Community Health Needs Assessment: A Guide for First Nations
and Inuit Health Authorities, 2000
2000
ISBN: 0-662-29377-0
Cat. No.: H35-4/4-2000E
Help on accessing alternative formats, such
as PDF, MP3 and WAV files, can be obtained in the alternate
format help section.
(164 KB)
Table of Contents
About This Guide
Purpose
Using This Guide
Keeping Up-to-Date
Other Useful Resources
Acknowledgement
Basic Information About Community Health Needs Assessment
The
value of Community Health Needs Assessment
What
the Community Health Needs Assessment includes
Funding and support for the Community
Health Needs Assessment
Getting Started
Set up a planning and management
committee
Decide if you have the skills to carry
out the work
Adopt or develop research ethical guidelines
Coordinate your needs assessment
with other community research
Discuss the objectives of the health needs
assessment
Form the research team
Develop a management plan
for your needs assessment
Designing and Carrying Out Your Needs Assessment
Decide on the
type of information you want
Decide on the data
collection methods you will use
Develop or adapt
data collection tools
Review the process with community
leadership
Organize and carry out the data
collection
Analyzing the Information You Collected
Preparing and Sharing Your Report
Describe the
needs assessment process
Describe the community and its
health resources
Summarize the information
collected
Identify and describe the
health priorities
Identify and describe the existing
and the needed services
Identify and summarize training
needs
Share the findings with community
members
Appendices
Appendix A - Funding for
the Community Health Needs Assessment
Appendix B - Sample Letter of Introduction
About This Guide
Purpose
This Guide provides details about developing and carrying out
a community health needs assessment. The Guide is intended for
planners working with Band Councils, Tribal Councils, other First
Nations and Inuit organizations and associations.
The Guide was designed within the context of Health Services Transfer
for communities planning for Transfer or updating their Community
Health Plan.
Using This Guide
The steps outlined in this Guide do not need to be followed in
every way. The Guide is intended to support a process to determine
what health programs and services are needed and how they will
work best in your community. The Guide promotes the integration
of community beliefs and values into the design of your health
programs. Read through the entire Guide before you begin the planning
of your community health needs assessment.
Choose the suggestions and examples
in this Guide which are most appropriate for meeting your community's
particular needs and which reflect your community's values.
Keeping Up-to-Date
This Guide updates information formerly offered to First Nation
and Inuit health authorities in the Health Canada publication:
- A Guide for First Nations in Developing a Community Health
Needs Assessment.
To ensure that you have the most current version of this Guide,
contact the Regional Office of the First Nations and Inuit Health
Branch (FNIHB).
This Guide and other useful information
about Health Services Transfer can be downloaded from the FNIHB
website.
Other Useful Resources
This Guide was written within the context of Health Services Transfer.
For more information on planning for Transfer, refer to Transferring
Control of Health Programs to First Nations, Handbook 1: An Introduction
to Three Approaches. Additional information on Transfer is
provided in Handbook 2: The Health Services Transfer and Handbook
3: After the Transfer - The New Environment. These three Handbooks
are available from FNIHB Regional Offices and on the FNIHB website.
The First Nations and Inuit Regional Health Survey, National
Report 1999, describes the process and the results of a
set of surveys conducted by First Nations and Inuit communities
in nine regions of Canada on topics relevant to community health
needs assessments.The report is available from the Health Secretariat
of the Assembly of First Nations (AFN) at (613) 241-6789. Fact
sheets based on the report are also available from the AFN Resource
Centre and are posted on the AFN website at:
www.afn.ca
For a helpful introduction on how your Community Health Needs
Assessment fits into the wheel of health program management, see A
Guide for First Nations on Evaluating Health Programs. Chapters
1 and 2 explain the importance of an effective health needs assessment
as the basis for planning, operating and evaluating your community
health programs and services. The guide is available from FNIHB
Regional Offices and on the FNIHB website.
