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- Clinician - community health worker
Form 2.3 Primary Care (Acute Rheumatic Fever)
The Needs Assessment is a four-phase process that involves the following:
- Situational assessment, which involves a systematic review of local literature regarding GAS, ARF, and RHD and characterisation of candidate sites.
- Facility-based assessment, which includes reviewing clinical records, evaluating capacity to deliver care around GAS, ARF, and RHD in the site’s health facilities, and seeking an understanding of how services around ARF/RHD integrate with the rest of the health system.
- Understanding the patient and provider experience, which uses qualitative methods to understand barriers and facilitators along the CoC©
- Planning the intervention, which implements a rigorous process approach to mapping and dialoguing with stakeholders and then designing the intervention and also includes a monitoring and evaluation framework.
Using the NAT will require adaptation to local circumstances and resources. The tools and processes can be selected individually or as a complete set. They will then require contextualization within each setting and will require careful planning, community participation and additional refinement during implementation. The instruments within the NAT will serve as a foundation, but must be implemented with guidance from practitioners with local expertise.
This tool is meant to be used as resources allow. It’s been designed to include desk elements, and quantitative and qualitative components. Some may not always require formal ethics approval. It is always a best practice to consult with your local Ethics Committee before embarking on any of these needs assessment activities. Tools can be adapted and utilized in different situations and will integrate with the RHD Roadmap and the TIPS framework.
We encourage you to look through the tools below, consider local applications and consult freely for assistance in applying them.