Promoting Population Health Essay

Every adult female Matters is a political program through with(predicate) the Nebraska Depart manpowert of health which is state run and federally funded. This program focuses on decreasing barriers to close outive breast and cervical crabmeat coverings in low-income women. They so this by raising public aw beness and make these blankets more accessable and affordable to entitled women (Backer, Geske, McIlvain, Dodendorf, & Minier, 2005). Reduced cost or no cost clinical breast exams, mammograms, and Pap smear running game are provided through this program.The EWM program has attempted to provide their utilitys to physician utilises to assist in the maturation of the program. The practices are expected to follow the GAPS model to follow through this change. This acknowledges goal setting, assessing existing routines, planning the modification of routines, and providing life for these improvements (Backer et al., 2005, p402). In order for this to be successful, they n eed to alter physician and practice behaviors. The practices resources, willingness to change, and the ability of staff to richly coope position or work as a team should have been evaluated before the attempt to use EWM program into each practice.It seems the practices chosen to implement the Every Woman Matters program already had its own issues or barrier for implementation to be fully possible. Some of the problems that were faced were one practice was only focus on generating income, some were hospital owned which added barriers to approval, enthusiasm was not shared by all staff, staff was disgruntled or overextended, limited resources, resistance from staff, no active leader, prevention not being priority, and the modality out of interest or elimination of goals after the first few months (Backer et al., 2005). Each practiceinvolved had at least one of these issues present resulting in the Every Woman Matters program not being legal in meeting its goals.Prevention Progr amsTwo prevention programs that advocate for early screening are The northerly Carolina Breast Cancer Screening Program (NC-BCSP) and the Esperanza y vida health education program. Both of these programs are cogitate on womens health screenings and treatment and they go about it the equivalent way, influencing and supporting through neighborly networks and offering culturally tailored interventions. The North Carolina Breast Cancer Screening Program focuses on Afri apprize American women over 50 years old. They use a social ecological theory which targets several(prenominal) take aims of the familiarity from one-on-ones and social networks to institutions and policymakers. They believe that providing linkages will develop communities that will endure after the research projection ends (Altpeter, Earp, & Schopler, 1998). Social workers and others are used as coaches or teachers to develop the residential area participants skills. They help organize local efforts and provide technical assistance or training. Social workers also identify and integrate the needs of underserved constituents into service planning to aim to improve service delivery.Three interventions are used in developing the program, Outreach, InReach, and Access. Outreach targets individual women and community nerworks to which they belong, building on the capacity of local leadership to advocate and promote breast pubic louse screening. This includes having agency-based community outreach specialists, county-based community advisory groups and a network of volunteers that span the projects 5-county region. The focus is to enhance awareness, generate community support, and introduce Lay health Advisors that run focus groups. InReach enhances service delivery by restructuring clinic policies and procedures to increase capability of previous services that are delivered, provider education on breast crabby person topics, help agencies implement community outreach efforts customized to older African American women. Key players of InReach are health care providers including private practice physicians, radiology centers, county health departments and federally funded rural health centers (Altpeter et al, 1998).Program Champions will advocate with the medical community and agencies for community wide screening,referral, and follow-up plans. Access promotes accessible, equitable care by overcoming institutional barriers (cost, transportation, mammogram quality assurance) that prevent low income African American women from getting screenings. Key players are state and local agencies that are obligated for financing or delivering needed services. Radiology centers improve units or increase the quality of mammograms, the development of linkages, light in prices with creative use of federal or state financing with innovative plans such as free weeks. Promotion of ongoing availability in local health agencies of breast cancer screening activities. The NC-BCSP focuses on institutionalizing health promotion programs by establishing relationships with local health departments, rural health clinics, radiology centers, and physicians to look into the program meshed with the current systems already in place in local organizations.This is important in fitting a niche inside an organization to ensure longevity and uncover existing grassroot linkages that can fimly establish a comprehensive system of accessible, available, and affordable breast cancer screening and treatment options. Institutionalization depends on infrastructure development, community linkages at multiple levels and monitoring and providing feedback. What I find most importand in the NC-BCSP is the way they use community members to make this program work. Program Champions who have influence at the policy level and Project Coordinators who are older black women from the community. Lay Health