The First Nations and Inuit Home and Community Care: Planning
Resource Kit covers all aspects of planning, setting up,
and operating home and community care programs. The Kit consists
of six handbooks. Handbook 2, Community Needs Assessment, leads
the reader through the steps in conducting a needs assessment
related to home and community care. Although its focus is this
one aspect of health services, it has many helpful suggestions
for any community health needs assessment.
Acknowledgement
The author would like to acknowledge that parts of this Guide
have been adapted from sections of Handbook 2 of First Nations
and Inuit Home and Community Care: Planning Resource Kit
![Top](/web/20061213091602im_/http://hc-sc.gc.ca/images/fnih-spni/arrow_up.gif)
Basic Information About Community Health Needs Assessment
The
value of the Community Health Needs Assessment
Identifying your community's health needs in an organized way
is an important activity in planning for Transfer. Your Community
Health Needs Assessment (CHNA) will provide comprehensive and unbiased
information about the health needs in the whole community. It will
help you to identify your community health priorities.
This information will form the basis of your Community Health
Plan (CHP) for delivering health programs and services under a
Transfer Agreement. The CHP provides details about the community,
its health needs, and all aspects of how the community will deliver
health services and programs to meet those needs. You develop the
CHP as you proceed through the phases of planning for Transfer.
The CHP becomes the key document for discussions between the community
and FNIHB in working toward a Transfer Agreement. (For details
about the Community Health Plan, see Transferring Control of
Health Programs to First Nations and Inuit Communities: Handbook
2 - The Health Services Transfer.)
The CHNA collects information from community members, from records
on use of health services, and from other health-related sources.
It provides the foundation for all community health planning. As
such, it must be completed carefully to ensure that it is representative
of the community (appropriate sample size), addresses the real
needs of community members (the right questions), and involves
proper and accurate analysis and summary (report).
The CHNA and CHP are also important components of program management
after Transfer has been achieved. The relevance of the CHNA and
the CHP in the wheel of program management is illustrated below.
The Wheel of Program Management
![Wheel of Management](/web/20061213091602im_/http://hc-sc.gc.ca/fnih-spni/images/fnihb-dgspni/pubs/home-domicile/figure1_e.gif)
What
the Community Health Needs Assessment includes
Through its health needs assessment, the community looks at:
- physical health status including illnesses and physical impairments
- mental and social problems of individuals and groups and
- environmental problems which may affect community health or
social welfare.
The CHNA usually includes analyses of statistics collected routinely
by nursing stations, hospitals, and other facilities to establish
levels of various health and social problems. However, the most
important aspect of the CHNA is obtaining information and views
from community members themselves. This involves surveying a certain
percentage of the community to find out which health problems are
most prevalent. The survey also explores the factors which will
affect the design of programs and services to effectively address
these health problems.
Communities have learned the importance of involving their members
in the planning of programs and the need for good communication
throughout all phases of the planning process. Community involvement
during the health needs assessment can create and maintain the
support of key community members which is necessary for successful
programs.
The information gathered in the needs assessment process is confidential
and remains within the community. Information about individuals
is not reported. A summary report of the findings is used in preparing
the Community Health Plan.
Funding and support for
the Community Health Needs Assessment
Communities planning for Transfer have access to one-time funds
for conducting the initial CHNA. The funding is based on the community
population approved by FNIHB. The amount ranges from $38,000 to
$96,000 per Transfer project. The time frame for conducting the
CHNA ranges from five to nine months. A table showing the funding
available to communities of different sizes is provided in Appendix
A.
![Top](/web/20061213091602im_/http://hc-sc.gc.ca/images/fnih-spni/arrow_up.gif)
Getting Started
Set up a planning and management committee
The health authority in your community should form a committee
to plan and manage the CHNA. The first task of this committee is
to develop and obtain approval for its own terms of reference:
what is the committee's role, who is responsible to whom, how often
will they meet, etc.
Terms of reference should specify
what the committee's responsibilities are for:
- the study timeframe
- the survey questions
- the methods for collecting information
- hiring members of the research
team
- attending selected community meetings
- reviewing the findings of the
study and
- making recommendations to the
community's leadership.
