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Health Promotion Program Planning 1

Public Health Health Promotion Program Planfor STD Prevention in Mississippi

Brittney King

12/10/14

MPH 585 Programming and Evaluations

Dr. Kelly Wheeler

Table of Contents

Introduction

  • Needs Assessment

Program Strategic Plan

  • Mission, Vision and Values
  • SWOT Analysis
  • Program Objectives

Logic Model

  • Inputs
  • Outputs
  • Outcomes -- Impact

Detail Program Objectives for Plan Implementation

  • Tasks, Timelines, Responsible Leads/Partners

Program Pro Forma

  • Budgetary Needs

Marketing Plan

  • Intervention Descriptions
  • Intervention Timeline

Program Evaluation Plan

  • Formative and Process Evaluation

Program Strategies Summary

Sexually transmitted diseases (STDs) are defined by Mayo Clinic asorganisms that cause infections that may be spread from person to person in blood, semen, vaginal, or other bodily fluids via sexual intercourse, blood transfusions, sharing needles, or through pregnancy from mother to child (Mayo Clinic, 2014). There are many different forms of STDs, all of which carry their own risk factors and possible health complications. These could include sores or bumps anywhere on the body, genital sores, scrotal pain with redness or swelling, pregnancy complications, arthritis, pelvic imflammatory disease, infertility, or certain cancers, including rectal and cervical cancers such as human pappiloma virus (HPV) (Mayo Clinic, 2012). This list of possible health complications differ greatly in severity, however no matter the outcome, STDs affect individual health; making it a community health topic with need for prevention.

Needs Assessment

“In 2010, the United Health Foundation’s America’s Health Rankings report, Mississippi ranked 50th in overall health (MSDH, 2010). Additional data collected by multiple resources, including the Center for Disease Control and Prevention (CDC), AVERT, and National Coalition of STD Directors (NCSD) find Mississippi to rank among the states with the highest prevalence of STD cases in the country, specifically rankingsecond in cases of gonorrhea and chlamydia (Beall, 2014). Mississippi also falls among the states with the highest incidence rates of cervical cancer as a result of the human papilloma virus (HPV), which is a specific STD (CDC, 2011). This data collected by creditable resources shows a need for health education programming in Mississippi related to STDs; however information provided by the Mississippi State Department of Health (MSDH, 2010) also declares Hinds county as the leading county in Mississippi in cases of chlamydia, gonorrhea, and syphilis, showing a trend of increased need in the county for health promotion and STD education, as compared to other counties in the state.

In addition to the location of needs in Hinds county, MSDH’s fact sheet from 2012 found76% of cases of chlamydia occurred among young adults ages 15-24. It also found 67% of gonorrhea cases and 42% of syphilis cases occurring among the same age group (CDCc, 2012). This identifies population-based perspective of the needs assessment, by demonstrating the need for STD health promotion and education among not only the entire population of Hinds county, but speficically, the proportion of the population within the ages of 15-24.

Factors that determine this health problem include characteristics of the population of Mississippi, and Hinds county speficially. For example, Mississippi has the highest percentage of residents living in poverty nationwide (MSDH, 2010). Along with this, Mississippi is below the national average with only 42% of residents being insured. This lack of health care and financial support, makes residents of Mississippi susceptible to STD transmission because of a lack of educational resources on things such as possible risk factors, preventative measures, and transmission information. Alongside this, 25.5% of the state’s population are under the age of 18, with a median age of 36; meaning that a large proportion of the state’s population fall within the age group that is at highest risk for contracting STDs (MSDH, 2010). Finally, 54.2% of young adults admitted that they have had sexual intercourse before, according the the CDC; meaning that over half of individuals within this affected age group are currently sexually active, posing a need for STD health promotion and education (CDCa, 2013).

The Hinds county health profile from 2007 provides the number of individuals being served by community health services, with only 106 individuals in the county receiving STD resources (MSDH, 2007). Additionally, the Mississippi Baptist Health Systems (MBHS) needs assessment of Hinds, Rankin, and Madison counties found that health education for teens and young adults is inadequate compared to what is needed; and Mississippi is behind in school and community resources related to health education and promotion (MBHS, n.d.). These resources describe what is currently available to residents of Hinds county Mississippi in relation to STD education and pevention, however are indadequate compared to the need that is presented from the STD data among individuals ages 15-24.

