Question

Health Promotion for Multicultural Populations

Consider this scenario: (The scenario could have considered any population located within any community, work site, school, or health care program setting.)

Mortality and morbidity from health-related causes have been increasing for the past several years among several population groups living in a large multicultural metropolitan community. The local health jurisdiction, private providers, voluntary agencies, and community members are very concerned and want to reduce the number of deaths and illnesses drastically. Local government officials recognize that increased screening, referral, and treatment programs are critically needed for identifying problems. Limited monies are available for providing health promotion and education programs to selected multicultural target groups. Select a specific target group in a specific geographical area in your county as a frame of reference to work from. Consider the following questions relevant in a 4 to 5 page Microsoft Word document:

• How would you involve those affected by the problem?
• How would you identify opportunities for Community-based Participatory Research (CBPR) in health promotion program planning?
• How would you assess community capacity as relevant to the program planning effort?
• Describe the dynamic relationship between program planning, evaluation, and implementation.
• How would you assess the needs of the community or target populations?
• How would you diagnose and prioritize health-related concerns (problems and needs) in the community?
• How would you assess the specific health promotion and education needs of the target group (i.e., targeted assessment)?
• How would you use and apply your knowledge about the predisposing, enabling, and reinforcing factors to assist with your planning team identify the target group and select possible program intervention activities?
• What levels of change would be sought in your program?
• What specific health promotion and education program goals and objectives would be included in your hierarchy?
• What factors would you consider relevant to identifying health promotion program intervention activities that would consider the special needs of the target group, the health problem, and setting?
• What levels of evaluation (i.e., impact, outcome, process, and formative) would you use for assessing your previously stated program objectives?

Answer 1

** Health promotion strategies should be followed by public health in urban setting, urban planning strategies for disease prevention and health promotion activities should be in action with best practices to develop intervention and to improve the quality of life..improving their health behaviour, living conditions, remove the social inequalities, improve the stakeholders awareness affecting the public health in urban areas.. Improve knowledge of the population and awareness of disease..

** Community- based participatory research (CBPR) important for factors multilevel intervention approch to address policy change, population and individual lifestyle, environmental causes which make disease and barrier for health promotion. CBPR approch address health disparities, which can make determinants in multiple and community level and also CBPR used for intervention targetting health behaviour changes which increases the chronic illness..CBPR benefits to develop pilot test, randomized controlled trial in school based, work place focus on obesity prevention, physical activity, nutrition intervention with involvement of stakeholders in local district..CBPR improves the awareness and it involves parents, children, adolescents, elders and leaders in community to participate in this program..it improves research, knowledge and to design cultural based effective interventions, it strengthen the community relationship..

** Lack of capacity can reduce the effort and intervention planning.cross- site program assessment survey(C-PAS) determine their knowledge, skills and abilities improve the community intervention..survey evaluation plan can assess the capacity of the community as relevant to the program planning effort..it evaluate the individual knowledge,skills, abilities and needs of person, prevention on initiatives to make step for community program development..C- PAS provide correct data and plan for specific activities, counseling, screening etc..

**Traditional evaluation methods support and collaborate between program success,plan, implement, evaluate..For public health promotion research and practice, building capacity for Evidence-based practice and planning, implementation and evaluation getting better outcomes it improves the quality of planning..For successful program evaluators and practioners use planning, implementation and evaluation in order to improve their intervention..For any quality intervention planning the program and creating the evaluation and implementation in action get used for quality improvement..