چکیده مقاله
Introduction Improving community health requires a clear understanding of locally important problems and a transparent process for setting priorities Such understanding is best achieved when residents contribute directly to identifying needs and evaluating available capacities Community health assessment is a collaborative approach that brings together field perspectives and routine evidence to describe health status, resources, and pressing concerns, and then orders these concerns for action The eight step North Carolina model is one of the most structured frame works for this purpose, guiding data gathering, triangulation, and prioritization while strengthening civic involvement and preventing duplication of efforts The present study used this model to determine and prioritize the main problems of the Davas region in Bushehr, Iran, through active input from local residents Methods An applied descriptive analytical assessment was carried out in fall 2023 in the Davas region of Bushehr The study followed the North Carolina model Steps 1 7 focused on assembling the assessment team, collecting and integrating qualitative and quantitative evidence, defining regional problems, sharing findings with the public, and ranking issues; step 8 produced an action plan for the top priority Purposive sampling recruited 96 residents and local stakeholders Primary data came from semi structured interviews and focus group discussions with diverse community groups and health and municipal service providers, while secondary data were drawn from routinely recorded statistics in comprehensive health service centers All documented problems were scored using Hanlon criteria, and final priorities were confirmed through consensus meetings involving the assessment team, supervisors, and health center staff Results Sixty distinct problems were recorded from community consultations and routine data Hanlon scoring yielded the ten most urgent concerns in Davas, ranked as follows: 1 unsanitary waste disposal and inadequate solid waste management; 2 stray dogs; 3 rain related street flooding; 4 unsanitary sewage disposal; 5 substandard speed bumps; 6 high prevalence of hypertension; 7 overweight and obesity; 8 shortage of parks and green spaces; 9 inadequate street lighting; and 10 depression The priority list reflected a combination of environmental hazards, shortcomings in urban services, chronic disease burdens, and mental health challenges Following prioritization, determinants of the first ranked issue were explored, and a locally feasible implementation roadmap was drafted to improve solid waste handling and disposal Conclusion Applying a resident engaged North Carolina assessment revealed a broad spectrum of interconnected problems in Davas, extending beyond clinical health issues to environmental and municipal determinants The prioritized list provides a practical, evidence informed agenda for local planning Although a detailed action plan was developed for the highest ranked concern, coordinated planning for other priorities remains essential Sustainable improvement in Davas will require ongoing community involvement together with long term, cross sector collaboration among health authorities, municipal bodies, and other responsible organizations
کلیدواژهها
نویسندگان
Mahan Razeghipour
Department of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
Fatemeh Malekzade
Department of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
Tooba Chekav
Department of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
Mahnoush Reisi
Associate Professor, Department of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
رزومه علمی کاربران
درباره سیویلیکاتبلیغات در سیویلیکاآمار علمی ایرانتقویم علمی ایرانداده کاوی مقالاتطرح های پژوهشی
شیوه ارجاع
در صورتی که می خواهید در اثر پژوهشی خود به این مقاله ارجاع دهید، به سادگی می توانید از عبارت زیر در بخش منابع و مراجع استفاده نمایید: Razeghipour, Mahan and Malekzade, Fatemeh and Chekav, Tooba and Reisi, Mahnoush,1404,Community Health Assessment in Davas Region, Bushehr, Iran: Applying the North Carolina Model,Fourth International Conference for Iranian Hygienics and Health Sciences Students,Tehran,https://civilica.com/doc/2636174
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