Section: Module 3: Preparing for a Community-based Intervention | Community Oriented Primary Care | NextGenU.org

  • Instructional Goals covered in this module:
    • Prioritize and plan a community-based intervention.
    • Module 3: Lesson 1: Defining and Characterizing the Community: Identifying Needs and Resources

      Student Learning Outcomes:

      Upon completion of this lesson, you will be able to:

      • Discuss qualitative and quantitative methods that can be used in community health needs assessment.

      • Explain advantages and disadvantages of qualitative and quantitative data sets in conducting community health needs assessment.

      • Examine community needs, assets, and resources in planning COPC interventions.

      • Describe how social, economic, and environmental determinants of health impact the planning of COPC Intervention.

      • Determine the characteristics of Communities by utilizing a variety of techniques and resources.

      Approximate time required for the readings for this lesson (at 144 words/minute): 4 hours and 36 minutes.

      Required Learning Resources and Activities
    • Read the entire page. (3 minutes)

      Rural Health Information Hub - 2014

    • Read from "Findings related to the model of COPC"
      to "Findings related to education and training." (13 minutes)

      BMJ Global Health - 2019

    • Read the entire article. (3 minutes)

      American Health Association - 2022

    • Read the entire article. (18 minutes)

      American Health Association - 2022

    • General Instructions 

      In this learning activity, you will be required to analyze one of the case studies below and select at least four (4) characteristics that you think define the community for a community health needs assessment to be planned. You will then determine if quantitative or qualitative data methods will be used to make community assessments and discuss the advantages and disadvantages of each.
      Note: This activity will extend into the activities for Module 3: Lessons 2 and 3.

      Step 1: Analyze

      Analyze the TWO (2) case studies below and select the ONE that appeals to you the most. (This case scenario will also be extended to inform your plan/intervention for activities in Lessons 2 and 3 of this module).

      The Scourge of Alcohol Consumption among Teenagers

      You are a health practitioner in a rural area of Somaliland. The town is a transit point for large trucks carrying liquor that stopover to drop some quantities for the entire town. There has been an increased drop in high school performance due to hangovers and absenteeism among teenagers. The Primary Healthcare Center (PHC) in the rural area receives an average of 30 school and non-school teenagers accompanied by their guardians for complaints such as insomnia, extreme mood swings, nervousness, anxiety, difficulty in concentration, and depression any time they want to drink but do not have the money.

      Most teenagers learn to drink at home from the remnants of alcohol their parents/guardians take. Gradually, these teens resort to drinking alcohol on their own. An average teenager takes 1-2 cans on two different days per week. For some teens, there is always a tendency to increase the amount consumed and somewhat an irresistible craving for alcohol. Apart from this being a social drink in Somaliland, teens have found that it makes them temporarily forget bad experiences, causes euphoria if they are depressed, and stabilizes their mood. Some of them tried to quit without success due to withdrawal symptoms and negative experiences on some bad days.

      The failure in school performance is alarming, and Somaliland realized its youth and future are in grave danger.

      Apart from Disulfiram and Acamprosate, there are no other treatment/management options for alcoholism in Somaliland. 

      The Somaliland District Health Authority has set aside funds and approached you as a renowned public health practitioner to assist with high-impact interventions to manage alcohol addicts that could be adapted to the entire district. Come up with different interventions apart from using medications to help manage teenagers who are willing to quit drinking but cannot do so on their own.

      The Superstition Fueling Cannabis Smoking

      There is a superstitious belief in Timbuktu that smoking Cannabis improves the assimilation of knowledge, increases brain power, makes a person alert, and confers the capacity to think outside the box. Even though the laws of the land do not allow smoking Cannabis, citizens find a way to get it illicitly or even grow it inside their compounds that local authorities do not usually enter.

      Consequent to this superstition, the prevalence of smoking Cannabis is very high among all school-age citizens, mostly from high school to colleges and universities. Most hospital visitations record complaints such as persistent cough, insomnia, irritability, anxiety, depression, and panic attacks. However, Timbuktu's healthcare workers never considered the linkage between smoking Cannabis and these symptoms. 

      The most widely “assumed” dosage regimen for smoking Cannabis in Timbuktu is smoking a wrap very early in the morning before going to school and later in the evening when the energy is low to spark further alertness. Other people smoke at different times during the day “as the need arises.” Most teenagers, youths, and even the elderly (males and females alike) have been plagued with smoking Cannabis.

      The healthcare workers in Timbuktu always tend only to ascribe lung diseases, hyperactivity, stained teeth, recurrent and often severe vomiting, and addiction as consequences of smoking. However, a recent survey revealed a high risk of psychiatric disorders, problems with memory function, damage to the lungs, cardiovascular and heart damage, and a decrease in testosterone. The latter findings are worse and have long-term effects on the individual and the community.

      A non-governmental organization that recently won a huge grant has engaged you in the project to reduce Cannabis smoking in the Timbuktu community. As a project director, what strategies will you employ to make the community differentiate superstition and science, encourage smoking cessation, and reduce the rate of smoking Cannabis by more than 50% in the long term?

