The borough has several Children Centres which provide activities such as music & movement and stay & play, it is important to advise parents about these centres and to encourage them to attend, the intention is for infants and toddlers to increase their active play. The World Health Organisation (2001) recommends that babies should be exclusively breastfed up until the age of 6 months before introducing solid food. Infant weight gain and childhood overweight status in a multicentre, cohort study. These groups are run on a monthly basis and parents of babies nearing the age of 6 months are invited to attend. To get an objective overview of the community this survey was carried out by driving and walking. Borough B no longer have this provision, the reason for this was not made clear. (2010). According to the statistics pointed out in (Chimat 2014), health issues that are a larger concern in the Borough are low birth weight of babies and infant mortality which are closely associated with each other. Corporate working in health visiting: a concept analysis. 44.8 % of these young children are of Asian/Asian British ethnic origin, which is the largest ethnic grouping. Journal of Advanced Nursing. However, four years later many children are still living in poverty, which suggests further government interventions needs to be put in place in order to improve the situation. [www]. The main paradigm for the first part is analysis – the examination and documentation of health needs and service needs within the region. P, (2012). >¦°w”x˜ô A‰x@׏®øë.½Û#õUÝDÖÇÓþríŽÓåÇYyéeèÏÒOÝ`¹Ä¤,»«(I.C´{S7½‹œ±£zRèÛÇÔÿºSÅbv3Ÿxæ/¼ø&X^öž¬¼é4XÞ\öœž3ê­>. In order to gather data for this assignment a community profile needs to be reviewed. GOT IT. Reducing childhood obesity will benefit the many health implications such as diminishing the risk of diabetes, asthma, sleep apnoea, anxiety, bullying and it will also build self-esteem. Needs assessments can be done at different levels – for example, a Joint Strategic Needs Assessment could be done by a partnership to support the development of a strategic plan. Harrow Council (2013). Child health profile. Assessment of a community for health care purposes revolves around the goal of treating the community as a client and improving its overall heath. It is a systematic method of identifying unmet health and healthcare needs of a population and making changes to meet these unmet needs. B.H, Whitaker. health needs assessment has a central part to play, enabling practitioners, managers and policy-makers to identify those in greatest need and to ensure that health care resources are used to maximize health improvement. According to the Boroughs Index of Multiple Deprivation (2010) Harrow ranked 184 most deprived local authority out of 326 but variations of deprivation are present within some areas in the south of the borough. Pediatrics. Many Government policies such as the (Department of Health 1999) white paper Saving Lives: Our healthier Nation vowed to tackle health inequalities. National Institute for Health and Clinical Excellence, N.I.C.E. I mentioned earlier on that this health care needs assessment is longer, it's more of a reference than a simple read and that's fine. Health Needs Assessment Essay Sample. (2010) proposed strategies to “give every child the best start in life” the aim was to reduce health inequalities. The meanings and implications of receiving care, The Distribution of Condoms to Teenagers in Schools, Principles of safeguarding and protection. 2013) will assist health visitors to overcome this difficulty. J. Field, F. (2010). D. (2003). [Accessed 18th April 2014]. By clicking "SEND", you agree to our terms of service and privacy policy. It was therefore important to educate them on the correct way to introduce solid foods to their babies using evidence based information. The children are usually weighed and the weight is plotted on the centile chart; a crossing upward of 2 centiles on this chart can be interpreted as rapid weight gain (Redsell et al. National Institute for Health and Clinical Excellence, N.I.C.E. [www]. For this reason many families have been rehoused outside of London, which can have a diverse effect on education and health. Available from: http://www.unicef.org.uk/Documents/Baby_Friendly/Research/Preventing_disease_. For the benefit of this assignment a windshield survey of Borough B was carried out. [www]. If you need this or any other sample, we can send it to you via email. Most of the provisions above are in place in Borough B to meet the intended need, although the MEND programme which was once operational in the Borough would be beneficial if it was reintroduced. Waldfogel (2010) defines child poverty as a share of children whose family income is below 60% or less than the national median family income for any particular year (Palmer 2011), whereas (JSNA 2010) defines child poverty as children living in a home that obtains