Community Needs Assessment Worksheet

Instructions:

This worksheet is based on McKenzie & Pinger’s six-step model described in An Introduction to Community & Public Health. The six steps are described in the following list. The tasks in the “Community Needs Assessment Worksheet” accomplish the first four steps: Community Needs Assessment Worksheet.

Step 1: Determine purpose and focus of needs assessment

Task: Describe the problem prompting this assessment.

Step 2: Gather data

Task: Research data to complete a market segmentation.

Step 3: Analyze data

Task: Analyze market segmentation findings to determine community needs.

Step 4: Identify the factors linked to the health problem

Task: Describe barriers to care evidenced by data analysis.

Step 5: Identify the program focus

This will be accomplished in the “Process Innovation Strategy Worksheet.”

Step 6: Validate the prioritized need

This will be accomplished in the “Stakeholder Communication Worksheet.”

The chart provided will guide your research and analysis process. Begin by examining and using the resource to complete as much of the chart as possible. Research other sources as necessary to complete the assignment. Please note, minor calculations of data will be required to complete the table.

• Perform an internet search for the Chinle Census Reporter. Within the site, use the search field to research health insurance, employment, telephone, vehicles, and additional categories if needed.

1. Determine purpose and focus of needs assessment.

The health problem focused in this community needs assessment is diabetes within the Chinle community. The questions to guide the assessment include:

1. What is the current community-level prevalence of diabetes and prediabetes in Chinle?
2. How many people know their levels of blood sugar?

• How many people have been tested for high blood sugar in the last three years?

1. Does the prevalence of diabetes in Chinle vary across certain demographics?
2. What is the incidence of diabetes-related complications across the Chinle population?
3. Is diabetes care available, including medications, caregivers, educators, and other related services?

• How accessible is the available care?
• How many diabetes patients are currently using diabetes management treatments such as insulin?

1. How many patients currently living with diabetes have no access to insulin?
2. How many individuals have insurance?
3. Are there community organizations and initiatives targeted toward diabetes management?

• How well are the people of Chinle informed on matters of diabetes, including stigma?
• What is the current lifestyle, including eating and activity habits, of the people of Chinle?

2. Gather data. Finding the root causes of the obesity problem in Chinle begins with foundational data about population demographics, health status, healthcare utilization, healthcare resources, and behaviors. Research the available data to complete the following four tables:

Part I: Population Demographics

Location (Enter your response below):

Total population (Enter your response below): 3,888 (2022)

Table 1: Gender Demographics

Gender	Distribution %	# of People
Male	48.05%	1,868
Female	51.95%	2,020

 Table 2: Race Demographics

Race	Distribution %	# of People
White	3.6%	138
Hispanic or Latino	1.4%	53
Black or African American	1.1%	42
Asian	2.7%	105
American Indian and Alaska Native	90.6%	3521
Other	0.8%	29

Table 3: Age Demographics

Age	Distribution %	# of People
Up to 9	14.9%	580
10-19	20.8%	807
20-39	26.8%	1042
40-59	19.9%	774
60 and over	17.7%	685

Table 4: Socioeconomic Factor Demographics

Socioeconomic Factors	Distribution %	# of People
Uninsured individuals	29.5%	1,147
Individuals below poverty level	41.8%	1,569
Median household income	54%	$44,821
Unemployment rate
Adults with a high school education or higher	83.9%	1.900
Individuals who speak English less than “very well”	12.1%	470
Telephone service available	88.37%	988
Vehicles available per household	85.2%	952

Part II: Healthcare Resources (Review the information)

Table 5: Health literacy and support services

Category	Services
Preventive care	Community nutrition staff work with other outreach workers to promote healthy eating in communities and schools.
Chronic care	Health coaches work in primary care clinics to help diabetic patients with exercises, healthy eating, and controlling glucose.
Patient education	Chinle Health Council formed a task force to work on increasing healthy living information.   Navajo Health Education Program organizes community health fairs and similar outreach activities.

Table 6: Related community services

Category	Services
137 Ways to Just Move It on the Navajo Nation	Just Move It is a national campaign to promote activity and wellness among American Indian and Alaska Native (AIAN) communities. The chapter in Chinle focuses on organizing noncompetitive running and walking events at least once a year to promote active lifestyles. The CSU staff members assist by distributing materials and helping with scheduling.
Navajo Nation Special Diabetes Project	An organization with a chapter in Chinle that focuses on preventing and managing diabetes in the Navajo Nation by promoting healthy eating and activities that last for an individual’s entire life span
Health Promotion Department and Navajo Nation Department of Health	Part of the Navajo Nation government that schedule and executes running and walking events in addition to other health maintenance and awareness programs

 

3. Determine purpose and scope.
   The completion of the community needs assessment will require collaboration with various community members and groups, including the community nutrition staff, chronic care health professionals at the local primary care clinics, the Chinle Health Council, the Chinle Service Unit (CSU), and the Navajo Nation Special Diabetes Project.