Program Strategic Plan

Mission

The needs assessment completed, demonstrates a need for an increase in educational health promotion opportunities for individuals ages 15-24 in the state of Mississippi, particularly Hinds county. This need is presented by increased prevalence of STD cases among this targeted age group, making Mississippi a leading state in cervical cancers, and other health disparities resulting from STD’s. This health promotion program, entitled STD’s: A Prevention Intervention, includes social needs such as improvement of individual understanding of STD transmission, prevention, and awareness in the targeted age group population of Mississippi, which create a safer, more proactive social environment for individuals 15-24. Political needs include increased health education requirements from the Mississippi Department of Education. Currently, the definition of health education includes, “the goal is to empower students to get, interpret, and use basic health information and develop needed skills to enhance theirindividual wellbeing” (MDE, 2012). This definition is broad, and lacks detail oriented goals and objectives related to health education topics including STD prevention and transmission. A 2012 report from the CDC found that only 26% of schools in Mississippi required students to take two health education courses (CDCa, 2012). Finally, in a two year span, only 28.2% of schools provided teachers with professional development opportunities related to STD prevention (CDCb, 2012).For these reasons, Department of Education standards must be addressed by this program, and the requirements of health education courses need to be strengthened in Mississippi; not only addressing student education, but professional development opportunities for teachers related to this topic. The mission of this program includes improvement of social environments and formal health education standards on a social and political level, to increase awareness and educational opporutnities related to STD transmission and prevention presented to yong adults, ages 15-24. This will include requiring young adults to take health education courses that provide STD educational opportunities. Addressing these needs will promote safe sex, and transmission awareness among the targeted population, decreasing the prevealence of STD cases in the state of Mississippi and Hinds county. The core values of the STD’s: A Prevention Intervention Program, are prevention and transmission. Educating individuals and providing awareness of STD transmission and prevention, are the two non-negotiables of the program. This will be done by increasing health education standards, as well as community resources provided by local health departments throughout the state of Mississippi.

Vision

The society for Human Resources Development describes a vision as the organization as it would appear in a future successful state (SHRM, 2014). As this health promotion program advances, and begins providing educational opportunities and resources for prevention of STD transmission to young adults ages 15-24, the prevalence of STD cases will go down. This descrease in STD cases in Mississippi is the vision for the future of this program, and it will be achieved only by reaching the program’s mission, goals, and objectives over time.

Assessing Readiness for Strategic Planning

Strengths, Weaknesses, Opportunities and Threats (SWOT Analysis)
What are the strengths that will contribute to planning and program success? / What weaknesses exist for your planning and program success?
Mississippi ranks among the top 5 states in STD prevalence and cervical cancer cases, demonstrating a need for STD health promotion interventions.
The program will require school districts and universities in the state to uphold health education standards.
Governor Phil Bryant’s 2013 fiscal budget included 22.3 million dollars for K-12 education (Bryant, 2013). / Currently, schools do not actively promote health education professional development for teachers (CDCb, 2012).
Mississippi made a 13.1% cut on investment in education since 2008, which is the tenth biggest cut in the United States (MEPC, 2014).
Although community health centers are being given funding for health center repair, funding is not currently being used for new STD prevention programs (Bryant, 2013)
What are the opportunities your planning and program will create? / What are the threats to your planning and program success?
Required education classes in secondary schools and universities that provide STD prevention methods and resources.
Professional development opportunities for health educators
Resources for STD transmission prevention are made more accessible by young adults 15-24. / School districts who do not feel these additions are necessary.
Young adults not taking the threat of STD’s seriously.
Lack of funding or support for the program’s mission and vision.

