Using Conceptual Frameworks in health Policymaking : A Guide for CEOD
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CH10DB6.docxAfter reading Chapter 10 and reviewing the powerpoints,
You will need to post your comment as respond to the 3 comments by no more than 2-3 Complete Sentences. I Looking on the depth, not the length of your comments
Need to Respond to this:
1. B. W.
My chosen health disparity is that residents of low-income areas/neighborhoods typically have less access to fresh and healthy foods than individuals living in higher-income areas.
Problem Stream: limited access to healthy fresh food
Policy Stream: not many representatives from the affected communities and the issue has not received much attention except for in the past few years. As a result, there are very few policies regarding food access that I could find.
Political Stream: Again, not much attention has been given to this issue except for fairly recently and many high-up officials are still unaware or unconcerned about it because they are not personally affected. However, some small-scale/grassroots movements to help solve the issue have begun popping up, such as community farmers markets.
More awareness and advocacy needs to be given to this particular problem, and it cannot come only from the people negatively impacted because they may not have the resources to affect much change. Officials on higher levels need to be made aware of the problem and begin to invest time and energy into solving it and advocating for the population it affects in order to see policy development and lasting change.
Need to Respond to this:
2. A. N.
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Health disparities among the transgender community
Problem: Transgender people face numerous health disparities as well as stigma, discrimination, and lack of access to quality care. Transgender and gender non-conforming people bear the brunt of social and economic marginalization due to their gender identity. Too often, policymakers, service providers, the media, and society at large have dismissed or discounted the needs of transgender and gender non-conforming people in their communities, and a lack of hard data on the scope of anti-transgender discrimination has hindered the struggle for basic fairness.” The disparities cited in the report include low rates of insurance coverage among transgender people, obstructed access to urgent and routine medical care, and refusals of treatment from providers.
Here is the shocking yet true facts: The National Transgender Discrimination Survey showed that 26% of trans people lost a job due to bias, 50% were harassed on the job, 20% were evicted or denied housing, and 78% of trans students were harassed or assaulted. And the transphobia that drives the discrimination is exacerbated when the trans person is a person of color and also faces compounding racism. The report also notes that almost 50 percent of transgender respondents have postponed medically necessary care for financial reasons or because they were afraid of encountering discrimination from providers!!
Policy: Like I have just stated above, there has been a huge hindrance of people form the LGBTQ community in receiving the correct and adequate care that they need. There is a law in place and it is called the Nondiscrimination Law. This law specifically protects individuals from many forms of discrimination in the provision of health care services.
Politics: Here in the U.S there has been a lot of talk about gay marriage and the LGBTQ (LGBTTQQIIAA (Lesbian, Gay, Bisexual, Transgender, Transexual, Queer, Questioning, Intersex, Intergender, Asexual, & Allies) community in general. But what we are not talking about the health of this whole community. LGBT Americans have long been denied access to health care and services and this needs to be addressed. We need to do better in order for this community to receive the adequate care that they have a right to.
Need to Respond to this:
3. J. K.
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Health Disparity: At 34.3%, Kentucky has the eighth highest obesity rate for adults and third highest for children.
Problem: Obesity rates in Kentucky are rising and there is not enough education about health and accessibility to things such as healthy foods to low income families.
Policy: There needs to be more education available to low income families, at least the children because they might have not had a chance to learn about the impact a lifestyle can have on their health. Also, healthy foods need to be more easily accessed by low income families.
Politics: There needs to be more discussion about this on a national level, and it needs to be on TV in the news. Not everyone realizes the seriousness of obesity and instead of more coverage on the health risks, there is more coverage for commercials for fast food.
EXAMPL:
L. W.:
My target population is going to high schoolers with an intellectual or developmental disability within Bowling Green, KY. I chose this community because there is a lack of preparedness for these individuals when transitioning from a high school schedule to an adult life schedule. Many people do not know, but when an individual with a disability turns 21 years old, they are no longer welcome back at their high school. So whether your birthday is on the first day of school or the last day of school, the day after you turn 21, you are no longer permitted to be back in the high school. The challenge with this is that since there is so little emphasis on transition, this slaps many of these students in the face since they have had a routine ingrained into their life since they were very young. For anyone who's ever had a relationship with someone with a disability, it is a known fact that this community best thrives on a consistent schedule. So when that schedule is abruptly changed, behavioral and emotional issues are often the after math while coping with the adjustment. So for my project, I wanted to create a coalition that would emphasize the need for transition from high school to adult life. I believe that reaching out to relevant organization leaders who advocate for these individuals, mental health professionals, state leaders such as Matt Bevin, high school teachers and even parents affected by these changes, we can get insight and enough data to get a motion rolling for change. By getting this information from these people, it will be easier to build this program up with as many of sides of the intervention as we'll have! Of course, then goals and strategies will be created and utilized to build up the program.
By using the MAPP model, I will be thoroughly implementing and promoting a program to instill change. By going through all six phases of the MAPP model, you are insuring that you are covering all of your bases in an organized fashion, while challenging yourself to think of issues that may arise later, and how to solve those issues. Since MAPP relies on partnerships and participation from members, this is also a great way to network and to use people's strengths to further your cause. Hearing out your colleagues is important, and in fact, is part of the 3 keys to MAPP!
THE Respond :
Dear L. W. :-
I realy appreciated your thinking about the target population that going to high schoolers with an intellectual or developmental disability within Bowling Green, KY, and how you can improve this target by using the MAPP model. So, you have a great idea about the target and you uesed the concept of the MAPP that is a shift from a focus on the agency to a focus on the community and the entire public health system. So, when you discusses your target community, try to bring everyone’s collective wisdom together to be hand by hand with you to achieve a better society and great future for those people who have the disability and facing difficult when they try to enter the high school. Therefore, by gathering all of the assets and resources within the community, the community is able to determine how best to use collective wisdom to create a healthier community. This MAPP process is a new way of doing business, and improve our community life by a great strategic planing tool.
greetings,
The Other Exampl :
K.B.
The 12 Ethical Principles are very very similar to the 10 essential public health services. These ethical principles are clarifying the distinctive elements of public health. They make the services and principles clear to communities and populations that they serve and give a standard that these services should be held accountable to. The 12 principles also define as a society what public health does for the community and population that they serve.
The `12 principles of public health practices are based upon the 11 values and beliefs of public health. The values and beliefs are a foundation for the principles to be built upon. The 11 values are assumptions of public health practice that are the underlying for human and civil rights that are the underpinning for the 12 principles.
Going into a community it is important to remember that the members of the community have the best insight into what is going on. These individuals have rights that have to be respected. The individuals of the community must have trust in the information that I am giving them, so adequate resources and information are required. Collaborating with other health agency to make a web of resources also help the education process become more effective. Making sure it is prominent that the purpose of the efforts is to better the community and that all individuals can become involved. Empowering those individuals to take control makes the program and efforts more effective. I would need to make sure that every individual has the knowledge and resources to make the decisions to make changes. I would need to make sure all public health services were available to the community. Following the code of ethics would also lead to all conflicts and disputes being handled properly.
THE Respond :
Dear K.B: I support your argument that 12 Ethical Principles and ten essential public health services have major similarities. However, I would like to understand some of the strategies used by the public health departments in making codes guiding their services and principles known to communities and populations they serve. I also agree that values and beliefs play a significant role in the development of public health principles.أسفل النموذج
