Coberms is one of the course units for bachelor’s degree in medicine and surgery. The course introduces students to concepts of community, its organization and resources. They carry out community assessment then community diagnosis, which helps them to identify the main health problems of a given community and suggest possible solutions in relation to the health services provided. This course enables students to understand and articulate application of epidemiology, demography and community health management.
On 10th June 2019,a group of students of St. Augustine international university were introduced and initiated at KCCA offices and made an Oath of Secrecy. On 11th June 2019, they divided into two groups; one to KISUGU HEALTH CENTRE IV and another to KISWA HEALTH CENTRE III in NAKAWA one of the divisions of KCCA. On the same day they reported in the respective health centres where they were welcomed and oriented in the different departments by the sister in charges. They were also distributed in some of the departments; ANTENATAL, FAMILY PLANNING, RECORDS, OUT PATIENT, IMMUNISATION, ART/HCT, TB, NUTRITION, LABORATORY to mention but a few, where they were required to observe, ask questions of interest and change departments after a period of one day. This was done from 11th to 14th. From the records department, students recorded the top ten diseases recorded in MARCH, APRIL and MAY 2019.
On 14th, the students organized with the sister in charges for arrangements on how they can visit the communities for community diagnosis. On 17th, the VHTs who were to assist the students were introduced the different smaller groups and went with them to the community where they INTERACTED with the chairmen of the different villages; BANDA ZONE, MBUYA II ZONE I, MBUYA I ZONE I, KINAWATAKA. We conducted community diagnosis using both open ended and closed ended questions from questionnaires interviewing family heads (either father or mother) and observational checklists on the following demography, nutritional status, housing, environment and sanitation, water source and maintenance, level of awareness on health services provided and health behaviors. Sampling was done randomly each group covering 35 households. On 18th we finished with the community and proceeded with the reporting.
Analysis of the responses from the questionares,we found out that the people are aware of the health services and the challenges in their communities however they are some factors leading to disease burden such as poor hygiene and sanitation, poordrainage and waste disposal, poor water sources, overcrowding, weather changes and most of the people are tenants. We also reported shortage of drugs in the health facilities and inadequate human resource which makes patients wait for so long.
Some of the challenges while carrying out the study were; presence of stagnant water near households, language barrier, some of the homes were closed because it was working time. We would suggest that KCCA helps and construct toilets that are connected to the sewage since the houses there is limited space and most of the occupants are tenants,put up common damping places and dustbins, provision and strengthening health education through health workers and VHTs. We also suggest that may be other measures like insurance and allocation of funds in the health sector can be taken into consideration so as to reduce the problem of shortage of drugs and inadequate personnel.
We interacted with the community and we were able to identify different factors that affect health such as education status,environment,nutrition and early exposure will help to provide future professional who are informed of what is on the ground and to develop skills and interventions for the health problems.