The Health Needs Assessment Health Essay

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This assignment is a quasi-report on a wellness demand appraisal ( HNA ) which is being prepared, as portion of this faculty summational appraisal, in order to garner information on the footing of planing and implementing a programme, on a limited graduated table, of wellness and wellness attention acceptable, accessible and identified in Southwark based on grounds of cost-effectiveness and is good to the demands of this pattern country. The purpose of the study is to show a critical apprehension of HNA and HNA policy at the community degree. The usage of local and national informations in placing wellness met and unmet demands by showing an understanding the handling and construing local and national informations. Using policies context of increasing sole breastfeed and utilizing the right evidenced based intercession by underscoring on the advantages of increasing sole breastfeeding to infants up to six months old. The intercession of increasing sole breastfeeding is through the debut of male parents ‘ as an enterprise will be discussed in deepness.
In order to compactly concentrate the critical analysis of the assignment the Hooper & A ; Longworth ( 1998 ) five stairss theory of HNA will be used.
Step 1 ) Acquiring started
Step 2 ) Identifying the Health Priorities for the Population
Step 3 ) Measuring the Health Priority
Step 4 ) Planing for Health
Step 5 ) Evaluation
As stated above this is a limited assignment therefore non all the stairss will be used.
Health Needs Assessment ( HNA )
Health Development Agency ( HDA ) ( 2004 ) define HNA as a manner of placing the wellness demands and inequalities being experienced by a specific population groups in Southwark and placing their precedences for professional and service development to better the wellness of that mark population or persons to cut down wellness inequalities. The HNA assist the HVs in placing the wider determiner of wellness of the population and appropriate intercession put in topographic point to run into that demands.
Needs or who will be profiting from the intended intercession must be identified and it must be cost-efficient. Bradshaw ( 1994 ) identified four different demands which is termed the Taxonomy of Needs – it is Felt needs what the persons want, expressed demands what is demanded, normative which consists of both the met and unmet demands, and aˆ¦ In this study the normative demands will underpin the HNA as both the met and unmet demands are traveling to be identify.
Marmot ( 2003 ) suggests it is of import for people to be in control of their lives and exercising liberty alternatively of them being told what they have to make ; this is a manner of undertaking wellness inequalities ( DH 2003 ) . It is Government national precedence as resources were allocated to it. HV should do clip to happen their precedences and penchants and working with their community to accomplish their ends. This is a manner to accomplish wellness equality and built societal capital.
Social capital is the manner that HV could work with female parents and male parents in bettering community relationships and trust which has a direct and positive consequence on increasing suckling continuance up to six months.
Research indicates that equal instruction by laic people is sometimes more of import than acquiring information by experts who are coming from a degree of power.
HMSO ( 2012 ) Healthy Lives Healthy People White Paper is an overarching papers reacting to Marmot Review Fair Society Healthy Live ( Marmot 2010 ) is supplying a model in undertaking the wider societal determiner of wellness and wellness inequalities. It aims to construct people ‘s self-esteem, assurance and resiliency right from construct and into older age with stronger support for early old ages. It is underpin by the White Paper Emancipating the NHS ( DH 2010 ) supplying the model in commissioning services that has an impact on the wellness of the most destitute in the community thereby assisting in cut downing wellness inequalities.
Demography of Southwark
Health inequality is defined as supplying equal wellness to all across the different boundaries ( mention ) . Southwark in a cardinal London borough and is graded 12th as the most disadvantaged London Borough and 41st most deprived in England harmonizing to the Index of Multiple Deprivation in 2010 ( mention ) . Pocket of utmost want are concentrated in the Centre of the borough. Datas from the Charity Shelter UK ( 2012 ) reveal that Southwark are among the most vulnerable London Boroughs with 1 in 46 families are at hazard of losing their places. Harmonizing to the 2010 nose count ( NAO 2012 ) it has a diverse multicultural, multilingual and multiethnic population and 51 % of the Southwark population is from the British minority ethnic ( BME ) group.
