Primary Intervention Health Program Essay
Describe or list the major components of a successful community based primary intervention health program.
What is my view of the nurses role in the program?
Teen Pregnancy
The age of adolescence is a time for growth and development. Young people between the ages of 10 and 19 years establish patterns of behavior and make life-style choices that can have long-standing consequences. Adolescent pregnancy is a significant public health problem, with 58 out of every 1000 females becoming pregnant each year (healthny.gov). Teen-aged parents lose out on many social, educational, and vocational opportunities, they often face poverty and depend on public income maintenance and health programs for both themselves and their children (healthyny.gov). ‘Reducing teen pregnancy and promoting health equity among youth’ is among one of the CDC’s top 6 priorities. Teen pregnancy is a public health battle that can be defeated, and is of paramount importance to health and quality of life …show more content…
for our youth. Evidence-based teen pregnancy prevention programs typically address specific protective factors on the basis of knowledge, skills, beliefs, or attitudes related to teen pregnancy (cdc.gov).
The rates of teen pregnancy in New York City are at least double that of the rest of the state and almost 3 times higher for black and Hispanic teens than white teens (healthny.gov). Some of what is addressed at a primary intervention program dedicated to reducing teen pregnancy includes knowledge of sexual issues, HIV, other STDs, and pregnancy (including methods of prevention). The individual’s perception of HIV risk, their personal values about sex and abstinence and their attitudes toward condoms, ability to refuse sex and to use condoms are important pieces of information to uncover. What the teen’s perception of peer norms and behavior about sex is equally important to know. Do they intend to abstain from sex or limit their number of sexual partners? This is also valuable information. Education on STD’s must be provided. The lines of communication with parents or other adults about sex, condoms, and contraception must remain open and clear. Family members should be included in teaching, if the teen chooses. In addition to evidence-based prevention programs, teens need access to clinical services that are geared toward the youth. This is where the role of the PHN is essential. Parents and other trusted adults also play an important role in helping teens make healthy choices about relationships, sex, and birth control (cdc.gov).
The major components of a successful community based primary intervention health program include comprehensive community-based programs that provide age-appropriate sexuality education, access to reproductive health services, and supportive services that promote positive personal and social development.
The Comprehensive Family Planning and Reproductive Health Care Services Program provides services to the adolescent population that includes education on and birth control pills and other forms of contraception, counseling and methods to reduce unintended pregnancies and to improve birth spacing and outcomes. Other services provided by this program include treatment for sexually transmitted diseases, counseling and testing for HIV, and routine screenings are performed for cervical and breast cancer. The intent of this program is to increase access to family planning services and to enable individuals of childbearing age to prevent or reduce the incidence of unintentional
pregnancies.
One of the programs provided by the New York State Department, is the Comprehensive Adolescent Pregnancy Prevention (CAPP). It’s purpose is to develop and expand primary prevention programs aimed at decreasing the incidence of adolescent pregnancy through establishment of comprehensive and coordinated approach to reduce the risk of initial and repeat pregnancies, STD’s, and HIV/AIDS rates among New York State adolescents (healthny.gov). The Community Based Adolescent Pregnancy Prevention Program is another program sponsored by the state that promotes healthy sexual behaviors, and reduction in the practice of risky sexual behaviors among adolescents. This program can also help adolescents explore for alternatives to sexual activity and ensures access to comprehensive reproductive healthcare and family planning services for adolescents. Promotion of an optimal transition through adolescent milestones into a health young adulthood is another key feature of this program (Heathny.gov).
These health initiatives are specifically designed to decrease the number of adolescent pregnancies, promote positive youth development, and reduction in the racial and ethnic disparities by targeting areas with high adolescent pregnancy rates. The PHN can play a considerable role in preventing teen pregnant by being part of the community coalition and participating in or organizing community assessments, public awareness campaigns, group education, for youths, parents and professionals. The nurse can also play a crucial role within the school systems by providing information on sexual education at their individual educational level. The nurse should be available for in school consultation with the students during school hours (Stanhope & Lancaster, 2011).
In 2011, a total of 329,797 babies were born to women aged 15–19 years. This is a record low for U.S. teens in this age group, and a drop of 8% from 2010. Birth rates fell 11% for women aged 15–17 years, and 7% for women aged 18–19 years. Teen pregnancy rates continue to drop in New York (cdc.gov). The impact of strong pregnancy prevention messages directed to teenagers has been credited with the birth rate declines (cdc.gov). Recent data has shown increased use of contraception at first initiation of sex and use of dual methods of contraception (that is, condoms and hormonal methods) among sexually active female and male teenagers (cdc.gov). The PHN can continue focusing efforts on educating this young generation…the future of America.
References
Center for disease control. Teen Pregnancy. Retrieved March 22, 2013, from http://www/cdc.gov/TeenPregnancy/LongDescriptors.htm
Center for disease control and prevention. NCHS data brief. Retrieved March 23, 2013, from http://www.cdc.gov/nchs/data/databriefs/db89.htm
Stanhope, M. and Lancaster, J. (2008). Community and Public Health Nursing, 7th edition, Mosby Inc., St. Louis.
Priority Area: Healthy mothers, healthy babies, healthy children-Adolescent pregnancy prevention. Retrieved March 21, 2013 from http://www.health.ny.gov/prevention_agenda/healthy_mothers/adolescent_health.htm
What is my view of the nurses role in the program?
