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Capella 4060 Assessment 4

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    Capella 4060 Assessment 4

    Capella 4060 Assessment 4 Health Promotion Plan Presentation

    Student Name

    Capella University

    NURS-FPX 4060 Practicing in the Community to Improve Population Health

    Prof. Name

    Date

    Health Promotion Plan

    Good morning everyone! My name is _______ and I am a community health nurse at Vila Health Center. Welcome to today’s presentation. You all may be wondering what is a health promotion plan and why you all are here. So, a health promotion plan is created by healthcare professionals on specific health-related concerns for communities that have a higher prevalence of those concerns. This is developed mutually with governmental bodies to enhance awareness among the people of the community and reduce the incidences of the addressed concerns. Nurses are trained for developing these health promotion plans so that they can bring effective reforms to the communities (Zheng et al., 2020).

    The focus of today’s health promotion plan is teen pregnancies. I have designed this health promotion plan for teenage students, community leaders, and local organizations so that they are aware of teen pregnancies, and poor health consequences and take appropriate measures to reduce the incidences. Such awareness sessions will also be conducted in other schools in the community which will continue for one year. Then, along with community leaders, some policies will be established to ensure that there is a reduction in teen pregnancy by at least 10%. There will be continuous monitoring and evaluation to identify the effectiveness of the awareness sessions too. 

    Health Promotion Plan for Teen Pregnancy 

    Teenagers getting pregnant is becoming a common healthcare concern in today’s world. It is also a prominent public health concern in the US which is evident in a report by the Centers for Disease Control and Prevention (CDC) in 2019. The report reveals that a total of 167 births were performed in 1000 teenage girls in the United States (CDC, 2021). World Health Organization reveals that low and middle-income countries had approximately 21 million teenage pregnancies (15-19 years females) and half of these pregnancies were the result of unintentional acts resulting in 55% of abortions (WHO, 2022).

    The most affected age group is 15-19 years of age where various social and environmental factors play their roles to influence these behaviors Some of these factors are lack of knowledge, peer pressure, alcohol consumption, lack of parental support, and disputes among parents, and media influence (Ara�z-Ledezma et al., 2019; Yee et al., 2019). Teenage pregnancies not only harm the child but also imposes various health consequences on teen mothers too. Let’s discuss some of the health consequences of teenage pregnancy. 

    Health Consequences of Teenage Pregnancy

    Teenage pregnancy can increase the risks of eclampsia (a brain condition that causes seizures/coma), and infection of the uterus lining which in medical terms is called puerperal endometritis (WHO, 2022). Furthermore, many diseases can be transmitted because of unsafe sexual practices like HIV-AIDS, Chlamydia, gonorrhea, etc. These are called sexually transmitted diseases (Wilkins et al., 2022). Anemia is another complication of teenage pregnancy that results in the loss of red blood cells in the female body which can further lead to various complications like premature delivery, and the risk of mortality for the child and mother too (Gurung et al., 2020).

    If this pregnancy is continued, it can lead to preterm birth, several birth defects in neonates, and a high risk of low birth weight in the babies. Moreover, it can cause mortality for babies as well as mothers during pregnancy or at the time of birth (WHO, 2022). Unmanageable pregnancies can lead to unsafe abortions which can cause problems like chronic vaginal infections and in severe cases may cause infertility or death (Lambonmung et al., 2022). These health effects and poor quality of life during pregnancy and after birth can negatively impact the mental health of these females. Some of the mental risks associated are depression, anxiety, personality disorders, and mistrust which makes teens vulnerable to suicidal attempts and actual suicides. 

    Evidence-based Strategies to Address Health Needs

    Some of the ways in which community organizations and healthcare professionals can opt to prevent teenage pregnancies are; 1) effective measures to manage the consumption of alcohol among adolescents (Sah & Mahendru, 2022). Alcohol consumption makes an individual perform activities that are unhealthy for their lives such as involvement in sexual practices with multiple partners and lack of use of contraceptives which can lead to adolescent pregnancies. Governmental organizations can play an important role in increasing the use of contraceptive measures by enhancing accessibility and improving awareness. This includes the availability of free/minimum-costed contraception pills and devices.

