Developing a Healthy Advocacy Campaign: Women Rights to Equal Reach to Breast Cancer

Introduction

According to Marrison (2012), cancer of the breast is the second leading killer of women in the United States. It is essential to screen cancer at an earlier stage so that effective medications can be commenced at once. Earlier detection of the disease would reduce the increased mortality rate. Several women have minimal access to suitable breast health checkup due to lack of health insurance, low income or rather coming from an ethnically varied background. This paper will try to debate the aspects that have resulted in the success of health advocacy programs designed at ethnically diverse women and will connect those effective involvements with the present laws and principles that affect the advocacy struggles in breast cancer. Additionally, it will communicate the ethical dilemmas encountered by breast cancer advocacy programs linking those dilemmas to the American Nurses Association (ANA) Code of Ethics to offer an actual nursing act.

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Breast Cancer Screening for Ethnically Diverse Women

The frequency of checkup in culturally diverse women is minimal as compared to Caucasian women. Women originating from ethnologically diverse upbringings have numerous encounters which make them fail to go for the screening of breast cancer (McPhee el at.,2002). Some of these challenges' entails; lack of health insurance, low socio-economic status, lack of a frequent source of healthcare and is one of the ethnic minority group. Language obstacles are related with being of the member of the ethnically diverse group. These problems come together minimizing the probability that women from assorted ethnic groups will have efficient breast cancer checkup. The lack of screening results in the increase in death rate for those women in diverse ethnic upbringings. Several ethnic groups have death rate increasing more rapidly than the normal populace. Interventions are required to enhance the acquiescence of culturally assorted women in correlation to breast cancer screening to minimize increased death rate (Friedman, Moore, Webb, & Puryear, 1999).

Successful Health Advocacy Programs

This literature explains some successful breast disease backing plans that have been considered around the nation. One research considered by Morrison, (2012) focused on ladies set off to a neighborhood human services center. The investigation individuals viewed a video talking bosom tumor self-evaluation. They were then offered extra preparing assets imprinted in their unique dialect. These assets discussed a few worries around bosom tumor screening, for instance, understanding their hazard factors, going for screening, grasping what is typical and irregular in their bosoms and thinking of better ends. The examination results built up that these contributions strongly expanded the proportion of ladies who included a mammogram inside a year post their association in this stage. A couple of study patrons were treated with bosom malignancy after their mammograms consequently speaking to the requirement for enhanced rebellion with the screening procedure.

Another investigation went for getting Asian-American ladies to frame four Asian social bunches. The researchers alluded college understudies to Asian supermarkets to experience ladies and discussion bosom malignancy checkup or prostate screening together (Grunfeld el at., 2002). The ladies were haphazardly situated in either the bosom disease checkup preparing or prostate screening preparing gatherings. The ladies were then given preparing materials as per their dialect at about fourteen days and a month and a half after their grocery store conference. The women were also being called twice at four weeks and 6 weeks following their grocery store summit to boost the impacts of breast trauma checkup, to give information on voluntary mammograms that could be retrieved and to provide an answer to the queries. The breast cancer checkup training resources augmented the number of women who reserved a mammogram between two weeks in contrast to their members in the prostate checkup training group. Individuals in the prostate inspection education group were trained on the impacts of cancer screening but did not apply that in their own breast health.

The aspects that made these programs fruitful were many. Firstly, these programs individually gained access to women. There were not cold calling women asking their involvement. This face-to-face outline both types of research refined a feeling of an asset in their members and was supposed to be an important factor in the amplified rate of a mammogram. Secondly, the women received several follow up contacts. This ensured that the importance of mammogram was strengthened in them. The follow-ups contacts also acted as a recap of where voluntary mammogram could be accomplished, hence echoing to women from low socio-income that the screening process will be offered for free. Lastly, the follow-ups contacts were being conducted in various means and the printed resources were the native philological of the women involving whenever probable. This ensures that there is a greater understanding of the materials which could then result in greater acquiescence with pursuing screening.