Advisors who will gain professional experience and skills have existing ties within the communit y and social networks will initiate behavioral change. Natural helpers from within targeted communities are levyed and trained women who others turned to for advice, support, and assistance in the past.The Esperanza y vida is a chum-led health education program addressing the decreased rate of breast and cervical cancer screening and treatments in the Latina community. Sudarsan (2011 p 194) states Individuals can not be considered separately from their social environment and background., which they prove by influencing and supporting Latina individuals through social networks and neighborhoods and communities. This programs interventions glitter the communitys priorities and culture. Culturally appropriate information and resources are provided to increase patient knowledge for ego care and to decrease obstacles to health care. By offering culturally tailoredinterventions, they increase the rates of screening. In their program, they use three different locations to account for g eographic, ethnic, and community diversity. Along with education regarding breast and cervical cancer screenings and treatment, the Esperanza y Vida program addresses fears, concerns, and perceptions that negatively impact understandings.They also evaluate pre and post-program knowledge, testing attendance to increased screening adherence. Using ARS, an audience response system which uses Power Point questions and responses are recorded anonymously use a wireless keypad, increasing the probability of participants answering honestly. The program found differences between locations indicating varying familiarity with technology and literacy, resulting in low comfort levels. Esperanza y Vida accommodates Latino perspectives on family, religion, gender roles, and provides navigation into screening. The group settings are community-based locations, faith-based locations, or in womensprivate homes. These safe locations are more appealing to undocumented Latinas, increasing the rate of p articipation. Learning by reflecting on access to various local agencies, and community structure variations. Trained peer volunteers are utilized, these are breast or cervical cancer survivors who share their personal stories and stress the immenseness of early detection and regular screenings.Men are also encoursaged to attend because in Latino families the men tend to have more control over resources and decision making, promoting the health of female family members. Program sites are obtained by program coordinators who work with Community Advisory Boards, volunteers, and local community and faith-based organizations. Outreach includes providing potential sites with program inside information including program content, time and space needed to conduct the educational program. All participants of Esperanza y vida complete questioneers which include demographics, years in the US, current participation in screenings, pre-intervention knowledge surveys (evaluating baseline knowledg e and attitudes) and post-intervention survey with the aforementioned(prenominal) questions (to measure any changes and success of the program) (Sudarsan, Jandorf, Erwin, 2011). The staff also tracks site setting, verbiage the program is taught in, the type of program.The language the programs are taught in relate to the host and participants requests which reflects language preference in that specific region. Implementing Esperanza y Vida in diverse locations withgeographic considerations and variations and ethnic variables will assist in expanding the program across the US. Adaptation of the same intervention at different geographic sites will provide information to diverse populations. Cultural competence of the program has potential to decrease health disparities in Latinas (and soon other groups) in the US. The ability to recruit and educate diverse subgroups of the Latino population with success in enhancing knowledge about breast and cervical cancer screening and treatment s. This program is malleable to different community needs which makes it stand out among others with convertible focus.StrategiesIf I was the nurse leader in charge of developing a follow-up to the Every Woman Matters program, the strategies I would propose for creating a more effective prevention program would include first, choosing practices that were financially stable, who worked surface together, and where all staff was in agreement to promote change.ReferencesAltpeter, M., Earp, J., & Schopler, J. (1998). Promoting breast cancer screening in rural, African American communities the science and art of community health promotion. Health & Social Work, 23(2), 104-115. Retrieved from http//ezp.waldenulibrary.org/login?url=http//search.ebscohost.com/login.aspx?direct= veritable&db=rzh&AN=1998053486&scope=site Backer, E. L., Geske, J. A., McIlvain, H. E., Dodendorf, D. M., & Minier, W. C. (2005). Improving female preventive health care delivery through practice change An Every Wom an Matters study.Journal of the American Board of Family Practice, 18(5), 401408. Retrieved from the Walden Library databases. Carroll, J. K., Humiston, S. G., Meldrum, S. C., Salamone, C. M., Jean-Pierre, P., Epstein, R. M., and Fiscella, K. (2009). uncomplainings experiences with navigation for cancer care. Patient Education and Counseling 80, 241-247. doi10.1016/j.pec.2009.10.024 Leeman, J., Moore, A., Teal, R., Barrett, N., Leighton, A., & Steckler, A. (2013). Promoting Community Practitioners Use of Evidence-Based Approaches to Increase Breast Cancer Screening. Public Health Nursing, 30(4), 323-331. doi10.1111/phn.12021 Retrieved from http//ezp.waldenulibrary.org/login?url=http//search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2012167333&site=ehost-live Meredith, S. M. (2013).