a means-tested benefit. Gaining this award has helped the breastfeeding rate in the borough to rise and as (Unicef 2012) states increasing breastfeeding rates to a level compatible with reducing the rates of childhood obesity by as little as 5%, would result in reducing annual health-care expenses by more than £1.6 million. [Accessed 23rd October 2013]. [Accessed 26th October 2013]. Joint strategic needs assessment. Obesity Research. As the first step in the nursing process, assessing a community helps in identifying its strengths, needs, beliefs or traditions,practices, appropriate resources and various environmental conditions affecting the health and wellbeing of the members.Find a sample of community health assessment report. These are both significantly higher than the England average in Borough B. JSNA (2010) shows this from mortality rates and life expectancy with people living in the East of the Borough expected to live 7 years less than those in the North of the Borough. Online or phone assessment. According to (Chimat 2012) the England average was 9.4% and Borough B was 7.3%, however, (Chimat 2014) shows the England average is 9.3% compared to Borough B which has risen to 10%. This Health Needs assessment aims to look into Childhood obesity rates in the Borough and will investigate ways to improve these rates. The baby’s weight is then recorded each time they are bought to the healthy child clinic. Healthcare personnel in the company / organization or similar institutions must be updated as to the employee’s health. S.A, Atkinson. No problem! Hawtin & Percy-Smith (2007) defines a community profile as a complete description of the needs of a community, for the purpose of developing an action plan of how to improve the quality of life of the community. The Public Health Outcomes Framework for England. Based on observation, this survey showed the area to be a very diverse borough ranging from the very affluent to the very needy. Obesity: the prevention, identification, assessment and management of overweight and obesity in adults and children. However, although (Department of Health 2009) Healthy Child Programme encourages health visitors to provide information and advice to pregnant women and parents of young children about nutrition and physical activity, and the Foresight Report in 2007 aim to reduce excess weight in children by the year 2020; no national guidance has being put in place to assist health visitors to manage obesity in infancy. 34 (1), p. 59–64, January 2008, Wiley-Blackwell. A, Veidebaum. The main causes of death according to (APHO 2013) is coronary heart disease, stroke and cancer. Even though the concept of need may be greater in these areas, the health visitor will not be able to do much in the short term to put interventions in place to prevent them as they do not carry out antenatal visits at present. Various research articles have been undertaken and (Bogen et al. Available from: http://www.harrow.gov.uk/info/100010/health_and_social_care/130/harrow_s_joint_strategic_needs_assessment/2. Want to add some juice to your work? (2010). (2006). Infant feeding practices and prevalence of obesity in eight European countries – the IDEFICS study. The importance of assessing health needs rather than reacting to health demands is widely recognised, and there are many examples of needs assessment in primary and secondary care. Borough B also has in place many peer counsellors who support mothers by providing drop in breastfeeding support centres which are run from Monday to Friday, two being held in breastfeeding cafés within the Borough. Community Health Needs Assessment Process and Methods Advisory Committee In October 2017, members of the community formed an Advisory Committee representing several agencies and sectors including law enforcement, the department of health, primary care, and others (Appendix B). This would look at the needs of the whole population served by the partnership and identify gaps or inequity in service provision. In addition, (Lumeng 2005) believes a child with one parent who is obese is 3 times as likely to become an obese adult. Cavanagh, S. & Chadwick, K. (2005). S, Gildea. According to the latest data, the area is performing at 2% greater need than the England average (JSNA Refresh 2013/14). Cole T.J, Freeman J.V, Preece M.A. Health Promotion Needs Assessment Planning 0 Download 4 Pages / 875 Words Add in library Click this icon and make it bookmark in your library to refer it later. 