Teen Pregnancy
The age of adolescence is a time for growth and development. Young people between the ages of 10 and 19 years establish patterns of behavior and make life-style choices that can have long-standing consequences. Adolescent pregnancy is a significant public health problem, with 58 out of every 1000 females becoming pregnant each year (healthny.gov). Teen-aged parents lose out on many social, educational, and vocational opportunities, they often face poverty and depend on public income maintenance and health programs for both themselves and their children (healthyny.gov). ‘Reducing teen pregnancy and promoting health equity among youth’ is among one of the CDC’s top 6 priorities. Teen pregnancy is a public health battle that can be defeated, and is of paramount importance to health and quality of life …show more content…
for our youth. Evidence-based teen pregnancy prevention programs typically address specific protective factors on the basis of knowledge, skills, beliefs, or attitudes related to teen pregnancy (cdc.gov).
The rates of teen pregnancy in New York City are at least double that of the rest of the state and almost 3 times higher for black and Hispanic teens than white teens (healthny.gov). Some of what is addressed at a primary intervention program dedicated to reducing teen pregnancy includes knowledge of sexual issues, HIV, other STDs, and pregnancy (including methods of prevention). The individual’s perception of HIV risk, their personal values about sex and abstinence and their attitudes toward condoms, ability to refuse sex and to use condoms are important pieces of information to uncover. What the teen’s perception of peer norms and behavior about sex is equally important to know. Do they intend to abstain from sex or limit their number of sexual partners? This is also valuable information. Education on STD’s must be provided. The lines of communication with parents or other adults about sex, condoms, and contraception must remain open and clear. Family members should be included in teaching, if the teen chooses. In addition to evidence-based prevention programs, teens need access to clinical services that are geared toward the youth. This is where the role of the PHN is essential. Parents and other trusted adults also play an important role in helping teens make healthy choices about relationships, sex, and birth control (cdc.gov).
The major components of a successful community based primary intervention health program include comprehensive community-based programs that provide age-appropriate sexuality education, access to reproductive health services, and supportive services that promote positive personal and social development.
The Comprehensive Family Planning and Reproductive Health Care Services Program provides services to the adolescent population that includes education on and birth control pills and other forms of contraception, counseling and methods to reduce unintended pregnancies and to improve birth spacing and outcomes. Other services provided by this program include treatment for sexually transmitted diseases, counseling and testing for HIV, and routine screenings are performed for cervical and breast cancer. The intent of this program is to increase access to family planning services and to enable individuals of childbearing age to prevent or reduce the incidence of unintentional
pregnancies.
One of the programs provided by the New York State Department, is the Comprehensive Adolescent Pregnancy Prevention (CAPP). It’s purpose is to develop and expand primary prevention programs aimed at decreasing the incidence of adolescent pregnancy through establishment of comprehensive and coordinated approach to reduce the risk of initial and repeat pregnancies, STD’s, and HIV/AIDS rates among New York State adolescents (healthny.gov). The Community Based Adolescent Pregnancy Prevention Program is another program sponsored by the state that promotes healthy sexual behaviors, and reduction in the practice of risky sexual behaviors among adolescents. This program can also help adolescents explore for alternatives to sexual activity and ensures access to comprehensive reproductive healthcare and family planning services for adolescents. Promotion of an optimal transition through adolescent milestones into a health young adulthood is another key feature of this program (Heathny.gov).
These health initiatives are specifically designed to decrease the number of adolescent pregnancies, promote positive youth development, and reduction in the racial and ethnic disparities by targeting areas with high adolescent pregnancy rates. The PHN can play a considerable role in preventing teen pregnant by being part of the community coalition and participating in or organizing community assessments, public awareness campaigns, group education, for youths, parents and professionals. The nurse can also play a crucial role within the school systems by providing information on sexual education at their individual educational level. The nurse should be available for in school consultation with the students during school hours (Stanhope & Lancaster, 2011).
In 2011, a total of 329,797 babies were born to women aged 15–19 years. This is a record low for U.S. teens in this age group, and a drop of 8% from 2010. Birth rates fell 11% for women aged 15–17 years, and 7% for women aged 18–19 years. Teen pregnancy rates continue to drop in New York (cdc.gov). The impact of strong pregnancy prevention messages directed to teenagers has been credited with the birth rate declines (cdc.gov). Recent data has shown increased use of contraception at first initiation of sex and use of dual methods of contraception (that is, condoms and hormonal methods) among sexually active female and male teenagers (cdc.gov). The PHN can continue focusing efforts on educating this young generation…the future of America.
References
Center for disease control. Teen Pregnancy. Retrieved March 22, 2013, from http://www/cdc.gov/TeenPregnancy/LongDescriptors.htm
Center for disease control and prevention. NCHS data brief. Retrieved March 23, 2013, from http://www.cdc.gov/nchs/data/databriefs/db89.htm
Stanhope, M. and Lancaster, J. (2008). Community and Public Health Nursing, 7th edition, Mosby Inc., St. Louis.
Priority Area: Healthy mothers, healthy babies, healthy children-Adolescent pregnancy prevention. Retrieved March 21, 2013 from http://www.health.ny.gov/prevention_agenda/healthy_mothers/adolescent_health.htm