      Step 2: Select

      Based on the case scenario you have selected in Step 1, review the list provided below, and select at least (4) characteristics to carry out a community needs health assessment:

      • Age (e.g., children and youth, adults, seniors)
      • Race and ethnicity
      • Income level
      • Education level
      • Insurance status
      • Language preference
      • Disability status
      • Veteran status
      • Sexual orientation
      • Gender
      Step 3: Respond 

      Based on the characteristics you have selected above, prepare a 350-400 word writing which explores each identified characteristic. Ensure that the following are included in your response: 

      • Determine which data are qualitative and quantitative
      • A justification for your selected categorization  
        • Why is this data relevant for your selected population and problem?
        • What other kinds of data would be useful to improve your needs assessment?
      • Discuss the advantages and disadvantages of using quantitative and qualitative data in community health needs assessments
      • How do you plan on collecting data to conduct the needs assessment?
        • The sources of data available to you to use
        • The relevant authorities which you would request to collect data

      Step 4: Share

      To share your work, click the “Add a new discussion topic” button under this post and paste your work into the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

      Step 5: Interact

      To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner. Be sure your post engages your peers' ideas by including a reflection on their comments, sharing ideas on other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click “Post to forum.”

      OPTIONAL Step 6: Interact (10 minutes)

      If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”


    • Module 3: Lesson 2: Planning and Preparing for COPC Intervention

      Student Learning Outcomes:

      Upon completion of this lesson, you will be able to:

      • Explain the COPC process in action (utilizing an example).

      • Describe the process of prioritizing health conditions in planning COPC interventions.

      • Explain the basic components of an intervention proposal.

      • Develop a brief proposal for the development of a COPC intervention.

      Approximate time required for the readings for this lesson (at 144 words/minute): 3 hours and 45 minutes.

      Required Learning Resources and Activities
    • Read the entire webpage. (17 minutes)

      Commonwealth Fund - 2021

    • Read the entire page. (4 minutes)

      American Hospital Association - 2022

    • Read the entire page. (4 minutes)

      University of Massachusetts Amherst - 2022

    • General Instructions

      In this learning activity, based on the characteristics you have selected in the M3L1 activity, you will prepare a plan proposal/plan for a COPC intervention.  

      Note: This activity is linked to the case scenario you would have selected in Module 3, Lesson 1.)

      Step 1: Review 

      Review this learning resource to create a proposal for a COPC intervention for the case scenario you selected in Module 3, Lesson 1                         (Dengue outbreak in the rural community OR HPV vaccination in a school population).

      Step 2: Respond

      Prepare a COPC intervention plan of 400-500 words. Ensure that your plan includes the following key points:

      • To start, create a plan by identifying the following:
        • What is the problem/need? 
        • How will the intervention address the problem? 
        • Who will the outcomes benefit? 
      • Then, justify your intervention:
        • Why is it important to address the problem?
        • How is the current situation inadequately addressed?
        • What makes your intervention necessary and beneficial?
        • What evidence do you have to support your intervention?
      • Continue with your plan of action:
        • What are the specific methods involved, and who will be responsible?
        • How do the methods address the outcomes?
        • Provide a short summary of the expected timeline

      Step 3: Share 

      To share your work, click the “Add a new discussion topic” button under this post and paste your work into the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

      Step 4: Interact 

      To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner. Be sure your post engages your peers' ideas by including a reflection on their comments, sharing ideas on other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click “Post to forum.”

      OPTIONAL Step 5: Interact (10 minutes)

      If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”


    • Module 3: Lesson 3: Implementing the COPC Approach

      Student Learning Outcomes:

      Upon completion of this lesson, you will be able to:

      • Summarize guidelines and recommendations for implementing community-oriented primary care interventions.

      • Identify the key stakeholders required for the implementation of COPC interventions.

      • Describe the role of each stakeholder in the implementation of COPC interventions.

      • Explain the importance of the evaluation and reassessment process in the COPC Process.

      • Outline methods of conducting evaluations and reassessment of community priorities.

      Approximate time required for the readings for this lesson (at 144 words/minute): 5 hours and 5 minutes.

      Required Learning Resources and Activities
    • Read the entire webpage. (16 minutes)

      American Hospital Association - 2022

    • Read from the section: "Key Components" to the end of the document. (8 minutes)

      American Hospital Association - 2022

    • Read the following: (7 minutes)
      -Introduction
      -Engage Stakeholders
      -Targeted health promotion

      African Journal of Primary Health Care & Family Medicine - 2022

    • Read the entire webpage. (5 minutes)

    • Read the section on "Evaluation" under COPC defined. (2 minutes)

      American Journal of Public Health - 

    • General Instructions

      In this learning activity, you will draft an evaluation plan which discusses how you plan to evaluate and reassess the COPC intervention you have identified in Module 3, Lesson 2 Activity.

      Step 1: Review and Reflect 

      Review all the required material for this module and your response created in the M3L2 activity above.

      Step 2: Respond 

      Prepare a 500-600 word written response discussing how you plan to evaluate the COPC intervention you have drafted/planned in M3L2. You can reference this link on thematic analysis to draw inspiration for evaluation methods.

       Your evaluation plan for the identified COPC intervention should include the following key points:

      • How do you plan on evaluating the process of the intervention?
      • What criteria/metrics will be used? 
      • How will you ensure that those are the metrics that matter?
      • What metrics will indicate the efficacy of the intervention?
      • What is the specific timeframe for the intervention to be evaluated?
      • What plans do you have for reassessing community priorities?

      Step 3: Share 

      To share your work, click the “Add a new discussion topic” button under this post and paste your work into the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

      Step 4: Interact 

      To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner. Be sure your post engages your peers' ideas by including a reflection on their comments, sharing ideas on other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click “Post to forum.”

      OPTIONAL Step 5: Interact (10 minutes)

      If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”


    • quiz icon
      Quiz: Module 3

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Quiz: Module 2 is marked complete
    • Recommended Additional Readings
    • Read the content under the heading "What is thematic analysis" and "When to use a thematic analysis." (8 minutes)

      Medical Teacher - 2020