12, 1527-1535. Hawtin. Mind, Exercise, Nutrition…Do It! M, Percy-Smith. (2006) advocates that working as part of a multidisciplinary teams is essential, to provide interventions to prevent and manage obesity, also to assist families who may need additional support. According to (Office for National Statistics (ONS) 2012) the borough has 119,900 males and 122,400 females. Stettler.N. What can we do to prevent Childhood Obesity? It appears to be a very useful tool which will assist health visitors to assess weight without any embarrassment, however, development work is on-going as testing of its practicability is required prior to full implementation of this recommendation. Sloan. Houston. In (Fair Society, Healthy Lives 2010) Marmot advocated a healthy weight should be consistent from ‘cradle to grave’. [www]. [Accessed 25th April 2014]. Your Answer Is Very Helpful For UsThank You A Lot! This way babies are able to self-regulate their nutritional intake reducing the risk of them overeating. This issue will cause various problems, which may lead to overbooking or the Health Visitor having to perform more home visits or clinic visits at impromptu times. The MEND programme (2008) is a healthy lifestyle non profitable organisation which focuses on obesity prevention. Health For All Children: Revised 4th Ed. The UK has one of the highest amount of children living in unemployed households than virtually any other EU country (Department of health, 2009). London: The Stationary Office. Stettler (2002), identified that gaining rapid weight in infancy was the strongest risk factor for developing childhood obesity and therefore essential to the health visitors role. [www]. [www]. Early weaning is related to weight and rate of weight gain in infancy Child: Care. The PCT which is based in Borough B is one of the most culturally diverse areas in England and has a population of approximately 240,000 which makes it one of the largest populated areas in England. The Effect of Breast-Feeding with and without Formula Use on the Risk of Obesity at 4 Years of Age. Healthy weaning St. Catherine of Siena Medical Center is conducting a Community Health Needs Assessment (CHNA) survey to better understand the health concerns and needs in the community. H, Iwaniec. Health assessment plays an important role in nursing. 2006 and Hunsberger et al. Indices of Deprivation. (1998). Fair Society, Healthy Lives (2010). These research articles conducted various studies, the three studies gave differing results but on the whole suggests that exclusive breastfeeding for 6 months reduces the risk of obesity in children. We use cookies to give you the best experience possible. National Obesity Observatory (2011). The aim was to prevent illnesses such as cancer, coronary heart disease and stroke by better screening and treatment for everyone and also by reducing smoking. Wijga (2010) found that overweight and obese children are more likely to become obese adults, therefore having a higher risk of morbidity with serious health issues such as coronary heart disease and stroke (Swanton 2008). [Accessed 18th April 2014]. Available from: http://www.harrow.gov.uk/www2/documents/s106489/HCR%20-%20Appendix%203%20-%20Homelessness%20Strategy.pdf. Palmer, G. (2011). In order for this to be achieved and to implement some of the interventions above, the government will need to fund training for all the health professionals involved so that they are appropriately trained to deal with the rising epidemic of childhood obesity. National Child Measurement Programme: England, 2009/10 school year. (2013). The project will gather and analyse data to identify all the health needs of the area, then focus on one key health need. These groups are very successful because the feedback gained after was always positive. better measures of child poverty. (2007). Institute of Race Relations (2014). (2005). B, Eve.F, Nathan. The aim of this assignment is to carry out a health needs assessment in my practice area, which will include a profile of the community with the intention to identify the main health needs. The rationale for undertaking a HNA is to recognise needs and highlight the problems in any given population, also to present proposals for clinical interventions in order to deliver a positive change in health outcomes. (2012). [www]. Review and Rate the Data. [Accessed 20th October 2013]. Executive Overview "The 2010 Affordable Care Act" requires that all 50l(c)(3) hospitals conduct a community health needs assessment. Weng et al. [www]. An initial behavioral health needs assessment is conducted immediately after a disaster and the data will usually rely on input from the affected locality as to damage, casualties, injuries, and populations exposed. Many other government documents have been produced on this issue in recent years, such as (DOH 2009) Tackling Health Inequalities:10 Years On. Health needs assessment at a glance. The HNA assist the HVs in identifying the wider determinant of health of the population and appropriate intervention put in place to meet that needs. Through the implementation of the Healthy Child Programme (Department of Heath, 2009) the government have made a resolve to improve the health and wellbeing of all children by ensuring they all receive essential immunisations, development checks and any additional child and family advice. Report ‐. [www].Available