Internal Medicine and Medical Investigation Journal

ISSN: 2474-7750

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

Abstract

Author(s): Shaker Salarilak, Rohollah Valizadeh

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 healthrelated 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.

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