COLLEGE OF MEDICINE AND HEALTH SCIENCES

TTP PRESENTATION ON
ASSESSMENT, PRIORITIZATION AND INTERVENTION OF HEALTH AND
HEALTH RELATED PROBLEMS IN JAJURA HEALTH CENTER
CATCHMENT AREA, JAJURA TOWN, SNNPR, ETHIOPIA, 2023

1 JAJURA TTP TEAM 09/11/2023

 Presentation Outline
2

 Introduction

 Objectives

 Methodology

 Result

 Discussion

 Problem faced and limitation

 Situational analysis of HC

 Intervention
JAJURA TTP TEAM 09/11/2023
 Introduction
3

 Community based Education (CBE) is a means of achieving educational

relevance to community needs and consists of learning activates that use the

community oriented education program (Abraham Haileamlak .Assessment of

Health and health related problem 2009). It designed on three main strategies

 TTP

 CBTP

 CHA(community health assessment )

 SRP(student research project),

JAJURA TTP TEAM 09/11/2023

 Cont…
4

 TTP is one of educational means of training all categories of

students of health professionals to learn together the

competency and skill they need to solve the problem which

were amenable to real working environment like health center

JAJURA TTP TEAM 09/11/2023

 Statement of problem
5

 Globally, Health and health related problems are stressful

 This problems were more prevalent in developing country than in developed

countries.

 Now a days many people in developing countries were exposed to different health

problems due to:


poor housing condition,

 poor environmental sanitation and personal hygiene,

 Poor nutritional condition ,

 poor maternal and child health care TTP

JAJURA , TEAM 09/11/2023
 Significance of study
6

 This study could help as a base line to continues

further researches for concerned bodies like
 Nongovernmental organization working on this area
 For the Jajura health admin office

JAJURA TTP TEAM 09/11/2023

 Cont…
7

 It also important to figure out:-

 The magnitude of problem related to housing condition
 Water supply,
 Latrine facilities and
 Waste disposal management
 Vector controlling method

JAJURA TTP TEAM 09/11/2023

 Objective
8

General objective
 To assess, prioritize and intervene on health and
health related problems of Jajura health center
catchment community, Jajura town, Hadiya zone,
Southwest, Ethiopia from July 13- July15 2023.

JAJURA TTP TEAM 09/11/2023

 Cont…
9

Specific objective:-
 To asses health and health related problems of Jajura
health center and catchment community
 To prioritize health and health related problems of
Jajura health center and catchment community.
 To intervene on health and health related problems of
Jajura health center and catchment community
JAJURA TTP TEAM 09/11/2023
 Population
11

Source population
 All households that was found in jajura town .

Study population
 Selected households

Study unit
 Individual households
JAJURA TTP TEAM 09/11/2023
 Eligibility criteria
12

 Inclusion criteria:

 Age greater than eighteen years old (18)

 People that have lived in the area for at least six

months

JAJURA TTP TEAM 09/11/2023

 Cont…
13

Exclusion criteria:
 Forlorn houses

 The house where on mourning

JAJURA TTP TEAM 09/11/2023

 Sample size determinaton
14

 The sample size was determined by using a

formula for estimating a single population
proportion assuming:-
 Confidence level of 95%
 5% marginal error with proportion of 73.9%
(proportion of modern contraceptive users among
family planning users in hosanna town southern
Ethiopia) and
 5% allowance for non-respondent rate.
JAJURA TTP TEAM 09/11/2023
 Cont…
15

 n=the required sample size

 n= (Zα/2)2*pq , q=1-p
 d2
 n= (1.96)2 0.739(1-0.739)
 0.0025
 n=296
 add non respondent rate of 5%
 nf =296+5% then the final sample size is 310.8 ~ 311

JAJURA TTP TEAM 09/11/2023

 Sampling Method and Procedure
16

 The sampling method was systematic random sampling

 Jajura health center catchment consists of 6 kebele and
among those 2 kebele was selected randomly by lottery
method for the study.
 Households was selected by using systematic random
sampling method (each kth)
 The household is selected by determining the Kth
interval Kth=N/n, the first household was selected by
using lottery method from 1-K
 K-value = 2660/311 = 8.5 ~ 9,
JAJURA TTP TEAM 09/11/2023
 Study Variables
17

 Age  Mortality
 Sex  Morbidity
 Religion  Migration
 Ethnicity  Frequency of ANC
 Educational status visits
 Occupation  Place of delivery
 Income  Availability of latrine
 Birth  Housing conditions

JAJURA TTP TEAM 09/11/2023

 Sampling technique
18

 Systematic random sampling technique was conducted

Data collection tool and procedure

 Data was collected using:
 Using ODK data collector
 Observation
 Checklist

JAJURA TTP TEAM 09/11/2023

 Cont…
19

 The colleges and resident supervisors were trained

the data collectors for one days on instruction how
take:
 Informed consent
 Study guides

