Mississippi Community Health Promotion

Since 1980, the United States has taken on 10-year plans that outline certain key national health objectives set to be accomplished during a 10-year timeframe (Shi & Singh, 2015). These initiatives are founded on medical care with prevention services, health promotion, education, community health care, and increased access to integrated services. The initiative, Healthy People 2010: Healthy People in Healthy Communities, launched in 2000. The initiative emphasizes the role of community partners such as

There are some challenges, as well, in implementing health promotion programs that use the social ecological framework. One main challenge is that programs are expensive and complex to implement in certain community settings. Also, there needs to be close coordination and collaboration between individuals and groups. In the article by Wagemakers et al., the authors developed a framework that links the domains of social environment and health, with key health predicting mediators, and operational variables of participation and collaboration (6). They based this framework on experience in case studies, audits of community health programs in the Netherlands, and ideas found in the literature. The authors offer four key guidelines on how to apply the framework that can help increase community participation and collaboration. These guidelines are: use the variables as a menu, set specific aims for social change processes, use an action research approach and triangulate data. This framework can be used to evaluate the effectiveness of community health promotion designs and address the challenges faced in implementing new programs.

Summit County has several factors leading to poor access to comprehensive, quality health care. The poverty rate is 16%, the unemployment rate is 7.2%, and the uninsured rate is 14.1% (Centers for Disease Control and Prevention, 2012). There is also a high obesity rate of 28.4% . (Centers for Disease Control and Prevention, 2012). According to Milio's framework for prevention (2014) the people that make up these statistics show that lower income, uninsured individuals have a poor health status compared to employed, insured individuals. Therefore, they are at a higher risk for cardiovascular disease. It is also interesting to mention that in Nancy Milio's research she found that most people, whether low, middle, or upper class, will choose the easiest option available the majority of the time (Nies & McEwen, 2015). People making unhealthy choices such as smoking, abuse of alcohol and/or drugs, eating poorly, and remaining physically inactive, pose the greatest risk to heart disease. These lifestyle choices lead to obesity, hypertension, diabetes, and high cholesterol which are the main causes of cardiovascular

population the writer came to a decision of an approach for health promotion and prevention of disease i.e., Health wellness promotion fairs at local High Schools and Churches. Communication is the key to health education of promotion of health and prevention of disease. Due to a high rate of illiteracy with completion of High school being the highest education level and unawareness of basic education on disease causes, prevention and treatment, the writer sought out to deliver this approach by applying the primary prevention method and educate the community on risk factor reduction which is the core culprit of health disparities e.g., smoking cessation, vaccination, sanitation and clean environment and safe sexual practices at an location where this minority community can be reached. The African American Registry notes that “The Black Church has historically been a source of hope and strength for the African American community”. Church on Sunday is practiced widely among the African American population due to it’s significant role in the Black history. Secondary and Tertiary levels of prevention can be taught to the community by health wellness promotion fairs on Sundays at the church by targeting the older community who have been showing pre-clinical pathological changes but are unaware of their meaning and relation to health, causing them to miss

Health promotion is defined by the World Health Organization (WHO) as the process which helps people take control over the determining factors of their health which in turn will help to improve their health. With multiple determining factors of health, health promotion means working between the community and health care professionals to effectively educating the Hispanics (Journal of Cultural Diversity, 2012). “Health promotion is carried out by and with people, not on or to people” (Journal of Cultural Diversity, 2012). We as educators must have respect and not discriminate against the Hispanic population but work with them to teach them how to live healthier lives. Healthy People 2020 states that it is their dream to have a culture where all people live long, healthy lives. Health promotion means addressing the health disparities of the Hispanics so they can experience positive health

The data has shown that there is an ongoing problem with obesity in DeSoto County and many counties in Florida. The State of Obesity, reports that Florida 's adult obesity rate is 26.4 percent, up from 20.7 percent in 2004 and from 11.4 percent in 1990("Florida", 2014). In 2011 for DeSoto County, the percentage of obese females was in the worst 25% of all counties at 44%, while the percentage of obese males was in the middle 50% of all counties at 38.2%. The national average in 2011 was 36.1% for females and 33.8% for males. Excess weight is considered to be one of the major causes and determinates of future health problems. These problems include diabetes, hypertension, and heart disease among others. These issues cut across race, gender and age. If you are a black person aged 45-64 you are more likely to either have one of the diseases attributed to obesity or have the highest risk of developing one of these diseases. There is some good news among the data when it comes to children, the CDC reports that between 2008 and 2011 Florida 's rate fell from 14.1% to 13.1%, a statistically significant decrease according to the CDC analysis. The goal is to continue in this same direction by focusing on the education and intervention of children so they do not become a member of this statistical population and eventually fall into