Health Advocacy Campaign

The public wellbeing matter to be presented in maintaining that the ethnically assorted women have an equal reach to breast cancer inspection as Caucasian women. Considering this matter address the advanced healthcare expenses related to diagnosing breast trauma detected at future phases and will work hand in hand in ensuring that there are minimal death rates in culturally assorted women. The planned strategy is to ensure that there sure is a free breast cancer inspection across the state for every woman irrespective of their socioeconomic conditions. The health of the breast checkup reach needs to be communicated nationally since notwithstanding growth in treatment initiated in the Affordable Care Act, there are still a lot of women who are not able to access the free breast health scanning. The major objective to be employed in this policy is to make sure that each state has some health clinics which offer unrestricted mammograms to all women over age 40.

Many stakeholders will be needed in the change of this policy. In the situation of this new policy, some of the stakeholders include; hospital and health centers, women's groups, state and federal politicians, private insurance companies, national health, and support groups and other women would need to be informed about the change of the policy. Informing women in the general population will be of great importance. These people need to be involved in the changing of the policy for it to be successful. Giving information to such a high number of stakeholders would be challenging and would need an inclusive media campaign. The use of press release, television, print media, and online interviews would some of the schemes used to inform stakeholders about the planned change.

Legal Considerations

This planned strategy change could be gone through an alteration to the Affordable Care Act. This arrangement that was started on August 1, 2012, that expressed that every woman more than forty years was to give mammography protection by the Affordable Care Act. It likewise leaves numerous women without free access to these services. Numerous states got laws influencing the capacity of women to get free mammography. Utah is the main state in America that does not have an arrangement for women to get free mammograms. Different states have less access, yet there is nothing that gives widespread access to mammograms to women more than forty years.

Support of this strategy modification would be provoked by the beginning of a popular movement to foyer policymakers to make this changes a truth. The popular movement would be made for women, consisting of nurses that are obsessive about confirming that every woman over the age of forty is offered an annual mammogram. For an effective campaign, it depends on the agreement between effective coverage and the right mastery for it to be effective. Some interventional to be introduced by the operation would be to give out education materials and flyers, participate in local media interviews, meet with local politicians and contribute in native town hall conferences to guarantee that the communication about the planned strategy modification could be perceived. Having backed from the communal ensures that there is some pressure exerted onto those they voted to the office. If enough funds were offered a qualified campaigner may be employed to ensure that there is a better reach to centralized politicians, the state and others who have the power of coming will reasonable decision makers. This would be a vital policy towards achievement as an expert lobbyist are commonly seen to be experts on subjects by politicians.

Money plays the greatest role in lobbying policymakers for change in present laws. Grassroots campaigns members and nurses should make sure that the funding is focused on political leaders that supported the planned strategy change. It is often uncomfortable for the nurses to discuss the money and its influence, however, if the change is to be effective money will have to be focused purposefully.

Several legal barriers to this type of plan modification can be predicted. To offer free reach to universal mammography for women who are over 40 years of age in the United States would require to be implemented alongside the planned adjustment to the Affordable Care Act. This would acquire substantial time and endurance. To implement the change on this scale popular lobbyists would be required in every state. These popular lobbyists could enhance and maintain interactions with local partisan contenders, retain the matter in front of the public, and remain present with the status of the statute in the state. On the other hand, relations with state communication would be enhanced that could provoke outcomes in various places.

Enlightening change to a state, for example, the Affordable Care Act is out of the scope of a popular campaign. More complicated lobbying professionalism would be needed to promote this change in such considerable state bill. For the Affordable Care Act to be brought out for amendment change, a more qualified lobbyist would be necessary. The expert lobbyist would have the state associates needed in influencing legislators in the United States.

Finally, as this progression would be extended and time wasting in keeping the public in the plan alteration would as well be a barrier. Maintaining that the popular campaign members in every state kept the matter in the media would be vital. This would entail wide time and money to deliver the matter consecutively to the public. Getting aid from state women advocacy groups and cancer advocacy groups would be essential. These advocacy groups have the direct reach to media subsidy past what the popular campaign would offer. Associating with these groups could lead to a great variance in certifying continued public demand.

Ethical Dilemmas

There are numerous ethical encounters within giving free mammography to culturally assorted women (Guttman, 1997). First, the scenario as it appears does not provide low income, culturally diverse women any alternative round breast health checkup. They moreover have coverage, or they don't give up in the condition as it is continuing authoritarianism and does not promote for altering the forthcoming health of culturally diverse women.

Nurses have a mandate to minimize authoritarianism and to promote for our patients. One main issue necessitating this is the language obstacles that are there for these women. Having inadequate comprehension of the language hinders them from understanding normal media and before...