The assignment focuses on the summarization of the Health Needs Assessment, which plays a significant role in reviewing the health issues that populations often face. However, assignments also include discussing how HNA plays a leading role in assessing the agreed health priorities and resource allocation that could enhance effective initiatives to reduce health inequalities and improve the Health of the entire population. The discussion began with the definition of a population experiencing health inequalities. Similarly, brief research on the specific population is also included in the discussion to have a better understanding. The next session of the assignment discussion focuses on the rationale of conducting HNA and the advantage of the HNA so that a better concept can be executed for the assignment. In addition, a detailed method of how the HNA can be conducted is evaluated, and it also sheds light on the appropriate approach that could help to achieve the HNA method effectively. At the same time, an intervention proposal is also included in the discussion for a better understanding of the HAN and its role in better health implications. The assignment ends with a detailed analysis of potential challenges arriving on the path to conducting HNA and the possible solutions.
Introduction and current knowledge of HNA
Health inequity is the term that denotes the differences in health status among different population groups. However, other social conditions by which people have arrived, are born, live, grow, work, and age can be the resources that cause inequality in Health. Inequality in Health is, however, unfair, and it is required to be reduced by the government policy that considers the fundamental rights of the population to be healthy. The social-economical condition of society is the primary drive that increases poor health conditions and health inequalities (Pollard et al., 2020).
Several groups of the population are there who are facing health inequality and have lost their lives due to poor health conditions. In this context of the discussion, the Red Indians are selected as a population facing several health issues due to health inequality. The data research reveals that the community of native Americans is the recognized population who face significant health issues, health care and health status than the residents of the US population (El-Deek et al., 2022). After thorough research, it has been found that the life expectancy has become less than 13 years less among the communication of Red Indians and the communication born in the group of Alaska natives than the population group of US residents. The mortality rate is higher among the communication than other American groups in the category of chronic liver diseases, preventable illness, diabetes, cirrhosis and respiratory-oriented disease. However, several causes are behind these health disparities, including regularity in care sources, communication and language barriers, and the diversity gap in the healthcare professional team (Skewes et al., 2020). At the same time, it has often been seen that discrimination towards the community and high poverty rate are also present in the communication that accelerates the mortality rate higher in the context of Native Americans. In addition, it has also been observed that a large distance is present there that derives the native American nadalasca communication from the health care service of the government.
After thorough research, it has been found that the level of income among the native Americans is very low in comparison to the US residents, and the education level is also expected due to the geographical location and language differences. Similarly, they have also faced several challenges regarding transportation and discrimination. At the same time, it has also been found that more than 170 bureaus and educational schools in India are facing a lack of funds chronically. At the same time, most students go to public schools for the Indian population; however, the teachers are not well-trained, so they only learn the history of their own culture beyond the relevant curriculum of contemporary culture (Churchwell et al., 2020). However, it has also caused unequal health issues among the communities. Apart from this, the community has their social settings, norms and behavioural approach that often generate problems in providing health care services to the community. In addition to the census of racism, policies impact the community’s relationship and create a gap which is also considered the major drive that causes inequality in the society. The data analyst sheds light on the other attributes of the population that the rural residents are often very rigid and do not desire to accept any change in the culture. At the same time, the lack of information and knowledge about how to care for children properly, transportation issues, and the membership of ethnic groups are also arriving as significant constraints that develop health inequality among the population and increase the mortality rate for the people. The people are facing several challenges regarding transportation, which also affects health issues as the majority of people do not get sufficient health service on time, and without proper treatment, they lose their lives (Flanagin et al., 2021).
Moreover, the rigidity and the physical environment they lead are often found in critical and unhygienic situations that generate multiple diseases. The population event encouraged the causes to create diseases like diarrhea and many more due to lack of knowledge and unconsciousness. Women do not have enough knowledge about proper sanitation during their menstruation period, and that causes several gyno issues for them, and they lose their lives. In addition, pregnant women and newborn babies often face malnutrition due to a lack of medicines and food.
As a consequence, the majority of children cannot live more than five years. Apart from this, workplace conditions are also not favourable for people. Many times, it has been seen that they have to work in risky situations and without any safety measures. However, it also appears to be the major cause they face serious health issues such as chronic liver decisions. Most of them have no health insurance and are affected by discrimination based on age, race and gender identity.
Figure 1: Health potion of native Americans
Rationale
Rationale for conducting HNA
The implication of the Health Needs Assessment is rational in terms of reducing health inequality among native Americans. However, HNA offers vital tools in helping to meet the objective of the implication of health equality among the population facing several health issues. At the same time, it targets the group of population that require immediate health services and require an adequate support system to reduce the health issues they are facing. The HNA is interlinked with the commissioning responsible for operating integral tasks to provide immediate health services by the health authorities. However, it has played a significant role since 1989 in saving people’s lives, and the commissions associated with it are playing an essential role in identifying heart needs and prioritizing them according to the risk measures of the health issues faced by the community (Murray et al., 2020). Besides that, they are playing a crucial role in shifting the balance of power with the NHS. The rationale of HNA can also be explored through the deliverance of HNA, by which they succeeded in building loyalty in building primary care. Furthermore, this Wanless report explores sufficient evidence and information about the population suffering from health inequality.
