Why the Population Is Vulnerable - Research Paper Example

? Health Science and Medicine Outline of why the population is vulnerable 1 Continuum of care level-(Preventive) 1.2. Identification of health service needs 1.3. Analysis of the delivery model 2. Multidisciplinary Approach 3. Role of Legal and ethical requirement 4. Choice of a two communities to partner with 4.1. Citation of statistical data 5. Analysis of Sources of Funding 5.1. Use of integrated funding 5.2. Identification of two sources of potential funding 1. The reasons why the population is vulnerable This project is involved in the issues of community-based approach in providing health care services to a vulnerable community. It specifically discusses the issues around the vulnerability of the North Carolina, particularly the Hispanic population. This community comprises of the Spanish speaking people in the United States of America. Of course, the first challenge that causes vulnerability within the context of language barriers lies in the fact that the rest of the Americans use the USA version of English. Language barrier is a real challenge with a serious effect on the level and quality of health service delivery. Secondly, the society is not originally American. This, according to Subar (2009), places it in a very dangerous position with the risk of failing to access vital resources and privileges including the funding of health programmes. The population consists of a large population of old people and children, two stages in great need of health care related services. United States government policies are not favourable to the Hispanic population with regards to health care needs since majority of the population do not have access to Medicare Insurance covers (Estrine et al., 2010). This is a grave limitation to the community especially where emergency treatments are concerned. 1.1. Continuum of care level This program falls under preventive method. In the view of the vulnerability condition of the Hispanic community in North Carolina, this project suggests the use a combination of preventive approaches and treatment. Preventive methods will help reduce the number people with the need of health care treatment. In this project, there will be a lot of emphasis on preventive methods including community education programs, physical exercise, vaccination and proper nutrition. This program will have the agenda to lobby for the enactment of new policies that grant freedom of access of health insurance among every member of the Hispanic community regardless of their economic status and their positions among social classes. This will enable them to access necessary community vaccinations and proper treatment where preventive measures can no longer apply. This program will also meet the need of the community by appealing to potential donors internationally for every possible support in order to set up the logistics for program implementation (Turnock, 2009). We seek to partner with the business community as well as international nongovernmental organizations, particularly Global Funds International and World Health Organization (WHO). 1.2. Identification of health service needs We will have to conduct research among the Hispanics in North Carolina in order to address the dynamic community health care needs because community situations change and prompt the need for new approaches. The program will monitor the trends of every disease reported in the community. Any deviation from the normal range will be an indicator for special health care needs. For example, if on average, five hospitals receive 5 patients each per week and then suddenly the number shifts to 28 then there is need for quick response because of the possibility of an outbreak. Secondly, the program will apply preventive methods by interpreting human behaviors into relevant predictions of the actual scenarios (Novick et al., 2008). At the preventive stage, the program will offer education services and vaccinations to prevent out breaks. This will also include the use of non medicinal treatment including healthy eating habits, body exercise cleanliness and hygiene. In the light of non curable viral diseases, this program will engaged in intensive awareness programs to educate the community concerning ways of preventing diseases through behavioral paradigm shift. 4.1. Citation of statistical data In order to offer quality services, this program takes into consideration the data of trends of a particular disease; the Cardio Vascular heart disease among the Hispanic population in North Carolina in the year 2012. It lists the causes of the disease and their percentage impacts as follow: Figure 1: Statistics of causes of Cardio Vascular disease Figure 2: Graph of causes of Cardio Vascular disease It shows that the largest number of incidents of cardio vascular disease is caused by obesity followed by smoking. The statistics is vital in identifying the key risk factors involved and hence; the preventive measures that can be applied at the inherent stage. Preventive controls as at the period could be that people could have a healthy eating habit and avoid smoking. Diabetes also fell in the third position, and is a key risk that requires total adherence to healthy food habits. It could be prevented by avoiding sugar foods from refined sources. Incidentally, all the causes of diseases in the list are preventable. With a perfect application of preventive controls, it the need for medical treatment will be minimized. Preventive controls can be as cheap as mere behavioral shift. Medical treatments require high amounts of funds and are only applied when prevention an incident occurs beyond prevention. While focusing on prevention of the disease causing agents in the statistics, we also have to take care of any new possible causes. 