m tahir abdullah

HEALTH PROBLEM SOLVING

 Heath problem means a condition of humans

that can be represented in term of
measurable health status (health indicators)
 PROBLEM SOLVING CYCLE
SITUATION
ANALYSIS
PROBLEMS
EVALUATION
IDENTIFICATION

PROBLE M
IMPLEMENTATION
PRIORITY

ALTERNATIVE
PLANNING
SOLUTION
Situation analysis
 Demographic data
 Socioeconomic data
 Environmental condition
 Morbidity data
 Mortality data
 Coverage of activities
 Utilities health services
 Incidence or prevalence of disease
Situation analysis
 Inventories of Health (equipment, health facilities,
human resources)
 Identify strengths and weaknesses of health services at
all levels
Problems identification
 Percentage
 Ratio or index
 Rate
 Problem is discrepancy between the fact and the
expectation
Problem identification
 Prepare a list of data which is relevant to the select
problem i.e. mortality rate, service coverage
 Identify any other health problems which have effect
on the selected problem
 Identify of all health indicators
Problem priority
 We have to select one or two problems as priority to
solve
PRIORITY INDICATORS
1. SEVERITY
2. PREVALENCE
3. RATE OF INCREASE
4. DEGREE OF UNMET NEED
5. SOCIAL BENEFIT
6. PUBLIC CONCERN
7. TECHNICAL FEASIBILITY
8. RESOURCE AVAILABILITY
9. POLITICAL CLIMATE
PEARL
1. APPROPRIATENESS
2. ECONOMIC FEASIBILITY
3. ACCEPTABILITY
4. RESOURCES AVAILABILITY
5. LEGALITY
Prepare a description of the solution:
1. Problem statement, it trend and main causes
2. Solution strategies and main activities
3. Locally available resources
Implementation
 Prepare detailed operational activities and steps that
are necessary to the implementation of the strategies
and activities designed
 Check the concordance between activities and
objectives
 State the expected result of each activity.
 Specify how each activity would be documented.
 Prepare the Gantt chart, scheduling the
implementation process
Evaluation plan
 Prepare monitoring and evaluation plan indicating
periodicity and selected indicator.
 Prepare a description of how follow up and monitoring
would be carried out
Future plan
 Prepare a description of the new problems
 Prepare an activity implementation plan for
continuing the first and new health problems