Download presentation
Presentation is loading. Please wait.
Published byHollie Alannah Rich Modified over 9 years ago
2
IPC-DSA SA 227 “ Using Field Research Methods for Community Health Programs” Dennis B. Batangan, M.D., M.Sc.(CHDC) Institute of Philippine Culture Ateneo de Manila University
3
Outline of Presentation I.Context of Community Health Programs A.Health Care System Infrastructure B.Individual Health Care Context C.Social institutions and Community Health Programs II.Use of field research methods A.Program development cycle B.Qualitative methods C.Quantitative methods
4
Philippine Health System Infrastructure ( Sanchez et.al, 1993,Adopted from WHO,1987) MANAGEMENT 1 Health Planning 2. Administration 3. Regulation ORGANIZATIONL STRUCTURE 1. Hierarchy of Health Services 2. Integration of Public Health and Medical Care 3. Roles of Different Sectors 4. Indigenous Medicine RESOURCE PRODUCTION 1. HHR 2. Health Care Facilities 3. Commodities 4. Science and Technology DELIVERY OF SERVICES 1. Health in the Hands of the People 2. Community Health Workers 3. Professional and Paraprofessional Health Personnel 4. People Oriented Programs ECONOMIC SUPPORT 1. Public Health Activities 2. Medical Care Services 3. HHR Production 4. Research
6
Intervening organizations Individual Social Institutions Isip Gawa Kilos Damdam Ekonomiya Pulitika Populasyon Kalikasan
7
Community, intervening organizations/ programs and social institutions Intervening Organizations/ programs Social Institutions Community
8
The Program Development Cycle Situational Assessment and Analysis Monitoring and Evaluation Implementation Objective Setting Strategy Formulation Programming
9
Sample study on the use of field research methods for community health programs I. Context A development agency (Catholic Relief Service) preparing to support the implemen- tation of a community-based social health insurance project in rural villages II. Objectives - Determine viability and acceptability of CB-SHI schemes - Identify most appropriate CB-SHI scheme
10
Sample study… III. Specific objectives 1. Community health problems 2. Health services and resources 3. Social/solidarity support schemes 4. Other community resources 5. Appropriate CB-SHI scheme
11
Sample study…. IV. Methodology a. Review of records - reports, forms, minutes of meetings b. Key informant interviews - LGU leaders, health program leaders, health providers c. Community survey - Sampling design
12
Sample study… IV. Results a. Health problems - distance, cost, availability of health services; poverty related health problems – food, water, education, low-income b. Health providers – MHO, pvt M.D.,self medication, Albularyo/Hilot, BHW, Midwife
13
Sample study… IV. Results d. Health expenditures – 1/3 of respondents with no regular budget for health; range 50-800 pesos; mode 200 pesos e. Acceptability of a SHI Scheme – 72/77 willing to join; 2/77 willing but…; 3/77 not willing. Acceptable contribution for a scheme – 5-15 pesos per month
14
Sample Study IV. Results f. Other community solidarity mechanisms/resources – Bayanihan, Pintakasi, Damayan, Death Aid collection, Ambagan sa maysakit, paluwagan, cooperative, BHW/CHW, CBHP, Water Management project
15
Sample Study… V. Analysis and recommendations a. Partnership program for CB-SHI b. Strengthen CBHP and community systems c. Program planning to include: Long term and operational plans; clear policy decisions; programmed organizational adjustments; provision of technical inputs and advocacy
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.