Stakeholders and Their Role

Stakeholder / Level of Engagement Needed / Action Needed and By When
Mississippi Department of Education / Will oversee individual school districts, so involvement will be very influential / Immediate involvement will be necessary to make the planning process applicable for the state’s districts
Individual school district representatives in Mississippi / Oversee the happenings of their own district / Involvement will begin once the district is done
Mississippi Health Deparment representatives / Will promote community level STD prevention resources / Immediate involvement will be necessary to make the planning process applicable for community health departments
Parents and family members of young adults at risk for STD transmission / Will encourage young adults to utilize prevention resources provided / Involvement will begin when resources become available for use
The young adults who are at risk for STD transmission / Will make the program successful or not by taking part in its resources and producing the resultst that will improve STD data reports / Involvement will begin when resources become available for use

Overarching Objectives for the Program

The goals and objectives of this program ultimately will be in decrease the prevalence of STD cases among young adults ages 15-24 in the state of Mississippi, particularly Hinds county. To make this possible, the program will include multiple objectives it must achieve during the planning process. These will include gaining the support of the Missisippi Education Department, the Mississippi Health Department, and individual school districts and community health centers. Once this support is gained, the following objectives will be to create community STD prevention education opportuntities and resources for young adults, involve political leaders to increase the educational system requirements for health education courses for students, as well as professional development opportunities for educators, recreate health education standards to include more effective STD prevention learning opportunities, and finally, involve young adults in their own health choices, by making them knowledgeable individuals who can make informed decisions. Reaching all of these objectives over time will eventually lead the program to its vision of decreasing prevalence of STD cases in Mississippi young adults ages 15-24.

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Health Promotion Program Planning 1

Logic Model

Program Focus: __STD Transmission Prevention in Mississippi____ Logic ModelImplementation Planning

Inputs / / Outputs / /

Outcomes -- Impact

Activities / Participation /
Short
/
Medium
/
Long
*State Public Health Representatives
*Local Public Health Representatives
*Mississippi State Department of Education Representatives
*Local School District Administrators
*Renovated health education program (focus on STD prevention)
*STD Transmission Prevention brochure, class, and educational event creation
*Marketing strategies for promoting STD education events
*Stakeholder support / Development of State Health Education Requirements
*Increase health education class requirements for children
*Improve health education curriculum content
*Improve accountability for districts to uphold these requirements
*Educational class opportunities from local health departments
*Needs-based/ Evidence-based decisions made from classes and educational opportunity locations / Health Education Requirements
*Participation
-Local school
district
administrators
-State education
department
-Teachers
-Students
attending health
classes
Public Health Opportunities
*Health education specialists
*Local department representatives
*Parents of young adults (targeted age group)
*Young adults taking advantage of these opportunities / Health Education Program
*Present the problem in health education to state education department, along with a plan to fix it.
*Begin conversation among officials of health education requirement upgrades.
Public Health Opportunities
*Creation of STD educational classes
*Creation of STD brochures and informational packets
*Creation and implementation of informative events to raise awareness of STD health issue / Health Education Program
*Begin implementation of new health education requirements
-Increased credit requirements
-Improved curriculum
-Increased teacher professional development opportunities
Public Health Opportunities
*Implementation of education classes
*Reaching young adults in Mississippi routinely
*Increased attendance at STD prevention classes / Health Education Program
*New health education curriculum and credit requirements in full-swing
*Teachers receiving routine adequate professional development
Public Health Opportunities
*Continued increased attendance at STD prevention classes
*Class modification as necessary
*Overall decrease in STD prevalence in Mississippi

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Health Promotion Program Planning 1

Assumptions
*State and local public health leaders will agree a change needs to be made / External Factors
*Funding from state education department and state public health department
*Application of STD prevention information among young adults
*Young adults will want to increase their knowledge and preventative abilities related to STD transmission

Reviewing the needs assessment drafted in previous weekly assignments allowed for creation of an effective logic model document pertaining to the STD transmission prevention health promotion program. The needs assessment consists of epidemiological data, collected from reliable resources; and documents a lack of health education curriculum requirements, professional development for effective educating on behalf of teachers, and accountability for teachers and districts in the state of Mississippi. For this reason, the logic model contains inputs, outputs, and outcome related to state and local education departments, allowing for an upgrade of educational health requirements. This will improve STD education access for students while in school, thus improving preventative measures taken by young adults ages 15-24 when sexually active, as well as increasing the likelihood that a young adult will seek treatment of a previously existing STD, because of their knowledge base on where to turn and resources to utilize.

