Assessment of Health-Related Problems in Dizaj-e Siavosh Community of Urmia, Iran, Based on the North Carolina Model

Shaker Salarilak, Rohollah Valizadeh

Abstract

Introduction: To determine the health-related strengths, resources, and needs of a given community, it is necessary to obtain complete and correct information about its healthcare system and the people’s health problems. In this study, we identified and prioritized the health-related problems of the highly disadvantaged Dizaj-e Siavosh community of Urmia, Iran.

Materials and Methods: This study was based on the so-called North Carolina Model. In this eight-step model, a community’s health-related problems are identified in the first seven stages. In the eighth stage, an operational plan is developed with the goal of addressing, prioritizing, and solving the identified problems.

Results: In this study, 10 different problems were identified, including improper removal of sewage and garbage; involuntary marriage of girls, especially at an early age; the large number of poor households; the lack of continuing education for girls after elementary school; keeping pets without observing principles of health; lack of respect for a 3-year child-bearing interval; a generally poor socioeconomic situation; unemployment; widespread substance abuse; and low level of education for men. These problems were prioritized respectively.

Conclusion: Most problems identified in this study were associated with people’s lack of knowledge about health-related issues, which is rooted in low social, cultural, and economic status.

Keywords

Community Assessment, North Carolina Model, Urmia, Dizaj-e Siavosh

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