from:http://www.harrow.gov.uk/info/200088/statistics_and_census_information/496/census_2011-detailed_results_and_reports. The chart indicates that on average most of the health issues in the Borough are on the whole better than the England average. Glazebrook, C. (2011). A needs assessment can be defined as the following: 1. MEND Programme (2008). D, Glazebrook. Only the users having paid subscription get the unlimited number of samples immediately. When we say identification of needs, it refers to the process of describing the problems associated with the group or organization and the possible solutions to address these problems. Or if you need this sample for free, we can send it to you via email. We have received your request for getting a sample.Please choose the access option you need: With a 24-hour delay (you will have to wait for 24 hours) due to heavy workload and high demand - for free, Choose an optimal rate and be sure to get the unlimited number of samples immediately without having to wait in the waiting list, Using our plagiarism checker for free you will receive the requested result within 3 hours directly to your email. (2011) found that GP’s were more knowledgeable about the health risks of obesity, but not confident at giving overall advice and health visitors needed to increase their knowledge in order to identify and manage infants at risk of obesity. These are as follows: Assessing overweight/obesity Open University Press: England. The rationale for using it will be discussed and will then be critically evaluated. [www]. A Health Needs Assessment, from the name itself, helps to address the health needs of a certain population by setting priorities, and planning the allocation or relocation of resources to improve the population’s health and to reduce inequality. Sorry, but copying text is forbidden on this website. Health concerns that are, on average a larger concern than the nation have been underlined and are, for example, a higher number of road injuries and deaths, a higher number of hip fractures in ages 65 and over and higher numbers of increasing and higher risk drinking. National Obesity Observatory (2010). Jump the queue with a membership plan, get unlimited samples and plagiarism results – immediately! M, Lanfer. Garnham, A. The government have set up a new public health framework entitled the Public Health Outcomes Framework it sets the context which is structured from local to national level. Needs assessment is defined as the formal process of identifying and evaluation the needs of an organization or a defined group of people, such as a company or business. Summers A, McKeown, K. (1996). Obesity is classified as being ≥ 95th centile for population monitoring ≤ 98th centile for clinical assessment. If mortality rates from Coronary Heart Disease in the most deprived parts of Borough B were to reduce to the rate seen in the most affluent, life expectancy would increase by over a year in males and over 9 months in females (JSNA 2010). [www]. Available from: http://www.cpag.org.uk/sites/default/files/CPAG-Ending-child-poverty-by-2020-progress-made-lessons-learned-0612_0.pdf. Before recording the data collected from the needs … (See Appendix 2). Through this it will enable health visitors to access health needs, evaluate care and if necessary make referrals to the multi professional team. According to World Health Organisation (WHO) (2014) being overweight and obese are the fifth leading risk for global deaths. [Accessed 13th April 2014]. [www]. [www]. [www]. Available from: http://www.instituteofhealthequity.org/projects/fair-society-healthy-lives-the-marmot-review. Health needs assessment in primary care: a role for health visitors. Health profile. Tackling Obesities, Future Choices project. We'll occasionally send you account related and promo emails. See Appendix 1 for full overview of windshield survey. Swanton. Breastfeeding. [www].Available at: http://www.nice.org.uk/media/150/35/health_needs_assessment_a_practical_guide.pdf. Saving Lives: Our Healthier Nation. Child Poverty Action Group: Ending Child Poverty by 2020. How about getting a customized one? [Accessed 20th April 2014]. 20.2% of the Borough’s residents are aged under 16 (48,900). Community Profiling: A practical guide. Redsell, S.A, Atkinson, P, Nathan, D, Siriwardena, A. N, Swift, J. Health needs assessment is a systematic method for reviewing the health issues facing a population, leading to agreed priorities and resource allocation that will improve health and reduce inequalities. The template is Redsell. Available from: http://www.harrow.gov.uk/info/200088/statistics_and_census_information/967/2010_indices_of_deprivation. This is a very sensitive issue and because of the fear of embarrassment and the stigma attached it may be overlooked. [Accessed 20th October 2013]. [www]. Renfrew. Prisons Health Needs Assessment 2014 to 2015 report 11: West Midlands regional report PDF , 1.14MB , 70 pages This file may not be suitable for users of assistive technology. 