ch 9 planning for community change Flashcards
health planning
organized and systemic process in which problems are identified, priorities selected, and objectives set for the development of community health programs based on the findings of community health assessments and health surveillance data
levels of health planning
global (WHOs, SDGs)
national/state
- healthy people 2030
-National prevention strategy
-national health initiatives, strategies, and action plans
-the state department of public health
-community assessment
health
- community readiness for change
- community empowerment
- community assessment
-community health improvement planning process
force field analysis
tool used to identify the forces driving or restraining change
EX of restraining change (lack of health insurance and convenience of ER access)
SDOH
are they living in a health-promoting environment
health impact assessment
health disparities, health equity, and social justice
-economic stability
-social and community context
-neighborhood and built environment
-health care access and quality
-education access and quality
social ecologic model
where are we primarily influencing above us or below?
health impact pyramid
education and counseling may be least impactful due to change being hard to follow through with behaviors
“lever of change”
intervene in the phenomenon in ways to change success
EX: cigarette taxes, TV ads banned, non-smoking places
Multilevel interventions are needed to achieve change in complex community health conditions that have multiple determinants
logic model
a community based intervention to promote help seeking
SMART objectives
specific, measurable, achievable, relevant, time-bound
helps you evaluate the goal better
funding for community interventions
project funding
-government
-private
-local
KEY CONCEPTS
common themes of current national and international health plans include providing health promotion and disease prevention at the population level, addressing SDOH, and achieving health equity
multilevel interventions are needed to achieve change in complex community health conditions that have multiple determinants
social justice and health equity are key values in community health and public health nursing
changing the social and environmental context to make healthy choices the default in an effective strategy for improving the health of a community
even small changes at the community or population level have the potential to crease significant change in the health status of a community
community participation through engagement and empowerment in all steps of the change process helps to increase the potential for program success and sustained change in community health status
the change process can be visualized as three steps of unfreezing the state quo, changing or moving to a new state, and refreezing to sustain the change or changes made.
force field analysis is a tool used to identify the forces driving or restraining
public policies such as tax increases on tobacco, alcohol, or soft drinks can serve as policy levers to bring about change in community health status
logic models provide a visual representation of how a program is organized; what it will do, what resources are needed, how short-term and intermediate outcomes will be measured, and how the program goals will be achieved.
community readiness to change needs to be considered in selecting the most appropriate types and levels of interventions
health status of a community and its members is the result of a complete interplay of social, economic, environmental, behavioral, political, and cultural forces
health behavior change, whether at the individual or community level, requires sustained effort, and results may not be evident in the short term
