

32. Conclusion
Community assessment is systematic and complex process aimed to
identify points affect on community health
Because it is complex, one person can’t do it effectively. So,
professional and trained team is needed to accomplish this task
effectively.
Community health nurses unable to solve these problems alone,
because of most of community problems are extensive problems, so
collaboration between residents, stakeholders, and social services should
be addressed well to overcome problems.

33. Ar-Ramtha like other communities has many
strength points which will enhance to be more
effective, such as (strong relationship, social
collaboration and cooperation and honesty, and high
educational level), and some weakness points
which need to strengthen, such as (increase
prevalence of chronic disease, and take unhealthy
diet). As a community health nurse, we can play
important role to treat or solve some of these
weakness point also collaboration between resident
and municipality of Ar-Ramtha can play an
important role.

34. References:
Community as partner Theory and Practice in Nursing, Lippincott Williams
&Wilkins.McFarlane's J & Anderson E (2008).
http://www.moe.gov.jo/Directorates/DirectoratesPage.aspx?DirectoratesID=27.
Department of Statistics. (n.d.). Retrieved 5 21, 2013, from website Department of Statistics:
http://www.dos.gov.jo/.
Ar-Ramtha municipality.
Directorate of Education of Ar-Ramtha.
Abo tamam secondary school.
Ar-Ramtha comprehensive health center.
Some people from Ar-Ramtha City:
Dr. amjad theiabat (Social activist and member of the municipal council).
Mr. Abd elkareem abu elsheeh (Arabic language teacher in abo tamam school).
Mr. Mohammad alzoubi (educational directorate of Ar-Ramtha).
Sheik Abdullah alzoubi.

35. Thank you