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Please use this identifier to cite or link to this item: http://hdl.handle.net/2262/19459

Title: Adapting developing country epidemiological assessment techniques to improve the quality of health needs assessments in developed countries
Author: HANDY, DEIRDRE
O'DOWD, THOMAS
SMITH, SUSAN
Sponsor: Health Research Board
Author's Homepage: http://people.tcd.ie/susmith
Keywords: Health needs assessment
Epidemiological assessment
Health needs - Developing countries
Health needs - Developed countries
Issue Date: 2005
Publisher: BioMed Central
Citation: S. Smith, J. Long, J. Deady, F. O’Keeffe, D. Handy and T. O’Dowd, Adapting developing country epidemiological assessment techniques to improve the quality of health needs assessments in developed countries, BMC Health Services Research, 5, 2005, p32
Series/Report no.: BMC Health Services Research
5, 2005
Abstract: Background: We were commissioned to carry out three health assessments in urban areas of Dublin in Ireland. We required an epidemiologically robust method that could collect data rapidly and inexpensively. We were dealing with inadequate health information systems, weak planning data and a history of inadequate recipient involvement in health service planning. These problems had also been identified by researchers carrying out health assessments in developing countries. This paper reports our experience of adapting a cluster survey model originally developed by international organisations to assess community health needs and service coverage in developing countries and applying our adapted model to three urban areas in Dublin, Ireland Methods: We adapted the model to control for socio-economic heterogeneity, to take account of the inadequate population list, to ensure a representative sample and to account for a higher prevalence of degenerative and chronic diseases. We employed formal as well as informal communication methods and adjusted data collection times to maximise participation. Results: The model we adapted had the capacity to ascertain both health needs and health care delivery needs. The community participated throughout the process and members were trained and employed as data collectors. The assessments have been used by local health boards and nongovernmental agencies to plan and deliver better or additional services. Conclusion: We were able to carry out high quality health needs assessments in urban areas by adapting and applying a developing country health assessment method. Issues arose relating to health needs assessment as part of the planning cycle and the role of participants in the process.
Description: PUBLISHED
URI: http://www.biomedcentral.com/content/pdf/1472-6963-5-32.pdf
http://www.biomedcentral.com/1472-6963/5/32
http://hdl.handle.net/2262/19459
Appears in Collections:Public Health & Primary Care (Scholarly Publications)

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