    Healthcare professionals must be trained to discuss these contraceptive measures with their patients and their families (Mann et al., 2019). They must instruct teenagers to not get involved in sexual practices, should promote the use of Long-Acting Reversible Contraception (LARC)  as an effective strategy for controlling pregnancies, and must train them on other options too along with elaborating on the benefits and disadvantages of all these methods. 

    Teenagers’ Actions to Prevent Pregnancies

    So, now you all are aware of the prevalence of teen pregnancies and how community organizations and healthcare professionals can help, it’s time to recognize the actions which teenagers as a vulnerable population can initiate to reduce the risk of getting pregnant. Firstly, it is essential to avoid sexual practices at this early age of life. To successfully achieve this, interaction with sexually active peers should be eluded, and behaviors like watching porn/adult movies, masturbation, and consumption of alcohol should be eliminated.

    It is essential to talk with parents or guardians regarding sexual desires and how to avoid them. Even if they choose to be sexually active, then it is imperative to know birth control methods like condoms, contraceptive pills, LARC, and intrauterine devices. Seeking help from parents/guardians or healthcare providers to effectively use these methods and reduce the risks of pregnancies (CDC, 2022; HHS Office of Population Affairs, n.d.)

    Developing SMART Goals 

    SMART goals are described as goals specifically designed for an area of improvement, which are measurable in terms of evaluating the progress,. They explain the method by which they will be achieved. Moreover, they must be relevant and realistic in terms of achieving them and should mention a deadline for completing the goals. Some of the goals developed with the participants for the implementation of the strategy are;

    • Goal 1: Enhancing knowledge about safe sex practices and incorporation of these practices among sexually active students by creating awareness. 

    This goal fulfills the criteria of SMART as it will specifically educate high school students about the potential risks of teenage pregnancy by providing them with educational material related to safe sex practices, use of contraceptives (condoms), regular tests for STDs, and building communication with the sexual partner. It is measurable as we will conduct surveys before and after sessions to monitor changes in knowledge and behaviors. Moreover, we will also track the distribution of condoms on campus and monitor STD incidences.

    It will be achieved by collaboration between the healthcare department and the school’s health clinics to organize awareness sessions, provide free condoms, and do STD testing. The goal is relevant because it will promote safer practices and reduce the number of unintended pregnancies. It will be initiated at the start of the fall semester and will go on throughout the year with constant monitoring and tracking of condom distribution, STD rate, and reduce incidences of pregnancies. 

    Capella 4060 Assessment 4

    • Goal 2: Launch a social media campaign to promote awareness about teenage pregnancy and its associated risk in collaboration with students who are active on social media.

    To elaborate on this goal, it is specific as school students will be used to launch campaigns on social media for the targeted population who are vulnerable to teenage pregnancies and their associated risks. This goal will be measured by identifying 10,000 followers and 50 reshares of the posts within six months period. This will be achieved through coordination with the healthcare department by creating informative and engaging content to be posted. The goal is relevant to the teenage population who are usually influenced by social media and have limited access to traditional information mediums. This campaign will be launched within three months and will be completed in six months along with an evaluation of its effectiveness. 

    Evaluation Based on Developed Goals

    Evaluation of the developed goals resulted in the establishment of a safe sex education subject in the school where every week students were taught about safe sex practices. 40% of the sexually active students, used condoms appropriately and there were reduced incidences of STDs among the targeted group. The social media campaign was launched by three high school students who were influencers on Instagram and YouTube. They received 2% extra followers who engaged with their content. Moreover, school administration was also engaged in collaborating with governmental organizations to eradicate teenage pregnancies from school-going children. 

    Evaluation Based on Healthy People 2030 Indicators

    A health framework developed by CDC that entertains the objectives related to healthcare access, reducing health disparities, and improving quality healthcare is called Healthy People 2030. Healthy People 2030 have developed several objectives related to teen pregnancies. Some of the objectives are; 

    1. Reduce pregnancies in adolescents. 
    2. Increase the ratio of adolescents who use birth control for the first time in sexual practices.
    3. Reduce the proportion of unintended pregnancies.  
    4. Increase the proportion of adolescents who get formal sex education before the age of 18 years (U.S. Department of Health and Human Services, n.d.).