Decide if you have the skills
to carry out the work
If your community has members with the skills to carry out the
work, review this Guide and select and adapt the methods which
are best for your community. Use the Guide to help develop your
workplan for carrying out the needs assessment, setting reasonable
timelines for each activity.
If your community does not have the
necessary skills to carry out the needs assessment, you may want
to consider:
- partnering with another
community, region or Band skilled in needs assessments. This
could involve:
- sending a staff member from
your community to participate in another community's needs
assessment to learn from a skilled staff member doing the
assessment; or
- arrange with another community
or region or Band for a skilled staff member to come to
your community so that he or she can work together with
your staff to do the assessment and report.
- contracting with a research consultant
to discuss the objectives of the needs assessment and the type
of data you want to collect. The consultant may then either
carry out the work or provide technical support and training
needed for the community to carry out the needs assessment.
An experienced community-based researcher can give you advice
and support on key aspects of the needs assessment such as agreeing
on manageable objectives, designing effective research tools, developing
a reasonable workplan, training interviewers, analyzing data, and
reaching conclusions.
If the decision is to contract a
consultant, it is important to try to find one who is experienced
in involving community members and training them to conduct the
work of the needs assessment. In this way, the process of conducting
the needs assessment will enhance community skills and knowledge.
When the study is completed and the consultant leaves, the new
skills and knowledge gained will remain in the community to support
program planning and other community research.
Adopt or develop
research ethical guidelines
Whether you conduct only one survey or several in your community,
you must be able to assure people that the information they provide
is going to be handled respectfully and that individual names or
situations will not be used or reported. Respecting individual
privacy is an important aspect of your needs assessment. Within
research practice, this and similar topics come under the heading
of research ethics.
Check whether your community already has ethical guidelines for
research in place. If not, you should adopt or develop a set of
guidelines before proceeding with your community health needs assessment.
Examples of research ethical guidelines are provided in:
- First Nations and Inuit Regional Health Survey, National
Report 1999, Appendix 4, Code of Research Ethics
- First Nations and Inuit Home and Community Care: Planning
Resource Kit, Handbook 2, Community Needs Assessment,
Appendix A, Sample Research Ethical Guidelines for Community
Health and Social Development Research
- Ethical Guidelines for Research published by the Royal
Commission on Aboriginal Peoples.
The following tips can assist you in drafting research ethical
guidelines for your community.
Essentially, the research ethical
guidelines should:
- Outline the general principles
that you want to govern any research in your community such
as the requirement that the research benefit the community
in some way. The principles should apply both to research that
you conduct yourself and to research that outside agencies,
such as universities, may ask to conduct in your community.
- Include the steps for approval
of research projects. Your health authority should review and
approve all research plans before the research proceeds.
- Set out the assessment criteria
that will be used to review and approve each research project,
ensuring that each project meets an acceptable research standard.
- Include a full description of
informing procedures to ensure that people participating in
the research have been informed about the purpose of the research
and are participating willingly.
- Address dissemination issues such
as how the information will be sorted, who will have access
to the data and to the results, and how the data will be protected
from inappropriate use or distribution.
Review your research ethical guidelines with the community leadership
to ensure they support and approve the guidelines.
Coordinate your needs
assessment with other community research
Generally speaking, people in your community will appreciate not
being asked the same kinds of questions repeatedly. Find out about
previous or planned community-based research and coordinate with
them. You may be able to make an arrangement for sharing information
that others have already gathered or you may be able to add the
questions you want to ask into another survey which will take place
in the near future.
For example, the First Nations and Inuit Regional Health Survey
is conducted periodically in some communities across Canada and
may have been completed recently in your community. It could provide
you with current data you need on a number of topics in your needs
assessment. If the Regional Health Survey has not been conducted
in your community, you may want to consider using some or all of
the core questions that the survey asks community members. (See
section 3, Designing and Carrying Out Your Needs Assessment, for
more details on the Regional Health Survey.)