Further health planning and health schemes are designed based on this report and priority assessment. The rationality of the HNA can be explored through these initiatives and attentiveness that significantly reduce the population’s health issues. At the same time, it emphasizes a broader range of public engagement in the health program. Conducting HNA is rational as it does not identify the population under health inequality. Still, it also focuses on the gaps that generate the platform for creating this health inequality. However, it is rational regarding the implication of effective practices that can provide solid support to approach proper planning to reduce the health inequality among the population facing it (Pollard et al., 2020). In addition, conducting HNA is rational as it can significantly reduce health costs and its effectiveness for a long-term health policy.
Furthermore, the approaches adopted by HNA are rational and effective for the agencies to build good relations with the commission. Through approving the HNA approaches, agencies can approach trust-building regarding genuine partnership and active involvement in reconfiguring services. The indicators approved by the commission with the help of HNA can help them get initial and important evidence-based information that registers the number of people suffering from chronic diseases and identifies the mortality rate. However, the rationality of approaching the HNA method as the funding application can be applied based on the evidence report of
Figure 2: lungs cancer incident in Native American
Benefits of HNA
Several benefits are interlinked with HNA, which is significant. First, it significantly strengthens the community’s involvement and helping them make appropriate decisions to reduce health inequality. The participation rate of the public is increased through the approach of HNA. At the same time, partnership and team working can also be improved due to the HNA as it provides the proper guidelines to collect information on unequal health factors and identify the population’s essential initial health service. It emphasizes professional skills, experience and development that helped to build the right and strategic planning to reduce health issues by quick recognition.
Furthermore, it emphasizes effective communication with the public and other agencies so that the work effectiveness of providing health services can be implemented quickly and can resolve all potential disruptions to provide such services to the population who are suffering major health issues due to inequality in the health service system (Afseth, 2022). However, HNA suggests a better usage of the resources that often help to execute effective health services to the population. Similarly, the value of HNA cannot be denied in the alliance of general practices and the general medicine services sector. It could increase the quality of data to mitigate the objectives and the requirement for health services.
On the other hand, it plays a crucial role in providing all the information and resources by which the distribution of healthcare services can be effectively managed, and the people who require an initiated healthcare service can be privileged. Apart from this, how the resources can be properly used strategically can be optimized through the HNA. Therefore, the privileges of HNA are significant and considerable in reducing the health issues among the population experiencing unequal health positions. Still, it also helps to approach a strategic plan to mitigate the issues.
F
igure 3: Maternal and health measures in Native American
HNA methods
Step 1
Step 1: Getting start
Selected population
The population registered here is native American, and the population of Alaska natives.
The Health Need Assessment was involved in identifying the population and providing evidence-based information for the implication of professional and productive development plans.
Aims and objectives
● To recognize the health inequalities among the Native and Alaska populations and register the health requirements (Rahmani and Pelechano, 2020)
● To assist the exercises in identifying and determining the priorities for staff implication and service provision.
● To approach a compelling development platform to reduce inequality and better health service practices.
Project team members and stakeholders
The project manager was the head of the project management team. However, the team consisted of other consultants and staff members interlinked with the practices.
Stakeholders
To conduct the HNA, stakeholders were the consultants associated with the local representatives of the US government. At the same time, the quality data for identifying the specific population and their health position was collected from some other agents such as police, school records and patients (Bai et al.,2019). Apart from this, some voluntary organizations and NGOs have also appeared as key stakeholders who play a significant role in the implication of HNA for identifying Native American and Alaska populations.
Required resources
The project manager was given the 6th monthly timeframe to complete its investigation and prepare the report.
The role was to identify and determine the health positions of the population and measure the level of health risks that the population was facing. In this context, they also work to measure the priority of health issues that require immediate health service support. In this context, the prior resources were the local health professionals. The people associated with social care were also considered the major resources to conduct the HNA for the specific population. Efficient usage of local staff members was effective in masseur and access to the priority of the HNA.
Barrier
Time bounding and lack of funding were the significant barriers.
Step 2: Recognition of health priorities
Profiling of developed population
To profiling, the population, the qualitative and quantitative data were taken into account. In this context, several journals and statistical reports reflecting the health conditions of Native Americans are considered. At the same time, through analysis of multiple survey reports defining health inequality and field observation was accounted for to identify and determine the health priorities they require initially.
