Document Type : Original Article

Authors

1 Department of Operating Room and Anesthesiology, School of Paramedical, Sabzevar University of Medical Sciences, Sabzevar, Iran

2 Social Security Organization, Iran

Abstract

INTRODUCTION: The identification of health education needs through the community results
in targeted services and health promotion. Prioritizing these needs, in addition to identifying the
desired health system based on the needs of the community, is required for the optimal allocation
of resources. Therefore, this study was conducted with the aim prioritizing the health educational
needs of Sabzevar‑Iran community.
MATERIALS AND METHODS: This study was a two‑step mix study. In the first stage, the qualitative
method of the main themes of health educational needs of Sabzevar society was determined. Then,
the questionnaire was prepared by a paired scale (36 questions) and quantitative method was used
to prioritize the main themes with Analytic Hierarchy Process (AHP) software. The random sampling
method was used in this study and data analysis was performed using Expert Choice software using
AHP method.
RESULTS: Social problems with 0.206, contagious diseases with 0.205, nutrition with 0.161, and
public health with 0.132 were in the first to fourth grades of health educational needs in Sabzevar city
and environmental health, health management, noncontagion diseases, elderly, and occupational
health were in the fifth to ninth grades. The consistency index in this study was 0.08, although the
adjustment index is <0.1 good and acceptable.
CONCLUSION: Social problems are the first priority of Sabzevar society, which require appropriate
training.


