Analyzing Health Needs: A Profile of Hillingdon Community Health

This report provides a comprehensive assessment of the Hillingdon community's health profile, focusing on demographic, deprivation, and health status indicators. It identifies key health needs, such as addressing high rates of obesity among children, improving income levels, and enhancing disease diagnosis facilities. The analysis incorporates Bradshaw's taxonomy of needs and theories of epidemiological, demographic, and nutrition transitions to interpret the public health profile. The report also emphasizes the importance of community assets in improving overall health standards. It concludes by highlighting areas needing improvement, such as reducing obesity rates, increasing employment, and addressing high STI diagnosis rates, to enhance the health and well-being of the Hillingdon community. Desklib provides access to similar solved assignments and resources for students.

ASSESSING POPULATION
HEALTH

Table of Contents
INTRODUCTION...........................................................................................................................2
BACKGROUND.............................................................................................................................2
COMMUNITY HEALTH PROFILE..............................................................................................3
IMPLICATION OF FINDING OF PROFILE................................................................................5
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8
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INTRODUCTION
The essay will make a discussion of Hillingdon community which is a outer borough in
London and form a part of western perimeter of metropolis. It was created in 1965. The essay
will make a discussion of health profile and need of the community along with explaining the
surveillance and monitoring in relation with Hillingdon community. Theory of health need is
also a part of this essay. In order to access the data of community health the secondary source
which include the articles, journals and other website material so that the deep analysis of the
community and its healthy need will be analysed.
BACKGROUND
Community Health assessment and its use:
Community health assessment can be defied as an assessment under which a specific
community will be identified which is followed with the assessment of its health. This means,
making an identification of community and followed with analysing its health is a part of
community health assessment (Doyle, Ward and Early, 2018). This is highly important because
as per the assessment of the health need of the community the concerned government would take
appropriate action so that the health of the community will be improved. This will also assist the
government in making of health policies for health improvisation of the community.
Community health profile:
It can be defined as a comprehensive compilation of information of the community. It
details out the health information of the community from a variety of different angles. Health
status data, community resources, demographic and economic data, narrative description and
various other are the major part of the community health profile (Santos and et.al., 2018). This is
closely related with community health assessment because the assessment is purely based and
performed with the performance of community health profile. This means performance of health
profile is the base from which the assessment of community healthy can be performed. Making a
detailed analysis of the health profile of community would assist the performance of community
health assessment which is counted at upper level.
Monitoring and surveillance:
Monitoring is a continuous and dynamic process under which the collection of health and
diseases related data and its determinants in the population is performed over a specified period
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of time. While under surveillance the data recording can be performed in more intensive form. It
can also be defied as extension of monitoring under which the obtained information is utilised
and adequate measures would be taken if any threshold value in relation with disease status is
identified (Andrejevic, 2019). The concept of monitoring is directly associated with community
health assessment because without monitoring the effectiveness of the assessment in terms of
adopted corrective strategies will be of no worth. This means in order to analyse the impact of
taken strategy in relation with assessment monitoring is highly important. Likewise, with the
aspect of surveillance the deep and detailed impact in relation with adopted corrective measure
or strategy will be taken. This will further assist in taking of adequate and necessary steps.
COMMUNITY HEALTH PROFILE
Population health indicator:
Demographic:
In respect to the demographic aspect the health of the people of Hillingdon is varied
when it will be compared with the average of England. 16% of Hillingdon live in the low income
family group which shows that the belonging of children in low income family are high
(Hillingdon, 2019). However, when it will be looked towards the life expectancy of Hillingdon
in comparison of England it can be said that it is much higher in term of both male and female in
Hillingdon.
The life expectancy is 5.5 year lower of women and 7.2 years of men in respect to most
deprived areas of the Hillingdon while compared it with the least deprived areas.
Likewise, in comparison of England the 23.5% of children are obese in case of
Hillingdon which is more wore than England (Hillingdon, 2019). On the other hand, the alcohol
specific hospital admission among the adult of 18 to 21 is low in comparison of England.
