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A cluster of people with at least one common characteristic (geographic location, occupation, ethnicity, housing condition) etc. It is a group of people with a common characteristic or interest living together within larger society.

According to Byrne and Bennett- “A community is a group of families who share same interests, activities background and live in the same locality so that there is interaction between them.”

In according with Bogardus- “Community is a social group with some degree of we feeling and living in given area.”

Community Diagnosis

Community diagnosis is a comprehensive assessment of health status of the community in relation to its social, physical and biological environment. The purpose of community diagnosis is to define existing problems, determine available resources and set priorities for planning, implementing and evaluating health action, by and for the community.

Community diagnosis generally refers to the identification and quantification of health problems in a community as a whole in terms of mortality and morbidity rates and ratios, and identification of their correlates for the purpose of defining those at risk or those in need of health care.

Elements/ Characteristics of Community

  • Group of people
  • Locality
  • Sense of belongingness
  • Naturality
  • Permanency
  • Likeness
  • Social institutions
  • Common responsibility

Important of Community Health Diagnosis

  • It helps to find the common problems or diseases, which are troublesome to the people and are easily preventable in the community.
  • Community diagnosis can be a pioneer step for betterment of rural community health.
  • It is a tool to disclose the hidden problems that are not visible to the community people but are being affected by them.
  • It helps to access the group of underprivileged people who are unable to use the available facilities due to poverty, prevailing discriminations or other reasons.
  • It helps to find the real problems of the community people which might not have perceived by them as problems.
  • It helps to impart knowledge and attitudes to turnover people’s problems towards the light of solution.


“Health Profiles provide summary health information to support local authority members, officers and community partners to lead for health improvement.”

Health Profiles is a programme to improve availability and accessibility for health and health-related information of any community. The profiles give a snapshot overview of health for each local authority and are generally produced annually. Health profile are designed to help local government and health services make decisions and plans to improve local people’s health and reduce health inequalities, the profiles present a set of important health indicators that show how the profile and VDC health profile are some of the examples of Health profiles in Nepal.

Health profile can be generated as rural and urban which might be different to each other.

Example: The health profile or remote and rural areas is characterized by:

  • Lower life expectancy, deceasing with remoteness. Life expectancy in regional areas is one to two years lower than life expectancy in a metropolitan area, and up to seven years lower in remote areas.
  • Poorer self reported health, with people in regional and remote areas less likely to report very good or excellent health.
  • Higher rates of injury mortality, particularly arising form motor vehicle injury and workplace accidents.
  • Higher rates of suicide.
  • Lower birth weights and higher rates of teenage pregnancy.
  • Higher rates of health risk behavior such as smoking, alcohol consumption and poor nutrition, and higher mortality rates from associated lifestyle disease such as diabetes, cardiovascular disease and respiratory disease.

Additional, social determinants of health impact the health of people living in remote and rural areas, with people living in remote and rural areas experiencing reduced educational and employment opportunities, income, access to goods and services and in some areas access to basic necessitites, such as clean water and fresh food.

Health profile can be of individual person. A person-centered Health Profile is a document that brings together all the information about the health of an individual. A Health Profile can keep a person’s helpers (IDSPs, family members, and friends) up-to-date about the person’s health. People living in Community Care Facilities already have documents like Health Profiles: current physician’s reports, health histories, and Individual Program Plans (IPPs). These documents can be found in an individual’s life.

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