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Bicycle Model for Public Health intervention Assignment

   

Added on  2021-06-14

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Running head: BICYCLE MODEL FOR PUBLIC HEALTH INTERVENTIONBICYCLE MODEL FOR PUBLIC HEALTH INTERVENTIONName of student:Name of university:Author note:

1BICYCLE MODEL FOR PUBLIC HEALTH INTERVENTIONAbstract The aim of this public intervention plan on obesity concerning the Maori community has beenchosen to with the aim to reduce the prevalence and incidence of obesity in the community. Ithas been found that due to lack of education and poor socio-economic status the Maoricommunity, the third largest community residing in the Manukau District have to deal withoverweight and obesity. A bicycle model approach has been adopted that assesses the sources ofobesity in the community and develops plans accordingly. The SMART approach has been usedto identify the goals and the implementation of the goals and objectives to prevent and curtailobesity. This is followed by the different strategy and rationale behind those strategies. It hasbeen realized that community leadership, development of personal skills and governmentintervention collectively can reduce the prevalence of obesity. To translate the intervention planinto plan a budget and timeline has been developed and there is also the implementation of theevaluation plan. Finally, various resources required for the program and the risks have also beenidentified to have a holistic understanding about the obesity community model intervention.

2BICYCLE MODEL FOR PUBLIC HEALTH INTERVENTIONTable of ContentsCAPACITY ANALYSIS AND DEVELOPMENT PLAN.............................................................5PROJECT GOVERNANCE............................................................................................................5GOALS AND OBJECTIVES- SMART OBJECTIVES.................................................................7STRATEGY MIX/INTERVENTION RESEARCH/LOGIC MODELLING...............................10EVALUATION PLAN..................................................................................................................18TIMELINE....................................................................................................................................20BUDGET AND JUSTIFICATION...............................................................................................23RISK MANAGEMENT................................................................................................................24REFERENCES..............................................................................................................................25

3BICYCLE MODEL FOR PUBLIC HEALTH INTERVENTIONPROBLEM & DETERMINANT ANALYSIS Obesity poses a great challenge on most of the developed countries and New Zealand isno exception to the blight of obesity. There has been an enormous rise in the number of obesepeople in New Zealand. Children and adults are equally under threat of risk posed due to obesity.Given, the issue of weight gain becoming a dominant problem, it is important to consider thedifferent dynamics related to obesity with the objective of seeking the most appropriate solution.Fat has been defined as excessive flesh in the body whereas obesity is understood be thecondition of being abnormally fat (Ministry of Health. 2018). Obesity and overweight can berelated to the multiple factors that includes genetics and bad behavior. The prevalence of badbehavior contributing to obesity includes medication use, physical activity, dietary patterns andthe exposure to a sedentary lifestyle. Apart from these, there several factors that contributes toobesity. This includes physical activity, skills, consumption of particular kind of food and foodmarketing. Another concern related to obesity is that it leads to negative mental health. In theprevious assignment the impact of obesity was studied among the population of the ManukauDistrict. The geographical area of the Counties Manukau Health is part of the territorial authorityof the Auckland Council. The second largest assesses resident population is with the CountiesManukau Health out of the 20 District Health Board in New Zealand (World HealthOrganization, 2018).The ethnicity mix of the Counties Manukau population has found to bediffered by age. The younger population of the District is composed of Asian, Pacific and Maoripeoples whereas the older population who are above the age of 65 years constitutes of two-thirdof the population who belong to the European and native NZ ethnicity. In the year 204, twenty-four per cent of the estimated resident population of the Counties Manukau is aged at 14

4BICYCLE MODEL FOR PUBLIC HEALTH INTERVENTION(Swinburn & Vandevijvere, 2016). It has been found that the Maori and the Pacific populationcomprises of the highest population. Studies have demonstrated that the adult population of theCounties Manukau experienced population is obese according to the NZ Health Survey 2011-13.The rate of obesity among the children are found to be 18.6 per cent among the people from thePacific region, 24. 5 per cent among the people from the Maori region and 10. 2 per cent amongthe Asian children (Yofee, 2009). The attributable effects and the costs of obesity andoverweight ensues that the health and the well-being of an individual is affected due to theadversity of obesity. Some of these problems include depression, pulmonary disorders, chronicmusculoskeletal problems, problems in the relationship and infertility. Some of these life-threatening effects of obesity can be categorized into four categories-these are cardiovasculardiseases, gall bladder disease, certain types of cancer that are triggered by obesity, and insulinresistance linked to the conditions like Type 2 diabetes (Utter, Denny, Teevale, Peiris-John &Dyson, 2015). Apart from the damaging and long-term consequences of obesity, overweight andobesity severe social and economic pressure on the person. This also poses severe economic andsocial pressure on the healthcare in NZ. Direct and indirect medical costs are related to obesity.The measurement of the productivity is done based on absenteeism and presenteeism.Absenteeism refers to the cost incurred due to the absence of employees at the workplacewhereas presenteeism refers to the reduced productivity of the employees despite the fact thatthey are present at work in addition to prematurity and disability. If obesity is not controlled, itwill trigger high blood pressure, stroke, fatty liver disease, osteoarthritis, pregnancy relateddifficulties and heart disease amongst others. Increase in BMI may lead to the risk in non-communicable diseases.

5BICYCLE MODEL FOR PUBLIC HEALTH INTERVENTIONCAPACITY ANALYSIS AND DEVELOPMENT PLAN The successful healthcare promotional plan needs to be targeted at the community alongwith the specific location and the identification of the specific outcomes that may be used for thelocation and the communities. Manukau district has been chosen for the implantation of thehealthcare plan on addressing obesity and overweight. The community that will be targeted forthe proposed intervention will be the Maori community. Therefore, the stakeholders for theproposed healthcare intervention plan would be the Maori community, the healthcare workersoperational in the Manukau distrust, people who would be involved in the in the promotionalcampaign, the policy makers, employees working in the healthcare facilities, local government,ministry of healthcare, labour and the different profitable and non-profitable organizations. Atthe stage of the leadership, the proposed intervention would be assessment of the leadershippotential of the Maori community representatives (Williams, Mesidor, Winters, Dubbert &Wyatt, 2015)It has been found that although the Maori community members were visible in theHealthcare Ministry and the medical association.

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