Health Promotion Program Proposal: Lung Cancer in Young Adults, NZ

This presentation outlines a health promotion proposal aimed at reducing lung cancer rates among young adults in Gisborne, New Zealand. Guided by the Health Development Agency's Health Needs Assessment and the Ottawa Charter model, the proposal identifies the target population (20-24 year olds) and addresses the health inequities, including high smoking rates and ethnic disparities. The presentation details the aims, objectives, and strategies, including smoking cessation programs, awareness campaigns, and policy changes. It proposes an integrated approach involving environmental modifications, skill development, partnerships, and policy creation. The plan incorporates actions like taxing schemes, zoning regulations, social media campaigns, and surveys. The Ottawa Charter is used to guide the health promotion intervention at individual, community and system levels. The evaluation plan includes audits, surveys, and assessments to measure the program's effectiveness, addressing potential barriers such as communication challenges and funding limitations. The overall goal is to reduce lung cancer deaths and promote health among young adults in the region.

Slide 2- Hello! Good morning. I am -------- and I have prepared this presentation to introduce you all to
the health promotion program proposal for the young adults of New Zealand suffering from lung cancer.
The proposal is guided by the Health development Agency’s Health Needs Assessment document and
the theoretical model of Ottawa Charter is utilized to design the plan to address the health issue.
Slide 3- The population of young adults are chosen for this health promotion proposal as young adults
and children account for 34.6% of the population of New Zealand. This population segment is the crucial
for any nation including the male and females both.
Slide 4- The young adult population has specific health requirements due to their increased rate of risk
taking behavior, involvement in frequent Accidents, Obesity rates, Mental health issues, Various
cancers, Drug abuse and Sexual health problems.
Slide 5-For the first section of Health Needs Assessment, the population chosen is the young adults of
the age group of 20-24 as they have specific significant health needs. The location chosen is the area of
Gisborne as the prevalence of lung cancer and deaths due to lung cancer vary hugely across the New
Zealand but, in the Gisborne region people are dying at almost double the rate of those in other regions
like in Nelson and Marlborough (Macdonald, 2016).
Slide 6- For the second section of Health Needs Assessment, the aim of the plan is identifies which is to
work with the young adults to promote health by breaking the cycle of disadvantage. Third section
focuses on the members of the project team. The HNA was led by the Public Health Nurse for Gisborne
Locality and an experienced community development worker employed by the Community Health
Project recognized in providing family assistance in the area.
Slide 7- Fourth section of the HNA enumerates the stakeholders which includes the local workers in
health, social care, education and several representatives from local non-statutory facilities, local
families and young adults. Final section involves the resources utilized which is The Public Health Nurse
and Community Development Worker were allocated time within their current jobs to commence this
task. Financial funds will be needed to pay for the community development workers’ extra hours and
the extra consultation.
Slide 8- There are various health conditions and determinants of health which are specific to young
adults. It is reported that 33% of the young adults drink hazardously in New Zealand. The rate of obesity
prevalence has increased across the globe among young adults. The adults of New Zealand ranked third
out of 15 OECD nations for indicators of obesity in 2012. Further, the Adults who live in most deprived
regions have higher rates of all health risks including smoking, risky drinking and obesity.
Slide 9- In New Zealand, tobacco smoking is one of the major reason which leads to preventable and
premature death and is also a huge source of ethnic and socioeconomic disparities in health (Barnett,
Pearce, & Moon, 2009). There are several critical health consequences of smoking like lung cancer,
cardiovascular disease, etc.
Slide 10- Usually the disorders are prevalent in older adults but young adults who smoke also face
various serious health consequences which are addiction of nicotine which begins in adolescence and
young adulthood and is responsible for decreasing lung function and lung growth during childhood and
adolescence. It also caused early abdominal and coronary atherosclerosis in young adults (U.S.
Department of Health and Human Services, 2012).

