Health Promotional Program for Tuberculosis Affected Communities in UK

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This report focuses on a health promotion program designed to address the increasing prevalence of tuberculosis in the United Kingdom, particularly among non-UK born communities. The study highlights the significant rise in tuberculosis cases, emphasizing the disproportionate impact on specific demographics such as migrants, asylum seekers, and individuals with social risk factors. The methodology involves a secondary data search, analyzing reports from Public Health England. The findings reveal a 40% increase in tuberculosis prevalence, with a substantial portion of cases linked to non-UK born individuals. The report identifies key target groups and recommends health promotion strategies, including educational and health literacy training, free medication, and check-ups. It emphasizes the importance of addressing healthcare inequalities and providing resources to vulnerable communities. Recommendations include antibiotic distribution, awareness campaigns, and organized diagnosis programs to effectively combat tuberculosis and improve public health outcomes.
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Running head: HEALTH EDUCATION AND PROMOTION
HEALTH PROMOTIONAL PROGRAM FOR THE TUBERCULOSIS AFFECTED
COMMUNITIES IN UNITED KINGDOM
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1HEALTH EDUCATION AND PROMOTION
Executive summary
Tuberculosis has emerged as one of the primary concern of the UK government as in the past
few years, the rate of prevalence of tuberculosis has increased up to 40%. Further, it was seen
that majority of the people that are affected with tuberculosis belongs to non UK born
communities and hence, it becomes crucial to determine the public health program that should be
conducted for the wellbeing of these communities. Finally, few health promotional strategies and
recommendations were also mentioned in the paper.
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2HEALTH EDUCATION AND PROMOTION
Introduction
In the recent times, Britain has emerged as the only nation in the Western Europe that has
identified more than 9000 cases of tuberculosis and as per the latest report of Public Health
England (2019), the prevalence of tuberculosis in Britain has increased by 40%. While
determining the community that is majorly affected with tuberculosis in the United Kingdom, it
was seen that 71% of the tuberculosis cases were associated with people that born outside UK,
whereas, 13% of people that lacked social determinants of health such as homelessness, has
spent time in prison, or is associated with substance abuse (Public Health England 2019). Hence,
tuberculosis has been chosen as the disease condition for the public health concern.
Methodology
The methodology that has been used to collect data to determine the prevalence of
tuberculosis in UK would be secondary search. As the UK government has conducted authentic
and accurate research articles for the assessment of tuberculosis rate and prevalence, this method
would be used for the process.
Results/findings
As per the Public Health England (2019) it was seen that people who are born abroad, are
15 times more prone to be infected with tuberculosis than the UK born populations and the rate
of prevalence in the year 2015 was recorded as 40% in which 73% increase was noticed
compared to 2011. In England, however, the rate of tuberculosis has decreased than 2011 and
this indicated towards the healthcare inequalities that are present in the communities in UK. As
the Public Health England (2019) includes the PHE and NHS England Collaborative TB Strategy
for England 2015 to 2020 and mentioned that the rate of social risk factor has increased from
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3HEALTH EDUCATION AND PROMOTION
2011 to 2015 by 11.8%. Further, it also identified the communities or groups that are associated
with increased tuberculosis prevalence such as the migrants, asylum seekers or homeless
individuals and the people that are involved in imprisonment or the alcohol misuse. Hence, these
are the few communities or groups that for which the health promotional campaign should be
developed.
Discussion
As majority of the people that are associated with tuberculosis are non UK born
individuals and hence the group that should be targeted for the health campaign for tuberculosis
is the non UK born asylum seekers or homeless as well as people who were imprisoned in the
past. Further, targeting this group, as per Jansen, Knirsch and Anderson (2018), would help to
develop a herd immunity as per which, the entire community living around such people would be
able to include effective preventive measures. Educational and health literacy training with free
medication and check would be the accurate healthcare promotional strategy for such groups as
Ho, Fox and Marais (2016) mentioned that these communities are deprived of minimal resources
that are required for healthcare and wellbeing. Further, as per Shrestha et al. (2017), lack of
knowledge about hygiene, sanity and proper healthcare guidelines and policies developed for
their health and wellbeing could increase the rate of tuberculosis in the community. Hence, these
aspects would be chosen for the health promotion program.
Conclusion
In conclusion, it could be said that due to communal amalgamation, the UK born
community and non UK born communities has increased their rate of prevalence of tuberculosis
which was mentioned in the NHS governmental reports. Moreover, the communities that are
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4HEALTH EDUCATION AND PROMOTION
suffered from this rate of tuberculosis included individual that were imprisoned or substance
abuse as well as homeless, have higher prevalence of tuberculosis. Hence, this was chosen as the
primary communities for which the public healthcare program would be developed. Finally, it
mentioned educational sessions, hygiene and sanitation training, free medication and health
checkup would be the type of health promotion that would be selected for the wellbeing.
Recommendations
Distribution of tuberculosis antibiotics should be conducted in all the areas such
as London, Western Britain and other areas where non UK born communities
prevail and hence, it would help the people that are already affected with
tuberculosis to achieve wellbeing (Horsburgh Jr, Barry III and Lange 2015).
Organizing healthcare awareness campaign for tuberculosis should also be
conducted so that each of the communities could understand the urgency of this
situation and help the communities that lack resources to overcome such
complication, to improve their wellbeing (Cookson et al. 2015).
With education and awareness, the NHS should organize tuberculosis diagnosis
campaigns around the country and areas where the rate is higher. This would help
the healthcare facilities and ministry to understand the rate of tuberculosis in a
specific community and then, they would be able to conduct health promotions in
the country (Jarvis et al. 2019).
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5HEALTH EDUCATION AND PROMOTION
References
Cookson, S.T., Abaza, H., Clarke, K.R., Burton, A., Sabrah, N.A., Rumman, K.A., Odeh, N. and
Naoum, M., 2015. Impact of and response to increased tuberculosis prevalence among Syrian
refugees compared with Jordanian tuberculosis prevalence: case study of a tuberculosis public
health strategy. Conflict and health, 9(1), p.18.
Ho, J., Fox, G.J. and Marais, B.J., 2016. Passive case finding for tuberculosis is not
enough. International journal of mycobacteriology, 5(4), pp.374-378.
Horsburgh Jr, C.R., Barry III, C.E. and Lange, C., 2015. Treatment of tuberculosis. New England
Journal of Medicine, 373(22), pp.2149-2160.
Jansen, K.U., Knirsch, C. and Anderson, A.S., 2018. The role of vaccines in preventing bacterial
antimicrobial resistance. Nature medicine, 24(1), p.10.
Jarvis, M., 2019. Tuberculosis 1: exploring the challenges facing its control and how to reduce
its spread. Mental health, 12, p.50.
Public Health England (2019). Health matters: reducing the burden of tuberculosis. [online]
GOV.UK. Available at: https://www.gov.uk/government/publications/health-matters-reducing-
the-burden-of-tuberculosis/health-matters-reducing-the-burden-of-tuberculosis [Accessed 21
May 2019].
Shrestha, A., Bhattarai, D., Thapa, B., Basel, P. and Wagle, R.R., 2017. Health care workers’
knowledge, attitudes and practices on tuberculosis infection control, Nepal. BMC infectious
diseases, 17(1), p.724.
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