Need implies the capacity to benefit from an intervention. The above diagram can help demonstrate how different notions of need interact. A need is felt and expressed, but not identified as a normative need. Cosmetic surgery procedures where professionals do not agree that there is a medical need. A need is felt, and identified as a normative need, but not expressed. Psychiatric interventions, where a need is felt, professionals would agree that there is a need, but the need is not expressed.
A need is felt, expressed and identified as a normative need. A need is not felt, but it is expressed and identified as a normative need. Someone attending their GP to obtain a sickness certificate, even though they are over their illness.
Comparative This compares levels of services between different populations. It should take into account local population characteristics demography, mortality, morbidity Corporate. The least deprived areas are in the northwest and the south of the borough. The borough on the whole has low levels of deprivation. For the benefit of this assignment a windshield survey of Borough B was carried out. Hunt, describes this to be a motorized evaluation of a locality, by driving through a neighbourhood and using observation skills to conduct an assessment of the area.
To get an objective overview of the community this survey was carried out by driving and walking. Based on observation, this survey showed the area to be a very diverse borough ranging from the very affluent to the very needy.
This was revealed when driving through a private gated road comprising of very large houses and then driving out of this private road to find an area of social housing across the road. It was also observed that the community is heavily populated by black and ethnic minority groups, with a high density of the Sri Lankan Tamil residents in ward x. See Appendix 1 for full overview of windshield survey. The Chimat shows data which signifies the health and wellbeing of children in Borough B in comparison to the rest of England.
The chart indicates that on average most of the health issues in the Borough are on the whole better than the England average. Issue such as breastfeeding initiation and breastfeeding at 6 — 8 weeks are significantly improved since the borough received full accreditation to the Unicef Babyfriendly award in Training has been provided for all multidisciplinary staff and a network of trained peer supporters was set up to work with mothers in hospitals and in the community, they also run breastfeeding support groups on every weekday.
Borough B now has a breastfeeding helpline, website, Facebook page and Twitter site, all run by peer supporters. According to the statistics pointed out in Chimat , health issues that are a larger concern in the Borough are low birth weight of babies and infant mortality which are closely associated with each other. These are both significantly higher than the England average in Borough B. Data shows low birth weight in this area which is 9. Numbers appear to be lower in the south of the borough than in the north JSNA A number of factors such as inappropriate antenatal care, maternal and child nutrition, premature births, drug and alcohol during pregnancy, multiple births and smoking during pregnancy could be the cause of this.
Even though the concept of need may be greater in these areas, the health visitor will not be able to do much in the short term to put interventions in place to prevent them as they do not carry out antenatal visits at present. These preventative interventions need to be undertaken by the midwifery services who will need to improve access to maternity services and focus on the most vulnerable mothers.
According to World Health Organisation WHO being overweight and obese are the fifth leading risk for global deaths. For the last 2 years childhood obesity in year olds in Borough B was not significantly different than the England average. According to Chimat the England average was 9.
Even though the rate is similar to the England average, the contrast in rates over 2 years shows that it is a problem which is not improving and can lead to many health implications which can carry on into adulthood. This Health Needs assessment aims to look into Childhood obesity rates in the Borough and will investigate ways to improve these rates. This topic was chosen because obesity considerably affects the most essential aspects of health, as well as being a local issue it is a national issue and it can be extremely detrimental to health to the point of causing death.
In England the British growth reference UK90 was recommended for monitoring the weight of the population and for clinical assessment in children aged four years and over. National Obesity Observatory It found that National Obesity Observatory felt that improvements were made in dealing with childhood obesity by producing data which showed that the rate of obesity has slightly slowed from to , however Rudolph found that more than 1 in 5 children were still overweight or obese by age 3.
Reducing childhood obesity will benefit the many health implications such as diminishing the risk of diabetes, asthma, sleep apnoea, anxiety, bullying and it will also build self-esteem. Stettler , identified that gaining rapid weight in infancy was the strongest risk factor for developing childhood obesity and therefore essential to the health visitors role. However, although Department of Health Healthy Child Programme encourages health visitors to provide information and advice to pregnant women and parents of young children about nutrition and physical activity, and the Foresight Report in aim to reduce excess weight in children by the year ; no national guidance has being put in place to assist health visitors to manage obesity in infancy.
More research needs to be undertaken to determine how practitioners should communicate obesity risk during infancy to parents Redsell At present health visitors use clinical practice guided by the healthy child programme alongside the use of their professional judgement. The borough has various service provisions in place to tackle this epidemic and many statutory and voluntary provisions have been looked into to meet this health needs.
These are as follows:. In addition, Lumeng believes a child with one parent who is obese is 3 times as likely to become an obese adult. This is a very sensitive issue and because of the fear of embarrassment and the stigma attached it may be overlooked. It was piloted in Nottingham by a group of local health visitors and it was undertaken by health visitors carrying out a new birth visit, then again at 4 months and 12 months to assess for rapid weight gain. This initiative was carried out on all babies therefore reducing the risk of singling out particular groups of people.
It appears to be a very useful tool which will assist health visitors to assess weight without any embarrassment, however, development work is on-going as testing of its practicability is required prior to full implementation of this recommendation. When mothers are seen at the New Birth Visit between 10 to 14 days after birth, they have usually established a feeding regime for their babies.
