Capella 4060 Assessment 4

Assessment 4: Health Promotion Plan

Name:

Capella University

FPX-NURS 4060: Practicing in the Community to Improve Population Health

Prof. Name:

Date

Health Promotion Plan

Good afternoon and welcome everyone to our presentation named ‘Health Promotion Plan’. My name is Chalonda and I work as a community nurse at Villa Health Community Center. I would like everyone to be seated quietly and pay keen attention to the topic for our day so we can have a productive session and learn from each other. First, I’m providing you all forms to gather your personal information data presented here, such as your name, your age, the class you study in, your habits and hobbies, and your family related queries. If you have any questions, please keep them with you and we will discuss them one by one in our final question and answer session. So, let us begin.

Health Promotion Plan – Teen Pregnancy

Our major topic of concern is teen pregnancy and you all teenagers must feel reluctant in discussing it as it is frequently considered taboo to talk about. But here we are to have an open, free and an effective two-way communication. So, feel free to think and ask any related question in our Q&A session. Health promotion plan is focused on spreading awareness and sexual health education to reduce the incidence of teen pregnancy and also enable all of you girls to acquire full potential and enjoy your basic human rights. Teen pregnancy is a major health concern globally among girls of age 10-19 years. In US the teen pregnancy rates are have turned low with passing years yet the rate of teen pregnancy is higher in the US than other western countries. Although the rates vary among different races and nations of the US. In the UK and France, among every 1,000 women under 18 years 12 and 9 girls underwent delivery, respectively as per the data collected by the United Nations from 2015 to 2020. Capella 4060 Assessment 3. Out of 21 million girls of age 15 to 19 years who happen to get pregnant in developing countries, 12 million girls deliver the babies (Vieira Martins et al., 2023). Teen pregnancy has been a major health concern in both under developed countries and European countries. Teen pregnancy results in some prime consequences related to health and social aspects for both the young girls and society at a bigger picture. For example, it prevents the girls to attain their full potential and have their basic human rights. It also affects the society in economic way as unwanted pregnancy badly affects the earning capacity and results in continuous poverty. These bad consequences impact the whole life of teen girls who happen to become mothers post-delivery at such early age and also pass their traumas to the next offspring. Teen pregnancy overall results in enhanced population where contraceptives are not being used (Mezmur et al., 2021).

Implications of Teen Pregnancy on Health

Let’s talk about some implications of teen pregnancy on health of both the teen mothers and the born babies. Teen girls (10-19 years old) often go through the health complications such as eclampsia (which is condition of high blood pressure that results in seizures during pregnancy), puerperal endometritis (inflammation of uterus suspected in postpartum patient with fever and pelvic pain), systemic infections, low-weight babies born as a result of teen pregnancy and sometimes the teen girls deliver preterm babies who are diagnosed with severe neonatal conditions later on (World Health Organization, 2022). Pregnant teen girls also get vulnerable to acquire conditions like depression, anxiety, and becoming parents at early age gives them extra stress. Stigma of teen pregnancy in society further creates shame and guilt in young girls which makes them suffer their condition alone without getting counselling and treatment leading to isolation from the environment (Chakole et al., 2022).

Evidence-Based Plan based on Specific Health Needs

Are you all following what we have covered so far? I hope, yes. Please keep your questions till end. Before doing something, everyone needs to make a plan and act on it so that things can be accomplished. Likewise, before heading to conduction of our educational session, we will need to see what the specific plans are, to follow based on the health needs of you all to fully understand how we can beware of teen pregnancy and prevent it from happening to you all. Numerous strategies have been suggested by evident studies some of which are in the light of objectives provided by Healthy People 2030 that will come in our subsequent sections of presentation. All of you girls can be at the verge of falling into the case of teenage pregnancy due to many factors. But here we will discuss how you can be aware of preventing yourself from that happening to you all. So, lets see what the research says!  

