Program Design Evaluation and Implementation

Running head:PROGRAM DESIGN EVALUATION AND IMPLEMENTATION
PROGRAM DESIGN EVALUATION AND IMPLEMENTATION
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1PROGRAM DESIGN EVALUATION AND IMPLEMENTATION
The Aboriginal groups in the growing suburbs of Queensland are affected by life-
threatening health problems for which GP practice is in high demand. Studies say that the
maximum of the Aboriginal population is at high risk of getting affected by a heart attack. A
significant increase in cardiovascular disease among the indigenous people has been seen
among the adolescent. Needs assessment is a structured and reproducible method in which a
group needs are identified and prioritized for action. The undertaking of a needs assessment
has many advantages, including creating more specific and efficient programs and services
and facilitating a more comprehensive and consistent distribution of resources. The normative
need is calculated against accepted standards, opinions, or research. There is an accepted
range of healthy individuals but the Aboriginals due to potential health issues formed a
community that is neglected and not taken care of (Taylor, 2018). Normative cardiovascular
disease care models explain mainly which health practitioners should be seen and what their
role is in explaining cardiovascular disease to the patient. Modification to enhance the
cultural appropriateness of these models has led to the recognition and trust building of
Indigenous peoples. The felt need for Aboriginals is they require access to health care
services along with access to the policies like non-indigenous people. Felt need is of
particular significance in programs for economic growth or in projects with a high degree of
community participation. Felt need is subjective and is restricted by individual perceptions;
people may not want to be seen as' needy' or missing, or they may have minimal awareness of
what is accessible and achievable. The Aboriginals required financial counselling, which is
classified as expressed needs (Blue & Grootenboer, 2017). Expressed need is referred to as
'need turned into action’. The comparative data between the indigenous and non-indigenous
people helps to analyze the condition of the communities. Statistics on the number of
individuals with a cardiovascular disease was compared with data on the number of primary
healthcare services for the affected aboriginals. But where they are available, the availability

2PROGRAM DESIGN EVALUATION AND IMPLEMENTATION
of resources doesn't mean the needs are being met. When Aboriginals are compared to non-
indigenous people, the report stated that cardiovascular disorders like heart failure, stroke and
atrial fibrillation are more common in Aboriginals with a higher incidence of comorbidity.
According to a study, it has been found that aboriginals are accounting for 17% of total
burden and occurs 4.6 times more frequently among indigenous people than non-indigenous
people. The major needs of the Aboriginal community are:
 Health services
 Social support
 Housing needs
 Community sense
 Youth services
 Orientation and information
 Education and training
Based on research, it has been found that the risk of cardiovascular disease is increasing
substantially along with age. It is has been found the aboriginals are not aware of the
complications associated with cardiovascular disease; thus, they are not taking an approach in
lowering their cholesterol level. The indigenous health is in an ongoing crisis due to a lack of
cohesive public policy and insufficient resources (Richmond & Cook, 2016).
Additionally, social and economic exclusion, poor education, unemployment, poor
housing, low income, and lack of nutrition contribute to worsening their health condition, and
their generation is neglected sp they don’t have access to healthcare services (Jones, 2018).
The under status of nutrition among the Aboriginals leads to cardiovascular disease which is
associated with obesity, type 2 diabetes, malnutrition. Primary healthcare is considered to a
range of providers and services across public, private and non-governmental sectors.
Longstanding failure in providing mainstream healthcare delivery to Aboriginal people is the