Health Planning Steps Community Health Nursing B.Sc Nursing V sem

1. Mr Devendra Singh
Faculty of Nursing
UPUMS Saifai

2.  Planning is a process of organizing decisions
and actions to achieve particular ends, set
within a policy (WHO 1988).
 Health planning is a systematic process and
involves logical decision making at each step
of its process.

3.  Analyzing health needs/health problems
 Establishing priorities
 Setting goals and objectives
 Formulating Community Health Action Plan
 Implementation/Put into action
 Monitoring
 Evaluation

4.  Identify the health needs of the population
through data collection, surveys, and
research. Understand the demographic
profile, prevalent diseases, health risks, and
social determinants of health.
 This is the first step of planning process. In
this step community health nurse determines
the existing health problem of a given area.
She will try to find out the factors associated
with problems and the resultant
consequences. The various aspects to be
studied include:

5.  Age, Sex and population under diseased
condition
 Morbidity and Mortality due to underline
problem
 Distribution pattern of disease in that area
 Near by medical facility, trained staff, new
advance technology and technical man power
 Community awareness about underline
problem

6.  It is the ranking of the problem on the basis
of predetermined criteria. It is important due
to limited resources so that most dangerous
situation is to be handled firstly. For this
community health nurse has to find out firstly
the resources available to deal with the
problems. What is the nature of problem
impact and consequences of the problems
should be decided prior. Then criteria to
solve it is decided by the team.

7.  After prioritizing the problem, relevant goals
and objective are set up. Objectives help in
measuring and assessing the work
undertaken. They also help community
understand about what is happening and
what is expected of them.
 The goals and objectives must be acceptable
to community. Define clear and achievable
goals and objectives based on the identified
health needs.

8. S - Specific
M - Measurable
A - Attainable
R - Relevant
T - Time-bound

9.  After setting the priorities a neat systematic plan
should be drown including the resources needed
and the result expected.
 The interventions are identified on the basis of
objectives. Assess the available resources,
including financial, human, and infrastructure
resources, to determine the capacity for
implementing health programs and initiatives.
 Develop evidence-based strategies and policies
to address the identified health needs. These
strategies should outline the approach to
achieving the goals and objectives.

10.  Put the strategies and policies into action. This
involves establishing health care facilities,
training healthcare workers, initiating health
promotion activities, and delivering preventive
and curative services. Improper implementation
may collapse the entire program. The effective
implementation is feasible through the
collaborative efforts of the entire health team.
The general purpose/goal of health action plan is
to help people learn to help themselves, solve
their health problems, meet their own health
needs, use their resources so as to attain and
maintain optimum level of health. It will develop
sense of responsibility and autonomy in
population/client.

11.  Continuously monitor the progress of
program implementation.
 Evaluate whether the programs are achieving
the intended outcomes and meeting the
established objectives.
 Keep the record of all activities based on
observation and give necessary feedback on
Continuous basis.

12.  It is a process of ascertaining the effectiveness of
something or some organized activity or program
in relation to some set standards and criteria.
Outcome measurements with the set objectives
help in knowing how far the program process has
done.
 Any program planning must have an in-built
evaluation system. It is an ongoing decision-
making process. Evaluation is to make accurate
decisions as far as possible. It helps take
remedial measures and appropriate decisions
throughout the community health process as far
as possible.

13. Analysis
of Health
Situation
Establishing
priorities
Goals and
objectives
Action Plan
action
Monitoring
Evaluation

14. Any
Q ?