Slide 11- The next discussion is that young adults of New Zealand experienced several issues but the
issue of lung cancer was prioritized. It is because as per the Ministry of Health of New Zealand lung
cancer is the chief cause of cancer death in New Zealand and has got less public attention. Moreover,
mortality rate has increased due to lung cancer because of its late detection when the disease has
progressed and metastasized to other parts in the body. It is also reported that lung cancer is
responsible for 1628 deaths in New Zealand in 2012 and in 2018 it took an estimated 1758 lives in 2018.
Slide 12- As per the statistics of New Zealand, the estimates risk of death from cancer in Males before
reaching the age of 75 is 11.01% while for females it is 9.3%.
Slide 13- Specifically in New Zealand, there is significant ethnic disparities in which scenario the Maori
having an increased chance of facing advanced disease and a decreased risk of getting curative
intervention as compared to non-Maori. New Zealand also has a significant number of adults who smoke
both males and females and it is reported that around 80% of lung cancers are the result of smoking.
Therefore, the prioritization of the issue of lung cancer for this target population group is appropriate.
Slide 14- The aim of the health promotion intervention is to reduce the health disparities in Gisborne
area to lower the death rates due to lung cancer in the area by encouraging the young adults for
smoking cessation and raising awareness regarding lung cancer in 12 months.
Slide 15- Three specific objectives are identified to achieve the aim. Number 1 is to propose and pass
suitable plans in the Gisborne region for smoking cessation. Second is to educate the young adults and
their families of Gisborne area about lung cancer, its causes and its complications and lastly, to regulate
the community arrangements for early lung cancer detection by taking appropriate measures.
Slide 16- The health promotion strategy that will be used to address the issue of lung cancer in Gisborne
region will have an integrated approach including the actions at individual as well as social level.
Strategy will include, Environment modification, development of personal skills, partnership working,
communication and policy creation.
Slide 17- The realistic actions will be taken as per the above stated strategy. To accomplish the first
objective of formulation of relevant schemes in the Gisborne region for smoking cessation. Taxing
schemes will be imposed on purchase tobacco and cigarettes to discourage the young adults to buy
cigarettes and pursue smoking. Further, zoning out cigarette selling vendors by implementing local
council laws can be one. Lastly, guidelines will be created and advertised at every suitable online and
offline site about the labeling of hazards of smoking on cigarette packets with correct values.
Slide 18- To accomplish objective 2 of raising awareness social media campaigns at community level will
be organized to raise awareness regarding the ill-effects of smoking, lung cancer and its causes and
complications.
Slide 19- For Objective 3, alterations in college and university policies to promote health awareness.
Survey will be conducted to identify the adults who are at increased risk of developing lung cancer.
Campaigns will be undertaken to educate young adults to encourage them to come for screening on
observing any symptoms of lung cancer.
Slide 20- The theoretical model of Ottawa Charter will be used to support the above strategy and plan.
Ottawa Charter is a model of health promotion which is based on five components to provide the

required change. Five components include, drafting of public health policy, reorienting the health
services, building enabling environments at all levels, community engagement and development of
personal skills.
Slide 21- The Ottawa Charter at system level will include policy development and building and sustaining
the structural environments which promote health. At community level, it will raise awareness to induce
community engagement and build community environments to support health. at individual level, it will
include building personal skills and developing individual environments to support healthy personal
choices and decisions.
Slide 22- Ottawa Charter will induce collaborations between members from local council with other
relevant departments. Participation of the community in planning and decision-making. Inclusion of
healthy settings such as healthy universities, healthy workplaces and healthy municipalities. Political
commitment and Awareness of socio-environmental context.
Slide 23-There are several existing community health services which can be utilized to address the issue.
Several Governmental and Non-Governmental health services which are already working for tobacco
use can be utilized. The local community health policies and programs can also be integrated for
effective results of the plan. The healthy policies of the colleges, universities, restaurant chains, etc. can
also be used.
Slide 24- The targeted population of young adults and other key stakeholders can be included in
different phases of program through Data collection through surveys, Consultation meetings, Social
media campaigns and Review meetings
Slide 25- Cultural barriers may be faced in the health promotion approach specifically the
communication challenges. These barriers can be addresses by effective planning and inclusion of all the
ethnic groups in consultation meetings and decision-making.
Slide 26- Other barriers include uncertainty in the Government plans can also be a barrier in the
effective implementation of the program. As it will cause ineffective community engagement and lesser
acceptance of the planned strategies. Lack of funding to employ staff and inability to attract the young
adults in this strategy.
Slide 27- next, an evaluation plan will be required to measure the success of the proposed plan. For
evaluation of taxing schemes, audits of the supermarkets and other stores near the college and
university premise will be conducted to check the amount of cigarettes on which taxing have been
applied post implementation of the program. Survey of the area can be done to inspect zoning out of
cigarette selling vendors and advertisements near the college and university premises.
Slide 28- To check the creation of guidelines health warnings on cigarette packets, Number of items
having health warnings label pre and post program implementation must be evaluated. The efficiency
and audience reach of the media campaign can be evaluated through checking number of Facebook
/Instagram posts, likes and shares.
Slide 29- Assessment of professional development orientation can occur by examining the number (%)
of people participating it. Survey can be done to check for the number (%) of universities adhering to the
updated canteen policy before and after the implementation of the program.