This is a challenge
In Southwark 4.1 % compared to 3.1 % in London of the families are homelessness and one is four families are overcrowded life in overcrowding places ( Shelter 2005 ) seting excess force per unit area and emphasis on households dealingss. However, the alliance authorities has recognised the overburden on the lodging stock and in the procedure of funding new place edifice across England ( ) . This will non alleviate the lodging state of affairs in the kind term.
kids populating in poorness 16’986 ( 32.3 % ) ( 21.9 % England and 29.7 % London norm )
First clip entrant to immature justness 402 ( 0.7 % or 4.8 % ) ( Eng. 57’291 ; London 8’349 )
16-18 NEET 330 ( 4.37 % ) ( 4.50 % London & A ; 6.13 % England )
homelessness 510 ( 4.11 % ) ( London 3.14 % ; England 2.03 % )
4’136 ( 90.56 % ) babes initiated breastfeeding after birth compared with 74.08 % in England and 87.06 % in London.
3’446 ( 75.69 % ) breastfeed until six to eight hebdomads compare with England 47.02 % ; London 67.32 % .
Smoking position at clip of bringing 202 ( 4.38 ) comparison with England 13.19 % ; London 6.02 %
Under 18 old ages old construct 679 ( 61.5 % ) comparison with 38.1 % and 40.9 %
Infant mortality 79 ( 5.3 % ) England 4.6 % and London 4.5 %
compared to England, 49 per centum of the population is white British descent. The largest minority cultural groups are Black African and Black Caribbean. Southwark has a immature population. Overall the wellness profile of Southwark population is hapless. Deprivation, offense, adolescent gestation, and kids populating in poorness rates are higher than England norm ( Reference ) .
The principle is to place the function of male parents in actuating and advancing their spouses to suckle their babes as portion of public wellness enterprise thereby cut downing wellness inequalities for both female parent and baby. Furthermore, it will research the wellness benefit of breastfeeding and the possible wellness hazards factors to babes and female parents if sole breastfeeding is discontinued after six to eight hebdomads postpartum. Evidence has shown that sole breastfeeding babies until they are six months old greatly cut down childhood fleshiness and forestall them from geting other wellness jobs when they are grownups.
Reducing smoke and increasing life anticipation are among Southwark wellness precedences together with the decrease of kids fleshiness ( Reference ) . In order to cut down childhood fleshiness research has shown that female parents should be extremely encouraged to entirely suckle their babes up to six months ( ) and male parents are well-placed to promote female parents whilst suckling ( ) . This underlines the ground
Breastfeeding is among one of the Southwark wellness precedences as it an of import factor in the decrease of kid fleshiness.
Such as cut downing smoke and increasing life anticipation most significantly is the decrease of kid fleshiness. Research has shown that suckling up to six months is an of import intercession to cut down kids fleshiness.
The principle
In 2010 there were 5131 unrecorded births, the highest birth rate in London, out of which 226 were immature female parents under the age of 18 old ages old ( National Office of Statistics ( NAO ) ( 2011 ) and Department of Health ( 2012 )
Links – bf rates and wellness inequality
The breastfeeding induction rate was 73.9percent in 2012/13 One-fourth 2, which is merely less than the one-year per centum for 2011/12 ( 74.1percent ) and somewhat higher than 2010/11 ( 73.7percent ) . The prevalence of suckling at six to eight hebdomads
92 % of female parents in Southwark novice suckling postpartum until 6-8 hebdomads. 1 in 4 female parents breastfed their babes 6 months, the balance either revert to blend eating or entirely formulae-feeding. lessening by 66 % thereby coming down to a ration of 1 in 4 babes are breastfed by 6 months and over ( Bolling et al 2007 ; NICE 2008 ) .
Initiation and continuance rates of any breastfeeding rates are lowest among households from lower socio-economic groups, adding inequalities in wellness and go oning to the commission of the rhythm of want.
