Module 1 SLP: BHS470 Strategic Planning and Sustainability of Health Programs.

Strategic Plan

Jaydin Davis

Trident at American InterContinental University

Module 1 SLP: BHS470 Strategic Planning and Sustainability of Health Programs

Dr. Markisha Woodson

October 23, 2020

Introduction

Bullock County, Alabama has a population of over 10,000 residents in 2019 as per estimates from the United States Census Bureau. The African American community in this county has comprises 73% of the total population. According to the United States Census Bureau (n.d.) 31.4% of the population live below the poverty line with only 13.3% being able to attain a Bachelors degree or higher. The prevalence rate of obesity in Alabama is 36.1% while in Bullock County is 37%. This is the number of adults who are either obese or overweight.

Health Needs

According to the Bullock County Health Department (2017) new born babies are screened in order to detect any genetic and metabolic conditions. This is usually done to reduce the infant mortality rate in the county and also to detect any disability. Early detection of disability offers the family and medical professionals easy follow up. The reduction of mortality rate in the country is important as it ensures the healthcare needs of the community have been met. The county has an immunization program for both children and adults. The immunization program for childhood vaccines is important as an immunization certificate is required before school entry. Children between the ages of 0 to 18 are offered health insurance through the Alabama Children’s Health insurance program.

Education is an important aspect of prevention and controlling both communicable and non communicable diseases. The state of Alabama offers free tobacco coaching and tobacco patches. This is one of the initiatives to prevent non-communicable diseases like cancer and heart diseases. The residents are able to receive training on ways to stop smoking tobacco. Breast cancer screening is provided for those who are insured and underinsured. This is done to determine the number of residents suffering from cancer and develop strategies that can be used to prevent and control the disease.

Newacheck et al., (2000) suggested that unmet healthcare needs remain prevalent among United States children. This is the same in Bullock County where there are not programs for the dental needs of the children. The county has tried to reduce number of children who can access medical care but no initiative is done towards dental health. Obesity in adults has been given priority and has neglected the same issue among children. The programs being implemented in the county are geared towards reducing the prevalence rate of obesity among adults.

Public Health Problem

Obesity is the accumulation of fat in the body. This is a risk factor for chronic diseases like diabetes, congenital heart diseases and hypertension. In children it is a public health concern due to the fact that some of the conditions experienced in adulthood begin at childhood. According to Karki et al., (2019) high consumption of junk food and a sedimentary lifestyle were found to be the significant causes of obesity and overweight in children. Bullock County has a high prevalence rate of obesity standing at 37% in adults. However, the issue of obesity in children has not been addressed in the community. Through handling the issue of obesity in children in the Bullock community, the prevalence rate would be reduced among the adults.

Partners and Stakeholders

In developing a health program that is geared towards reducing the rate of obesity among children, partnering with the relevant stakeholders will be lead to the success of the health initiative. The stakeholders will include the residents, community leaders, local government, business owners, school administration and other interested groups. The Centers for Disease Control and Prevention (n.d.) suggest the division of the stakeholders into three groups including program operations, the evaluators who include those funding and those affected by the program. These groups are able to involve everyone in the community as all the stakeholders are important for the success of the health initiative.

Griffiths et al., (2007) suggest that each stakeholder has a function that will lead to the success of the program. The current program requires funding and this will be catered for by the stakeholders like the local government and businesses. The funding will go towards implementing strategies that should help in reducing the prevalence rate of obesity in children. These stakeholders provide the necessary expertise that is required like nutritionists to help in initiating healthy nutrition for the children both at home and schools and physical exercises experts who will show the required exercises for children. Those affected by the program are the community members and they need to participate in the program for its evaluation. The strategies that will be formulated in the program will go towards benefiting the community members. The community leaders make the decisions in the community and their involvement is key to the success of the health program. The community members will only listen to the initiatives if they are supported by the community leaders. This shows that every stakeholder has a role to play in the success of the initiative.

References

Griffiths John. Hayley Maggs and Emma George. (2007). Stakeholder Involvement’ Background paper prepared for the WHO/WEF Joint Event on Preventing Noncommunicable Diseases in the Workplace

Bullock County Health Department (2017). 2017 Bullock County Health Department. Retrieved from https://www.alabamapublichealth.gov/bullock/assets/bullock_2017annualreport.pdf

Karki, A., Shrestha, A. & Subedi, N. Prevalence and associated factors of childhood overweight/obesity among primary school children in urban Nepal. BMC Public Health 19, 1055 (2019). https://doi.org/10.1186/s12889-019-7406-9

Newacheck PW, Hughes DC, Hung YY, Wong S, Stoddard JJ. (2000). The unmet health needs of America’s children. Pediatrics. 2000 Apr;105(4 Pt 2):989-97. PMID: 10742361.

The Centers for Disease Control and Prevention (n.d.). Step 1: Engage Stakeholders. Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide. Retrieved from https://www.cdc.gov/eval/guide/step1/index.htm#:~:text=Key%20stakeholders%20for%20evaluations%20of,funding%20agencies%2C%20and%20coalition%20members.

United States Census Bureau. (n.d.). Quick Facts Bullock County, Alabama. Retrieved from https://www.census.gov/quickfacts/bullockcountyalabama

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