Deprivation:
The deprivation score is 18.1which is significantly not tested while the smoking
prevalence among adult in routine occupation is 33.6 which is not significant.
In the same way in case of life expectancy at birth of male is 80.4 (local) and 80.7
(region) and that of female is 84 (local) and 84.5 (region) which is significantly better than the
entire region but still it can be counted as it need to be improved because it is not significant at
the wider level.
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In the same way with respect to the mortality rate under 75 is 310.7 (local) and 303.3
(region) which is although increasing but not significant because it is lower than England and
need to be improved (Hillingdon, 2019). In case of mortality rate from suicide i.e. 9.74 (local)
and 8.11 (region) and cardiovascular disease i.e. 72.4 (local) and 70.5 (region) is not significant
at all which need to be improved.
Determinants:
The other determinant may include the various aspect. The percentage of children which
belong to low income family is 18.8 which is high than England score and thus it is counted as
significantly worse and need to be improved. Likewise, the percent of people in employment i.e.
16-64 age group is 74.2 which is also higher than England but it is significantly worse and thus
need to be improved (Hillingdon, 2019). The rate of statutory homelessness rate and violent
crime rate i.e. 0.98 and 46.2 is also significantly worse because it is higher than the rate of
England.
Health status
The prevalence of obesity among child i.e. 10-11 years is 23.2 which is much high in
comparison with England and thus significantly worse and need to be improved. The incidence
rate of TB is also high in Hillingdon i.e. 21.9 that need to be corrected and measures need to be
taken. Death due to excess winder is 27.1 at region level which is better but not significant at
local level because it is 39.5. the STI diagnosis rate is 1713 which is extremely high in
comparison of England and thus need to be improved (Hillingdon, 2019). The diagnosis rate of
dementia is 72.6 which is not significantly different from England but it need to be improved for
better health condition. The diagnosis of Cancer at the early stage is 52.7 which is not
significantly tested. On the same way it is also right to said that the rate of road accident rate i.e.
39.5, emergency hospital admission rate because of intentional harm i.e. 83.4, emergency
hospital admission rate due to hip fracture i.e. 485.3 is significantly better while making it
compared with the rate of concerned aspects of the England.
This means there are various areas and determinants include diagnosis, employment income
level and various other aspects need to be improved in case of the health profile of Hillingdon.
This is because with aspect to the concerned determinants the health of the Hillingdon
community is closely related and thus need an improvement. As the rate of certain aspect like
obesity, income level and certain other is relatively high when it compared with the rate of
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England it can be right to said that the corrective action need to be taken so that the rate will be
minimised.
IMPLICATION OF FINDING OF PROFILE
As per the analysis of the public health profile of Hillingdon it can be said that the priority
public health need of the community include the requirement of facilities in relation with the
diagnosis of the diabetes because its rate is high. Likewise, the aspect of unemployment because
of which the income of families are low need to be prioritise. However, it can be right to said
that the most important priority of the Hillingdon community is the diagnosis of diseases because
the rate of health is severely impacted because of low facilities of diagnosis.
The vulnerable and disadvantageous group of the community are children who are suffered
from obesity and active lifestyle. Likewise, low income families are the disadvantageous group
who have low income and thus it affects their family living and the aspect of education of
children. Likewise, the people suffered from diabetes are also counted as vulnerable who did not
get the diagnosis at the early stage. Also the people who have STI are most vulnerable because
the rate of diagnosis of STI is highest.
Bradshaw’s taxonomy of needs:
As per the Bradshaw’s taxonomy there are majorly four type of needs which may include:
Normative needs:
This need is defined by the experts and is measured against the standard. In case if an
individual does not feet in standard which means he is not in need (Ryan, Donald and Bradshaw,
2021).
Felt needs:
It can be defined as the want of an individual. It can be defied with social circumstances
and personal perception because it is inexpressive.
Expressed needs:
When the felt need will be expressed it become expressed needs (Hu and et.al., 2018).
