The document discusses the concept of community as defined by locale. A community is specified based on space and time, people or persons, function, status, and structure. It describes the aspects of space and time as having geographic boundaries, location name, size, transportation infrastructure, and physical environment. The people aspect includes demographic data like age, sex, groups. Function involves socialization, social control and service provision. Status reflects vital statistics and health risks. Structure includes health facilities, schools, nursing homes, and health workers. The document then discusses community problem analysis, prioritization of problems, and the components of a healthy community.

1. 2017
Concept of Community specified-(as locale)
A community is perceived as specified (Locale) based on:
• Space and Time
• People or person
• Function
• Status
• Structure

2. The concept of Community specified-(Locale)
The Space and Time- aspect has:
• Geographic boundaries,
• Name of location,
•
• Size in sq.mls,
• Transportation – road, railways, water,
paths, physical environment
• Infrastructure- houses, roads, centres

3. Community specified Cont..
People or person- aspect has:
•Number and density of people
•Demographic structure by:
- age, sex, tribe, rural/urban,
socioeconomic, informal groups-
friends, clubs, and formal groups-
schools, churches, industries,
governance.

4. Community specified Cont..
Function involves:
•Socialisation of new members,
•maintenance of social control
• provision of services,

5. Community Competence.
• There are eight essential conditions
• Commitment
• Awareness of self & others
• Articulateness
• Effective communication
• Conflict containment

6. Essential conditions of Community
Competence cont..
• Participation
• Management of relationships
with larger Society
• Methods for facilitating interactions
and decision making

7. Community Health specified Cont..
Status reflects:
-Vital statistics (live births, neonatal
infant, & maternal deaths,
-Health risks profile of selected
aggregates e.g. under-fives

8. Community Health specified Cont..
Structure includes:
-Health facilities,
-School health,
-Nursing homes,
-Voluntary health agencies/workers,
-Village health committees,
-Health manpower,
-Environmental sanitation, social workers.

9. Community Health specified Cont..
• Process has:
-Awareness of self & others,
-Effective communication,
-Conflict containment,
-Participation ,
-Management of relationships with
society.

10. Community Problem analysis
• Infant malnutrition in Ddundu village
Identify the factors?
- Inadequate diet
- Community culture regarding infant
feeding
- Poverty
- Disturbed family unit
- Teenage pregnancy

11. Community Problem analysis
• Related to ..
- Diet lacking in required nutritional elements
- Early weaning practices when pregnant
- Poor family relationships
- Lack of parenting skills.
What is the community awareness & how do you
prioritise the Identified community problem?

12. Matrix Analysis in prioritising problems with the
Community
Water Disease Poverty Witches L. drugs
• Water X
• Disease X
• Poverty X
• Witches X
• Lack of drugs X

13. CRITERIA for Ranking Community Health Problems
to Determine Priorities
• Community awareness of the problem
• Community motivation to resolve or better
manage the problem
• Nurse’s ability to influence problem solution
• Availability of expertise to solve the problem
• Severity of the outcome if problem not solved
• Speed with which the problem can be solved

14. How to Rank Community Problems to identify priorities with
Community members
Assign rank order as priority from 10 for the highest priority to 1 for the
lowest priority of the problems we can handle then place criteria for
weighting capabilities from 10 to 1 & multiply to get the highest rank.
Six Criteria
(capability) wtg. Comm. Problem Ranking reason
1. Community. 5 Infant malnutritn 9 many
awareness in Ddundu. said so
2. Community. 10 3 many believe
motivation.
In spirits
3. Nurse’s
ability 4 8 Nurses have
Skills
4. Available of 8 10 Health educators
Expertise been trained

15. Decision on Priority setting
• Criteria weighting X Rank of problem
(capability) (Reason for ranking)
criteria X Ranking = Total problem Rank
NOTE:
The highest ranking is the priority that can be
handled/ solved with the resources available.

16. Components of a healthy community
• Low crime rate
• Good schools
• Strong family life
• Good jobs
• Clean environment and nice weather
• Accessible and quality health services

17. A healthy community Cont..
• Adequate necessities like housing,
foods/markets
• Civic involvement / leadership
• Good transportation
• Wide variety of leisure activities
• Exposure to indignant & interesting art

18. Other segments of community..
• Vulnerable population- an aggregate
susceptible to injury, illness or premature
death.
• Target population- a population for whom
change is desired
(Higgs and Gustafson, 1985)
End of Slides

19. IYUMVA Aimable
BNS Student,
CLARKE
INTERNATIONAL UNIVERSITY
Kampala