 How to approach participants,

 Ethical procedure and general information on health

related problems and the objective of the study

JAJURA TTP TEAM 09/11/2023

 Cont…
20

Data quality control

To ensure the quality of data we had taken the
following measures:
 We had been given orientation.
 We were Monitored and assisted by supervisors

JAJURA TTP TEAM 09/11/2023

 Cont…
21

Data analysis
 Data analyzing and processing was carried out by using
both manually and scientific calculator.
 Data was analyzed by :
 Tallying on A4 paper
 Organizing the result and putting in statement, figure and
table
JAJURA TTP TEAM 09/11/2023
 Ethical considerations
22

 Formal letter of permission was obtained from WCU.

 Permission were obtained from Jajura town
administrative and Health centre officials.
 Verbal consent were also obtained from the
respondents after explanation of the purpose of the
study
 Data were kept to be confidential and culture, norms
and life style of the society were respected throughout
the study process.

JAJURA TTP TEAM 09/11/2023

 Result
23

Sociodemographic result
 In this study from 311 HHs, 304(97.75%)

households were successfully interviewed making

Response,
 7HHs (2.25%) were non respondent.

 Add here male female %

 Dominant ethinic group,religion

JAJURA TTP TEAM 09/11/2023

 Cont…
24

Means of communication
Plse add main means of communications
 From 304 HHs of our respondents 100% of it

hasn’t postal access/service.

 From 304HHs of our respondents 19.4% wants to

read newspaper.

JAJURA TTP TEAM 09/11/2023

 Cont…
25

Family income of HH
 Among 304 household mmost of them 23.6% have

(3000-5000) monthly income and

 The lowest number of household 11.2% have

(10,000-20,000) of income.

JAJURA TTP TEAM 09/11/2023

 Cont…
26

Vital statics
 Out of 86 total delivery in 12 months there are

7(8%) children are delivered in home and 79(92%)

in health facilities

JAJURA TTP TEAM 09/11/2023

 Cont…
27

Morbidity
 From 304 HHs 23.4% were presented with illness

during the last two weeks and 76.6% were

presented without illness.
 Also from who presented with illness greater

amount of them were found in 0-20 years which

presented as 52.1%.they presented with cough,
fever and diarrhea, 11.2%, 7.6%, 6.9% respectively

JAJURA TTP TEAM 09/11/2023

 Cont…
28

WASTE DISPOSAL
 In jajura town highly residential/domestic waste

approximately 93.4%% of the (304) house hold has

a domestic waste and
 74% of the (304) house hold doesn’t have schedule

to collect the waste.

 The majority of the population uses the Pit type of

latrine facility 98.6%.

JAJURA TTP TEAM 09/11/2023

 Cont…
29

Water supply
 From 304HHs 32.2% uses tap water, 64.8% uses well,

2.6% uses stream and 0.4% uses other.

 From those who uses well 27.92% are protected,

72.08% are not protected.

 71.4% distance from the toilet is less than 50 meter and

54.1% are downhill from the toilet.

 From total of 197 HHHs 76.5% employ method of

water purification and 23.5% not employ any method of

water purification.
JAJURA TTP TEAM 09/11/2023
 Cont…
30

 From those who employ method of water

purification:-
 46.7% uses boiling method
 20% uses traditional filtration method
 13.3% uses standard filtration method
 20% uses chemical treatment method .
 From total 304 HHs 37.8% HHs consumed less
than 30 liters per day.

JAJURA TTP TEAM 09/11/2023

 Cont…
31

Environmental health survey

 Out of 304 HHs are 215(70.73%) good ventilation,

197(64.8%) good illumination and 237(77.97%)

good need of maintenance of houses.

JAJURA TTP TEAM 09/11/2023

 Cont…
32

Antenatal care
 From 56 pregnant women who visited ANC were

51(91.07%) and the remaining women had not ever

visited ANC 5(8.93%).

JAJURA TTP TEAM 09/11/2023

 Cont…
33

ghgh
 In our study most commonly used family planning
(contraceptive )method is injectable

JAJURA TTP TEAM 09/11/2023

 Discussion
34

 The community based descriptive study was

conducted to assess health and health related
problem in Jajura town, Soro woreda, Haddiya
zone, SNNPR.
 From our study result, we had discussed about the
following variable which needs discussion by
comparing data from JHC catchment area of the
selected two kebele and EDHS, 2019

JAJURA TTP TEAM 09/11/2023

 Cont…
35

 According to our study 20 (6.6%) of households

didn't have latrine, even though most of them had
284(93.4%) latrine
 In our study majority of waste disposal system is
sanitary land field which is 47.7% and open
dumping is 32.6% this may also be due to:
 Lack of knowledge
 Lack of community interest to participate in digging
and preparing dumping area.

