This document provides an overview of conducting a community health diagnosis with a focus on environmental health aspects. It discusses analyzing community data to develop a community profile. Key parts of the analysis include examining demographic, environmental, socioeconomic, health resources, policies, and target groups. The community is then diagnosed using health indicators like mortality, morbidity, disability, nutrition, healthcare access, and environmental factors. Specific environmental health indicators measure pollution levels and access to water and sanitation. The document also outlines assessing the community's geography, WASH practices, biomedical waste management, housing quality, and traditional healing methods to perform a comprehensive community health diagnosis.

1. Community Health Diagnosis
[CHD]
Orientation on environmental health aspect
Ravindra Pandey

2. Contents
 Introduction
 Geography
 WASH
 Water
 Sanitation & Hygiene
 Biomedical waste management
 Housing and Indoor Air Quality
 Traditional Healing Practice

3. Community health Diagnosis process
 Community Analysis: Community analysis is
the process of examining DATA to
define/identify needs, strengths, barriers,
opportunities, readiness, and resources of
community people
 The product of analysis is the “Community
Profile”.

4. Community health Diagnosis process
 It is always helpful when DATA are categorized
with their characteristics:
 Demographic
 ENVIRONMENTAL
 Socioeconomic
 Health resources and services
 Health policies
 Study of target groups.

5. Community health Diagnosis process
 Community is diagnosed using:
Health Indicators
Indicators of health are variables used for the
assessment of community health.

6. Classification of health Indicators
 Mortality indicators
 Morbidity indicators
 Disability rates
 Nutritional status
indicators
 Health care delivery
indicators
 Utilization rates
 Indicators of social and mental
health
 Socio-economic indicators
 Health policy indicators
 Indicators of quality of life
 Other indicators
 Environmental indicators

7.  Environmental health Indicators
- Reflect the quality of environment
o Measures of Pollution
o The proportion of people having access to safe water and sanitation
facilities
o Vectors density
Community health Diagnosis process

8. Community Health Diagnosis

9. GEOGRAPHY: Map and GPS
 Understanding Topographic map
 Long., Lat. and Elevation
 Distance
 Finding slope

10. Google earth map

11. Social Mapping
For outline drawing visit website of local municipality
website

12. Social Mapping

13. WASH – Water, Hygiene and Sanitation
Drinking water
 Concept on safe drinking water
 Water and seasonal epidemics
 Water and hygiene
 Method of water treatment at household level
SODIS (Solar Water Disinfection)

14. WASH – Water, Hygiene and Sanitation
Drinking water
Coliform as an indicator of sanitary condition of water
supply
1. Total coliform: group of bacteria found in soil, water;
human and animal waste
2. Fecal coliform: group of bacteria found in gut and feces
of warm blooded animals
3. Escherichia coli (E. coli)
24 hours incubation
E coli
Coliform

15. WASH: SODIS (Solar water disinfection)
 UV-A interferes with bacterial metabolism
 UV-A reacts with O2 and produce O free radical
and H2O2
 Solar heat

16. WASH – Water, Hygiene and Sanitation
Solid waste management
 Concept on Biodegradable and non-
biodegradable waste
 Segregation
 Composting
 Pit composting
 Pile
 Bin
 Biogas

17. WASH
Excreta management
 Latrine
 Urinal
 Distance to construct latrine from drinking
waster source 15 to 30 m

18. School programme
Environmental components….
 Hand washing
 SODIS
 Waste management: Making waste bin from sac
 School Hygiene Club
 School Sanitation Club
 School Eco Club

19. Biomedical waste management
 Observe in Sub-health post / PHC
 Segregation
 Incinerator

20. Housing and ‘indoor air pollution’
 Observe housing structure
 Ventilation
 Separate Kitchen

21. Key informants or (FGD if possible)
on traditional healing method
 Indigenous knowledge
 Plants and their parts used in healing disease
 Animals and their parts
 Other beliefs

22. Best wishes for your upcoming field visit
Thank You