4. Analyze the data.
   A majority of the people of Chinle, including those of the Navajo Nation, believe that their diet is healthy. However, data shows that the changing dietary and other lifestyle habits are increasing the risk and development of diabetes among the local American Indians and Alaska Natives (Zamora-Kapoor et al., 2019). A majority of the Chinle residents have an average of four meals a day, mostly from restaurants and fast-food places. They also eat fast food like pizza and take frozen meals, including frozen pizzas.
5. Identify the program focus.
   The health program needs to focus mainly on addressing diabetes literacy, access to insulin, and promoting preventive care among the locals.
6. Summarize your needs analysis. Using the market segmentation results in step 2, complete the following table:

Table 7: Needs Analysis Summary (McKenzie & Pinger)

Query	Finding	Data Source
Who is the priority population?	Navajo living in the Chinle Service Unit of the NAIHS who are obese or in danger of becoming obese	N/A
What are the needs of the priority population?	Diabetes self-management education and healthy lifestyle promotions	Healthy Weight for Life – Indian Health Services
Which subgroups within the priority population have the greatest need?	Low-income earners living in remote areas	Navajo Nation Special Diabetes Project
What is the capacity of the community to deal with the needs?	High	N/A
What are the assets in the community on which a program can be built?	·        Medical resources, including 2 hospitals and 2 clinics ·        Communication resources include 4 TV stations, 9 radio stations, 3 major newspapers, courier services, internet and phone services ·        Civic education resources, including the church, indigenous religions and organizations ·        Good transport systems	chinle.navajochapters.org

 

7. Identify the factors linked to the health problem within the Navajo community. Describe barriers to care evidenced by data analysis. Explicit health problems such as obesity may be driven by factors that are not directly related to obesity or that are not even specific to healthcare. Use data from the needs analysis and culture analysis to extrapolate and describe possible or evident barriers to care. Complete the following table ( 100 words each):

Table 8: Barriers to Care

Barrier type	Indication in Community	Significance for Project
Geographic	The area covered by Chinle is majorly within the rural region of the Navajo Nation. Most of the population lives in remote areas away from major healthcare facilities. Some regions have no educational or healthcare facilities or clinics that can provide needed diabetes care and information.	Geographical location is a major factor in determining the reach and accessibility of healthcare services. With some of the Navajo people being geographically isolated, they will have limited access to necessary diabetes care and other related preventive services. The project based on this evidence will focus on adopting strategies that overcome the geographical barriers to diabetes care access.
Financial	Data drawn from Chinle shows that an estimated 1,569 of the local community, or 41.8% of the residents of Chinle, live below the poverty line. This is a high poverty rate and shows that most of the locals have limited ability to purchase healthy foods, medications, and other diabetes care services.	The high poverty rate in Chinle means that a majority of the locals are financially constrained. This has a negative impact on their ability to purchase necessary services and products for preventing and managing diabetes.
Transportation	Although there is an established transport network, including an airport, and 85.2% of the adults have access to a car, some living in rural and remote areas do not have access to reliable transportation.	Since transportation is a critical determinant of mobility and access to healthcare services, the project will focus on overcoming these barriers by providing innovative solutions, including a mobile diabetes care clinic and the use of telehealth services where applicable.
Educational	Although 1,900 of the Chinle community residents, or 83.9% of the people, have attained education higher than a high school diploma, a majority of the residents have limited access to sufficient health information on diabetes. Majority do not know about self-management or their current status. Others do not understand risk factors, prevention, and management strategies.	The low diabetes health literacy means that the project must focus on addressing the knowledge gaps to ensure sustainable self-management and prevention with diabetes education programs tailored to the needs of the Navajo community.
Social	The overwhelming prevalence of Navajo in the community population implies that Navajo perspectives on healthcare will dominate. Native practitioners focus on restoring balance instead of alleviating symptoms. Some native practitioners see conflict between Western medical practices and Navajo practices, ceremonies, and observances. The Chinle CSU has four staff members dedicated to facilitating communication and collaboration with native healers to avoid mismatches in practice or messages between the two groups. The Dine Medicine Man Association also wields significant influence in the broader community, acting as a professional organization and a lobbying group, much like the American Medical Association. In addition to medical practices, the Navajo cultural influence appears in the businesses and diets prevalent in the area as evidenced by the markets and restaurants in the area.   This will be covered in more detail in the “Collaborative Alliance Worksheet.”	A process intervention in this region must take into account the Navajo practices and beliefs with regard to health. In particular, any proposal should be screened for appropriateness to the community by Navajo medicine men or healing practitioners. Failure to engage cultural beliefs could result in limited compliance as well as potential pushback from the community. In addition to honoring native healing practices, the innovation should take into account traditional foods and eating habits of the Navajo. A program focused on a Western version of a healthy diet may engender resistance, and asking people to eat foods not easily found in their local markets will decrease compliance with the program from the outset.   This will be covered in more detail in the “Collaborative Alliance Worksheet.”