Keywords

  1. Fielding J, Teutsch S, Breslow L. A framework for public health
    in the United States. Public Health Rev 2010;32:174‑89.
    2. Hardcastle LE, Record KL, Jacobson PD, Gostin LO. Improving the
    population’s health: The affordable care act and the importance
    of integration. J Law Med Ethics 2011;39:317‑27.
    3. Malekafzali H, Bahreini F, Alaedini F, Forouzan A. Health
    system priorities based on needs assessment and stakeholders’
    participation in I.R. Iran Hakim J 2007;10 (1):13‑19.
    4. Chen PG, Diaz N, Lucas G, Rosenthal MS. Dissemination of
    results in community‑based participatory research. Am J Prev
    Med 2010;39:372‑8.
    5. VajargahKF. Needs Assessment in Curriculum Planning (Methods
    and Techniques), Teacher Training Department and Human
    Resources Education. 3rd ed. Tehran: Aeijj; 2013.
    6. Boise L, Tuepker A, Gipson T, Vigmenon Y, Soule I, Onadeko S.
    African refugee and immigrant health needs: Report from a
    community‑based house meeting project. Prog Community
    Health Partnersh 2013;7:369‑78.
    7. Harris DA, Pensa MA, Redlich CA, Pisani MA, Rosenthal MS.
    Community‑based participatory research is needed to address
    pulmonary health disparities. Ann Am Thorac Soc 2016;13:1231‑8.
    8. Johnson CV, Bartgisi J, Worley JA, Hellmen CM, Burkhart R.
    Urban Indian voices: A communitybased participatory research
    health and needs assessment. Am Indian Alaska Native Ment
    Health Res 2010;17:49‑70.
    9. Shifa Umar AM, Malik KN, Arshad HA, Faisal M, Aslam MS.
    Health needs assessment for problem prioritization in a primary
    healthcare facility. J Rawalpindi Med Coll 2014;18:294‑6.
    10. Dong X, Chang ES, Wong E, Wong B, Skarupsk KA, Simon MA.
    Assessing the health needs of Chinese older adults: Findings from
    a community‑based participatory research study in Chicago’s
    Chinatown. J Aging Res 2010;2010:1‑12.
    11. Malekafzali H, Bahraini F, Setareh Foruzan A, Jamshidi A,
    Shahandeh K, Shoghli A, et al. Community Based Participatory
    Research. 1st ed. Tehran: Ministryof Health and Medical
    Education, Office of Undersecretary for Research and Technology;
    2006.
    12. Colucci‑Reuben CK. Health, Education and Community:
    Assets and Needs of a Small Urban Community in North East
    Tamaulipas. ProQuest: Texas Medical Center Dissertations.
    Mexico: A Community Based Participatory Research Assessment;
    2007.
    13. Adams A, Miller‑Korth N, Brown D. Learning to work together:
    Developing academic and community research partnerships.
    WMJ 2004;103:15‑9.
    14. Cook WK. Integrating research and action: A systematic review
    of community‑based participatory research to address health
    disparities in environmental and occupational health in the USA.
    J Epidemiol Community Health 2008;62:668‑76.
    15. Tilahun D, Hanlon C, Araya M, Davey B, Hoekstra RA, Fekadu A.
    Training needs and perspectives of community health workers in
    relation to integrating child mental health care into primary health
    care in a rural setting in Sub‑Saharan Africa: A mixed methods
    study. Int J Ment Health Syst 2017;11:15.
    16. Yazdanpanah B, Safary M, Bahreni F, Vafaei F, Salary M, Usefi M,
    et al. Community‑based participatory research, a model for health
    promotion. J Sch Public Health Inst Health Res 2013;11:12‑28.
    17. Tremblay MC, Martin DH, Macaulay AC, Pluye P. Can we
    build on social movement theories to develop and improve
    community‑based participatory research? A framework synthesis
    review. Am J Community Psychol 2017;59:333‑62.
  2. 18. Backer TE, Rogers EM. Diffusion of innovations theory and
    work‑site AIDS programs. J Health Commun 1998;3:17‑28.
    19. Tandon SD, Phillips K, Bordeaux BC, Bone L, Brown PB,
    Cagney KA, et al. A vision for progress in community health
    partnerships. Prog Community Health Partnersh 2007;1:11‑30.
    20. Barratt H, Fulop NJ. Building capacity to use and undertake
    research in health organisations: A survey of training needs and
    priorities among staff. BMJ Open 2016;6:e012557.
    21. Namamian F, Faezalahi S. The impact of organizational culture
    on the function of the mediator innovation (Case Study: Elam
    Industrial Park). Elam Cult 2015;16:161‑74.
    22. Farmahini‑Farahani M. Curriculum Planning. Tehran: Academic
    Jihad; 2005.
    23. Parker K, Parikh SV. Applying prochaska’s model of change
    to needs assessment, programme planning and outcome
    measurement. J Eval Clin Pract 2001;7:365‑71.
    24. Nemati S, Asgari F, Heidarzadeh A, Saberi A, Bahadouri M,
    Haddadi S. Priorities of medical education research based on
    delphi method in medical school of Guilan university of medical
    sciences. Res Med Sci Educ 2013;4 (2).1‑8
    25. Bayer CR, Smith LL, Volny DarkoR, McKool M, Yan F, Heiman H.
    Understanding health policy leaders’ training needs. PLoS One
    2017;12:e0174054.
    26. Lee YW, Lin HL, Tseng HL, Tsai YM, Lee‑Hsieh J. Using training
    needs assessment to develop a nurse preceptor‑centered training
    program. J Contin Educ Nurs 2017;48:220‑9.
    27. Kol E, İlaslan E, Turkay M. Training needs of clinical nurses at an
    university hospital in Turkey. Nurse Educ Pract 2017;22:15‑20.