Capella 4060 Assessment 3

According to research, it is important that education programs be improved in terms of content, quality and sustainability so that girls can get appropriate education about sexual health and utilizing technology with thoughtfulness to promote health literacy and creating programs that identify and talk about structural racism, health equity and inclusion. (Brindis et al., 2020). According to other research, governments should set the age limit for sexual act to be 18 years, practice of vocational training from experienced teachers so that girls can make right and positive choices (Nabugoomu et al., 2020). Some important things to learn and practice include: Female consent, sexual needs and how to manage them, regular reproductive health visits in 11 to 15 years of age, consequences of unsafe sexual activities, awareness on using contraception agents, self-safety in times of sexual harassment are some of the strategic plans to promote health in young girls and prevent teen pregnancy. (Centers for Disease Control and Prevention, 2019).

SMART Goals for Health Promotion Plan

Now this is our interactive part where I’ll want you to divide into four groups and make SMART goals together. SMART goal is a strategic methodology of planning and achieving goals for betterment. It stands for Specific, Measurable, Achievable or Attainable, Relevant or Realistic, and Time bound. This strategy will let us implement these strategies and know if the goals are achieved or not and what we can to help them achieve (Swann et al., 2022). These are the goals that were developed with the hypothetical participants:

Goal #1: Obtaining three causes (measurable) that promote teenage pregnancy (specific) and providing two significant methods of preventing it to occur (realistic and achievable) at the end of this educational session (time-bound).

Goal #2: Finding three ways (measurable) by which teenage pregnancy can be reduced (specific) and how these ways can be made possible to practice (realistic and achievable) when our session ends (time-bound)

Goal #3: Collaborating with the school’s teaching faculty for creating training and educational classes (realistic, measurable, and achievable) monthly (time-bound) on sex education and healthy sex life in teen girls for reducing the chances of incidence of teenage pregnancy (specific).

Educational Session Outcomes and the Attainment of Agreed-upon Health Goals  

We made some SMART goals of preventing the teen pregnancy by eliminating some major causes, implementing ways of preventing teenage pregnancy, and lastly collaboration of school in promoting sex education and training classes for teen girls for educational purposes.  By creating display boards with permission of school authorities, we spread the awareness and knowledge about sexual health of adolescent girls. We also distributed some pamphlets on ways of promoting sexual health and preventing teen pregnancy. The girls learned ways of directing their sexual needs and preventing the early pregnancy by knowing the harms and significant consequences of early pregnancy. Some of the girls were appeared to be aware of the unwanted pregnancies and knew the uses of contraception. While majority lacked the proper knowledge and found our educational session beneficial in understanding their sexual health.

Capella 4060 Assessment 3

The girls of age 11 to 13 years which made 30% of our participants were reluctant in discussion so we gave them option of fulfilling the questionnaire survey and the results survey showed that this percentage of girls were unaware of teen pregnancy and the causes that lead to this incidence and its preventive measures. The rest of the age group 14 to 16 years old girls knew partial information and knew only 2 causes of teen pregnancy incidence and knew nothing about its prevention and ways to control it and hence they were educated by our educational session. Finally, 40% of girls were of age group 17 to 19 years and knew all the three causes of pregnancy but were unaware of the preventing ways such as contraception use and the ways to enhance safety in unfortunate incidences of sexual harassment and the value of female consent. 

Revisions in Future Educational Sessions

From future perspective, teen pregnancy can be prevented by involving parents and the care takers of young girls and ensuring that regular reproductive health checkups are done and make the clinics sex-education friendly and teen-friendly for young girls so fair education can be provided and teen girls get an open environment of learning and asking any related queries. Besides, nurses can play important role in educating teen girls about the use of any form of highly effective contraceptives specially for age group 16 to 19 years (Centers for Disease Control and Prevention, 2019).

