Paeds SAQs · preventive-and-community-paediatrics
Community needs assessment and child-health advocacy — formative SAQs
Formative SAQs on needs-assessment cycles, partnership ethics and multi-level child-health advocacy.
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Target exams
SAQ 1 (10 marks)
Your clinic serves a suburb with rising food-bank use. Three families this week disclosed running out of food. Leadership wants a “community project.” [19] [21]
- Distinguish patient-level advocacy from community needs assessment for this problem. (3) [1] [8]
- Outline the first four steps of a structured needs-assessment cycle. (4) [8]
- List three evaluation metrics that include equity. (3) [9]
Model answer
Patient-level: same-day food access, respectful screening, navigation and safety planning for each family. Community needs assessment: define the suburb/clinic panel, engage partners and family voice, gather mixed data on food insecurity and assets, then prioritise actions — not only individual letters. [1] [8] [21]
First steps: define community and question; engage partners (families, food services, schools, public health); collect quantitative and qualitative data; map assets and gaps before designing a branded programme. [8]
Metrics examples: proportion of screened families linked to food access; repeat food-insecurity screen positivity over time; gap between high- and low-deprivation groups narrowing; partner-reported access barriers reduced. [9] [19]
SAQ 2 (10 marks)
A resident wants to launch a media campaign “for” a migrant community about parenting, without community meetings. A journalist also wants a local percentage “by this afternoon.” [3] [1]
- Explain the partnership ethics problem. (3) [3]
- Give a safer project redesign in three steps. (4) [2] [8]
- How should the resident handle the unverified percentage request? (3) [1]
Model answer
Acting only “for” without “with” risks professional capture, stigma and interventions that miss felt needs; partnership is core to ethical health advocacy. [3]
Redesign: meet community leaders and families first; co-define priorities and assets; co-design any campaign or service change with shared evaluation and consent for stories. [2] [8]
Media: state verified evidence only, name uncertainty, refuse fabricated precision, and never share confidential family identifiers. [1]
References
- [1]Earnest MA Perspective: Physician advocacy: what is it and how do we do it? Academic medicine : journal of the Association of American Medical Colleges, 2010.PMID 20042825
- [2]Dobson S From the clinic to the community: the activities and abilities of effective health advocates. Academic medicine : journal of the Association of American Medical Colleges, 2015.PMID 25470309
- [3]Hubinette M Not just 'for' but 'with': health advocacy as a partnership process. Medical education, 2015.PMID 26152491
- [8]Hoffman BD The Community Pediatrics Training Initiative Project Planning Tool: A Practical Approach to Community-Based Advocacy. MedEdPORTAL : the journal of teaching and learning resources, 2017.PMID 30800831
- [9]Hoffman BD The Community Health and Advocacy Milestones Profile: A Novel Tool Linking Community Pediatrics and Advocacy Training to Assessment of Milestones-Based Competence in Pediatric Residency Training. Academic pediatrics, 2016.PMID 27002213
- [17]Kuo AA Pediatricians and Public Health: Optimizing the Health and Well-Being of the Nation's Children. Pediatrics, 2018.PMID 29358481
- [19]Hartline-Grafton H Food Insecurity and Health: Practices and Policies to Address Food Insecurity among Children. Academic pediatrics, 2021.PMID 32653691
- [21]COUNCIL ON COMMUNITY PEDIATRICS Promoting Food Security for All Children. Pediatrics, 2015.PMID 26498462
- [22]Council on Community Pediatrics Providing care for children and adolescents facing homelessness and housing insecurity. Pediatrics, 2013.PMID 23713108