Sample PUBH6007 Program Design Implementation and Evaluation Report

PUBH6007 Program Design, Implementation and Evaluation Report Sample

Context:

This assignment help is on Needs Assessment in public health, and you have 2 options (choose one) for submission (it is an individual assignment in report structure).

Instructions:

Option 1: Choose a setting such as a community, health service (e.g. hospital, primary health care service) or neighbourhood you know well in Australia ( Examples (not limited to) are:

(1) a particular community (for example, indigenous population, women etc)
(2) a health service (such as hospital, primary health care service, GP practices etc)
(3) a neighbourhood that you know well (where you currently live in)

How to proceed with Option 1:

STEP 1: A discussion of how you would assess different types of needs (normative, expressed, comparative, felt, etc.) and how you would prioritise the findings, justifying your choices. For this purpose, you would either know of/be in the situation in reality first. Then, you would have to undertake rigorous literature review to understand different types of needs assessment and consider alternative views to justify the choices for this context.

STEP 2: Any potential challenges for your needs assessment and how you would address them. This could be relating to policy, contextual issues or others.

STEP 3: A SWOT analysis, where you identify the Strengths, Weaknesses Opportunities and Threats of your organisation or program.

STEP 4: A determination of program priorities, based upon your needs assessment

In your needs assessment, you may determine multiple programs priorities – justify why you would choose the priorities you have identified. Are there any population groups that would benefit best from your program? Mention these, justify.

AN EXAMPLE

Let us take a GP practice in a specific growing suburb in Melbourne as a context. The waiting list seem to be increasing as many patients are approaching the GP and there are no other practices close by. It could also be that much of the population is working, and they need after hours service. If you are part of this situation ( working in the practice or living in the suburb) – you would have an idea as to what type of need had risen. From that point, think about what type of needs assessment is required (via comparing few types of needs assessment from literature review), and justify your choice. Then, we are looking at potential challenges to really confirm this need, through the needs assessment. Subsequently, look at the SWOT analysis. There may be many GPs in the practice (Strength), but, the hours may not suit the working population in the suburb (weakness). The threat may be that due to non suitable opening hours or waiting list, the population may begin to move to another closer suburb (where there are more GPs open late) which then (threatens) the practice. And the (opportunity) is there for this GP practice to open for more hours or have shift based GPs for different hours, keeping the practice open later. This is a simple SWOT and there may be many more.

In this situation, you would be looking at a program design that allows the GPs to open later hours or shifts, which cater to the mainly working population, young families in the new suburb/neighbourhood. You may prioritise working women, kids or mainly working men as population groups that would best benefit.

Solution

Introduction

Primary healthcare service is the selected community for undertaking the present report into consideration. In order to create a detailed understanding about the needs of principals and community analysis, the priorities placed by primary healthcare service in particular emphasis upon aboriginal population and indigenous groups within Australia needs to be revealed. The present discussion primarily explores around the different norms, expressions and comparisons are needed to be prioritised and applied upon aboriginal population of Australian primary healthcare service community. The reality oriented understanding helps to critically evaluate the possible challenges Faced in the operations performed by GP, nurses and professional health workers to govern their role across the primary healthcare services (Mistry, Harris & Harris, 2021). The SWOT analysis enables the internal potentials, areas of shortcomings, possibilities of new scope and limitations can be understood. As the organizations perform forming a community within the primary healthcare services, the prioritization of multiple service areas acting upon the large population interest benefits catering to health requirements of Australian people get justified.

Different normative needs and findings justifying the choice of primary healthcare in indigenous group aboriginal population community Australia

Primary healthcare within Australia create the initial point of contact with the people of Australia to attend care, comfort and health treatment. In case of both chronic as well as acute conditions proper management is taken up as a responsibility with the quality of professional intervention are indicated towards multiple healthcare domains. President under the National Safety and quality primary healthcare NSQPH creates the standard as a committee of primary care within Australia to determine highly developed effectiveness to treat patients (Kim et al. 2021). Under the national general practice hack reduction scheme, Australian indigenous groups and aboriginal community tried to be creating a feasible Raj Kumar optimistic normative layout for any incident reported by patients.

The conduct taken up by NSQPH develops a standard during October 2020 to a span of January 2021. All the issues faced by aboriginal population community Australia on a health hazard level hard constructively handled to create safe environment and proper cure through the preliminary consolidation program. There are multiple face to face workshops established to cater to patient requirements on a subjective level. The online free counselling, Internet based survey and consumer oriented service approach helped feedback retriever loop to analyze and enhance their quality in terms of primary healthcare provision (Measham & Turnbull, 2021). With a total capacity of 211 Primary Health care providers more than 105 feedbacks were received from the care users. Search consultations carried out through online interface facilitate during ongoing pandemic situation and lockdown related stress factors to be addressed for clients in indigenous groups of Australia.

Challenges addressed by the primary healthcare services among indigenous groups aboriginal community in Australia

The health department of Australian government takes specific focus upon the challenges faced by primary healthcare services Australia. Taking the policy regulations into consideration, the fragmentation taking place in case of Commonwealth as well as state fund services tend to lead to adverse challenges. The complexities get even more critical when policy levied by the government create restriction upon funding and arrangements of reported cases. There are increasing feedbacks received regarding poor coordination across the primary healthcare service planning and improper execution and delivery of welfare and social care services. It is directing towards misdistribution effects which hinder the workforce with shortages and inadequacy in optimum resources to handle increasing demand for health care requirement (Day et al. 2021). As the life expectancy across the aboriginal population segment is quite low especially for the females, tremendous challenges are faced by the indigenous Australian people on acquiring primary healthcare services.