JAJURA TTP TEAM 09/11/2023

 Cont…
36

 As we mentioned above from the selected

households 20 (6.6%) don’t have latrine, while
mini EDHS, 2016 (9) Overall, 27% of households
have no toilet facility at all
 The results of our study also revealed that the
proportion of women currently using FPMs was
23.8% in the catchment area of our study area.

JAJURA TTP TEAM 09/11/2023

 Cont…
37

 In our study it was around 81% know contraceptive

method out of these 23 % of mothers those use
modern contraceptive currently
 Majority of them use injectable (60%) followed by
Norplant(20%).

JAJURA TTP TEAM 09/11/2023

 Cont…
38

 Among 56 pregnant women most of them were

second term which is 46.43%, third term was
35.71% and the first terms is 17.86% and out of all
of these those follow up ANC were 51 (91.07%)
 WHO recommended ANC follow up is at least 4
visits.

JAJURA TTP TEAM 09/11/2023

 Cont…
39

 Out of 86 total delivery in 12 months there are

7(8%) children are delivered in home and 79(92%)
in health facilities.
 This is one problem what we faced in our study

JAJURA TTP TEAM 09/11/2023

 Conclusion
40

 In general this study found number of health

related problems in community; there are a lot of
factors for prevalence of each health related
problems
 According to our study 20 (6.6%) of households
didn't have latrine, even though most of them had
284(93.4%) latrine

JAJURA TTP TEAM 09/11/2023

 Cont…
41

 In our study majority of waste disposal system is

sanitary land field which is 47.7%,
 The results of our study also revealed that the
proportion of women currently using FPMs was
23.8% in the catchment area of our study area.

JAJURA TTP TEAM 09/11/2023

 Cont…
42

 In our study it was around 81% knew contraceptive

method out of these 23 % of mothers those use
modern contraceptive currently
 Majority of them use injectable (60%) followed by
Norplant(20%)

JAJURA TTP TEAM 09/11/2023

 Problem faced and Limitation
43

 Problems faced
 Missing the house members on time
 Language barriers
 Difficulty to get needed information on time
 Shortage of time
 Scarcity of resource
 Attempted solution
 Revisited the house
 We paired data collectors with local language speakers to solve language barriers
 We travelled to the Jajura town municipality office to get additional information
from health post after data collection is completed
 Doing on night time and on our free times including weekend
 Limitations of the study

JAJURA TTP TEAM 09/11/2023

 Identified problem
44

1. Shortage of water
2. Inappropriate waste disposal
3. Low family planning usage
4. Inappropriate latrine usage
5. Low ANC follows up
6. Rodent infestation
7. Home delivery
8. Maternal malnutrition

JAJURA TTP TEAM 09/11/2023

 Cont…
45

 There were criteria to prioritize identified problem

 Magnitude

 Severity

 Feasibility

 Community concern
 Government concern

D:\ttp\priritization problem.docx

JAJURA TTP TEAM 09/11/2023

 Prioritized problem
46

Prioritized Problem
 Inappropriate latrine usage

 Inappropriate waste disposal

 Low ANC follow up

 Low family planning usage

 Home delivery

JAJURA TTP TEAM 09/11/2023

 Out reach action plan
47

 D:\ttp\outreach action plan.docx

JAJURA TTP TEAM 09/11/2023

 SWOT analysis

48

Strength
 Wise use of resources by group members.

 Active participation of group members.

 Close supervision of our advisor and providing us the right

comment at the right time

 Coordination and collaboration of members

 Ethics of members

 Preparation of data collection tools by the university.

Opportunity
 Willingness of HEWs and HCW to provide information

 Willingness of respondents during data collection period

JAJURA TTP TEAM 09/11/2023

 Cont…
49

Weakness
 Punctuality of group members

 Scarcity of resources/materials

Threat
 Climate condition (rain)

 Shortage of time

 Less access of information from health center

 Unpunctuality of HC workers

 Misconception of the community about the question asked

 In ability of our university to prepare transportation on time

JAJURA TTP TEAM 09/11/2023

 Situational Analysis of Jajura Health Center
50

 Jajura Health center is found to border of Jajura town in 2004 E.C.