Available health data of the population
Quantitative data obtained from the health practices of ” health information services was the major resource to collect the health data. The informatic service associated with and supports the Patient care Treaty has provided the health data of the population suffering from several serious health issues due to the unequal health system (Nathalang et al., 2018).
Data collection method and need perceptions of service providers
The help of a qualitative method of data collection has collected the data. It helped to get relevant, realistic information about health inequalities and health issues of the Native Americans; in this context, semi-structured interviews were held to collect the qualitative data. However, the interview was to account for the focus group and then explore the findings according to the data they collected from them. In the next session, the findings are evaluated as the priority of the health issues and communicated with the population’s needs.
Key issues among the population
Several issues have been recognized, such as a high mortality rate among the population compared to US residents rising rate of chronic diseases among the population that reduces the life expectations of the populations. Similarly, poor health conditions among women and malnutrition among children are other health issues that explore the unequal health issues of the population. Apart from this, lack of education, unhygienic environment and scarcity of income are crucial issues that encourage health issues in the population. In addition, rigidity of ethnic groups also promotes the factor of unequal health issues among the population.
Selected priorities and reason
The health issues related to children and women are considered here as the prior issue which needs to be impeded initially as the growth of the population is majorly affected due to the health issues of children and women. The health issue of malnutrition among children, and pregnant women is increasing and causes a high mortality rate in the population. On the other hand, the lack of knowledge among women about sanitation creates several health issues. After thorough observation and data analysis, these issues were chosen as the prior issues to consider in the health development plan (Gibbs et al., 2020).
Informed evidence for decision
The increasing mortality rate for children among the population of Native Americans and Alaska natives. The perception of the prior stakeholders asserts how the increasing rate of children does not survive more than five years. The NGOs report reflecting the poor health condition of women is the reason behind the decision of HNA.
Barriers
Time bondings and the need for more data quality were the significant barriers to implementing the proper health development plan for the selected population.
Overcome strategy
The challenges were tried to overcome by getting the support of primary care institutions under the local government and through the help of facilitators. They have assisted in collecting quality data and helped build templates to use in the future.
Step 3: Action plan after assessing health priority
Effective and acceptable interventions
The decision regarding the health priority was implemented by assessing some factors, such as the size of the population affected by the health issues. At the same time, the availability of resources and services are the factors that influence the decision of priority for the population. In this context, committees associated with NHA have also accounted for the preferences according to the national framework of health service in the US and evaluated if it fits with the framework.
Meeting resource needs
● Healthcare training provides to teachers the schools that they can give knowledge to children and their parents about self-health care and hygiene matters.
● Take some initiatives to fund regional health centers and provide proper training to health professionals to take care of the nutrition factor of children and new mothers.
Figure 4: Mortality rate among children in Native American
Step 4: Action planning for change
Summary of the process of action planning
● Enhance an agreement with the local governors and parents to take care of the issue of health drops among children
● Facilitate sufficient food and medicines to the local health care centers so that children and newly mothers can get proper nutrition
● Train health care professionals to provide proper knowledge of sanitation and the food menu needed to feed children and pregnant women.
● Each school will determine the timescale and responsibility to implement health care services.
Step 5: Project review
Effectiveness of action plan
Efficacy of the action plan was established.
Achievement of the project
The Health of children and women has taken a significant turn; they can collect protein food and medicine from their nearest health center. Teachers provide hygiene-oriented knowledge to children and parents by which they have become more conscious about their Health.
Contribution of action plan in reducing health inequalities
Health facilities have access more in schools and sexual haetl knlwedge are also provided to women taht help them to property sanetised them. More health knowledge is provided among young women that help them to prevent teenage pregnancy and malnutrition while pregnant.
Learning outcomes
● It provides an opportunity to build a close relationship with the population and close work with local staff.
● Language barriers generate obstacles to enhancing quality data
● Population lack information about the infection of sexual transmission.
Next steps
● Will approach continuous work progress with health care staff and educational staff.
● I will continue working with the social care agencies that work for children and women of Native Americans.
Selection of new priority of chosen population
Development of young adults who are underlying the abuse of alcohol among Native Americans, which causes chronic liver disease, will be the next priority for the population that affects the young generation of the community.
Message from the HNA to take forward
It is essential to increase the young involvement in the health development process.
Figure 5: Trends in education in native American
Intervention proposal
Summarization of challenges while collecting data
The key priority of health development for women and children among native Americans has been taken after conducting a health need assessment. However,several challenges can arise in tackling the expected key priorities. Data quality can be a significant challenge that could affect the action plan for health development in the priority path. Language barriers and some rigid cultural norms can also affect the key priorities.
