Community Needs Assessments

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Date Of Community Study

Start Date *

YYYY

Completed Date *

YYYY

Community Study ID *

Organization ID *

Organization Name *

Community ID *

Community Definition / Context *

Community Background / Introduction *

Ideas / Issues / Challenges / Hypothesis for which Study has been Instituted *

Is there any relations with previous Program/ Engagement form the Organization *

Yes

If YES,

Provide Program details

Provide Outcomes accomplished from the program

Study Objectives

Target Population/Beneficiaries who are impacted / Face above Challenges *

Study Methodology (ies) *

Participants / Subjects for study *

Stakeholders who could influence the study implementation & Results *

Community Study Findings & Assessments

Needs Identification & Detailing *

Needs to be EXCLUDED from the study *

As is community Assets / How Community is meeting their Needs *

Current state Of Infrastructure Available in Community *

Define Community Strengths as Observed during the study *

Define areas for improvement for community as observed within scope of study *

Approach for solutions to the problem

Problem definition *

Primary Goals of the solutions *

Approach for implementation of proposed Solution *

Any Alternative Approaches Considered *

Justification for the proposed solution *

Risks Identification which prevents community from implementing the proposed solution

Action Plan for accomplishment goals of the Proposed Solution

Critical Support Required from the community in achieving impacts of the proposed solutions

How will the proposed Solution be made Sustainable?

Any Open Issues / Remarks

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