BF rates are low in the UK for several coevalss, and professionals, childbearing adult females, households and the populace at big have all been exposed to formula eating as the norm.
This is one of the grounds that female parents are encouraged by the accoucheuses and HVs to continuously suckle their babes until six months and up to two old ages. It seems that most female parents discontinue suckling their babes after six to eight hebdomads returning to formula feeding which is classified as wellness inequalities. The intercession by male parents is of import incentives in back uping female parents to increase breastfeeding rates up to six months thereby prevent wellness inequalities.
The 2012 informations in England, London and Southwark on induction and continuance of female parents ‘ suckling from two hours to six to eight hebdomads postpartum identified a little addition from 76 % in ( twelvemonth ) to over 90 % in 2013. The discontinuance of breastfeeding after six to eight hebdomads is as a consequence of either female parents are returning to work, experiencing hurting at breastfeeding or deficiency of household support. Fathers ‘ engagement by accoucheuses and Health Visitors ( HVs ) from antenatal is an of import intercession in back uping their spouses to breastfed their babes until six months postpartum.
The thrust placed on female parents by accoucheuses and Health Visitors ( HVs ) to continuously suckle are underpinned by International, National and local policies
The finding placed on female parents by the Government and Health Visitors ( HVs ) to entirely and continuously suckle their babes until six months postpartum is an of import and effectual step that can protect their wellness and that of their babes with specific parts and motives from babes ‘ biological male parents. Healthy Child Programme ( HCP ) ( 2009 ) recommends that male parents are involved However, the HCP has conflicting information from the UK authorities which flexibly recommends expression or assorted eating could be introduced after four months ( 17 hebdomads ) nevertheless with the caution it should be delayed until six months. This is giving conflicting information to both the female parents and Health Visitors ( HVs ) who tends to follow the UNICEF BFI UK guidelines.
Hazard Factors
Ip and co-workers ( 2010 ) conducted a systematic reappraisal of the grounds on the effects of suckling on short- and long-tem baby and maternal wellness and suggested that suckling reduces the hazard of diarrhea and chest infection ; atopic dermatitis and asthma ; fleshiness and type I and type II diabetes ( Sherburns-Hawkins et al. 2008 ) ; childhood leukaemia ; sudden baby decease syndrome ( SIDS ) and necrotising enterocolitis. Harmonizing to
Breastfeeding besides confers benefits on the female parent by modulating birthrate ( WHO 2010 )
Employment, lodging and income are primary determiners of wellness and wellness inequalities4. They affect persons, households and society both straight or indirectly through wider societal and economic factors, e.g. kid poorness, educational attainment of kids, societal isolation, etc. London is arguably disproportionately affected by employment, lodging and income as determiners of wellness due to demographics, higher life costs and the nature of its lodging and employment markets
Mention Lists
Custworth L. & A ; Bradshaw J. ( 2007 ) A comparing of policies to heighten child wellbeing. Particular Policy Research Unit, University of York.
Hooper, J. and Longworth, P. ( 1998 ) Health Needs Assessment in Primary Health Care. Huddersfield: Calderdale and Kirklees Health Authority. Downloaded on the 23rd November 2012 hnawrk.html
Shelter UK ( 2005 ) Full house? How overcrowded lodging affects households. Downloaded on the 24th December 2012 hypertext transfer protocol: //
Stevens A. & A ; Gilliam S. ( 1998 ) Needs appraisal from theory to pattern. British Medical Journal 316, 440-444.
Tate A. , Lloyd T. , Sankey S. , Carlyon T. , Marshall G. , Jefferys P. , Williamson K and Chung S. ( 2012 ) The lodging study 2012: The alliance midterm reappraisal. Shelter, London.
DH ( 2007 ) Execution programs for cut downing wellness inequalities in infant mortality: a good pattern. The Stationery Office, London.
DH ( 2003 ) Infant feeding recommendation. The Stationery Office, London.

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