• Completion of household survey

• Data analysis
• First community presentation
• FGD
• Conduct MHP
MICRO HEALTH PROJECT

Dr. Sanjeev Rajbhandari

Assoc.Professor
Department of community medicine
• It is a small program launched in the community by
systematically prioritizing the real needs of the
people from the lists of observed needs discovered
by an outsider and also depicting the felt needs
from the community itself to make efforts to
change the attitude & behavior and develop health
related skills of people and self-reliance.
• Objectives of MHP:

• To help people acquire health knowledge and

information regarding the attitude to improve
health.
• To help people realize that health is an
individual, family and community asset.
• To encourage people to utilize the provided
health services.
• To emphasize the importance of behavioral
application of knowledge
• Need identification:
• Felt needs (that were pointed out by the
respondents during the survey which is collected
from the assessment of questionnaire, interviews
with the public, FCHVs, teachers and leaders.
• Observed needs (These are those needs that
people from outside the community would view as
needed in that particular community to solve the
heath related issues of that place)
• Real needs (Felt Needs and Observed needs were
taken into account to assess the Real needs).
Need Identification
Felt Needs Observed Needs Real Needs

 Safe drinking  Awareness on  Health services

water KAP of diseases.  Awareness on
 Health Services  Waste KAP of diseases.
 Transportation management  Safe drinking
 Awareness on  Sanitation and water
KAP of diseases. nutrition
 Health services
 Safe drinking
water
• Prioritization: Prioritization is a systemic way of
assigning greater or lesser importance to various
items present in a list based upon different criteria so
as to better facilitate in the planning process by
indicating which item is to be addressed first.
• Criteria for the prioritization of need:
• 1. Knowledge
• 2. Resources
• 3. Availability of the target group
• 4. Cost effectiveness
• 5. Significance
• 6. Time
 Health Safe Awareness Transportation Sanitation
services drinking on KAP of and nutrition
water diseases

Severity of 3 2 2 2 2
problem
Need 3 3 2 2 2
Knowledge 3 2 2 2 1

Availability 2 2 1 2 2
on target
group
Cost 1 1 3 1 1
effectiveness
Sustainability 3 3 2 2 2
Total 15 13 12 11 10
• Steps for conducting MHP:
–Planning
–Implementation
–Evaluation
Work plan of MHP
• Planning
• Planning the type of project to be conducted
for the specific problem, select the target
group, methods and media to be used, the
appropriate venue and, date and time for the
project.
• 1) Problem identification
• The main problem(s) of the place was identified
by the process of prioritization. matrix.
• 2) Selection of target group
• 3) Use of health education methods and
medias
• 4) Selection of appropriate venue
• 5) Selection of appropriate date and time
• Implementation
• Mobilizing resources
- all the members of the group, other local human
resources - the school principal, teachers, FCHV,
students, leaders etc
 Community participation
• Community participation is the key approach
for the MHP
• For the extensive participation of the
community people and the target group,
proper communication and coordination
should be established.
• Evaluation- 1. Interview-After the conduction
of micro health project feedback from the
people and participants of the program should
be taken & analyzed.
• The basic questions can be asked in the
feedback : 1) Did you understand the theme
of the program?
• 2)Were the information provided were
sufficient?
• 3) Is there anything to be added on the
program?
• 2. Observation
• Eg., After demonstration of hand washing we
can ask the audience repeat the steps
independently without the guidance to make
sure they learned it properly or not.
• 3. Meeting and discussion