    Our health promotional plan is based on all these objectives of Healthy People 2030 where the developed goals will help in achieving a target of reducing the rate of teenage pregnancies. It will also increase the use of birth control (contraceptive methods) among adolescents. Moreover, the safe sex education course and various awareness sessions will help in achieving the goal of formal sex education before 18 years. 

    Future Revisions

    Some of the revisions required in future sessions are the involvement of parents/families of these teenagers so that they can effectively seek support. Moreover, teachers who are training these students related to safe sex education must have competence in this field so reproductive health specialists. Public health personnel must collaborate for the provision of effective, evidence-based, and relevant content to these students. Furthermore, nurses and other healthcare professionals should be involved in spreading awareness through social media and various awareness sessions. 

    References

    Ara�z-Ledezma, A. B., Massar, K., & Kok, G. (2019). Behavioral and environmental influences on adolescent decision making in personal relationships: A qualitative multi-stakeholder exploration in Panama. Health Education Research35(1), 1–14. https://doi.org/10.1093/her/cyz033 

    Centers for Disease Control and Prevention. (2022). For teens. Centers for Disease Control and Prevention. Retrieved April 17, 2023, from https://www.cdc.gov/teenpregnancy/teens/index.htm 

    Centers for Disease Control and Prevention. (2021). About teen pregnancy. Retrieved on April 17, 2023, from https://www.cdc.gov/teenpregnancy/about/index.htm 

    Gurung, R., Målqvist, M., Hong, Z., Poudel, P. G., Sunny, A. K., Sharma, S., Mishra, S., Nurova, N., & KC, A. (2020). The burden of adolescent motherhood and Health Consequences in Nepal. BMC Pregnancy and Childbirth20(1). https://doi.org/10.1186/s12884-020-03013-8 

    HHS Office of Population Affairs. (n.d.). Strategies and approaches for prevention. Retrieved April 17, 2023, from https://opa.hhs.gov/adolescent-health/reproductive-health-and-teen-pregnancy/strategies-and-approaches-prevention  

    Lambonmung, A., Acheampong, C. A., & Langkulsen, U. (2022). The effects of pregnancy: A systematic review of adolescent pregnancy in Ghana, Liberia, and Nigeria. International Journal of Environmental Research and Public Health20(1), 605. https://doi.org/10.3390/ijerph20010605 

    Mann, E. S., White, A. L., Rogers, P. L., & Gomez, A. M. (2019). Patients’ experiences with South Carolina’s immediate postpartum long-acting reversible contraception Medicaid policy. Contraception100(2), 165-171. https://doi.org/10.1016/j.contraception.2019.04.007 

    Sah, R. K., & Mahendru, R. (2022). Teenage pregnancy–a social problem or public health issue?. In Contemporary Social Problems in the UK (pp. 101-122). Routledge. https://doi.org/10.4324/9781003166887-6 

    Capella 4060 Assessment 4

    U.S Department of Health and Human Services. (n.d.). Family planning. Family Planning – Healthy People 2030. Retrieved April 18, 2023, from https://health.gov/healthypeople/objectives-and-data/browse-objectives/family-planning 

    Wilkins, N. J., Rasberry, C., Liddon, N., Szucs, L. E., Johns, M., Leonard, S., Goss, S. J., & Oglesby, H. (2022). Addressing HIV/sexually transmitted diseases and pregnancy prevention through schools: An approach for strengthening education, health services, and school environments that promote adolescent sexual health and well-being. Journal of Adolescent Health70(4), 540–549. https://doi.org/10.1016/j.jadohealth.2021.05.017 

    World Health Organization. (2022). Adolescent pregnancy. Retrieved on April 17, 2023, from https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy 

    Yee, C. W., Cunningham, S. D., & Ickovics, J. R. (2019). Application of the social vulnerability index for identifying teen pregnancy intervention needs in the United States. Maternal and Child Health Journal23(11), 1516–1524. https://doi.org/10.1007/s10995-019-02792-7 

    Zheng, X., Yu, H., Qiu, X., Chair, S. Y., Wong, E. M. L., & Wang, Q. (2020). The effects of a nurse-led lifestyle intervention program on cardiovascular risk, self-efficacy, and health-promoting behaviors among patients with metabolic syndrome: A randomized controlled trial. International Journal of Nursing Studies109, 103638. https://doi.org/10.1016/j.ijnurstu.2020.103638 

    Capella 4060 Assessment 4