1. Public Health Planning and Health System Analysis
LEC 2
Thursday, November 15, 2018

2. 2. REVIEW OF POLICY GUIDE LINES
Process of familiarization with directives and conditions that prevail and must be followed in the preparation of the District Plan.
National or Regional policies.
National or Regional policy and community decisions that are to be translated into action.
Plan is limited to and implemented within available resources.
Research:
Central guidelines
Resource (MMM)
Thursday, November 15, 2018

3. III- SITUATIONAL ANALYSIS
Process of analyzing and interpreting all information available from the Health System and resources as it prevails in a geographic area.
To identify health problems and health service needs arising from these.
Thursday, November 15, 2018

4. SITUATIONAL ANALYSIS Determine existing problems
Ascertain layout of existing resources in a problem
Identify weakness and strengths of existing system as well as prevailing constraints
Thursday, November 15, 2018

5. SITUATION ANALYSIS (CONT)
DETERMINING EXISTING PROBLEMS
Background information
Initial problem diagnosis
Indicators of health status
Primary indicators
Secondary indicators
Thursday, November 15, 2018

6. SITUATION ANALYSIS (CONT)
PRIMARY INDICATORS
Birth
Death
Morbidity
Disability and invalidity
Anthropometry
Hematology
Physical exam
Thursday, November 15, 2018

7. SITUATIONAL ANALYSIS (CONT.)
SOURCES OF DATA FOR PRIMARY INDICATORS
Vital statistics
Census
HMIS
Hospital information
Health facility
Special survey
Thursday, November 15, 2018

8. SITUATION ANALYSIS (CONT)
SECONDARY INDICATORS Factors which are associated with primary indicators, often more difficult to quantify.
Thursday, November 15, 2018

9. SITUATION ANALYSIS (CONT)
SUMMARISING THE HEALTH SITUATION
Go for a few overall indicators.
Determine health problems, both subjective and objective very precisely according to age groups.
Mortality and morbidity should be clearly spelt out.
Thursday, November 15, 2018

10. SITUATION ANALYSIS (CONT)
PROBLEM PRIORITISATION
Magnitude of problem
Severity of problem
Vulnerability to intervention
Cost effectiveness
Political expediency
Thursday, November 15, 2018

11. PRIORITY MATRIX
Thursday, November 15, 2018

12. PROBLEM TREE Economic Loss Social Problems Reduced Child Health
High Maternal Mortality
Poor Obstetric. Care
Severe Anemia
Insufficient Food Intake
High Fertility
No Family Planning
Low Food Security
Conservative Religious Beliefs
Poorly Trained TBA's
Noncompliance
Poor Post Partum Care
Ignorance
Traditional Beliefs
Thursday, November 15, 2018

13. NEEDS TREE Reduced Econ. Loss Less Social Problems Impr. Child Health
Reduced Maternal Mortality
Good Obstet. Care
Reduced Anaemia
Good Post Part. Care
Adequate Food Intake
Reduced Fertility
FP Being Practiced
Improved Food Sec.
Liberal Religious Beliefs
Increased Compliance
Improved Knowledge
Changing Trad. Beliefs
Well Trained TBAs
Thursday, November 15, 2018

14. SITUATION ANALYSIS (CONT)
(a) ASSESSMENT OF HEALTH SERVICE PROGRAMS
Assessment of resource inputs
What programs need to be offered
What programs are currently offered
Are they appropriate for needs
What are main strengths and weaknesses
What major lacunae can be identified
Thursday, November 15, 2018

15. SITUATION ANALYSIS (CONT)
EXAMPLES OF SERVICE INPUTS
Outpatient care service
Inpatient care service
Outreach service
Thursday, November 15, 2018

16. SITUATION ANALYSIS (CONT)
(b) ASSESSMENT OF HEALTH SERVICE INPUT DISTRIBUTION
Availability (Geographic)
Accessibility (Affordability)
Physical accessibility 5-10kms. or min walk.
Indoor facilities with 4-6 hrs displacement
Financial accessibility.
Social accessibility religious/ tribal.
Thursday, November 15, 2018

17. SITUATIONAL ANALYSIS (CONT.)
(c) Assessment of service outputs Quality Quantity
(d) Assessment of outcome
(e) Assessment of effect of Ecology
(f) Assessment of community involvement
Verbalization
Contribution
Utilization
Thursday, November 15, 2018

18. SITUATIONAL ANALYSIS (CONT)
(g) Assessment of M&O Systems
(h) Assessment of adequacy of support services
Thursday, November 15, 2018