Singh A, Subedi K, Shrestha A, Bhagat T, Pyakurel P, Agrawal S K
Consultant Public Health Dentist, Narayani Hospital, Birgunj, Nepal.
Department of Public Health Dentistry, College of Dental Surgery, BP Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.
Kathmandu Univ Med J (KUMJ). 2019 Apr-Jun;17(66):82-87.
Background Community Diagnosis Programme (CDP) aims to demonstrate the importance of teamwork in health care to understand the comprehensive health needs of the rural people and conceive about the research. Objective To assess the impact of community diagnosis program on undergraduate students of BP Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal. Method A cross sectional study with mixed design (quantitative and qualitative) was conducted among the undergraduate students of batch 2017 participating in community diagnosis programme of BP Koirala Institute of Health Sciences, Dharan, Nepal. Eight questions assessed the students' perceptions regarding their abilities about community diagnosis program using six point Likert Scale and four open ended questions were used to know the students' experience and perception of community diagnosis programme. Result Overall mean ± SD score for pre-exposure response was 30.47 ± 6.18 and for the post-exposure response was 40.49 ± 5.16. The overall mean ± SD score of the students categorized according to streams showed similar results in both pre-exposure response and post-exposure responses. Qualitative analysis revealed the themes like "Research, a reflection of community and new method of learning to medical students"; "method of developing confidence and good communication skills", "learning to work as a team" and "exposure to rural area"; "Research an adjunct to medical profession". Conclusion Community diagnosis programme had a positive impact on the students about basic survey process, learnt to communicate with rural people, understood the type of data and were willing to participate in similar projects in future. Qualitative analysis showed most of the students had positive experience with some negative experience of community diagnosis programme.
背景 社区诊断项目（CDP）旨在证明团队合作在医疗保健中的重要性，以了解农村人口的全面健康需求并构思相关研究。目的 评估社区诊断项目对尼泊尔达兰市BP柯伊拉腊健康科学研究所（BPKIHS）本科生的影响。方法 对参与尼泊尔达兰市BP柯伊拉腊健康科学研究所社区诊断项目的2017级本科生进行了一项混合设计（定量和定性）的横断面研究。使用六点李克特量表通过八个问题评估学生对其在社区诊断项目方面能力的看法，并使用四个开放式问题了解学生对社区诊断项目的体验和看法。结果 暴露前反应的总体均值±标准差分数为30.47±6.18，暴露后反应的分数为40.49±5.16。根据专业分类的学生总体均值±标准差分数在暴露前反应和暴露后反应中均显示出相似结果。定性分析揭示了“研究，社区的反映及医学生的新学习方法”“培养信心和良好沟通技巧的方法”“学习团队合作”“接触农村地区”“研究作为医学专业的辅助”等主题。结论 社区诊断项目对学生在基本调查过程、学会与农村人口沟通、理解数据类型以及未来愿意参与类似项目方面产生了积极影响。定性分析表明，大多数学生对社区诊断项目有积极体验，但也有一些负面体验。
