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NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

Student Name

Capella University

NURS4060 Practicing in the Community to Improve Population Health

Prof. Name

Date

Health Promotion Plan Presentation

Hello everyone, my name is Dulijita, and today I’ll talk about my assessment of childhood immunization. Immunizations come amongst the most effective initiatives that are undertaken for prevention of diseases. Childhood immunization is an important program for promoting health in young infants and children by preventing them from multiple diseases. Childhood vaccinations play a vital role in healthy growth and survival of the children (Hussain et al., 2021). According to the Centers for Disease Control and Prevention, vaccines are important in preventing life-threatening infectious diseases such as measles, cholera, chicken pox, whooping cough etc. and also boost the immune system of children. (Centers for Disease Control and Prevention, 2019). In one study, it was shown that by using vaccines, the death rate declined to 24% in children under 5 years of age from 2010 to 2017 (Desalew et al., 2020).

While this extraordinary strategy can be employed to reduce childhood death due to infectious diseases and enhance the growth and survival of children in a healthy manner, there are still some barriers that are present in our society that hinders this activity in young infants and children. Some of these barriers are related to the parents’ perception of immunization and other factors such as gender, beliefs, and cultural factors. Others are related to healthcare system barriers to immunization in some cases. Amongst the parental or caretaker’ barriers, the top most common barrier is the lack of knowledge of immunizations in parents/caretakers which leads to either no immunization in newborns and children or incomplete vaccination (Kyprianidou et al., 2021) .

NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

Some parents/caretakers consider traditional medicines more superior to the vaccines and which is why they neglect childhood immunization. Lack of trust towards vaccines is another obstacle for not practicing the immunization process in children. Besides these barriers, there are barriers that can not be modified such as lack of finances to support the cost of immunization plan, place of residence of mother or caretaker being far from the hospital with immunization setup and males being in charge of decision for childhood vaccination and their illiteracy. Sociocultural factors such as practicing traditional medicines such as use of honey for a newborn has been practiced in many cultures and religions. Hospital barriers to immunization program and practice includes non-functional cold chain, limited supply and distribution of vaccines, human resource constraint. (Banguara et al., 2020).

The Plan based on Specific, Identified Health Needs and Goals

I had an educational session with a mothers of infants and the questioner was the crucial segment of our interaction. The mothers of the child were not knowledgeable and we had educational session and talked about the need for immunization and how the child’s body requires to be immunized to remain disease-free most of its life, I educated her on the fact that every year 2-3 million children’s lives are saved by vaccination (Nandi & Shet, 2020).

Without childhood immunization, children are at risk of acquiring continuous infections that recur in their early childhood and ultimately result in poor growth that can further affect adult health, cognitive abilities, and economic progress. Our health promotion goal was to ensure an adequate healthy diet and nutrition, health interventions like routine immunizations to lessen infectious disease incidents in the early years of childhood, and other factors that ultimately lead to breaking the generational cycle of destituteness, an unhealthy life, poor finances, and unsustainable development goals. (Decouttere et al., 2021).

Educational Outcomes and the Attainment of Agreed-Upon Health Goals

We created educational billboards, booklets and pamphlets about childhood immunization and the health concerns related to it and acquired hospital consent to spread them for raising awareness. We appear to have gained all of the conditions for this outcome. Factors that can promote parents’ adherence to childhood immunization include parents’ perception of children’s vulnerability towards deadly infectious diseases, perceived barriers, and self-efficiency (Hobani & Alhalal, 2022). In collaboration with the healthcare professionals associated with the Expanded Program on Immunization (EPI), we can promote the education of these factors to advance childhood immunization in our community.

On conducting educational sessions with mothers, prior to the educational session on childhood immunization and its importance, participants completed a pre-test to assess their knowledge and understanding of the topic. The pre-test consisted of 10 questions, and the average score across all participants was 35%. After the educational session, participants completed a post-test that was identical to the pre-test. The average score on the post-test was 80%, indicating a significant increase in knowledge and understanding of childhood immunization. In addition to the knowledge assessment, participants were asked about their intentions to vaccinate their children in the future. Prior to the session, only 50% of participants reported that they intended to vaccinate their child.

NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

After the session, this increased to 85%, indicating that the session was effective in changing participants’ attitudes and intentions towards childhood immunization.There are numerous data about the childhood immunization provided by the healthcare professionals, practitioners, lecturers, and lawmakers. Survey questions, questionnaires, and observation methodology are some of the research strategies and are a source of delivering information, having its own advantages and disadvantages. From national resources, variables required should be more than two as the main objective for them is parents’/caregivers’ interest in their child’s evaluation after the immunization, hence health experts should inform them of their child’s evaluation as soon as possible (Pronk et al., 2021).

Healthy People 2030 Objectives and Leading Health Indicators

Healthy people 2030 also promotes childhood immunization programs so that a healthy growing community of children can be raised and less hospital visits and economic imbalance take place. we considers vaccination in early life pivotal to prevent diseases like hepatitis and pertussis. We raised awareness in our educational sessions keeping these objectives of Healthy People 2030 regarding childhood immunization. In an evidence-based resource of Healthy People 2030, a study is mentioned regarding declining the proportion of children who do not get recommended vaccines by age 2 years and showed that the target was met for this study objective.

According to Healthy People 2030, Leading health indicators of childhood immunization are the objectives including increasing the 4 doses DTaP vaccine coverage in children by age 2, maintaining the vaccination coverage level of 1 MMR vaccine dose in children by age 2 years, and also maintaining the vaccination coverage level of 2 MMR vaccine doses in children by 2 years. In our educational session, we followed these objectives and highlighted the needs to accomplish them for advancing the early health of children. We talked about the significance of these vaccines and how they can prevent diseases such as Diphtheria, Measles, Mumps. Rubella and Chickenpox and this led to mothers’ enhanced knowledge and influenced her to continue the vaccination plan and complete it.

Tips and Tricks for Reducing Childhood Health Issues

Whenever children are gathered in one place, it is probable that infections may spread. This is possibly true in the case of infants and toddlers who probably make use of their hands to wipe their noses and rub their eyes and then handle toys or touch other children. Then these children also touch their noses and eyes so the virus or bacteria go from the nose or eyes of one child by using hands or toys to the next child who then rubs his own eyes or nose and leads to children getting sick. In the first few years, children suffer through sickness quite a lot as their bodies are developing their immunity to fight the infections.

In many healthcare setups, the staff are unable to care for an ill child because of staff limitation or space constraints and in some healthcare setups, the child can be made comfortable and make room for him to be well rested or sleep in a place that has been contaminated with the previous sick child. When a sick child gets excluded from the healthcare area, it is important that the child does not make contact with the other children who have not been infected with the same infection. Keeping the child in the same place in times of infection to prevent infection from spreading to other kids is necessary and advised. To prevent such scenarios, it is important that a child has completed his immunization plan and maintains a healthy diet and be away from foods with added sugar and sleep well.

NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

Following are some of the tips to reduce the health issues in children and promote health:

  • Educating expecting parents about what to do after their child is born and how to keep him healthy and disease free.
  • Spreading knowledge about EPI program for prevention of diseases in early childhood
  • Running awareness campaigns regarding childhood health and how to prevent diseases when the children are developing their immune systems
  • Use of media to spread the knowledge about the childhood immunizations (Puri et al., 2020)
  • Making a vaccination staff (Home Visit Programs) assigned only for the vaccination in infants and young children at homes (Cataldi et al., 2020)
  • Directing the schools to only admit the students who have acquired their vaccination (Healthy People 2030, 2019)
  • Keeping the healthy diet and avoiding unhealthy things in early childhood such as items with too much added sugar, soda etc (Koletzlko et al., 2019)
  • Inculcating the habit of washing hands many times a day for example, after toilet times, before having a meal, after outdoor play etc.
  • Attaining the healthy lifestyle in family so children can attain healthy lifestyles as well

Outcomes of the Session to Achieve the Healthy People 2030 Goals

We decided some practical solutions in our session to achieve the Healthy People 2030 goals. Amongst these strategies, the most important plan is to spread awareness about childhood immunizations and its benefits especially targeting the parents of the newborns and future parents as the parents’ attitude towards childhood vaccination plays a major role in initiating, continuing and completing the childhood immunization. We need to assess the public knowledge and their behaviors regarding immunization and to implement the required interventions to change perceptions and thinking about childhood immunization such as persistent educational awareness campaigns. (Alshammari et al., 2021).

NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

Other strategies to achieve the objectives of Healthy People 2030 include interventions targeting the providers such as providers’ education, reminders, feedback, nurse assessment, use of flow sheets and tracking system to monitor the childhood immunization program being provided. Interventions related to clinics and hospitals include Standing order protocols (SOPs), electronic health record (HER) and computerized interface registries (between clinical practice and the state) are also promoting childhood immunization.

Additionally, providing vaccinations free of charge, getting vaccination done at after hours of clinic and enhancing the labor- and resource- intensive are few other ways of increasing vaccination rates in children. Community level interventions are the most challenging ones as they need ample amounts of time, labor and financial sources. Collaborations can be done between the healthcare setups and stakeholders including pharmacies and daycares to ameliorate the childhood vaccination. (Siddiqui et al.,2022).

Revisions 

As we can see from its execution, there is always some need for modification and revision in a good plan. Due to the changing states of resources, it is likely to make some changes in strategies for improving childhood immunization up to the mark of the Healthy People 2030 objectives. We should keep the resources in mind and the current availability of the staff, changes in awareness plans can be made and ways of spreading awareness can be updated according to the resources available.

A revision could be made to address the cultural and sociocultural factors that may impact a parent’s or caretaker’s decision to vaccinate their child. By understanding the cultural beliefs and practices of the community, healthcare providers can tailor their educational sessions to be more effective in promoting childhood immunization. In addition, future educational sessions could address the financial barriers that some families face in accessing immunization services. This could involve providing information about available financial assistance programs or working with community organizations to provide low-cost or free immunizations.

Conclusion

Childhood Immunization is crucial in the early years of children to prevent them from the infectious diseases and promote health and nourishment to make their growth effective. In my educational session, I got to know about the perceptions of parents towards childhood immunization and made educational outcomes and goals that resonated with the objectives of Healthy People 2030 regarding childhood immunization. I planned some strategies to fulfill those objectives including raising parental awareness towards childhood immunization and some intervention related to healthcare organizations and community level intervention. Lastly, revisions in the needs to align the childhood immunization with the Healthy People 2030 were discussed.

References:

Alshammari, S. Z., AlFayyad, I., Altannir, Y., & Al-Tannir, M. (2021). Parental awareness and attitude about childhood immunization in Riyadh, Saudi Arabia: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(16), 8455. https://doi.org/10.3390/ijerph18168455 

Cataldi, J. R., Kerns, M. E., & O’Leary, S. T. (2020). Evidence-based strategies to increase vaccination uptake: A review. Current Opinion in Pediatrics, 32(1), 151–159. https://doi.org/10.1097/mop.0000000000000843 

Centers for Disease Control and Prevention. (2019, August 1). Why it’s important to vaccinate your children. Centers for Disease Control and Prevention. Retrieved April 15, 2023, from https://www.cdc.gov/vaccines/parents/why-vaccinate/index.html 

Decouttere, C., De Boeck, K., & Vandaele, N. (2021). Advancing Sustainable Development Goals Through Immunization: A literature review. Globalization and Health, 17(1). https://doi.org/10.1186/s12992-021-00745-w 

Desalew, A., Semahegn, A., Birhanu, S., & Tesfaye, G. (2020). Incomplete vaccination and its predictors among children in Ethiopia: A systematic review and meta-analysis. Global Pediatric Health, 7. https://doi.org/10.1177/2333794×20968681 

Hobani, F., & Alhalal, E. (2022). Factors related to parents’ adherence to childhood immunization. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-13232-7 

NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

Koletzko, B., Godfrey, K. M., Poston, L., Szajewska, H., van Goudoever, J. B., de Waard, M., Brands, B., