Community Health Intervention Paper

For this paper, Ms. Minister Melishia Bansa MPH was interviewed. She is a thirty year old African-American woman. Her occupation is the director of community outreach and provider Relations for “Coordination of Health Care for Complex Kids” (CHECK) Program and Project Coordinator of “Promoting Adolescent Health” (PATH) Study. She was interviewed about her work with the CHECK Program. The Coordination of Health Care for Complex Kids program aims to improve overall health and quality of life for underserved populations. This programs aims to fight the social injustice of unequal health systems for low socioeconomic communities. The CHECK program aims to increase doctor appointments and improve communication between the patient and the patient’s health provider. However, the program is focusing on young individuals with chronic illnesses within low socioeconomic communities.

Adler, N. E., & Stewart, J. (2009). Reducing Obesity: Motivating Action While Not Blaming the Victim. Milbank Quarterly, 87(1), 49-70. doi:10.1111/j.1468- 0009.2009.00547.x

Obesity was significantly more prevalent amongst female African Americans in this community. With the highest rate affecting women between the ages of 45 to 64. Obesity was also higher amongst Black females who’s educational attainment was lower

I chose this population due to the large numbers, the poverty level, and the risk for obesity. Statistically, the Hispanic/Latino school aged population rated one of the lowest populations to be physically fit. They also ranked lower on fruit and vegetable consumption. Hispanic/Latinos also have a very low prevalence of higher education compared to the other races and ethnicities. They also rank highest in languages other than English spoken at home ("Healthy Kern County:: Better health through community," 2015). If there is a high adult obesity problem, children are at risk because they are at the mercy of the adult food choices and activity examples they set, because it is usually the adults purchasing the food in the home. Contributing factors to the risk for overweight or obesity, the low fruit and vegetable intake, and the low activity can be attributed to cultural norms, language barriers, and lack of money to buy healthier options. Other factors include unsafe neighborhoods and lack of activity outside of school and ease of purchasing less healthy foods. The change in the education system over the years has led to decreased activity time. Attention to test scores has taken precedence over teaching about health (Espinosa-Hall et al., 2007). Also, in Kern County, the climate is a contributing factor to outdoor activities, with temperatures in the high 90’s and over 100 degrees during the summer ("Bakersfield,

Majority of the community in Stockton lacked health insurance prior to Obama Care going into effect in 2014. Even though low-income families are now able to receive insurance at affordable costs or no cost at all, there are many health challenges within the community. Physical inactivity and unhealthy eating habits have led to obesity and multiple chronic diseases. According to the San Joaquin County Community Health Assessment Collaborative report (SJC2HAC) “diabetes, heart disease, stroke, and hypertension were consistently mentioned in the qualitative data as priority health concerns for the residents in the Communities for Concern” (SJC2HAC, pg.23, 2011). Five out of the ten communities for concern were Stockton zip codes. Unhealthy eating habits can be blamed due to the community of Stockton not having healthy retail outlets or access to fresh fruit/ farmers markets. Another reason why eating healthier is a challenge in this community is that fresh and healthy food is more costly. With households not making enough income, it is more convenient to grab fast food that is cheaper. “One of the largest barriers to engagement in physical activity is access to a recreational area” (SJC2HAC, pg.36, 2011). Some of Stockton’s rural areas may not have parks that are near by which can make it harder

The purpose of this paper is to identify one health problem that is most prevalent in my community. Residential demographic information will be provided. I will use Milio's framework for prevention to analyze this health problem. Then, compare the health problem to Healthy People 2020 national goals. Lastly, I will introduce one long term goal and three short term goals with their interventions.

A major influence on health in a community is the availability of services and opportunities within the neighborhood. Public health can be further influenced by the social environments. Accessibility to health care along with education and employment opportunities are fundamental factors to be considered (Riegelman & Kirkwood, 2015). These elements create both advantages and disadvantages for those living within the neighborhood. If we want to improve public health outcomes, we must consider and evaluate these along with many other contributing factors.