4-7 In some cases, you can choose one of two options (A or B, not both). We have received your request for getting a sample. Available from: http://www.bristol.ac.uk/ifssoca/outputs/ffreport.pdf. Poverty can have a major effect on the health of families which can impact on their mental wellbeing. The Institute of Race Relations (2014) identified that throughout the UK, people from BME groups are much more likely to be in poverty (with an income of less than 60 per cent of the median household income) than white British people. It is important to point out the common risk factors with these ailments which derive from bad lifestyle choices such as smoking, unhealthy diet and lack of exercise. Department of Health. Department of Health. Hunsberger. More research needs to be undertaken to determine how practitioners should communicate obesity risk during infancy to parents (Redsell 2013). This proportion is roughly the same as for London overall which is (20.1%), 65.5 % (158,800) of the population fall within the new working age group (16 to 64), below the London level of 68.7%. What I've shown you is how varied the outputs of health needs assessment can be and likewise how versatile a tool H and A is. Preventing Disease and Saving Resources: A potential contribution of increasing breastfeeding rates in the UK. Healthy Weight, Healthy Lives: A toolkit for developing local strategies. It is a very good intervention which would target at risk children who would otherwise be overlooked and the Borough would benefit from this if they aim to reduce childhood obesity levels further. London: Faculty of Public Health. This was revealed when driving through a private gated road comprising of very large houses and then driving out of this private road to find an area of social housing across the road. The findings of a health needs assessment are usually written in a health assessment form or template. A simple guide to classifying body mass index in children. Volume 34 (3). Available from: http://www.noo.org.uk/uploads/doc/vid_11601_A_simple_guide_to_classifying_BMI_in_children.pdf. Child health profile. 2004, Weyermann et al. Wolters Kluwer Health/Lippincott Williams & Wilkins: Philadelphia. A, Stewart. http://www.foresight.gov.uk/OurWork/ActiveProjects/Obesity/Obesity.asp. (2008) found in his study that early weaning can lead to rapid weight gain in infancy which can have implications for childhood obesity. D, Elliman. The aim of this assignment is to carry out a health needs assessment in my practice area, which will include a profile of the community with the intention to identify the main health needs. The (Chimat 2014) shows data which signifies the health and wellbeing of children in Borough B in comparison to the rest of England. It was piloted in Nottingham by a group of local health visitors and it was undertaken by health visitors carrying out a new birth visit, then again at 4 months and 12 months to assess for rapid weight gain. References By continuing we’ll assume you’re on board with our cookie policy, Get a custom sample essay written according to your requirements urgent 3h delivery guaranteed. et al (2002). Children and young people – Harrow. I. NTRODUCTION. M, et al (2012). Lumeng. Early detection and intervention is more cost effective than treatment and other consequences of obesity in later life. Health Needs Assessment Form. Harrow Council (2010). Needs assessment is a way of identifying and addressing the needs of a particular community. [Accessed 20th April 2014]. This is when your needs assessment is carried out at the same time as the assessment of another adult, for example another member of your household, or a carer’s assessment… In England the British 1990 growth reference (UK90) was recommended for monitoring the weight of the population and for clinical assessment in children aged four years and over. However, (CHIMAT 2014) highlights the fact that although 19.7%% children are living in poverty in this BME borough, it still remains slightly lower than the England average of 20.6% (APHO 2010, Chimat 2014). This initiative was carried out on all babies therefore reducing the risk of singling out particular groups of people. In Borough B at present all the healthy child clinics are walk in and are very busy, it is therefore very difficult to have adequate time for consultation. J, Watdon. 21 30 31. Office For National Statistics. This gives the babies digestive system a chance to develop and for the kidneys to be mature enough to handle waste from the solids. This initiative has gained great benefits in the borough because (Renfrew 2012), showed that 90% of mothers are initiating breastfeeding and 50% of mothers exclusively breastfeed since receiving the award. Age of 6 months are invited to attend holden, R.J. 1991: Responsibility autonomous... 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