    28. Nekuzad N, Nezamiasl A, Azizi M. Investigation of accountable
    medical education in Iran. J Educ Stud Med Educ Dev 2014;3:50‑9.
    29. Lee C, Kwak N. Strategic enterprise resource planning in a
    health‑care system using a multicriteria decision‑making model.
    J Med Syst 2011;32:265‑75.
    30. KaplanW, LaingR. Priority Medicines for Europe and the World “A
    Public Health Approach to Innovation”. World Health Organization
    Department of Essential Drugs and Medicines Policy; 2004.
    31. Sohrabi M, Rahmati Roodsari M, Souri H, Mortazavi M,
    Ghanbari S, Nazar Ali S, et al. Research priorities of health
    system research (HSR) in vice‑chancellors of the Shahid Beheshti
    university of medical sciences. J Isfahan Med Sch 2011;28:1324‑36.
    32. Sibbald S, Singer P, Upshur R, Martin D. Priority setting: what
    constitutes success? Conceptual framework for successful priority
    setting. BMC Health Serv Res 2009;9:43.
    33. HATMI Z.N.,MOHAMMADI N., SEDAGHAT M. Determination
    research priorities in the medical faculty departments. Tehran
    Univ Med J 2006;63(11):913‑9.
    34. Shoultz J, Oneha MF, Magnussen L, Hla MM, Brees‑Saunders Z,
    Cruz MD, et al. Finding solutions to challenges faced in
    community‑based participatory research between academic and
    community organizations. J Interprof Care 2006;20:133‑44.
    35. Motlagh M, Rejaei L, Jonidi‑Jafari A, Ardalan G, Dorouzi J,
    Sartipizadeh M, et al. Priorities in health education needs of youth
    based on needs assessment and stakeholder involvement, in areas
    covered by the health departments of Iran university of medical
    sciences. J Educ Community Health 2016;3(1):51‑57.
    36. Delshad A, Salari H, Khajavi A, Shafaghi K, Marouzi P,
    Mohammad Pour A, et al. Certifying of the society felt needs
    based on community as partner model in Gonabad population
    lab boundaries. Ofoghe E Danesh 2004;10:1522.
    37. Akhavan Moghadam J, Alishiri G, Lak M, Ghodarzi H, Madan S,
    Zarei A, et al. Need assessment and priority setting of strategic
    researches for scientific development of a medical faculty. J Mil
    Med 2017;19 (1):91‑98
    38. Amerioun A, Teymourzadeh E, Alijanzadeh M, Hakimzadeh S M,
    Hosseini Shokouh S M , BahadoriM, etal. Research needs assessment
    and priority setting for health economics: A mixed method study
    in Iran. J Mil Med 2014; 16(1):23‑8.
    39. Bordbar G, Mosavi M, Moradi B. An analysis of the staff training
    needs using fuzzy topsis and fuzzy dematel (Case Study: South
    Khorasan Governorate). Q J Educ Plan Stud 2012;1:105‑29.
    40. Amiri MP. Project selection for oil‑fields development by
    using the AHP and fuzzy TOPSIS methods. Expert Syst Appl
    2010;37:6218‑24.
    41. Taghdisi M, Asadi Z, Khoshdel A. Multi criteria decision making
    methods in health education and promotion two‑monthly. Sci J
    Yazd Sch Public Health 2013;13:82‑92.
    42. Stein W, Ahmad N. Using the analytical hierarchy process (AHP)
    to construct a measure of the magnitude of consequences
    component of moral intensity. J Bus Ethics 2009;89:391‑407.
    43. Koç E, Burhan H. An application of analytic hierarchy
    process (AHP) in a real world problem of store location selection.
    Adv Manage Applied Econ 2015;5:41‑50.
    44. Sipahi S, Timor M. The analytic hierarchy process ast analytic
    network process: An overview of applications. Manage Decis
    2010;48:775‑808.
    45. Vaidya O, Kumar S. Analytic hierarchy process: An overview of
    applications. Eur J Operational Res 2006;169:1‑29.
    46. Saaty TL. Decision making with the analytic hierarchy process.
    Int J Serv Sci 2008;1:83‑98.
    47. MohammadiY, Javaheri M, Mounesian L, Rahmani K, Naeini KH,
    Madani A, et al. Community assessment for identification of
    problems in Chahestani region of Bandar‑Abbas city. J Public
    Health Inst Health Res 2010;8:21‑30.
    48. Zaeary S, Asgharzadeh S, Khoshnevice S, Mohammady M,
    Hakolaey‑Naeini K. Identification of community needs and
    prioritization of problems based on community evaluation in
    the Azeri district of Tehran. J Sch Public Health Inst Health Res
    2011;9:69‑78.
    49. Thomas M, Mosley‑Koehle K. University of Michigan Health
    System Community Health Needs Assessment Report and
    Implementation Plan UMHS Department of Community Health
    Services; 2013.
    50. Burhansstipanov L, Krebs LU, Harjo L, Watanabe‑Galloway S,
    Pingatore N, Isham D, et al. Providing community education:
    Lessons learned from native patient navigators. J Cancer Educ
    2014;29:596‑606.
    51. Brown J. Training needs assessment: A must for developing
    an effective training program. Public Personnel Manage
    2002;31 (4):569‑578
    52. Golanbar P, Malekiavarsin S. Continuing medical education needs
    assessment of general physicians working at Tabriz health centers
    in 2014. Res Dev Med Educ 2014;3:113‑7.
    53. Kies B, Loos AT. Assessment of the training and continuing
    education needs of a regional public health workforce. Online J
    Workforce Educ Dev 2013;6 (2):1‑12
    54. Owlia P, Bahreini F, Baradaran Eftekhar M, Ghanei M,
    Forouzan A, Farahani M. Health research priority setting in Iran.
    Sci J Sch Public Health Inst Public Health Res 2011;9 (2):9‑20