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Safety 2010 Conference CMS
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© WestWindMoves 2010
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Jorpati,Gokarna street,Kathmandu
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1.R.K.Bhandari,Community Health and Environmental Society Nepal 2.S.Joshi,Primary Health Center,Nepal
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ISSUES: Healthcare assessment system in Nepal is still taking long time and high cost,collection of data about prioritization of communityhealth problems by the community is essential for planning and monitoring of programs and interventions for improving community health status which is economic and less time consuming. OBJECTIVE: To validate the RCHA for prioritization of community health problems in a rural community including Tobacco control programs. METHODS:14 Villages of rural areas of 34 Primary School Teachers from 10 randomly selected Primary Schools in above villages. VALIDATION: Heads of households from 500 Households. DATA COLLECTION: Self-Administered Questionnaires for Teachers, Interview Schedules for Heads of Households. DATA ANALYSIS: with the help of EPI info program. RESULTS: There was significant correlation between the responses of the school teachers and heads of households on community health problems viz., (a) the prioritization of ten village problems(r=+0.77, p<0.02), (b) prioritization of utilization of services of various health functionaries for treatment of and advice for childrens illnesses(r=+0.75, p<0.05), and (c) prioritization of households using water from different sources(r=+0.975, p<0.02). The method was also found to be more rapid (3.3 times) and less costly (6.3 times) compared to the traditional household survey method. CONCLUSION: RCHA for prioritization of community health problems in a rural community is validated. The information thus obtained can be utilized for purposes of health policy,program planning, monitoring and evaluation in developing countries.
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