Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #115769

Kayoko Hirano, Department of Public Health Nursing, National Institute of Public Health in Japan, 2-3-6 minami, wako, Japan, 81-48-458-6229, kquenph@niph.go.jp, Kazuko Yamada, health nursing, wakayama medical university, 580 mikuzu, wakayama, 6410011, Japan, and Yoko Hatono, RN, PHN, Mn, National Institute of Public Health, 2-3-6, Minami, Wako-city, Saitama 351-0197, Japan, Wako, Japan.

Objective: To establish a practical way to evaluate the community health systems completed by public health nurse (PHN) in Japan.

Method: The six public health nursing experts qualitatively analyze into the view points of evaluation on community health activities, were based on the 21 cases regarding development of community health systems. Those cases were collected from the PHN as participants of health program evaluation workshops in National Institute of Public Health in Japan.

Result: Through the analysis of the cases on development of community health systems, seven new categories followed by 15 view points of evaluation were revealed. The seven categories are place of discussion, mutual understanding, mutual recognition about problems and needs, agreement, implementation of programs, system evaluation as a hole, and change in health indicators. The 15 view points of evaluation are 1) setting of meetings, 2) selection of individuals, 3) mutual understanding, 4) mutual awareness of the present condition, 5) share of community needs and community resources, 6) discussion of problem-solving methods, 7) recognition of divided tasks, 8) purpose confirmation, 9) planning of activities, 10) implementation, 11) activities evaluation, 12) effectiveness of meetings “Ba”, 13) effectiveness of health systems, 14) reflection for health policy, and 15) levels of achievement to the ideal state.

Conclusion: The results suggest that developmental and formative evaluation is strongly needed for advanced community health practices by offering PHN new opportunities to systematically review and reconsider their activities.

Learning Objectives:

• develop the view points of evaluation regarding community health systems

Keywords: Community Development, Evaluation

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.