Evaluation of Outcomes Based on Healthy People 2030 Indicators

CDC has developed a structured program of Healthy People 2030 which provides evidence-based resources and objectives on various health related problems. According to healthy people 2030, unwanted pregnancy in young girls should be reduced by utilizing contraceptives and connecting the adolescents with teen-friendly health care services. By engaging teen girls with school-based health centers in low-income communities, decreased rates of teen pregnancy can be promoted.  This strategy will enhance prevention of early pregnancy and sexually transmitted infections in teen girls. Healthy People 2030 also provides the goal for teen pregnancy by promoting formal guide to teen girls on delaying sexual activity, and using birth control strategies, prevention methods from HIV/AIDS and STDs before reaching 18 years of age (U.S. Department of Health and Human Services, 2018). Considering the objectives and indicators provided by the healthy people 2030 on reducing teen pregnancy, our health educational session was based on following and achieving them as we educated the adolescent girls on delaying sexual activities, using contraception pills for preventing teen pregnancy, and enhancing education session with nurses and clinicians to provide education on all these matters. In the light of Healthy people 2030, most of our goals were achieved as guided by the Healthy People 2030 such as knowing the causes of teen pregnancy and preventing them through proper awareness and education and enhancing the use of contraceptives.

Aligning Future Sessions with Healthy People 2030 Objectives

Future revisions in upcoming educational sessions should be done to align those objectives with Healthy People 2030 such as achieving the objective of educating teen girls for delaying sexual activities and promoting school educational training and health services based in school so that further reduction in teen pregnancy can take place. This can be done by involving different stakeholders who aim at the same objective as mentioned in the Healthy People 2030. These include parents, teen girls being the main target, school teachers and management authorities, media and governmental organizations such as CDC, WHO, etc. Thank you. This is the end of our presentation and we will start Q&A session now, please raise your hands if you have any questions.

References

Brindis, C. D., Decker, M. J., Gutmann-Gonzalez, A., & Berglas, N. F. (2020). Perspectives on adolescent pregnancy prevention strategies in the united states: Looking back, looking forward. Adolescent Health, Medicine and Therapeutics, 11, 135–145. https://doi.org/10.2147/ahmt.s219949 

Centers for Disease Control and Prevention . (2019). Health care providers and teen pregnancy prevention. Retrieved from. (2023). https://www.cdc.gov/teenpregnancy/health-care-providers/index.htm 

Chakole, S., Akre, D. S., Sharma, D. K., Wasnik, P., & Wanjari, M. B. (2022). Unwanted teenage pregnancy and its complications: A narrative review. Cureus, 14(12). https://doi.org/10.7759/cureus.32662 

Mezmur, H., Assefa, N., & Alemayehu, T. (2021). Teenage pregnancy and its associated factors in eastern ethiopia: A community-based study. International Journal of Women’s Health, 13, 267–278. https://doi.org/10.2147/IJWH.S287715 

Nabugoomu, J., Seruwagi, G. K., & Hanning, R. (2020). What can be done to reduce the prevalence of teen pregnancy in rural eastern uganda?: Multi-stakeholder perceptions. Reproductive Health, 17(1). https://doi.org/10.1186/s12978-020-00984-x 

Swann, C., Jackman, P. C., Lawrence, A., Hawkins, R. M., Goddard, S. G., Williamson, O., Schweickle, M. J., Vella, S. A., Rosenbaum, S., & Ekkekakis, P. (2022). The (over)use of SMART goals for physical activity promotion: A narrative review and critique. Health Psychology Review, 1(1), 1–16. https://doi.org/10.1080/17437199.2021.2023608 

U.S. Department of Health and Human Services. (2018). Increase the proportion of adolescents who get formal sex education before age 18 years — FP-08 – healthy people 2030 | health.gov. https://health.gov/healthypeople/objectives-and-data/browse-objectives/family-planning/increase-proportion-adolescents-who-get-formal-sex-education-age-18-years-fp-08 

Vieira Martins, M., Karara, N., Dembiński, L., Jacot-Guillarmod, M., Mazur, A., Hadjipanayis, A., & Michaud, P.-A. (2023). Adolescent pregnancy: An important issue for paediatricians and primary care providers—A position paper from the European academy of paediatrics. Frontiers in Pediatrics, 11. https://www.frontiersin.org/articles/10.3389/fped.2023.1119500 

World Health Organization. (2022). Adolescent pregnancy. Retrieved from. (2023). https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy#:~:text=Adolescent%20mothers%20(aged%2010%E2%80%9319