1.3. Analysis of the delivery mode The delivery of this program is going to take a community service approach, where health services will be brought close to the community. In the present situation, patients wholly initiate the processes of seeking medication. All treatments are applied after an eruption of diseases. Preventive methods are not emphasized presently because there is no proper structure for addressing its importance. Of course medical treatments in the present situation have critical challenges since not everyone member of the Hispanic Americans can access desired medical treatments (Shi & Stevens, 2010). This program has applied a mode of medical service application where preventive techniques take the centre top priority, followed by medical treatments. The design tests the performance of preventive control fist before opting for treatment. It has two major components, inherent and residual controls. Inherent controls are the preventive measures before a disease is realized. The residual controls are the treatments used after prevention fails and medical treatment becomes inevitable. Figure 3: Work flow for Modes of treatment Multidisciplinary Approach Role of Legal and ethical requirement The treatments will be carried out in consideration of the ethical and legal matters concerned. One of the ethical issues is with the data collection, processing and reporting. Every stage has to observe honesty, without the temptation to exaggerate information. Secondly, the participants in the project have to avoid every form of corruption. For example, whenever there is a free vaccination, it has to be absolutely free. Ethical issues demand the observation of the patient’s fundamental right to privacy according to the bill of rights in the constitution of United States of America (Metrosa, 2006). It requires that even at the data collection stage, the data collector should not compel the respondent to provide confidential information. In that connection, data reporting should not expose the specific confidential information about a respondent. Legal covers will also be necessary in this case. Every client has to be treated only after filling in a consent form indicating that he or she is willing to be treated, to avoid legal challenges in court. The treatment has to be carried out without harassment or violation of human right of the patients. Where treatment involves a minor or a mentally disabled person, a consent form has to be filled by the guardians or next of kin to indemnify the organization from the responsibility of negative effects of the treatments. 2. Choice of a two communities to partner with In this program, we have selected two organizations to partner with, that is the Global Funds International and the World Health Organization. In this the amount of work that our program will have, we have confidence that the two organizations will be able to offer adequate support in terms of financing, equipment and information. Global Funds International will be our potential provider of financial support, while World Health Organization will majorly provide support the other terms. In order to ensure sustainability of funding, the program will engage in identifying more sources of funding both internally and from other organizations. We choose these organizations because the tasks they are involved in are to a global domain and they have a common agenda of improving the welfare of the underprivileged communities. 5. Analysis of funding Resources The program cannot rely on a single source of funding. Apart from the financial support from the Global Funds international, this project will have well structured sustainable sources of funding. We will focus on ways of winning support from more donors as well as internal programs for generating finances. This can be in the form of agricultural farming to produce supplementary natural foods. These foods can be sold to the Hispanic population at subsidized prices. The use of natural foods grown from pure organic farming can be a major immunity boosting factor, and perhaps the leading preventive control. This will reduce the treatment expenses while generating sustainable funding for this project. The performance reports at the end of every year will also be used to develop proposals that win the financial support from more donors in the business and international communities. Presently, the resources that are available are in form of information and awareness. Information however requires financial empowerment and equipment in order to attain the greatest effectiveness. 5.1. Use of integrated funding The program will involve the use of integrated funds acquisition and management system. We will partner with a mobile communication service provider to mobilize funds generating initiatives, such as charitable donations and rotary clubs. The company will then attract massive communications that will perform disease prevention awareness among the Hispanic Americans. At the same time, a percentage of the funds generated through the drive will belong to this project. Another aspect of fund integration will be to join hands with other organizations involved in community health services, to take advantage of the leverage through combining of resources. We can further improve the integration of our system by using mobile accounts for managing the financial resources that we manage to collect as an organization. 5.2. Identification of potential funding Before we identify potential sources of funding from among organizations, we have to conduct a study and know the kind of operations of the organization. Secondly, we need to know the duration in which they have been operating and in what capacity. We decided to select Global Funds International and WHO are because they are community empowerment organizations, and have been operating in the international arena for many years. We are very confident that they can provide sustainable monetary support for our program and even mobilize other organizations to do the same. Secondly, they can easily enable our program to expand to the global level such that we cannot be limited to the Hispanic population in North Carolina. Indeed. As we continue to be of help to a wider community, we are bound to link to more potential sources. Our great hope is that the donors will approve our proposal for this project and offer us the much needed support to serve the community. References Estrine, S., Hettenbach, R., & Arthur, H. (2010). Service Delivery for Vulnerable Populations: New Directions in Behavioural Health. London: Springer Publishing Company. Metrosa, E. V. (2006). Racial and Ethnic Disparities in Health and Health Care. New York: Nova Publishers. Novick, L., Morrow, C., & Mays, G. (2008). Public Health Administration: Principles for Population-Based Management. Washington: Jones & Bartlett Learning. Shi, L., & Stevens, G. D. (2010). Vulnerable Populations in the United States. New York: John Wiley & Sons. Subar, P. E. (2009). Access to Oral Health Care for Vulnerable Populations in California. California: ProQuest. Turnock, B. J. (2009). Public Health: What It Is and How It Works. Washington: Jones & Bartlett. Read More