“Strengthen community action”- The purpose of the health promotion program is to empower the local people to initiate on taking control over the social events which influence their lives and health (Rootman, 2001) Program design provides the sense of empowerment-based when the community members are involving in from planning to evaluation stage (Laverack & Labonte,

High blood pressure increases your risk for heart disease and stroke, two leading causes of death for both Florida and the United States (Centers for disease control, 2017). High blood pressure, also called hypertension, is known as the “silent killer” because it often has no warning signs or symptoms, and many people do not know they have it. Hypertension damages blood vessels in the organs, reducing their ability to work properly (National institute of diabetes and digestive and kidney diseases, 2016). About 1 of 3 U.S. adults—or about 75 million people—have high blood pressure. Only 54% of these people have their high blood pressure under control (Centers for disease control, 2017). Hypertension education, which focuses on controlling the disease with medication, diet, and losing weight, is important in preventing or delaying the progression of serious complications. Most people diagnosed with hypertensive disease will need to see a medical professional who will recommend lifestyle changes to help you control and prevent high blood pressure (Ignatavicius & Workman, 2006, p. 1742).

The algorithm begins with an indication that is used for adults over the age of 18 and noted that lifestyle interventions should be continued throughout management. Goal blood pressures are separated by age and presence of chronic disease. The goal for patients over 60 is SBP < 150 mmHg and DBP < 90 mmHg. The goal for patients under 60 is < 140 mmHg and DBP < 90 mmHg. Different goal values are presented for patients with chronic conditions. Treatment with medication is categorized by: general population nonblack, general population black, chronic conditions black, and chronic condition all races. Based on the algorithm black patients should only be prescribed thiazide type diuretics and/or calcium channel blockers. While non-black patients can take all of the medications listed in JNC 8 (thiazide type diuretics, ACEI, ARB, and/or CCB). If patient does not reach goal blood pressure then three strategies are listed, along with lifestyle adherence. The algorithm also explains not to use ACEI and ARB together. The final option for patients not at goal blood pressure includes additional medications and/or referral to physician with an expertise in hypertension

Program 1: one successful health project related to HP 2020 is the Franklin Cardiovascular Health Program (FCHP) in the community of Farmington, Maine. The program is a sustainable method to change the behavior and care for the cardiovascular problem; it is implemented to assess the local community. Their target population is the low-income residents of Franklin County in rural Maine; they collected respondents of about 22,444 during 1970 and used this data as a baseline. The intervention is a community-wide project aim to focus on health problems like cholesterol, high-blood, smoking, physical activity, and diet behavior.

The Community Guide (TCG) is a website offering a plethora of resources useful to community health workers (Truman, Smith-Akin, Hinman, et al., 2000). It is one place in which professionals may seek information on which interventions do and do not work. The literature provided is valid and backed by the Centers for Disease Control and Prevention (CDC) and other supporting organizations, agencies, and researchers. The U.S. Department of Health and Human Services (DHHS) established this resource, also known as The Community Preventive Services Task Force, in 1996. As mentioned above, the original goal was to simply provide communities with interventions for disease prevention and health promote on in regards to what does and does not

At the community/organisational level of health promotion is based on the Ottawa charter action area of ‘strengthen community action’ it increases access to health information, community involvement in health initiatives whilst empowering the community to make their own choices. (Who.int, 2016) An example of this can be displayed through the St George Illawarra Dragons community

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

Health promotion aims a wide range of targets at different levels in the community. The huge benefits resulted from health promotion and disease prevention efforts make many realize that this domain of health care is worth to be invested in. The focus is shifted evermore from the medical to the preventative approach, from treating the disease to avoiding the onset of it.

“The major goals of health promotion are to help people of all ages stay healthy, optimize health in cases of chronic disease or disability, and create healthy environments” (Pender et al., 2015). This health promotion project is designed to identify and reduce the risk factors associated with several illnesses and disease processes. This project will focus on changing lifestyle behaviors and providing up to date education for the patient to make the best informed decision regarding her environment, health behaviors, and developing a support system with her primary care physician.