Essay Example on Examining Early Pregnancy & Addiction Risks

As a result of the dominant poverty in the community, related challenges such as gang activities, trafficking, employment, among others are bound to happen. They are the primary determinant factors of early pregnancy and addiction concerns (Wall-Wieler, Roos & Nickel, 2016). The first step is the monitoring and evaluation of health issues. In-Depth research that incorporates aspects of both qualitative and quantitative approach should be used (Field, Vila, Runk, Mactaggart, Rosewell, & Nathan, 2018). The data that is currently available from the community does not suffice to explain the situation of the ground fully (Zanin & Piercy, 2019). It is mainly quantitative. Therefore, a qualitative survey would be employed to gather facts, explain processes, and measure the perception of society towards health issues (Reeve, Humphreys & Wakerman, 2015).

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Monitoring and evaluation and health needs assessment are critical in health assessment. Both are research-related and involves systematic methods through which the health issues that are facing the target community can be reviewed (Smithies & Webster, 2018). The main goal is to create an intervention, agree with the diverse stakeholders on resource allocation towards improvements of health processes, settlement, and agreeing on priorities and reduction of inequalities (Lin & Wang, 2016). Therefore, community health assessment plan should be decided by the findings from these processes.

At this level, the diverse aspects of the help plan that are deemed appropriate will be analyzed. Such aspects include the impact of the plan. In order to determine the impact of the plan, the prevalence and incidence of the determinant factors shall be considered - for instance, the severity of the health issues on the community's healthy functioning. The changeability of the health conditions must also be evaluated at this point (Field, Vila, Runk, Mactaggart, Rosewell & Nathan, 2018). This involves the evaluation of whether it is possible and within reasonable means to changes the determinant factor and the health conditions during the assessment. Another key factor in evaluation is the acceptability of the assessment plan. The small diversity within the community is a significant strength (Jagosh, Bush, Salsberg, Macaulay, Greenhalgh, Wong & Pluye, 2015). The community has a dominant black-Americans community. This implies that despite differences in social and economic classes, people can develop and work on a common goal. The plan should be developed with the understanding of changes that have the highest acceptability and bound to generate the best impact (Lin & Wang, 2016). Finally, resource feasibility should be measured.

The resource feasibility is the budgetary phase of choosing the plan. There is a need to evaluate whether the plan that is selected for Centerville community is within the financial, human and capital resources available from the federal government, the state government and the diverse organization that would offer their resources towards interventions. However, there are diverse challenges with the approach. The community development approach is capital and labor-intensive (Artiga & Hinton, 2018). Its systematic nature requires the employment of long-term infrastructure, including full-time community health workers and other health and commonalty development experts. Therefore, it is not a very appropriate approach to use in issues where immediate results are required. However, it has a bigger and longer-lasting impact on the long-run.

References

Artiga, S., & Hinton, E. (2018). Beyond health care: the role of social determinants in promoting health and health equity. Health, 20, 1-10. Retrieved from http://www.ccapcomcare.org/Newsletters/2018-05%20INSIGHT%20KFF%20Brief.pdf

Field, E., Vila, M., Runk, L., Mactaggart, F., Rosewell, A., & Nathan, S. (2018). Lessons for health program monitoring and evaluation in a low resource setting. Rural and Remote Health. Rural Remote Health, 18, 4596. Retrieved from https://www.rrh.org.au/journal/article/4596

Jagosh, J., Bush, P. L., Salsberg, J., Macaulay, A. C., Greenhalgh, T., Wong, G., ... & Pluye, P. (2015). A realist evaluation of community-based participatory research: partnership synergy, trust building and related ripple effects. BMC public health, 15(1), 725.

Lin, P., & Wang, N. (2016). Building portfolio fragility functions to support scalable community resilience assessment. Sustainable and Resilient Infrastructure, 1(3-4), 108-122. Retrieved from https://pdfs.semanticscholar.org/78f2/0e41d574c96e5ce89a4e23f9984e1d6ab47c.pdf

Reeve, C., Humphreys, J., & Wakerman, J. (2015). A comprehensive health service evaluation and monitoring framework. Evaluation and program planning, 53, 91-98. Retrieved from https://www.sciencedirect.com/science/article/pii/S0149718915000932

Smithies, J., & Webster, G. (2018). Community involvement in health: from passive recipients to active participants. Routledge. Retrieved from https://www.taylorfrancis.com/books/9780429460739

Wall-Wieler, E., Roos, L. L., & Nickel, N. C. (2016). Teenage pregnancy: the impact of maternal adolescent childbearing and older sister's teenage pregnancy on a younger sister. BMC pregnancy and childbirth, 16(1), 120. Retrieved from doi:10.1186/s12884-016-0911-2

Zanin, A. C., & Piercy, C. W. (2019). The Structuration of Community-Based Mental Health Care: A Duality Analysis of a Volunteer Group's Local Agency. Qualitative health research, 29(2), 184-197. Retrieved from https://kuscholarworks.ku.edu/bitstream/handle/1808/27631/Zanin_2018.pdf?sequence=1&isAllowed=y