The objectives of this framework are to improve and sustain the evaluation of health promotion along with disease prevention activities. These objectives entail provision of writing, planning and evaluating procedures. Exploiting available health promotion activities in advancing the agreed upon health indicators in the community to promote healthy living. To help the target community achieve the laid down objectives, a defined framework would be instrumental. In this case using Health Belief Model framework is appropriate.
Health Belief Model is a tried and tested framework (Purnell, 2008). The structure of this framework can be employed to advance, plan and equally evaluate community health interventions. The framework can be utilized by anyone while creating a community focuses health promotion program. The framework involves individual commitment as well as a serious of simple steps to work it out the route toward the anticipated change. Nevertheless, it would be essential to understand there is no ‘right’ way of implementing this framework, some processes would require multiple application. Using the Health Belief Model framework, a coordinated, well defined plan can be deployed through a coalition tailored to satisfy the community’s requirements (Ramachandran, et al, 2007).
- Mobilize individuals as well as organizations that are concerned about the broad aspects of community health.
- Assess the key areas of importance including the accessible resources in addition to other strengths essential in addressing the pertinent health issues.
- Plan the mode of approach, it would be advisable to establish a vision of what is important and the path to follow as a community, this would be supported by defined strategies along with action parameters to help in realizing the vision.
- Implementing the specified using watertight steps through action steps designed to create and generate difference in the community
- Track the initiated progress time and again.
Why use this approach?
Health Belief Model is simple to implement and is manageable from macro level, it does not involve a lot of medical dynamics since it is community oriented.
- It engages all available stakeholders; this allows the community to support the initiative fully.
- It evaluates assets including the needs well as the best ways to exploit them positively.
- Assessment illustrates that the effort will start from the individual reality, rather than from predetermined notion of what is essential or what resources are accessible.
- It generates comprehensive as well as definite plan, with a well defined but reasonable timeline, assigned duties, clear goals, as well as explicit action measures related to each and every strategy.
- The framework constitutes of evaluation with gradual adjustment when doable.
Using the framework
When dealing with the issues pertaining to diabetes, this process involves diverse steps .
The primary step to take in Health Belief Model framework involves mobilizing individuals as well as organizations into a community coalition. The process advocates for partnership, thus it is essential in bringing the concerned individuals together (Purnell, 2008).
It ought to be noted that majority of communities do have health departments as well as other government agencies mandated with public health. Similarly majority of communities do have coalition pertinent individuals as well as organizations that have evolved to address dynamic issues. These groups more or less advocates for specific health issues which are important in safeguarding the health of the entire community. The concept of mobilization is instrumental in that it allows for the formation of community based health directives. These elements are then executed to sustain community wellbeing as well as bring the people together.
Dealing with the issue of diabetes in the community, it is proper to employ the suitable communal measures which can be employed to quantify the issue. In reality health promotion requires unique and stratified development structures. This is due to the wider determinants associated with health in the context of dealing with health promotion in relation to diabetes, there are numerous factors that can be examined and they entail social as well as community influences, socioeconomic behavioral aspects, environmental conditions, culture as well as individual or community lifestyles. Thus, when addressing the various aspects of health, it is instrumental to evaluate other determinants of community health and this would propagate accessing of health without bias or discrimination. Thus, using Health Belief Model, the community is exposed to screening; the process would involve asking the members from the community whether they have been exposed, or given a chance to be examined or more identify with those individuals or families affected by diabetes. The aim is to provide help and guard the community from likely infection now or in the future. The promotion is thus anchored on providing an environment where the community receives supportive, involved as well as securing examination or screening.
The strategy is essential in that it would allow the individuals from the community to take the expansive benefits associated with assessment and screening (Purnell,2008).
The scope of this approach would see to it the involved community has established the suitable measures to advocate, promote and embrace diversified element of health promotion. In consideration of such process there would be a room to evaluate what can be realistically achieved, and address the others issues involved in handling diabetes concerns. It is through such measures the community can establish mechanisms of identifying the most desirable elements to be employed. The other wider issue pertains to execution of efficiency, measurability including feasibility in quantifying the health priorities (Povey,et al,2007). In this way, Health Belief Model initiatives can be employed as a principal starting point in the provision of diverse health as well as safety to the wider community. In handling diabetes health promotion, this framework could thus be used to define the essential determinants across various social factions. The uniqueness of the MAP-IT structure is to empower the community in gathering, evaluating and deploying the essential information in relation to tackling the menace of health issues associated with diabetes.
Objectives of the framework
- To achieve the basic strategic goals of promoting, improving and protecting the health of the community.
- Ensuring that the health promotion dynamics experienced in the community are in line with acceptable national standards.
- Building capacity of the community to promote health as well as individual well being within the community as well across all social gradients.
- Incorporate health promotion with the existing and anticipated aspects of community services based on the best available programs.
- Develop strong multi-sectoral engagement, in every setting, to handle the emerging or existing social determinants associated with diabetes as well as health inequalities.
- Increase the efficiency and effective utilization of available resources to advocate for better community health in this way cut the expense burden of diverse chronic diseases.
