Week5_Application_community_assessment_exercise_week_5_REVISED

To organize indicators it is helpful to identify

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To organize indicators, it is helpful to identify major areas of focus. For this case, we will refer to these broad categories of public health concerns as domains . Please refer to Table 1 below for examples of domains. For each domain, an example of an indicator is provided. 3
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Table 1: List of Domains to Assist Developing a Community Health Assessment Domain: Example of an Indicator: Communicable Diseases (including Sexually Transmitted Diseases) Incidence of Gonorrhea Chronic Diseases (including Cancer) Incidence of Diabetes Injury and Violence Homicide rate Maternal and Child Health Childhood immunization rate Environmental Health Rates of Lead Poisoning Access to Health Care Rates of Uninsured Question: 1. How you would obtain data for these indicators. What sources might you use? Select 2 of the indicators above and provide specific sources of information on them (including URLs) for your own community or state. Data for these indicaters can be obtained from the secondary sources or a primary data can be used. The sources of data used may be: Vital statistics Past or current survey of the community Use other area information Hospital records Disease registries Indicator:- Maternal and Child Health Source:- Indicator: Injury and Violence Source:- Section D: Performing a Community Health Assessment As a consultant to Pitt County Health Department, you are asked to perform a community health assessment for the county. Below is information about the county: Pitt County is located in eastern North Carolina and has a population of 138,690 residents (2005 Census). Pitt County has been classified as urban for the first time in 2006. It and the surrounding counties are largely rural with a history of dependence on tobacco farming. Caucasians make up about 62.8% of the population, African Americans 33.6%, Hispanics 3.2%, Asians 1.1% and American Indians 0.3%. There are an estimated 6,606 migrant and seasonal workers or 5.4% of the population. About 18% or 26,000 adults in Pitt County adults have household incomes below the federal poverty level with a median per capita income of $18,243 (2000). The child poverty rate is estimated to be 21.8%. Approximately 20% of adult lack health insurance. Pitt County contains Greenville, the largest city in eastern North Carolina with a population of 67,525 (2005). Greenville is considered the hub of eastern North Carolina. The major employers are Pitt County Memorial Hospital (PCMH), Brody School of Medicine and East Carolina University. If a state 4
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was created of all the land in North Carolina east of Interstate 95, it would be the poorest of all 50 states. In addition, it would rate 48 th in terms of premature mortality. Consider these factors when evaluating populations at risk and targeting resources for public health activities.
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