In Borough B the local hospital and area has been accredited with the Unicef Baby friendly award therefore most of the mothers in the area are quite enthusiastic about breastfeeding. All health visitors and student health visitors have had Unicef breastfeeding training to enable them to assist mothers who wish to breastfeed, but may be struggling. Various research articles have been undertaken and Bogen et al.
These research articles conducted various studies, the three studies gave differing results but on the whole suggests that exclusive breastfeeding for 6 months reduces the risk of obesity in children. Healthy weaning The World Health Organisation recommends that babies should be exclusively breastfed up until the age of 6 months before introducing solid food.
This gives the babies digestive system a chance to develop and for the kidneys to be mature enough to handle waste from the solids. Health Visitors have a role in educating parents of the health risks involved with weaning too early and in Borough B weaning groups to teach parents how to feed their babies a healthy diet are run by health visitors and community nursery nurses.
This service provision is co-ordinated in association with the Children Centres. These groups are run on a monthly basis and parents of babies nearing the age of 6 months are invited to attend.
Having undertaken one of these sessions recently it was found that most of the mothers who attended the group were usually 1st time mothers who were new to the process and needed help and advice.
It was therefore important to educate them on the correct way to introduce solid foods to their babies using evidence based information. The Department of Health document Introducing Solid Foods booklet emphasises that parents are encouraged to make their own baby foods, to offer healthy meals such as fruit and vegetables, small portion sizes and family food.
Also the importance of offering finger foods and allowing babies to feed themselves is recommended. This way babies are able to self-regulate their nutritional intake reducing the risk of them overeating. The MEND programme is a healthy lifestyle non profitable organisation which focuses on obesity prevention. It is run usually by local children centres and caters for children, young people and their families from the age of 2 years to adulthood.
It is a free service usually paid for by the local authorities. Parents attend with their children and it offers advice on healthy eating and active play. Borough B no longer have this provision, the reason for this was not made clear. It is a very good intervention which would target at risk children who would otherwise be overlooked and the Borough would benefit from this if they aim to reduce childhood obesity levels further.
Regular clinic attendance for weighing At present most infants and children who are recognised to be at risk of obesity are at present identified when they attend the healthy child clinic. The children are usually weighed and the weight is plotted on the centile chart; a crossing upward of 2 centiles on this chart can be interpreted as rapid weight gain Redsell et al. It is important for these children to have their weight checked regularly at the clinic and that parents are given advice regarding infant nutrition, physical activity and the potential risks of their child gaining excess weight.
In Borough B at present all the healthy child clinics are walk in and are very busy, it is therefore very difficult to have adequate time for consultation. This issue will cause various problems, which may lead to overbooking or the Health Visitor having to perform more home visits or clinic visits at impromptu times.
In conclusion, tackling childhood obesity should start in infancy and health visitors are at the forefront in delivering this initiative. The key is to identify infants who may be at risk of obesity and communicate this to parents. Most of the provisions above are in place in Borough B to meet the intended need, although the MEND programme which was once operational in the Borough would be beneficial if it was reintroduced.
Nevertheless, the children centres have a vast array of healthy living initiatives which is helping to keep the childhood obesity levels in the Borough down. Early detection and intervention is more cost effective than treatment and other consequences of obesity in later life. In order for this to be achieved and to implement some of the interventions above, the government will need to fund training for all the health professionals involved so that they are appropriately trained to deal with the rising epidemic of childhood obesity.
References Association of public health observatory. Health needs assessment at a glance. Child and Maternal Health Observatory. British growth reference centiles for weight, height, body mass index and head circumference fitted by maximum penalized likelihood. Department of Health The Healthy Child Programme A review of developments in tackling health inequalities in England over the last 10 years.
A consultation on better measures of child poverty. Fair Society, Healthy Lives Tackling Obesities, Future Choices project. Child Poverty Action Group: Ending Child Poverty by Health For All Children: Responsibility and autonomous practice. Journal of Advanced Nursing. Corporate working in health visiting: Introduction to community-based nursing.
Institute of Race Relations Joint strategic needs assessment. Joint strategic needs assessment Refreshed. Children and young people — Harrow. What can we do to prevent Childhood Obesity?
The essay will now consider the chosen population within the author's area of practice and a health needs assessment will follow. Through observation in practice, it is clear that the health visitor is well placed to identify any early symptoms of postnatal depression (DOH, ).
This assignment is a quasi-report on a health need assessment (HNA) which is being prepared, as part of this module summative assessment, in order to gather information on the basis of designing and implementing a programme, on a limited scale, of health and health care acceptable, accessible and identified in Southwark based on evidence of cost-effectiveness and is beneficial to the needs of.
Health Needs Assessment Essay Sample. The aim of this assignment is to carry out a health needs assessment in my practice area, which will include a profile of the community with the intention to identify the main health needs. A health needs assessment (HNA) is a systematic method of identifying unmet health and health care needs of a population and making changes to meet those unmet needs. It provides information: (1) to improve health ; (2) for service planning; (3) for priority setting and (4) for policy development.
Health needs assessment is not a health status of population assessment. It aims to improve health and it incorporates the concept of a capacity to benefit from an intervention. Defining Needs An understanding of health needs assessment requires a clear definition of need. A health needs assessment (HNA) is a systematic method of identifying unmet health and health care needs of a population and making changes to meet those unmet needs. It provides information: (1) to improve health;.