Check with the FNIHB Regional Office for information on other
planned or completed surveys on which you can build.
Discuss the objectives of the health
needs assessment
The findings of your needs assessment form an essential contribution
to the preparation of your Community Health Plan. As well, the
findings assist in your long-term planning and evaluation by providing
a base line of information to measure the impact of your delivery
of health programs and services.
The objectives of a community health
needs assessment are to help you to document and understand the
following:
- community demographics (e.g.,
numbers and ages of community members) and the elements that
make up your community health system
- what kinds of health problems
members of communities are experiencing (including physical,
mental, social, environmental)
- what causes these health problems
- what resources are available to
address these health problems (e.g., funding, community expertise,
other strengths and assets)
- what goals and objectives communities
need to write to help solve these health problems
- which community members have the
most urgent needs
- how best to meet the needs of
community members, and
- what training is needed by health
care personnel to help them meet the health goals and objectives.
Your planning and management committee will want to discuss these
objectives among themselves, and perhaps with a hired research
coordinator or consultant. Discussion with an experienced research
consultant can help the committee to decide whether to adopt or
modify the objectives to reflect your community's particular situation.
Form the research team
Now is the time to form the research team: a research coordinator,
an interview coordinator, and interviewers for the survey. Before
going out of your community for research expertise, look first
for the needed knowledge and skills within your community. Community
members trained as interviewers work well in many communities except
in some instances in smaller communities where community members
are unwilling to share certain sensitive information with people
who might know them.
Develop a management
plan for your needs assessment
The planning and management committee, together with the research
team, should draft a management plan which includes activities,
timeframes, responsible persons, and others involved. The preliminary
management plan is an overview of the needs assessment to guide
the work of the research coordinator or consultant carrying it
out. Additional details of the management plan will be added by
the research coordinator as decisions are made later on in the
process.
![Top](/web/20061213091602im_/http://hc-sc.gc.ca/images/fnih-spni/arrow_up.gif)
Designing and Carrying Out Your Needs Assessment
Decide on the type of
information you want
Your planning and management committee and research team may want
to brainstorm the type of information you want to gather in your
needs assessment. Examples of data collected in community health
needs assessments conducted in other communities include:
- general background information on the community including a
description of the population, location, community health programs
and services and staff, other relevant services (e.g., social
services, environmental programs, housing programs, economic
development initiatives, crime prevention), and access to off-reserve
health facilities and services, and
- descriptions of priority health needs, gaps in services, barriers
to access, and training needs.
Decide on
the data collection methods you will use
The study can include several methods to obtain different kinds
of information from different perspectives such as a review of
documents, interviews with health care and other staff, a survey
of community members, and focus group discussions with various
groups of community members or service providers.
Document review
A document review collects relevant information about the community,
health status, where health services are obtained, other related
services, and gaps in services. This information may be found in
reports and records of facilities such as the following:
- data from facilities, i.e., hospitals, nursing stations, clinics,
etc., and government records for the past ten years on population
numbers each year for the whole community, by age groups, and
by sex.
- reports from earlier needs assessments conducted for health,
environment, social services, economic development, crime prevention,
etc.
- community planning documents in similar areas
- environment reports, e.g., the results of monitoring of water,
air or soil conditions for the purposes of waste management
- regular reports or special analyses of data on use of health
services by various age groups to determine information about
rates and causes of death, acute illnesses or injuries (e.g.,
respiratory infections, broken arm), chronic diseases (e.g.,
asthma, diabetes, arthritis, cancer), disabilities, use of prenatal
services, pregnancy outcomes, use of dental services, use of
substance abuse services, use of prescription drugs, etc.
- reports about specific health programs or services
- reports on culture and recreation, children's services, police
services (e.g., accident reports).
Interviews with key individuals
The document review will give demographic information and an idea
of the prominent health concerns, gaps in services, and any other
community issues related to health. Interviews can then be conducted
with key individuals if more information is needed to help the
researchers to identify unique characteristics of the community
as well as potential health problems. Who is interviewed will vary
depending on the community and the information required. You may
want to interview staff of facilities, members of community organizations,
elders, community leaders, health professionals, health care workers,
informal caregivers, child and family services workers, police,
providers of transportation, etc. These people could offer their
perspective on the health problems and gaps in services in the
community.
Survey of community members
A survey involves asking a set of questions of a number of people
in the entire community. Face-to-face interviews by trained interviewers
often work best for community health needs assessments. Enough
people must be surveyed to allow you to make general statements
about the health concerns of community members. For example, about
30% of everyone 14 years of age or older could be surveyed. People
should be selected randomly so that they represent a good cross-
section of opinions. An experienced researcher knows how to ensure
that you involve a representative sample of your community so the
survey results are meaningful and useful.
Focus groups
A survey of the community is often followed by interviews or focus
groups with people who can provide greater insights into the key
issues which the survey identified. For example, if results of
a survey suggested that home and community care services were lacking
for many community members, you could learn more about the specific
needs, gaps in services, and barriers to access by talking to possible
users of the services and to key people knowledgeable about the
issues. Focus groups might include elders, people with chronic
illnesses or disabilities, family service workers, community health
representatives (CHRs), family members, other informal caregivers,
and so on.
Focus groups pull together a number of people to discuss concerns
they have in common. Organizing focus groups on the basis of similarity
of people's situations is a good approach to take. For example,
related to home and community care, the needs of younger adults
with disabilities are usually quite different from those of children
or elders so separate focus groups might be needed for each if
numbers permit. An additional focus group made up of health care
and social service providers may also be helpful.
It is recommended that a focus group session have no more than
12 participants to ensure that everyone has a better chance of
expressing their views. An experienced researcher knows about the
other important considerations for how to organize and conduct
a focus group, and how to record the information the focus group
participants provide.
Develop
or adapt data collection tools
Regardless of which data collection methods you use, the quality
of the information you get will depend on what you ask and how
you ask it. Data collection tools (e.g., survey questionnaires,
interview forms, questions for focus groups) are necessary for
consistency in what is asked. In addition, they must be worded
carefully so that it is easy for the person being interviewed to
give the information you need.
Before developing or adapting your data collection tools, you
need to decide whether you will analyze the data you collect manually
(with pencil and paper) or by computer. Your choice for analyzing
the data influences the design of the tools. Your choice will be
affected by the size of your community, the length of the questionnaire,
and your access to computers and data analysis software. The larger
the number of respondents and the longer the questionnaire, the
more difficult it is to analyze the data manually.
Once you have made the decisions about the research methodology
and how you will analyze the data, you need to develop or adapt
the tools for data collection for each method. Try to use existing
questions which have been tested in similar communities and are
known to obtain the information you need. Whether you use existing
questions or develop your own, the questions should be pre-tested
before they are used for the needs assessment. The pre-test helps
to find problem questions before you go out into the community,
such as questions that people find confusing because the wording
is unclear or refuse to answer because the wording is insensitive
to their situation.
To find sample questionnaires that you can adapt to your needs,
ask the director of your health authority or the Regional Offices
of FNIHB for information about planned or completed surveys. The
First Nations and Inuit Regional Health Survey developed a questionnaire
for use in interviews with community members. You could adapt the
Regional Health Survey questionnaire or a similar one so that it
is customized for your community. For example, you may want to
add specific health or environmental issues which are not included
but which are of concern in your community.
The First Nations and Inuit Regional
Health Survey
The First Nations and Inuit Regional
Health Survey was first conducted in 1997. It was a collaboration
among researchers, 183 First Nations, 5 Inuit communities, Regional
Advisory Committees, First Nations and Inuit Health Branch of
Health Canada, Statistics Canada, and a National Steering Committee.
Common core questions were asked in the areas of:
- children's health
- belder health
- medical conditions including diabetes
- tobacco use
- disabilities and activity limitation
- wellness
- health services
- dental health.
