Approaches for implementation and updation of community health needs assessment: an updated review

Kalidas D. Chavan, Purushottam A. Giri, Savita Rajurkar, Satish D. Pawar


Implementation of assessment is utmost significant to enhance the prospects and strengths of Community Health Needs. Addressing community health needs has been a challenge for the Governments of various nations in the world due to various reasons like rising number of recipients, insufficient resources, increase in demands of resources and discrimination in their supply. The role of community health assessment is central in enabling practitioners, managers and policy makers to identify, categorize and prioritize demands, update the policies and then, to ensure that these health care resources are supplied to optimize health care and maximize its outreach to community members. It has a great potential to be a vital tool which can empower the management and planning of health care across the countries at the level of nationwide, state-wide and district wide communities, populations and families. The objective of this review article is to present the systematic and updated approaches to implement community health needs assessment at multiple levels i.e. district, state and national, keeping those aligned with the approaches indicated within global policies. It’s measurable outcomes are to identify and list the priority health needs, target resources to address inequalities, involve local people, educate and train the stakeholders and provide evidence based updated data for amending existing policies. The process of undertaking community health needs assessment and the importance of contribution of health care personnel in this process is also included here.



Community health, Needs assessment, Health care, Approach for implementation & updation

Full Text:



Centres for Disease Control and Prevention. Community Health Assessment and Group Evaluation (CHANGE) Action Guide: Building a Foundation of Knowledge to Prioritize Community Needs. Atlanta: U.S. Department of Health and Human Services, 2010.

Alberta Health, Prevention and Promotion Branch. Assessing Community Health Needs: A Guide for Regional Health Authorities. 2nd edition. 1996.

Park K. Park’s Textbook of Preventive and Social Medicine, Concept of Health and Disease. 23rd edn. M/s Banarsidas Bhanot Publishers; 2015: 22.

Health Planning In Maharashtra State, Chapter three, 2010.

Wright J, Williams R, Wilkinson JR. Health needs assessment, Development and importance of health needs assessment, BMJ. 1998;316:25.

Alberta Health: Assessing Community Health Needs An Overview for Regional Health Authority Boards. January, 1995.

South Australian Community Health Research Unit. Planning Healthy Communities: A Guide to Doing Community Needs Assessment. 1990.

Community Needs Assessment. Atlanta, GA: Centers for Disease Control and Prevention (CDC). 2013.

Community Health Assessment and Group Evaluation (CHANGE) data-collection tool developed by CDC’s Healthy Communities Program in the Division of Community Health at the National Center for Chronic Disease Prevention and Health Promotion. Available at: http://www.cdc. gov/HealthyCommunitiesProgram. Accessed on 12 November 2017.

Community Assessment Guide Book, North Carolina Department of Health (2002); Available at: Accessed on 19 October 2012.

Centers for Disease Control and Prevention (CDC). Healthier Worksite Initiative, Environmental Audits. Available at: dnpao/hwi/programdesign/environmental_audits.htm. Accessed on 19 October 2016.

Prince Edward Island. Health and Community Services System. Community Needs Assessment: The Prince Edward Island Experience. November, 1995.

Department of Health and Social Services. Government of the Northwest Territories, Working Together for Community Wellness: A Directions Document. April, 1995.

Voluntary Hospitals of America, Inc., Community Health Assessment: A Process for Positive Change. 1993.

Wright J. Health needs assessment in practice. London: BMJ Books; 1998.

Robinson J, Eklan R. Health needs assessment: theory and practice. London: Churchill Livingstone; 1996.

Hooper J, Longworth P. Health needs assessment in primary care: a workbook for primary health care teams. Calderdale and Kirklees Health Authority, 1997.

Thomas DN. In: Freeman R. et al., ed. Community development and involvement in primary care. London: King’s Fund; 1995.

HEALTH21. The health for all policy frame work for the WHO European Region. Copenhagen, WHO Regional Office for Europe, (European Health for All Series, No. 6) 1999.

Bowling A. Measuring health: a review of quality of life measurement scales. Buckingham, Open University Press, 1991.

Stevens A, Raftery J. Health care needs assessment. Oxford: Radcliffe Medical Press; 1994.

Appleton J, Cowley S, ed. The search for health needs. Basingstoke: Macmillan Press; 2000.

National Health Policy - 2017, Department of Health & Family Welfare, Govt. of India. 2017

Rowe A, McClelland A, Billingham K. Community Health Needs Assessment- An introductory guide for the family health nurse in Europe. Institute of General Practice and Primary Care, University of Sheffield, United Kingdom. 2001.

Health Research & Educational Trust. Applying research principles to the community health needs assessment process. Chicago, IL: Health Research & Educational Trust. Available at: http://www.hope. org. Accessed on 12 July 2017.