The needs assessment also revealed a large proportion of the Mississippi population does not have insurance and is of a low-income household. For this reason, access to STD preventative measures, and medical services when an STD is transmitted are limited. As a result, the logic model created contains inputs, outputs, and outcomes pertaining to public health education classes addressing STD’s by providing transmission prevention information, signs and symptoms of STD’s, and also providing access information to resources for medical care if ever necessary.

The implementation of the logic model is a vital step in planning and implementing the health promotion program related to STD transmission prevention in Mississippi. By breaking down the inputs, outputs, and short-term, medium, and long-term outcomes, health education specialists are able to see exactly how the program will be implemented, and will allow for successful start-up and continuation, as well as a decrease in STD prevalence among young adults in Mississippi ages 15-24, which is the ultimate goal of the program.

Detail Program Objectives for Plan Implementation

Intervention Identification and Implementation Plan

Tasks and Activities / Plans for Completing Tasks and Activities / Person Responsible / Timeline Until Completion / Start and End Dates
Pre-Implementation
Select state and local representatives from board of education / Hold meetings with possible representatives, discuss health education changes, search for interest / Program managers and health education specialists / Looking for reps by spring, but no later than August / January 2014-August 2014
Create group of health education teachers / Find interest and need among health education teachers to choose reps. / Program managers and health education specialists / Looking for teachers by spring, but no later than August / January 2014-August 2014
Conduct community assessment determine which school districts need immediate attention / State testing data of high school graduation rates/health requirements vs. STD rates by county (Collected by CDC). / Provided by CDC and MS State DPI to program managers / Looking for reps by spring, but no later than June / January 2014- June 2014
Determine community stakeholders / Find interest and need among community members, parents, and young adults / Program managers, health education specialists, and health ed. Teachers who survey students and teachers / Looking for reps by spring, but no later than June / January 2014-August 2014
Discuss goals and objectives with community stakeholders / Provide statistics and data that demonstrate need, and health benefits that come from increased education standards and information resources / Program managers and health education specialists / Process occurs while looking for stakeholders to support / January 2014-August 2014
Hire nurses for education sessions / Interviews and conversations to find support nurses for sessions / Program managers and health education specialists / After gaining support and approval / July 2014- August 2014
Create session times and locations / Set-up by nurses, program managers, and teachers to coordinate times / Nurses, teachers, program managers / After hiring nurses / August 2014- September 2014
Develop plans for recruitment / Create information tools and communication strategies for young adults / Program managers, health education specialists, and teachers / Once sessions, times, and locations are set / September 2014-October 2014
Develop plans for evaluation / Create pre and post assessment tools to evaluate extent of learning from young adults who attend STD education sessions / Program managers, health education specialists, and teachers / Once sessions, times, and locations are set / September 2014-October 2014
Implementation
Educate Teachers with professional development / Fund attendance of conferences, and PD opportunities for teachers to deliver education to students / Funds from program managers and stakeholders’ donations, attended by teachers / After support is gained for Health Ed. development / May 2014-September 2014
Increase Health Ed. Requirements / Policy makers and DPI reps increase Health Ed requirements / Policy makers and program managers / After selecting sate representatives / May 2014- September 2014
Recruit young adults for education sessions / Implement recruitment events previously created / Health education teachers and Education specialists / After creating recruitment plans / September 2014- November 2014
Hold Education Sessions for young adults / Implement the education sessions created by nurses who have been hired / Nurses, health education teachers, and program managers if necessary / After all session information is created / September 2014- November 2014
Maintenance
Communicate with nurses/teachers/state and local representatives in periodic meetings / Program managers and health education specialists continually inform teachers, nurses, and all involved of program adjustments or updates as necessary. / Program managers, health education specialists / Throughout program implementation / July 2014-May 2017
Work on adaptation of resources as needed / Collaborate on necessary changes based on data results collected by teachers, nurses, and program managers / Entire program and all involved in making it possible / Throughout program implementation / July 2014-May 2017
Assess evaluation tools / Review survey results, and STD case statistics to see results of program tools / Program managers and health education specialists / Throughout program implementation / July 2014- May 2017
Utilize feedback from participating young adults / Review information provided by participants for possible changes / All program members affiliated / Throughout program implementation / July 2014- May 2017

Program Goals and Objectives