Intervention proposal
The committee and other agencies of HNA will approach surveys and semi-construct interviews to implement quality data and can tackle the issue. In this context, they will take the help of the local stakeholders such as teachers and care professionals of healthcare centres of the local places. At the same time, the translator will be used to tackle the language barriers, and it can help them to execute better communication. On the other hand, the committee will implement an effective training program for teachers and health care professionals. It will help to mitigate the knowledge gap among the population and will increase the health awareness among women and they can take sufficient initiatives to take care of the nutrition issue of their children as well as take care of themselves.
Conclusion
It is concluded that health inequality is present among the population of native Americans and the people born within the Alaska group of population. Several heath issues can be observed among them including chronic diseases, sexual infection, malnutrition and many more, HNA asses after identify the health stadrads of the popiluation and selectd the malnutrition issues among women and children as the key priority of the population. In this context, they tried to get relevant data with the help of local stakeholders and enhance effective health development initiatives to reduce the health issues. It has approached an effective intervention plan to tackle challenges affecting the optimization of key priorities of the population.
Part 2
Challenges and potential solution
Changes
After assessing the above intervention proposal, it can be understood that several challenges can affect the key priority selected for the population. In this context, the major issue is collecting the most reliable and realistic data that could help the committee determine the selected priority’s key issues. In this context, the language barriers have become the prior challenge that can create a challenge for the committee to establish communication with the community and create problems for the key priorities (Hickie et al.,2019). In this context, some people associated with ethnic groups can also create challenges in the data collection path for the implication of an action plan for the selected key priority. The rigid mentality and excessive reliance on their cultural norms can create issues for the data collection to optimise an effective action plan for the key priorities.
While approaching the purpose of HNA among the native American population, they have found that women of the population are majorly unaware of the health issues they are facing, and they do not know how it can affect the Health their children. Lack of education and traditional norms are not so open to people belonging to other communication, which is also considered the potential challenge for gathering qualitative data to align with the objective of the key priorities (Padilla-Rivera et al., 2020). On the other hand, a lack of sufficient resources and coordination with the right stakeholders is needed to enhance qualified data for the collection of information necessary to communicate the health issues of selected key priorities that refer to women and children malnutrition issues. In this context, the lack of proper knowledge of healthcare professionals and untrained teachers are also considered as the challenges that can affect the action plan for the priorities that have been selected for the population.
Apart from this, it can also be observed that the committee can face the challenge of time boundation that can create issues in the path to communicating the data and process to share with the selected key priorities. Similarly, a lack of awareness and health education knowledge can affect the HNA process and the development plan. Additionally, a lack of training in health service professionals can affect the planning. On the other hand, the knowledge gap of health professionals cannot provide the sufficient education on how women can take care of the health issue they often cannot communicate with the heath development program approached for the. Therefore, it needs to be considered as the challenge that can create obstacles to assess the needs of women and the children of NativeAmerical population who are facing some serious health issues and suffering from malnutrition. After analyzing the above challenges, the committee and agents associated with the HNA are required to implement effective solutions that can resolve the constraints to assess the needs of the selected key priorities.
Potential solutions
The committee associated with HNA can take some effective initiatives to tackle the challenges arising to conduct health needs assessment for the selected key priorities. In the context of tackling the data quality issue, the committee needs to enhance more knowledge about the traditional and cultural norms of the population that could help them to communicate them. Whiele interview and survey method they can take the help of local governors and local stakeholders such as the teachers, police and healthcare professionals who can be intermediate between the committee and community. However, they can arrange meetings with the ethnic group of the population and make them understand the importance of HNA for the health development of the population as well as they can also involve them in communicating with the key priorities that have been selected after assessing the health position of the communication ( Chimbindi, et al., 2018).
It can help them not only convince and support them but it can also help them to accelerate the work process of recognizing the information and resources to approach an effective action plan to assess the needs of the key priorities. Women can be open with the encouragement of their group people, share their health issues, and actively participate in providing quality data to the assessor to do effective health practices. It can help them to reduce the risk factor for women and children suffering from male nutrition and other infectious diseases. At the same time, the project manager requires to enhance deep research by which they can communicate with the social care agencies who can help them to support them by providing sufficient quality data about the hatchet position of the targeted key priority. It can help them tackle the challenge of quality data to communicate with required goals for the selected health priorities for the population.
In this context, they can also arrange effective training for the local healthcare professionals to gain sufficient health treatment knowledge. About the nutritious factors of food, it can help them to reduce the health issues of male nutrition causes for the increasing rate of mortality among children and women (World Health Organization, 2020). Moreover, they can educate women of the population and can provide essential and essential health education by which they can take care of their Health as well as can take care of their children. Apart from this, time project management can also increase the involvement of local staff and young adults in tackling the challenge. However, time bindings that have appeared as the major issues should be managed effectively. In this context, they can build an appropriate schedule based on the task they must complete to communicate with the action plan for implementing a health development plan. It can help them align with every task within the targeted time and thus resolve the issues.
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