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Community Health Project
Community Health Project- Part One - Identifying the Project 's Focus
Kathleen Rogers King
Walden University
November 26, 2012

Community Health Project-Part One -Identifying the Project 's Focus
This paper will identify a significant health issue and a particular population for a health management plan. Support for the significance of this health issue, and rationale for the selection of this population will be presented. Evidence about the population will be examined and discussed in regards to one asset and one challenge of this particular population. An approach to address the issue and the rationale for this choice will be provided with a minimum of five appropriate references.
Health Issue and Population
Defined as birth prior to 37 weeks gestation (ACOG, 2008), preterm birth affects about 12% of births in the United States. Preterm birth is an important public health priority costing over $26.2 billion in 2005 according to the March of Dimes (2011) report on preterm birth. Prematurity is the second leading cause of death in children under 5 years, and the single most important cause of death in the first month of life (March of Dimes, 2011). More than 15 million babies are born too soon, with 1 in 8 babies born premature every year worldwide; of these, over 1.1 million preterm babies die due to complications of prematurity (CDC, 2012). The cost of the first year of birth for a preterm infant is 10 times greater than for term infants (Howson, Kinney & Lawn, 2012).
Support and Rationale
Women and infants are a vulnerable population. Maternal mortality and morbidity disproportionally affect vulnerable populations of women, such as those living in poverty, facing racial and ethnic discrimination, and having limited language skills (Anderson & Stone, 2013). From a public health perspective infant mortality is considered the measuring stick for determining the health of the population, whereas maternal mortality is the divider between wealth and



References: American College of Obstetricians and Gynecologists (ACOG). (2008). Use of progesterone to prevent preterm birth. Obstetrics and Gynecology, 112, 963-965. American Psychological Association. (2010). Publication manual of the American Psychological Association. (6th.ed.). Washington, DC. Anderson, B., & Stone, S Centers for Disease Control and Prevention (CDC). (2012). Preterm Birth. Retrieved from http://www.cdc.gov/reproductivehealth/maternalinfanthealth/PretermBirth.htm Fontenot, H Howsen, C., Kinney, M., Lawn, J. (2012).The global action report on preterm birth. Preterm birth matters. March of Dimes. 9-14 Lynch, E., Dezen, T March of Dimes. (2011). March of Dimes 2011 premature birth report card. Retrieved from http://www.marchofdimes.com/peristats/pdflib/998/US.pdf Massey, Z Manderscheid, R. (2009). Aiming for a healthier population by 2020: Moving our fields toward prevention, early intervention, and population health. Behavioral Healthcare; 29, 1; Proquest Central. pg. 51 Presem, C., McDougall, L Shi, L., & Stevens, G. (2010). Vulnerable populations in the United States (2nd.ed.). Jossey-Bass. San Francisco, CA. Tharpe, N., Farley, C., Jordan, R. (2013).Clinical practice guidelines for midwifery & women’s health. (4th ed.). Jones & Bartlett Learning. Burlington, MA.198-201. World Health Organization (WHO). (2009). The worldwide incidence of preterm birth: A systematic review of maternal morbidity and mortality. Bulletin of the World Health Organization, 88, 31-38. doi: 10.2471/BLT.08.06255 World Health Organization (WHO)

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