MANAGING THE Health and Populations
(1 Page)
Determine a local jurisdiction on which you would like to concentrate (city, township, county, or state). Examine the epidemiology of the chosen disease, reviewing its history and trend, comparing the national trend to the chosen local jurisdiction. Describe the local jurisdiction (population and demographics).
(1 page)
Using CDC Wonder, choose a health condition or determinant, a specific place (county or state), and a time period (years). Review the data covering a 510-year period. Answer the following questions:
1. What are the morbidity and mortality rates for the health condition or disease?
2. Choose 1 year, and review the data by age, ethnicity, and gender. Do you observe any disparities within these groups?
3. What pattern or trend have you observed over the 510-year period?
4. What are the risk factors for the disease or health condition?
5. Does this information surprise you? If so, why?
6. How can these data be used to inform policy and prevention and intervention programs?
(2 pages)
Complete a needs assessment of your target population pertaining to the disease or health issue for which you are proposing the need for an intervention or prevention program. A component of the needs assessment is to describe the disease or health issue to demonstrate the need. Using the epidemiologic triad of people, time, and place, provide a descriptive analysis of the health issue and the impacted population.
For data on your chosen disease or health issue, review the following data sources:
CDC Wonder
Community Commons (You have to register for this one, but it is free.)
U.S. Census Bureau (This is good for demographic data.)
County Health Rankings
Describe the disease in terms of the following:
People: Demographics of those impacted (age, race/ethnicity, gender)
Time: The time period of the data you are reviewing (510 years, 1 year, etc.)
Place: Built environment and other environmental factors
Represent the data in graphs, charts, and tables as relevant, accompanied by a brief explanation.
Describe the morbidity, mortality, incidence, and prevalence rates of the data. Describe differences in terms of age, race/ethnicity, and gender. Which age group, race, or gender seems to be most impacted by the morbidity and mortality data? What were the morbidity and mortality trends for the time period observed (5 or 10 years depending on the data)?
(1 page)
Peruse the following Web sites:
County Health Rankings
Community Commons
HealthyPeople.gov
San Diego County Health and Human Services Agency
Data.gov Data Catalog
The concept behind the 3-4-50 model is that there are three unhealthy behaviors that influence four chronic diseases, which leads to 50% of all deaths. The percentage of deaths can vary by community or place. For example, in some communities, this can be 3-4-63 or 3-4-45.
As you peruse the Web sites above, respond to the following questions:
How do the 3 behaviors in the 3-4-50 model impact the 4 diseases in your community?
Can you find the mortality of these 4 diseases in your community?
o If you can, what is the percentage of deaths caused by these 4 diseases for your community?
What are the underlying social determinants of health that impact the 3 behaviors in the 3-4-50 model?
What are the health disparities observed from the data in your community (city or county)?
Physical activity, or lack thereof, is 1 of the 3 behaviors that impacts the 4 diseases. What is the walkability index for your neighborhood (area)?
o Does this support the data as they relate to health conditions that are impacted by physical activity?
From the data and the information you gathered, what recommendations might you have for your community?
(3 Pages)
write a brief report on the risk factors and social determinants of health that impact your community. In your report, answer the following:
What are the risk factors that promote health conditions in your community?
What are the social determinants of health in your community?
Which diseases or health conditions are most prevalent in your community?
What is the difference between social determinants of health, health disparities, and health inequities?
What are the health disparities and inequities that you have observed in your community?
What recommendations might you make to the decision or policymakers in your community to address these?
(2 Pages)
You are the Program Manager, and you are trying to decide on the best course of action to decrease incidence and prevalence of the disease chosen. You must decide from the data which population is most at-risk and decide on the most appropriate intervention to which you should allocate funds. To do this, you need to see the big picture. In this assignment, you will write a proposal to your Chief Executive Officer outlining the following:
History of the disease (show trends and data)
Needs assessment for your population:
o Demographics
o Social factors that may increase risk (poverty, health insurance, race/ethnicity, etc.)
Morbidity and mortality data
Incidence and prevalence data
Suggested intervention program with cost analysis
Justification and explanation for why this is the most appropriate intervention for the target population
(2 Pages)
What type of data would be collected, and when?
What tools or measures would be used to collect the data (e.g., surveys, questionnaires, pre and post assessments, town hall meetings. etc.)
What would be used for evaluation (rates, mean, etc.)?
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