Promoting Positive Health Behaviors
NURS6050, Section 4, Policy and Advocacy for Improving Population Health September 29, 2014
Promoting Positive Health Behaviors
Improving population health
Every Woman Matters
Every Woman Matters is a program through the Nebraska Department of Health which is state run and federally funded. This program focuses on decreasing barriers to preventive breast and cervical cancer screenings in low-income women. They so this by raising public awareness and make these screenings more accessable and affordable to eligible women (Backer, Geske, McIlvain, Dodendorf, & Minier, 2005). Reduced cost or no cost clinical breast exams, mammograms, and Pap smear test are provided through this program.
The EWM program has attempted to provide their services to physician practices to assist in the development of the program. The practices are expected to follow the GAPS model to implement this change. This includes: “goal setting, assessing existing routines, planning the modification of routines, and providing support for these improvements (Backer et al., 2005, p402). In order for this to be successful, they need to alter physician and practice behaviors. The practices resources, willingness to change, and the ability of staff to fully cooperate or work as a team should have been evaluated before the attempt to implement EWM program into each practice. It seems the practices chosen to implement the Every Woman Matters program already had its own issues or barrier for implementation to be fully possible. Some of the problems that were faced were: one practice was only focused on generating income, some were hospital owned which added barriers to approval, enthusiasm was not shared by all staff, staff was disgruntled or overextended, limited resources, resistance from staff, no active leader, prevention not being priority, and the loss of interest or elimination of goals after the first few months (Backer et al., 2005). Each practice involved had at least one of these issues present resulting in the Every Woman Matters program not being effective in meeting its goals. Prevention Programs
Two prevention programs that advocate for early screening are The North Carolina Breast Cancer Screening Program (NC-BCSP) and the Esperanza y vida health education program. Both of these programs are focused on women’s health screenings and treatment and they go about it the same way, influencing and supporting through social networks and offering culturally tailored interventions. The North Carolina Breast Cancer Screening Program focuses on African American women over 50 years old. They use a social ecological theory which targets several levels of the community from individuals and social networks to institutions and policymakers. They believe that providing “linkages” will develop communities that will endure after the research project ends (Altpeter, Earp, & Schopler, 1998). Social workers and others are used as “coaches or teachers” to develop the community participants’ skills. They help organize local efforts and provide technical assistance or training. Social workers also identify and integrate the needs of underserved constituents into service planning to aim to improve service delivery. Three interventions are used in developing the program, Outreach, InReach, and Access. Outreach targets individual women and community nerworks to which they belong, building on the capacity of local leadership to advocate and promote breast cancer screening. This includes having agency-based community outreach specialists, county-based community advisory groups and a network of volunteers that span the projects 5-county region. The focus is to enhance awareness, generate community support, and introduce Lay Health Advisors that run focus groups. InReach enhances service delivery by restructuring clinic policies and procedures to increase efficiency of previous services that...
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