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5 key ares of social determents of health according to Healthy
People 2030
Economic Stability (e.g., poverty, employment, food security,
housing stability)
Education Access and Quality (e.g., high school graduation,
enrollment in higher education, language and literacy, early
childhood education and development)
Social and Community Context (e.g., social cohesion, civic
participation, perceptions of discrimination and equity,
incarceration/institutionalization)
Health Care Access and Quality (e.g., access to health care and
primary care, health literacy)
Neighborhood and Built Environments (e.g., access to healthy
foods, quality of housing, crime and violence, environmental
conditions.)
,System
an organized collection of integrated elements that work as a
whole to accomplish an overall goal
Levels for Systems Change
paradigm
goals
system structure
feedback and delays
system elements
paradigm
the mindset or beliefs of how the systems work and refer to goals,
policies, and structure
Change: shift or reinforcement of the paradigm
Goals- level of system change
Aims of the system
Change: focus or change the aims of the system
,Feedback and delays
Providing information about the results of different actions by
system elements to the source/administration of the actions.
Change: create or change feedback loop, adding feedback loops
or changing feedback delays
System elements
Actors and physical elements of the system connection through
activities and information flow (communication)
1.3.4 Assess existing and available resources, policies, programs,
practices, and interventions
identify gaps or overlaps in existing programs by communicating
with stakeholders in the community, looking at service use by
clients, and observing levels and patterns of the provided services
1.3.5 community-building processes
focused on the identification, nurturing, and celebration of
community assets
, capacity assessment
What is the health problem, and what are its consequences for the
state or community?
What is the size of the problem overall and in various segments of
the population?
What are the determinants of the health problem?
Who are priority populations?
What changes or trends are occurring?
A review of actual and potential availability of resources
is essential for establishing realistic program/intervention starting
points and determining how the programs/interventions can be
sustained
1.3.6 List needs of priority population
final step in the needs assessment is validating the needs identified
in the assessment.