Abstract

This paper aimed to diagnose the community of Oshakati community in Oshana region in the northern part of the Republic of Namibia by providing an overall picture of the local community and the residents’ concerns, the health problems and challenges and suggest priority areas for health intervention and the feasible solutions.A survey was conducted using self-administered questionnaires, face to face interviews, focus groups.The main problems identified are: teenage pregnancies due to unprotected sex and early sexual behaviors, promiscuity by means of poverty, alcohol and drug abuse resulting in stab wounds, uncontrolled behaviors, domestic violence, assault and crime, high levels of unemployment, stress and depression, TB, HIV with growing number of orphans, diarrhea and respiratory infections.The survey conducted in Oshakati has shown that the assessment of the community is useful in identifying the important problems and needs for the community; the cultural, social, economic, environmental factors have to be considered for good health reform. The resources are available and should be utilized for active participation of the people and implication of the authorities in health promotion by identifying and prioritizing problems of the community they serve.

Highlights

  • According to WHO definition, the community diagnosis is a quantitative and qualitative description of the health of citizens and the factors which influence their health

  • The survey conducted in Oshakati has shown that the assessment of the community is useful in identifying the important problems and needs for the community; the cultural, social, economic, environmental factors have to be considered for good health reform

  • Geographic: physical barriers, presence of street lights Economic: kinds of business, availability of employment Population distribution: ages, gender, ethnic groups, size Health needs: clinics, hospitals, pharmacies, doctors Educational: schools, tutoring programs, libraries Environmental and biophysical: types and conditions of housing, density Nutritional: types and quality of foods Transportation: availability of public transports, presence and practicability of roads Recreational and interactive: public parks, recreational facilities, school playgrounds, sports areas where to exercise, movies theaters Religious: churches, mosques and other places of worship. It is clearly indicated in the national census conducted in 2011 that the population of Oshana region is estimated to 176 674

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Summary

Introduction

According to WHO definition, the community diagnosis is a quantitative and qualitative description of the health of citizens and the factors which influence their health. It is located in the northern Namibia and constitutes the second populous and largest town after Windhoek the capital It is known as the regional capital of Owamboland split into four regions (Ohangwena to the north, Omusati to the northwest, Oshana in the center, and Oshikoto to the east); close to Angola border (45 km). It means in the local language, Oshiwambo “that which is between”. Ou-Nick health center, situated in the community at almost ten minutes ‘drive to Oshakati hospital; the referral hospital of the northwest area of the country This hospital is catering for Ohangwena, Omusati, Oshana and partly Oshikoto regions. The emergencies and the patients in need of specialized care are referred to the hospital

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