Comparative needs:
This need arises when the need of an individual or community is influenced and affected
with the need of the areas or wider approach.
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This theory can be used for making interpretation of community profile because under
community profile too the health needs of the community is identified which would be further
better analysed with the use of Bradshaw taxonomy of need. This is because under the Bradshaw
all the need i.e. expressed, non-expressed, normative as well as comparative need are included
which assist in interpretation of community profile wherein the major need in term of health,
physical, emotional and other kind of need are identified.
Theory of population trend and transaction:
Theory of Epidemiological transaction:
As per this theory a focus on the complex change in pattern associated with health and
diseases along with the interaction among these pattern and the economic, demographic and
sociological determinants and consequences can be made (Mercer, 2018). In short this theory
deals with changes in the cause of death.
The theory of Demographic transaction:
Under this theory the focus towards the changes in death rate, birth rate and thus the
growth rate of population would be made (Bassett, 2019).
Theory of Nutrition transaction:
This theory deals with the analysis of broad changes in the pattern of human diet which
have occurred across the space and time (Gouel and Guimbard, 2019).
Thus as per the above theories it can be right to said that with respect to the concerned
theory of demographic, epidemiological and nutrition the causes of the changes in pattern is
analysed which will further be assisted in interpretation of Public health profile which deals with
the major aspect of demographic, nutrition and epidemiology. As these theories are dealt with the
analysis of the changed pattern which would further be helpful in the interpretation of the public
health profile under which the aspects of public health are included.
Community asset:
As pert asset based community development the community asset can be defied as
anything that will lead to make an improvement in the quality of community life. This can be
anything like the physical structure, community member, etc (O’Connor and et.al., 2019). This
means what the people have in terms of their skill, knowledge or anything which would act as
asset.
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The model of people must have is quite different from the what is lacking model. This is
because the model of lacking will lead to negative impact towards the society in terms of
deprivation while the model of what an individual have will act as community asset and thus
improve the health standard and community situation.
Community asset need to be add to the community profile and community health
assessment because with its involvement in assessment the most valuable community asset will
be identified that will further lead to make an improvement in the community health profile.
CONCLUSION
From the above essay various aspects in relation with the health profile is identified.
However, the limitation associated with the profile is the drawing of interpretation on the basis of
current situation and ignorance of community asset which may lead to further improvement in
existing condition.
For knowing better health need there is a need of inclusion of community asset, as well as
the focus towards the Bradshaw and nutrition, epidemiological and demographic aspects so that
better need assessment can be made.
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REFERENCES
Books and journals
Andrejevic, M., 2019. Automating surveillance. Surveillance & Society. 17(1/2). pp.7-13.
Bassett, B.T., 2019. The Theory of the Demographic Transition and Its Cultural
Implications (Doctoral dissertation).
Doyle, E.I., Ward, S.E. and Early, J., 2018. The process of community health education and
promotion. Waveland Press.
Gouel, C. and Guimbard, H., 2019. Nutrition transition and the structure of global food
demand. American Journal of Agricultural Economics. 101(2). pp.383-403.
Hu, and et.al., 2018. Using human error information for error prevention. Empirical Software
Engineering. 23(6). pp.3768-3800.
Mercer, A.J., 2018. Updating the epidemiological transition model. Epidemiology &
Infection. 146(6). pp.680-687.
O’Connor, and et.al., 2019. Intergenerational understandings of personal, social and community
assets for health. Health & place. 57. pp.218-227.
Ryan, R.M., Donald, J.N. and Bradshaw, E.L., 2021. Mindfulness and Motivation: A Process
View Using Self-Determination Theory. Current Directions in Psychological Science,
p.09637214211009511.
Santos, and et.al., 2018. Health profile in very elderly people with social vulnerability in the
community. Revista Cuidarte. 9(3). pp.2322-2337.
Online references
Hillingdon., 2019. [Online]. Available through <
https://fingertips.phe.org.uk/static-reports/health-profiles/2019/e09000017.html?area-
name=hillingdon>
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