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A Scoping Review of Community Health Needs and Assets Assessment: Concepts, Rationale, Tools and Uses Publisher Pubmed



Ravaghi H1 ; Guisset AL2 ; Elfeky S3 ; Nasir N4 ; Khani S5 ; Ahmadnezhad E6 ; Abdi Z6
Authors
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Authors Affiliations
  1. 1. Department of Universal Health Coverage/Health Systems (UHS), World Health Organization, Regional Office for the Eastern Mediterranean, Cairo, Egypt
  2. 2. Department of Integrated Health Services (IHS), World Health Organization, Headquarters, Geneva, Switzerland
  3. 3. Department of Healthier Populations (DHP), World Health Organization, Regional Office of Eastern Mediterranean Region, Cairo, Egypt
  4. 4. Center for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom
  5. 5. National library and Archives of Iran, Tehran, Iran
  6. 6. National Institute of Health Research (NIHR), Tehran University of Medical Sciences, Tehran (TUMS), Tehran, Iran

Source: BMC Health Services Research Published:2023


Abstract

Background: Community health needs and assets assessment is a means of identifying and describing community health needs and resources, serving as a mechanism to gain the necessary information to make informed choices about community health. The current review of the literature was performed in order to shed more light on concepts, rationale, tools and uses of community health needs and assets assessment. Methods: We conducted a scoping review of the literature published in English using PubMed, Embase, Scopus, Web of Science, PDQ evidence, NIH database, Cochrane library, CDC library, Trip, and Global Health Library databases until March 2021. Results: A total of 169 articles including both empirical papers and theoretical and conceptual work were ultimately retained for analysis. Relevant concepts were examined guided by a conceptual framework. The empirical papers were dominantly conducted in the United States. Qualitative, quantitative and mixed-method approaches were used to collect data on community health needs and assets, with an increasing trend of using mixed-method approaches. Almost half of the included empirical studies used participatory approaches to incorporate community inputs into the process. Conclusion: Our findings highlight the need for having holistic approaches to assess community’s health needs focusing on physical, mental and social wellbeing, along with considering the broader systems factors and structural challenges to individual and population health. Furthermore, the findings emphasize assessing community health assets as an integral component of the process, beginning foremost with community capabilities and knowledge. There has been a trend toward using mixed-methods approaches to conduct the assessment in recent years that led to the inclusion of the voices of all community members, particularly vulnerable and disadvantaged groups. A notable gap in the existing literature is the lack of long-term or longitudinal–assessment of the community health needs assessment impacts. © 2023, The Author(s).