References:

Zamora-Kapoor, A., Sinclair, K., Nelson, L., Lee, H., & Buchwald, D. (2019). Obesity risk factors in American Indians and Alaska Natives: A systematic review. Public Health, 174, 85–96. https://doi.org/10.1016/J.PUHE.2019.05.021

Reviewed Websites

1. https://censusreporter.org/profiles/16000US0412770-chinle-az/
2. https://data.census.gov/profile/Chinle_CDP,_Arizona?g=160XX00US0412770

• https://www.city-data.com/health-nutrition/Chinle-Arizona.html

ORDER A PLAGIARISM-FREE PAPER HERE

We’ll write everything from scratch

---

Assignment 1: Determining Community Needs

To establish the collaborative leadership plan to improve community health, you must first assess the needs of the Navajo community in Chinle. For Assignment 1, you will conduct an in-depth needs assessment for the Navajo community by researching and analyzing local population data. This needs assessment will inform the rest of the assignments by determining the aim of the process innovation, the optimal methods for the change management strategy, and the approach to communicating with internal and external stakeholders.

Assignment 1 allows you to determine the needs of the community by evaluating the following:

• change management strategies
• community health data sources
• strategies and tools that can be used to assess community need

Follow these three steps to help you complete this assignment:

• Discover: Learn how collaborative leadership strategies can create urgency for change within a community.
• Engage: Practice the strategies discussed in the “Engage” section to identify the greatest areas of need within the community.
• Review: Apply what you have learned in the previous steps to complete the Community Needs Assessment worksheet (Assignment 1).
  

  Community Needs Assessment Worksheet

Essential Materials
Use the following resources to complete Assignment 1.

• Required doccument
  • Community Needs Assessment worksheet (Assignment 1). This worksheet guides the research and considerations required to complete a needs assessment for Chinle. The worksheet is based on the first four of six steps of McKenzie and Pinger’s model described in Chapter 5 in An Introduction to Community Health. The worksheet will be submitted with Assignments 2–4 (Task 1).
• Required PDF
  • Chinle Service Unit Profile. This profile summarizes information about the Chinle community and the NAIHS regional unit. Note that this information may not provide explicit answers to your questions. As part of the course, you will be expected to draw inferences or make reasonable assumptions about Chinle that will inform your decisions and, ultimately, the collaborative leadership plan.
• Required text
  • An Introduction to Community & Public Health examines essential principles and practices for fostering community health and collaborating with stakeholders.
• Required text
  • Change management: A guide to effective implementation focuses on principles of change management, especially regarding collaboration.
• Required text
  • Finding allies, building alliances: 8 elements that bring—and keep—people together provides expertise in collaborative leadership and real-world experiences with leading community change.
• Required link
  • Indian Health Service: Health Promotion provides information on the IHS Health Promotion and Disease Prevention (HPDP) program that aims to improve health by enhancing preventive efforts at local, regional, and national levels.
• Required PDF
  • Intermountain TOSH—The Orthopedic Specialty Hospital Community Health needs assessment and Implementation Strategy presents Intermountain’s Orthopedic Specialty Hospital (TOSH) health needs assessment which incorporates data from various sources and uses them to inform specific plans.
• Required text
  • Leadership for Health Professionals: Theory, Skills and Applications demonstrates how effective leadership hinges on understanding organizational culture and stakeholder expectations.
• Required link
  • Leadership of Healthcare Professionals: Where Do We Stand? examines various leadership roles, skills, and theories that influence healthcare outcomes.
• Required PDF
  • The U.S. Health Care Market: A Strategic View of Consumer Segmentation covers information gathered in an online survey on attitudes and then behaviors with respect to consumers’ views on the health care system, use of health care services, satisfaction/attitudes toward health care providers, information sources, payment systems, use of information technology, and views on health care policy.