1 HEALTHY PEOPLE 2020 1. Healthy People 2020 Healthy People 2020 was launched by the Department of Health and Human Services in December 2010, and strives for four key objectives: ensuring a high-quality, longer life without preventablediseases,illness,accident,andprematuredeath;healthequality,reducing inequalities, enhancing the health of all members. In this decade, reviews were provided to display all results and activities at federal, state and local levels by progress assessments. HP2020 progress surveys (Www.healthypeople.gov. 2020). Each of the 42 HP2020 topics is introduced once a decade in a webinar. 2. The overarching goals are: Attaining high quality, longer life without illness, impairment, accident and premature death. Attaining racial equality, eliminate disparities, and enhancing both groups ' wellbeing. Build social and physical conditions for all to benefit from good health. Promote quality of life, healthy development and good behavior in life. 3. Explanation of goals: First goal: The premature deaths are common in America due to low quality of care, frequent accidents that lead to high morbidity rate. In this context, Healthy People 2020 is an initiative taken by governing bodies where the goal is to provide high-quality care to increase life expectancy, improve quality to reduce the rate of accidents so that premature death can be reduced (Greenberg etal. 2017). The second goal:
2 HEALTHY PEOPLE 2020 Racial discrimination is highly prevalent in America. In this context, for enhancing health and wellbeing of all the ethnic group, eliminating disparities by providing access to the health care can be effective which will address the racial inequality. The third goal: For promoting good health and wellbeing, the social environment of the individuals is required to consider apart from the physical environment. Hence, HP2020 is a government initiative to improve the physical and social environment to improve overall health. Fourth goal: HP2020 has taken initiative to reduce premature deaths through altering unhealthy behaviourwithhealthybehaviorwhichcancreatepublicawarenessandfacilitatethe participation of the population in obtaining goals (Woodardet al.2018). 4.Foundation of health measures: a) General Health Status: Life expectancy,yearsof potential lost, physically and mentally unhealthy days, self-assessed health status (Www.healthypeople.gov. 2020). limitation of activity Prevalence of chronic disease Health-Related Quality of Life and Well-Being Wellbeing Participations in common activities Physical and mental social health and quality (Www.healthypeople.gov. 2020). Determinants of Health:
3 HEALTHY PEOPLE 2020 Social and economic along with environmental factors that impacted the health status which include biology, genetics, individual behavior and access to health care. Disparities: The measures are based on disparities of health status based on : Race Ethnicity geography Physical and mental ability (Www.healthypeople.gov. 2020). b)One progress of foundation health status: General Health Status: Prevalence of chronic disease: Prevalence of chronic disease defined as the portion of the population affected by the chronic disease. Prevalence of chronic disease in the community can be used to evaluate the general health status of the population since the high prevalence indicates poor health status and affected population due to poor health condition(Pahigianniset al. 2019). Health-Related Quality of Life and Well-Being: Participation in common activities: Participation in common activities defines as the ability of the population to participate in social activities. The participation in the common activities provides the idea of high quality of life free from depression, anxiety since social activities empower population and improve satisfaction(Van Dijket al.2016). Determinants of Health:
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4 HEALTHY PEOPLE 2020 Social determinants of the health defined as the social factors that improve the health and wellbeing of the population. In this context, social determinants of health indicate the quality of health since social factors such as education, health care access improve health status and health behavior (Wigfall and Tanner 2018) Disparities: The race is one of the most common measures of the disparities since high racial discrimination will reduce access to health care and contribute to poor health. 5.Health problem: Childhood Obesity is one of the biggest problems that was observed in the community. This problem is highly prevalent in the community since the majority of the school-going children and adolescents develop type two diabetes, cardiovascular disease and other chronic diseases(Bleichet al.2018). 6.Public health infrastructure: Mission: Toensurethatfederal,state,tribalandlocalhealthagencieshavetheessential infrastructure for providing public health services. Importance: It is important since it facilitates public health services such as immunization, infectious diseasemonitoringandasthmaprevention,andinjuryprevention (Www.healthypeople.gov. 2020). Three key elements:
5 HEALTHY PEOPLE 2020 A capable and qualified workforce: specialists nurses Up-to-date data and information systems: electronic health record Responses of agencies to the public health needs: Administration for Community Living (ACL)(Www.healthypeople.gov. 2020). 7.10 public health services: Obesity management as a nurse: 1.Monitor: monitor the BMI and waist circumference along with the dietary habit 2.Diagnose and investigate: diagnosed whether BMI is 30 or higher along with weight 3.Education: Educate the community regarding exercise and food habit through PowerPoint and poster (Veselyet al.2016). 4.Mobilization: through health promotion, encourage community participation. 5.Develop policies and plans: develop policies of providing access to health care and nutrition for the population (Veselyet al.2016). 6.Enforce:impose laws with the collaboration of the governing bodies 7.Link: provide the services according to the personal need of adolescents 8.Ensure: ensure the collaboration between the public and personal health care workforce 9.Evaluate: Evaluate the effectiveness of the management through monitoring and seeking feedback)(Www.healthypeople.gov. 2020). 10.Research: involve in research that open new revenue for obesity management.
6 HEALTHY PEOPLE 2020 References: Bleich, S.N., Vercammen, K.A., Zatz, L.Y., Frelier, J.M., Ebbeling, C.B. and Peeters, A., 2018. Interventions to prevent global childhood overweight and obesity: a systematic review.The Lancet Diabetes & Endocrinology,6(4), pp.332-346. Greenberg, A.J., Serrano, K.J., Thai, C.L., Blake, K.D., Moser, R.P., Hesse, B.W. and Ahern, D.K., 2017. Public use of electronic personal health information: Measuring progress of the Healthy People 2020 Objectives.Health policy and technology,6(1), pp.33-39. Pahigiannis, K., Thompson-Paul, A.M., Barfield, W., Ochiai, E., Loustalot, F., Shero, S. and Hong, Y., 2019. Progress Toward Improved Cardiovascular Health in the United States: Healthy People 2020 Heart Disease and Stroke Objectives.Circulation,139(16), pp.1957-1973. Van Dijk, H.M., Cramm, J.M., Birnie, E. and Nieboer, A.P., 2016. Effects of an integrated neighborhood approach on older people’s (health-related) quality of life and well-being.BMC research notes,9(1), p.450. Vesely,J.M.,Pronk,N.P.,Kottke,T.E.andMarshall,P.S.,2016.Obesitytreatmentat HealthPartners: adaptation of clinical guidelines into systems for practice operations.Current obesity reports,5(3), pp.312-319. Wigfall, L.T. and Tanner, A.H., 2018. Health literacy and health-care engagement as predictors of shared decision-making among adult information seekers in the USA: a secondary data
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7 HEALTHY PEOPLE 2020 analysis of the Health Information National Trends Survey.Journal of Cancer Education,33(1), pp.67-73. Woodard, L.J., Kahaleh, A.A., Nash, J.D., Truong, H., Gogineni, H. and Barbosa-Leiker, C., 2018. Healthy People 2020: assessment of pharmacists' priorities.Public health,155, pp.69-80. Www.healthypeople.gov.2020.GeneralHealthStatus|HealthyPeople2020. Healthypeople.gov.Retrieved22February2020,from https://www.healthypeople.gov/2020/about/foundation-health-measures/General-Health-Status.