اھداف درس برنامھ ریزی درسلامت دھان جامعھ. Planning development cycle 6/12/2012 ~ برنامھ ریزی چیست. تعریف. اھمیت. انواع. مراحل. چگونھ برنامھ ریزی کنیم
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1 برنامھ ریزی درسلامت دھان جامعھ Program Planning in Oral Public دکترزھراسیدمعلمی PhD DDS سلامت دھان و دندان پزشکی جامعھ نگر اھداف درس ~ برنامھ ریزی چیست. تعریف. اھمیت. انواع. مراحل. چگونھ برنامھ ریزی کنیم Planning development cycle Program development is the heart of oral public health (Mason, 2005) Patient: treatment is implemented, the results are re-evaluated periodically, and patient is re-treated as necessary to improve and maintain oral health. Public: programs are implemented, monitored, evaluated, and adapted to improve and maintain the health of community. 1
2 تعریف برنامھ ریزی. برنامھ ریزی چگونگی حداکثر استفاده از منابع و امکانات محدود را با توجھ بھ الویت ھا برای دستیابی بھ مقصد مشخص می کند دلایل برنامھ ریزی. تعیین مسیروھدف. تسھیل کنترل. کاھش تاثیر تغییرات. کاھش ھزینھ ھا برنامھ ریزی ھای سلامت را چھ کسی انجام دھد انواع برنامھ ریزی ~ برنامھ ھای استراتژیک و عملیاتی ~ برنامھ ھای کوتاه مدت وبلند مدت ~ برنامھ ھای کلی وتفصیلی ~ برنامھ ھای یک بار مصرف وچند بار مصرف (١) تعیین ھد ف Specific SMART Timetable Measurable Agreed Realistic (٢) تعیین نیاز ھا والویت ھا < افزایش رفتار مسواک زدن دندان ھا در ٧٠ % از کودکان ۵ سالھ درسال جاری < تبدیل ۴٠ %از دندان ھای دارای پوسیدگی بھ دندان ھای ترمیم شده دردندان ھای دانش آموزان ابتدایی منطقھ درطی دو سال آینده (تعیین گروه ھدف تعیین نیاز ھای گروه با توجھ بھ شاخص ھای بھداشتی...) 2
3 Wants Demand Need (٣) تجزیھ وتحلیل محیطی (۴) شناسایی منابع 4m Money Materials Machines Manpower (شناخت منطقھ افراد ذی نفوذ فلوراید آب مدارس...) (رابط بھداشتی پزشک مرکز واحد بھداشت خانواده و...امکانات آموزشی موجود...) (۵) SWOT فرصت ھا تھدیدھا نقاط قوت نقاط ضعف Strengths Weaknesses opportunities threats (۶) تعیین استراتژی بستھ بھ نوع ھدف از چھ روشی Available resources, constrains the most strategy (the more important and the more changeable factor) 3
4 Decision Matrix More important Less important (٧) برنامھ عملیاتی More changeable Less changeable High Priority for Program Focus Priority for Innovative Program; Evaluation Crucial Low Priority Except to Demonstrate Change for Political Purposes No Program Who How Time (Gantt chart) (٨) اجرای برنامھ S1 Implementation (٩) ارزشیابی Evaluation ارزشیابی شکل گیری برنامھ در فاز ھای اولیھ ارزشیابی جریان برنامھ Formative evaluation Process evaluation Impact evaluation ارزشیابی تاثیر برنامھ (کوتاه مدت) Outcome evaluation ارزشیابی بازده برنامھ (دراز مدت ( (summative evaluation) Seven Criteria for programs to be Community recognized need: community must consider problems serious and relevant. oral health is essential to general health If parents view tooth decay as serious, they will be endorse a school-based F-mouth rinse program. Sufficient community resources People power, money, time, supplies, equipments, space, transportation, and legislative authority need for start-up and continuation of a program. Leveraging resources: OHI by family counsellor, F-varnish by well-baby visits 4
5 Slide 21 S1 SaiedMoallemi; 04/12/2010
6 Cost ness cost- programs deliver enough benefit to justify their cost. Water fluoridation cost 50 times less than restoring teeth Targeted interventions efforts towards at-risk populations High priority populations are targeted with appropriate efficacious interventions Community acceptance stakeholders acceptance is crucial to the success of programs. Proactive approach program should predict, plan, and prevent potential crisis rather than react to problems Stakeholders: people who have the potential to be affected by a program: decision-makers, oral health professionals, targeted end users sport guard, helmet, and seat belt Planning models: PRECEDE-PROCEED model Common risk factor factors that increases the risk of oral diseases often increase the risk of other diseases. Phase 5 Administrative & policy Program* Phase 4 Educational & ecological Predisposing Phase 3 Behavioral & environmental Phase 2 Epidemiological Phase 1 Social Smoking: oral cancer, heart disease Sugary snacking: dental caries, obesity education Policy regulation organization Reinforcing Behavior Environment Quality of life Enabling Phase 6 Implementation Phase 7 Process evaluation Phase 8 Impact evaluation Phase 9 Outcome evaluation 5
7 برنامھ ریزی ھای سلامت را چھ کسی انجام دھد ھمھ مدیرند برنامھ ریزی ھای سلامت را چھ کسی انجام دھد شما در ھر سطحی کھ باشید یک مدیر ھستید. پس خوب مدیریت کنید. References Thanks for your attention Community Dental. Gluck, Morganstein Chapter 12. Jong s Concepts of Dental Public. Mason J Module 2. Community Oral Practice. Geurink Chapter 5. 6
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