Other questions for community members
were added for each community to suit their unique needs. Additional
data recorded included information about population size; Health
Transfer status; degree of isolation; adequacy of housing in
terms of repair, plumbing, and crowding; sewage and solid waste
management; and fire protection.
For more information about the Regional
Health Survey, to obtain a copy of the report, or to find your
regional representative on the Regional Health Survey National
Steering Committee, contact the Health Secretariat of the Assembly
of First Nations (AFN) at (613) 241-6789.
Review the process with community
leadership
It is important to ensure that the community leadership is kept
informed about the plans for the community health needs assessment.
This is a good time to go back to the community leadership to ensure
that they support and approve the needs assessment process. Present
to them the objectives of the needs assessment, the type of data
you plan to collect, and the methods you propose to use.
Organize and carry out
the data collection
Organize and carry out the data collection by deciding who will
be responsible for each component of the work and setting reasonable
timelines.
Tips for Organizing and Carrying
Out the Data Collection
- Partner with other communities
who have already conducted a community health needs assessment
to learn from their experiences.
- Ask the Chief for a letter of
introduction to be sent to everyone selected for an interview.
(Appendix B provides a sample introductory letter which you
can adapt for your needs.)
- Be sure that the people who interview
community members or workers for the needs assessment, or who
conduct focus groups, are properly trained.
You may find people in your own or a neighbouring community who
already have experience conducting interviews. Interviewers selected
for the survey need to learn how to conduct the interview so that
all interviewers administer the questionnaire in the same way.
Inexperienced interviewers will need additional training in interview
techniques.
Topics to Include in Training of
Interviewers
- the purpose of the survey, where
respondents can get additional information about it, how respondents
were chosen, and who will get the results
- interview techniques including
ways of speaking, general behaviour during the interview, ways
of probing for more information and clarifying responses, so
that the interviewer does not influence the respondent's answers
- confidentiality of responses
- practice interviews to become
familiar with the questions and how to complete the questionnaire
accurately
- typical respondent statements
and the appropriate interviewer response
- role playing to practice working
with respondents who refuse to be interviewed; are suspicious,
aggressive, confused or uncooperative; are sad or embarrassed
about a specific question; are elderly or handicapped persons
who need someone else's help to answer
- role playing to learn how to deal
with distractions such as telephone calls, television, radio,
children, other family members, animals, etc.
![Top](/web/20061213091602im_/http://hc-sc.gc.ca/images/fnih-spni/arrow_up.gif)
Analyzing the Information You Collected
Analyzing all the data you collected is an important part of your
needs assessment process. The analyses you select will help to
highlight your conclusions about the needs and assets of the community
in the final needs assessment report.
An experienced researcher has simple
tools and techniques for analyzing and interpreting your data
for your report.
The first part of data analysis can be done manually or by computer.
Analyze numbers obtained from the document review on use of health
services by calculating rates of illnesses, deaths, or use of services
for various age groups and by identifying the priority areas.
Analyzing the answers provided on the survey questionnaires involves:
- recording and counting the number of people who gave each response
in multiple choice questions (quantitative data)
- writing out the comments (qualitative data), identifying themes
and then grouping and labelling the similar comments.
Analyzing the focus group discussions is similar to analyzing
the comments sections of the questionnaires.
The second stage of the analysis involves reviewing this information
and discussing your understanding of it. It is important to remain
objective at this stage and to reach conclusions that are supported
by the data you have.
![Top](/web/20061213091602im_/http://hc-sc.gc.ca/images/fnih-spni/arrow_up.gif)
Preparing and Sharing Your Report
Prepare your needs assessment report by summarizing the information
you collected and your conclusions about the community's needs.
Use a draft as the basis for reviewing the information with the
community leadership to ensure that they understand and agree with
the findings. In the CHNA report you should:
Describe the needs assessment
process
- Identify the purpose of this needs assessment.
- Explain the methods used and how they were carried out.
- Describe who participated.
- Include the tools used for collecting the information.
- Note any limitations in the process or with the tools used.