First of all, we decided to set up a booth to check free blood pressures and provide dietary education (DASH diet) to its locals. This will not only help in identifying people with high blood pressure, but also help them to understand how to make healthy eating habits. Secondly, we are planning to give out handouts using pictures or drawings, basically adopting 6th or 7th grade level, to various physicians’ offices, hospitals, health departments, and pharmacies, to promote hypertension teaching among those who have low literacy levels. Moreover, we are going to encourage churches, hospitals, grocery stores, health departments, and physicians’ offices to educate people on healthy eating, diet, and importance of physical

Berks County, Pennsylvania Community Health Needs Assessment. (January, 2013). Public Health Management Corporation, Philadelphia, PA. Retrieved from http://www.uwberks.org/wwwpub/assets/base/ pdf/Commu

Volunteer workers are welcome to Southbank in many ways. Greet and assist guests coming into the Parklands, provide directional assistance, assist with south bank events are some volunteer activities. Free fitness classes are held at the Southbank for the wellbeing of the people. But the security of the visitors is in challenging level due to some misbehavior activities of a bunch of people. Weekends the site easily get crowded and visitors have complained that there is a risk of their stuff getting stolen. There are some complains that city cycle bikes are stolen by a bunch of peoples.

“Food is life. It is necessity and pleasure, family and community, culture and power.” Food is what lets us take a break during the day, and most importantly, healthy food gets us ready and energized for the busy day ahead. However, many Americans do not have access to healthy foods. Many low-income communities in the inner cities do not have access to healthy foods. Many of these communities live more than a mile away from a supermarket and transportation is often unavailable. Even when transportation is available, or one lives close to a supermarket, purchasing healthy food and fresh produce can be very expensive. Many people end up buying unhealthy food products from their local corner stores, which can’t afford to stock healthy fruits and vegetables like large grocery stores. Lack of access to healthy food is a race issue. Disproportionate access to healthy foods between whites and African Americans is extremely common. The data shows that African Americans have greater health issues and limited access to healthy food. Obesity rates are 50% higher for

Since 1965 many people have immigrated to the greater Los Angeles area than anywhere within the United States. These immigrants have rapidly and profoundly transformed the city’s ethnic makeup and spared heated debate over their impact on the region. Unfortunately within many areas of Los Angeles there are those who have been pushed out of their homes, which have been passed through generations of ethnic minorities in other areas due to gentrification. These gentrified areas have been renovated by the city to allow for a much more comfortable living experience. One specific way this has happened is by allowing an ease of access to mainstream markets that provide “necessary” measures for their lifestyle. However those of this community are not the only communities that wish to adhere to this lifestyle. Many Angelinos, although living within a community that is seen as poor and unhealthy, actually care about the food that they put within their bodies. The resources that are readily available in the gentrified location in Los Angeles, but not to other parts force them to eat from local markets and convenience stores close where the quality is unhealthy.

More and more health-conscious individuals are scrutinizing the source of the food their family consumes. However, even the most conscientious consumer is not fully aware of the exhaustive efforts and struggle to get a juicy, ripe strawberry or that plump tomato in the middle of winter, even in Florida. These foods are harvested and picked mostly by seasonal and migrant farm workers. Migrant workers hail, in large part, from Mexico and the Caribbean, and their families often travel with them. Migrant farm workers must endure challenging conditions so that Americans can have the beautiful selection of berries, tomatoes, and other fresh foods often found at places like a farmer’s market or a traditional super market. Seasonal and

The program should be applied to different levels of preventions based on short term or long term needs in the community. Primary prevention approach is required to promote and maximize health and wellness in the community before injury or illness occurs (Vollman et al., 2017). Therefore, the program focuses its attention on providing the community with information on cardiovascular health, nutrition, exercise and stress management (Harkness & DeMarco, 2012). The first idea for primary intervention is providing the community with free blood pressuring and heart rate screenings to recognize the population in risk. The information about this part will be provided to the community from different sources such as news, healthcare facilities, schools, community association, and churches. The monitoring will be done through the family physicians, nurses and different stands that will be set up in different locations of the community such as pharmacies, shopping malls, churches and health facilities. All the resident of age forty-five

A Community Health Epidemiology Study with Community Diagnosis HGT Community Health Practicum/HAT1 Erika J. Schnell, R.N. 11/05/2012 Western Governor’s University