It is the remote locations of various residential zones of minorities and health treatment inaccessibility which creates challenge for a GP to reach care assistance that takes 4.5 times more travel time than that of care facilities in the major cities. The disability rate among aboriginal population segments in Australians is ineffectually handled without a balanced proportion from primary healthcare policy regulation execution. This depicts a challenge where expectation and actual results revealed a large gap. There is additional health deficits which are incapacitated by the primary healthcare to manage especially with the exceptional burdening in case of chronic disease cases reported across aboriginal population community Australia. The ratio of one in every for indigenous Australian adults getting detected with obesity creates an alarming clinical impact posing challenge up on the overall requirement of primary healthcare which is implying significant deficit as they are considered minority and deprived groups there (Alexander et al. 2021). The rapid aging population in indigenous Australia community is another health hazard causing agent which is disproportionately managed with proper quality of care from primary healthcare services.

SWOT Analysis of Primary Healthcare in Australia

Strength -

Primary healthcare Australia is one of the largest providers of professional level public health care and non government sector. Both acute as well as chronic health crisis is managed by exceptionally talented and skilled doctors, GP, nurses and management Staffs. It is with the incorporation of unique person centred approach that care provision is provided to care seekers building up community feeling for all Australians (Ng et al. 2021). The general practitioners encompass the nurses, community workers, social healthcare workers and professional doctors. The midwife, dentists, pharmacists, health professional and specially trained aboriginal health workers also constitute the primary healthcare service setting. With adequate health promotion, prevention of diseases and rapid spread of chronic ailments like diabetes, fatigue and mental diseases I tried to be made aware to people to seek proper professional treatment under Primary Health care management.

Weaknesses -

The primary healthcare is dispersed into multiple segments which create confusion and chaos while handling increased demand of care services. The advancement in technologies incorporated within primary healthcare services are incapacitated by different professionals to be handled with proper expertise and skill. Lack of training and development progress with continued assessment creates sense of inadequacy of resources which makes the overall health sector suffer across Australian region (Cornwall, 2014). The exceptional rise in health deficit and acute conditions like sexual disorders, drug abuse, extreme alcoholism, cardiovascular diseases, diabetic problems, asthma, oral health, obesity, cancer and mental health deterioration across different segments of Australian population further contributes to the primary healthcare challenges.

Opportunities-

Primary healthcare service across Australia needs to segment there cares program operation so that the multispecialty features are possible to undertake the issues on the basis of separate department. Teams need to be channelized into specialty oriented services rather than shuffling duties to overlap across departments with the same operator and service provider (Balasooriya, Bandara & Rohde, 2021). The social determinants that impede health condition across Australia needs to become the survey assessment monitoring factor for analysing a sustainable and effective health service provision from primary healthcare systems.

Threats -

During the current pandemic let through COVID -19 situations created imbalance in demand and supply of medical care services from primary healthcare service operations across indigenous Australians. Connecting with stakeholders and getting regular supplies of normal treatment other than COVID word hampered and carried out on a irregular nature which challenged the health conditions of overall Australian aboriginal population community regions. The National Health priorities directed towards COVID management necessarily created a significant neglect towards other issues where the National Safety and quality primary healthcare NSQPH Norms and policy standards got hindered (Druce et al. 2021). Hospital bed unavailability and rural service network inefficiency due to technological lag led to threats upon lives of people across Australia especially those living in remote locations particularly the aboriginal community people.

Program priority created by primary healthcare services Australia towards aboriginal population segment

Patient care and safety of residents across Australia is the fundamental responsibility of primary healthcare service (Halcomb et al. 2020). People living in the rural areas and remote locations particularly the aboriginal trade community who are deprived of adequate health facility are tried to become the new focus group of Australian Primary Health service community. With the National Safety And Quality Primary Healthcare Standard along with national general practice accreditation scheme the committee tries to establish review and survey programs to analyze the general health statistics like mental health, physical general conditions like blood pressure, heart rate, cholesterol, diabetic level and other ailments. This enables rapid detection and the primary healthcare nurse, GP and other skilled professionals to cater to aboriginals at a fast rate possible.

Spreading the service operation even across remote locations and focusing more upon infrastructural development with latest clinical equipments for reaching faster solution and care facilities to reduce hazards towards aboriginals as a neglected sector of Australia can help build new opportunities of community healthcare. Aspects like housing education, infrastructure, employment and transport also needs to be simultaneously exploited for providing enhanced quality of health services across Australian people.

Conclusion

It is the great enthusiasm governed by policy regulation that enables the Primary Health service providers to operate even in rural along with remote regions to serve the aboriginal segment of population across Australia. Special service training towards older people, child health and maternity issues along with young health and eradication of drug abuse and alcoholism is also a part of primary healthcare support program. The GP qualification and the nurse services are incapable of creating a balance between demand and supply curve in terms of care facilities.

The primary care committee performed under directives of Australian government to handle acute as well as chronic were incapable of following the elements regulatory policy standards which made the patient safety and immediate help to risk prone diseases other than COVID to be handled with deficiency and lack of facility.

References