Culturally sensitive or unique needs of the selected population
When dealing with diversified patients, the element of culture pops up. It has been noted that within any healthy setting, culture has often remained as a barrier for effective administration of health care. However, when handled through promotion of community health, the demerits it poses can be thwarted (Purnell, 2006). In this way, promoting the dynamics of communal health can help in developing and cultivating unique and appropriate diabetic care especially if cultural aspects are integrated. Cultural barriers in the provision of health services have a lot of people living without proper health care. In this regard, the exploitation of Health Belief Model framework is paramount in encouraging the use of traditional knowledge along with conventional understanding of diabetes in advocating for promotional of communal health. Lack of proper health care for diabetic population has always been a challenge. However, exploiting the cultural dynamics which are correlated with the provision of promotion of healthy, culture can never again be considered as a barrier. In this advocated framework, the health providers would be required to understand how the various cultural elements links or associates with equity, poverty as well as access to in addition to utilization of accessible healthcare. Likewise, lack of cultural competence has largely been unfavorable to the diabetic population. Cultural believes is a major issue affecting health promotion for the diabetic population.
Potential barriers to implementation of a Health Promotion Plan
There various issues which can hamper the execution of this plan, some are social, other political as well as financial. However, the largest dilemma can be said to be lack of funds as well as cultural dynamics. It ought to be noted that majority of diabetic population comes from the poor community. Examining the broader scope of health promotion and provision, there is adequate evidence that potential barriers to this health promotion plan are (a) ‘Population characteristics’; (b) Environment; (c) Health Behavior, as well as (d) Health outcomes. When these attributes are not defined and addressed the entire plan cannot function. Each community is unique and to deliver effectively it would be essential to dwell on these aspects firmly (Pender,et al,2014).
Health Promotion Plan Interventions
To sustain and deploy the anticipated objectives of the health promotion plan, exploiting traditional and scientific intervention measures would be hardy. Traditional intervention would be employed to handle general issues, while scientific approach would entail a combination of various factors. These factors may include environment as well as targets groups. As a result, planning for the entire plan evaluation, assessment, planning for program deployment as well as designing the initial plan would be considered when defining the primary objectives of the plan. The scope of this intervention is counter lack of comprehensive health promotion framework within the select community (Kotwani, et al,2007).
The process would involve exploiting diverse models correlated to either empirical or theoretic assumptions. The scope would lay the ground work for identifying various determinants such as environmental, behavioral or cultural oriented guides (Debussche, et al,2009). The determinants guide would allow the plan to be deployed to the target population and more allow the implementation of intervention parameters suitable in coding diverse intervention content in the future. From empirical perspective, through development of proper and elaborate intervention, health promoting plan can be effectively change the way the diabetic populace is handled within the community health programs. Therefore, intervention coding is instrumental in improving health promotion objectives in regard to community healthy as regards diabetic population (Nutbeam, 2010).
Health Promotion Program Evaluation
With the definite scope defined under Health Belief Model, health promotion program can be evaluated through the laid down objectives in relation to the performance and delivery of anticipated services to the community. The scope of evaluation would be executed in accordance with health setting in order to ascertain the intended health care has been executed. The inclusion of evaluation would as well aid in the development of health promotion procedures essential in encouraging the target population on the significant of communal wellbeing. Also evaluation strategy would provide a strong ground for advocating for health promotion planning along with promotion health plan strategic development. These measures are clearly defined under the Health Belief Model framework. The general perspective is to ascertain the diabetic community has been fully involved and catered for. More so, the target population is accessing quality health services at all times (Ockleford ,et al,2008).
Formative and summative evaluation of the health promotion program effectiveness
Traditional health promotion plans employed evaluation objectives that rested on countless activities such as biomedical model or the level of impact on objectives. However, these indicators more often gave the wrong evaluation (Pender,et al,2014). Thus, in this plan, reporting of acquired milestone would be employed. The scope is linked to the fact that it will allow the facts gathered to be utilized in the future decision making. Through measuring what the plan has achieved, the effectiveness and efficiency of the plan can be determined. Also quantifying how the plans objective has been arrived proves the effectiveness of the plan. Nevertheless, the combination of these two parameters would establish whether the entire process is useful and the intended target population benefits (Ockleford ,et al,2008). Thus, formative and summative evaluation can be anchored on three basic tenets which have illustrated that the plan is effective, that is; evaluation of the plan process, mapping impact as well as outcome, and this would provide sustainable evidence of the plans efficiency either on long term or short term evaluation.
The evaluation plan is congruent with the initial goals/objectives
The initial objectives as defined under the plans framework which we establish to be Health Belief Model match with the plan objectives. The action for plan as established reflects the primary strategies designed to aid in implementing health promotion plan targeting diabetic population. The anticipated outcomes through evaluation demonstrate the evaluation procedures add up to the desired outcome (Nam,et al,2011). Though there could be hitches due to environmental and cultural dynamics, the objectives remains as designed. The entire plan was health promotion for diabetic community, the integration of values determinants echoes the efficiency and effectiveness of the plan. Through streamlined assessment, it can be construed that the evaluation is in line with the plan due to:
- The set agenda has been implemented
- The target populace has been reached through mobilization
- The planned objectives have been deployed effectively
- The intended assessment on the community has been completed, and
- Successful health promotion procedures have been achieved.
In conclusion, the plan is effective and it satisfies the various tools of engagement as regard to health promotion. The target community can access the health since the primary vision was to advocate healthy for the diabetic populace.
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