Community health assessment template
Gather comprehensive health data, schedule and conduct individual consultations, and manage community health workers all with one convenient template.
What is in this community health assessment template?
In a healthcare context, our community needs assessment template lets you:
- Start your assessment with ready-to-go, fully programmed forms for initial intakes followed by a more detailed consultation
- Seamlessly integrate community health workers (CHWs) in your data collection using our enumerator management functionality
- Utilize built-in case management to keep downstream data organized, prevent errors, and easily link initial household intakes to future individual consultations
- Follow a step-by-step guide on deploying, editing, and using the workflow
What's necessary for a good community health needs assessment?
A successful community health improvement plan (CHIP) must be built on the foundation of good data to truly make a difference. Community healthwork in underserved regions must anchor itself in a clear picture of the local community’s health status.
No matter where you work, improving health outcomes requires an accurate and complete picture of the health status of a given community before improvement plans are drafted or a clinic is built.
A community health needs assessment should include:
- Quantitative data collection, such as surveys, to get baseline health data on the community
- A representative sample of the community
- Data privacy and survey security best practices, like informed consent and form encryption to protect sensitive information
- The ability to follow up with respondents from the baseline survey over time to track changes in community health and measure success
Here's how SurveyCTO's community health assessment template can help you:
Our community health assessment template is built to help you start long-term health improvements in a community by seamlessly incorporating community health workers as enumerators into your workflow.
With this template, you can get basic information from your sample through a household survey, then collect more granular health data.
Components include:
- An enumerator dataset to store community healthworker or field data collector information
- An initial household form to establish informed consent
- A health assessment form that covers questions on vaccinations, medications and symptoms—and automatically calculates if a respondent has sufficient symptoms to schedule a consultation
- Ability to get the location of interviews via GPS
- Ability to add new household members to the workflow while in the field
- Advanced offline functionality that makes this workflow operable anywhere, regardless of internet connectivity
