# Findings of a Community Health Needs Assessment Survey in Al Najaf Governorate Iraq: A Snapshot of Al Marashda’s Health Status

## TL;DR

A health survey in Al Marashda, Iraq, identified diabetes, high blood pressure, poverty, unemployment, and air pollution as major community health concerns.

## Contribution

This study provides a localized health needs assessment in Al Marashda, highlighting region-specific issues alongside common noncommunicable diseases.

## Key findings

- Diabetes and high blood pressure were identified as major public health problems.
- Poverty and unemployment were significant concerns specific to Al Marashda.
- Air pollution was highlighted as a key environmental health issue in the region.

## Abstract

Background: Community health assessment (CHA) is a well-known method for identifying and analyzing community health needs. This CHA survey aimed to identify and analyze community health needs and assets to prioritize these needs and to plan and act upon significant unmet community health needs.

Methods: The CHA was planned based on the suggested standard of the North Carolina Guide including eight phases from July to December 2023. The CHA survey was performed among Al-Marashda region residents in the Al-Manathera district. The sample size of our study was 184 interviews of 12536 population. The primary data, which included demographic information, quality of life statements, and community improvement, were collected from the community using a questionnaire through opinion surveys and focus groups, while the secondary data which included the social, health, and economic status of Al-Marashda region residents were obtained from district and governorate sources. Analysis of whole data sources allowed 10 areas of community concern to be identified.

Results: Findings from the CHA survey showed that diabetes and high blood pressure, poverty and unemployment, and air pollution were the most common public health problems as priorities.

Conclusions: The high-priority problems of Al-Marashda are in common with the noncommunicable diseases (NCDs) priority in Al Najaf. However, poverty and air pollution are specific to the Al-Marashda region. Public health authorities and the city governorate are advised to consider, support, and develop community diagnosis documents to implement appropriate interventions.