It is situated at the border of the town at the time
 The medical staffs of Jajura health center are;
 2 Medical Doctor,
 5 Public health officers,
 0 BSC nurse and 8 Clinical nurses,
 5 Midwifery,
 4 laboratory technicians,
 4 pharmacist,
 0 Environmental health ,
 2 HIT and 11 health extension workers.
JAJURA TTP TEAM 09/11/2023
 Main services provided in the Jajura health
center
51

 Outpatient treatment services

 Emergency treatment services
 ANC, delivery & PNC services
 Vaccination services(EPI)
 Laboratory services
 ART
 TB and leprosy services
 Pharmacy services

JAJURA TTP TEAM 09/11/2023

 Adult OPD
52

No Disease Frequency
 C:\Intel\jajura ppt\top 10.docx
1 AFI(Acute febrile illness) 169

2 Typhoid fever 150

3 Typhus 109

4 Pneumonia 101

5 IP(Intestinal parasite ) 83

6 Diarrhea 73

7 AURTI 52

8 Skin infection 38

9 UTI 27

10 MSSD 28JAJURA TTP TEAM 09/11/2023

 Under 5 OPD
53

N DISEASE Frequency
 C:\Intel\jajura ppt\top 5.docx
O
1 Pneumonia 180
2 Diarrhea (Non-bloody) 131
3 SAM 37
4 Skin infection 28
5 AFI 23

JAJURA TTP TEAM 09/11/2023

 Laboratory
54

 Laboratory technicians provides confirmatory

laboratory for outpatient departments.
 Currently, they are providing U/A, BF, HBsAg,
HCG, stool H.Pylori Ag, Stool Examination, AFB,
Hgbtest, HCV, HCV, WT, WF, PICT, VDRL, Blood
group and etc.

JAJURA TTP TEAM 09/11/2023

 Static Action Plan
55

 See the chart

JAJURA TTP TEAM 09/11/2023

 Outreach Intervention Result
56

HOME TO HOME EDUCATION

 We planned to give health education for 60 HHs about proper solid

waste management. We achieved 54(90%)

 We planned to give health education for 60 HHs about proper latrine

usage we achieved 54(90%)

 Also we planned to give health education for 60 HHs on personal

hygiene and environmental sanitation;

 We achieved 54(90%) HHs.

look the comment

Put the reason why donot access the rest
 wether it is locked or not access husband or wife pls justify

JAJURA TTP TEAM 09/11/2023

 Cont…
57

 In addition to this we also planned to educate about

family planning and ANC follow ups for 40 HHs
and we were achieved 34(85%) HHs
 On statics we achieved avergically 75.89%.

JAJURA TTP TEAM 09/11/2023

 Additional Activities
58

 We were inspects 8 restaurants according to check

list given to us from health admin office and
 We were educate them how they keep their
personal hygiene and how they had to handle a
foods and different vegetables.
 We planned to give health education at waiting area
in 8 sessions

JAJURA TTP TEAM 09/11/2023

 Cont…
59

What it is , plse re –write?????????? Is it summary of your work?

What?

Health education at OPD

 Health education on ANC and FPM

 Market Health Education on chronic disease like

DM,HTN,HIV/AIDS etc.
 Waste disposal campaign at Jajura town

 We were planned to clean the town by 2 campaigns after we

aware the peoples on were more than 5000 peoples founded at

football matches
JAJURA TTP TEAM 09/11/2023
 Cont…
60

 We were clean the town with different Jajura town

administrative and with community totally around
200 peoples were participated on the campaigns
 We achieved 2(100%) campaigns also
 We were educate and create awareness about
continuity of waste disposal cleaning in this town.
 We were clean the HC compound by 1 day
campaign

JAJURA TTP TEAM 09/11/2023

 Recommendation
61

 D:\ttp\reccomendation.docx

JAJURA TTP TEAM 09/11/2023

 Acknowledgment
62

 Firstly, we would like to thank our God

 Next, We would like to thank Wachemo University
College of Medicine and Health Science for
arranging this practical field training program .
 And also our deepest gratitude is to our advisor
Mr.Markos, Mr. Taddese and Mr. Lonseko devoted
his time to guide and help us by giving constructive
suggestion and facilitating necessary materials

JAJURA TTP TEAM 09/11/2023

 Cont…
63

 Our special thanks also go to the administrative

bodies in Jajura town and Jajura health center for
their cooperation and willingness to provide us
valuable information
 Most importantly our thanks go to the respondents
in the study area for their voluntary participation in
this study.

JAJURA TTP TEAM 09/11/2023

 Cont…
64

 Next, our particular acknowledgement to our advisors

Markos Selamu (BSc, MPH), Taddese Lalago (BSc,
MSc) and Mr. Lonseko (BSc, MPH,PHD Candidate)
 Finally, we would like to thank health post workers
and volunteer respondent.
 

JAJURA TTP TEAM 09/11/2023

65

Thank you!

JAJURA TTP TEAM 09/11/2023