Describe the community
and its health resources
- Describe the community and demographics.
- Summarize the community-based and other resources including
local facilities, staff, and visiting health professionals, as
well as other locations where community members receive health
and other related services.
Summarize the information
collected
Summarize the health needs in the community based on the information
collected. Describe where the information came from and what was
found according to the specifics of the data collection tools:
- For quantitative data, report the statistics using charts and
graphs.
- For qualitative data, group the information by themes, objectives,
sections of your report, etc.
- For multiple choice (closed) questions, provide the percentage
or number of people who chose each response.
Identify and describe
the health priorities
Identify the community's health priorities based on all of the
information collected. To decide on health priorities, consider:
- the importance placed on the health issue (the number of respondents
who identified it)
- the impact of the health issue on the population and the functioning
of the community
- the feasibility of being able to provide programs or services
which will change the situation in the community and improve
health status relative to this health issue.
Identify and describe the
existing and the needed services
- Identify the priority health needs in the community based on
the current situation.
- Describe the services which you have now to meet those health
needs and note what additional services are needed.
- Identify whether training could help the community to provide
the needed services.
Identify and summarize
training needs
Summarize the most critical training needs relative to the health
priorities and list them in order of priority including:
- the type of training needed
- the number of workers requiring the training.
Share the findings with
Community Members
Your draft report can serve as the basis for presenting the results
of the needs assessment to community leadership. In this way, you
ensure that they understand the findings and agree with the conclusions
and recommendations before you share the report with community
members.
Community members need an opportunity to provide comments on the
findings. They may have valuable additional interpretations of
the results or questions about the priority health needs you have
identified.
If you do not have an existing way
of sharing this type of information with community members, communicate
the results of the needs assessment to them by:
- announcing the results in a community
newsletter and providing contact information for comments and/or
- inviting the public to a community
meeting in conjunction with a social event.
Revise the report, if necessary, based on the feedback of community
members.
![Top](/web/20061213091602im_/http://hc-sc.gc.ca/images/fnih-spni/arrow_up.gif)
Appendix A Funding for the Community
Health Needs Assessment
Population |
Funds Available for Planning |
Preparation |
Implemen-tation |
Analysis |
TOTAL |
0-500 |
$4,000 |
$7,000 |
$10,000 |
$17,000 |
$38,000 |
501-1,000 |
$5,000 |
$9,500 |
$19,000 |
$18,000 |
$51,500 |
1,001-2,000 |
$5,000 |
$14,000 |
$31,000 |
$23,000 |
$73,000 |
Greater than 2,001 |
$5,000 |
$19,000 |
$49,000 |
$23,000 |
$96,000 |
![Top](/web/20061213091602im_/http://hc-sc.gc.ca/images/fnih-spni/arrow_up.gif)
Appendix B Sample Letter of Introduction
A letter of introduction should be
sent by the Chief to each respondent chosen to be in the survey
about two weeks before the Community Members Survey is to take
place.
Dear ____________________:
The (1) _____________________ and the Band Council will conduct
a Community Health Needs Assessment Study on our reserve in about
two weeks time. You have been selected as one of the reserve residents
to take part in it.
For this study, (2) ____________________, a specially trained
interviewer, will visit you at your home on (3) Thursday, June
15, 2000, at 11:00 a.m.
The answers you give to the questions asked by the interviewer
are very important to the Community Health Needs Assessment Study
and will help us in developing plans for our own community health
services. Your name will not be used and any information you give
will be kept confidential.
If you have any questions, or if you cannot be available at the
time set for your interview, please contact (4) _______________________,
the Interviewing Coordinator, at (5) ______________, or telephone
(6) ________________________ between 9 a.m. and 5 p.m. week days,
and another time can be arranged.
Thank you for your help.
Sincerely,
Chief
(1) Name of the organization undertaking the survey
(2) Interviewer's name
(3) Date and time (those shown above are examples)
(4) Name of Interviewing Coordinator
(5) Office name, address and telephone number
(6) Alternate contact telephone number
|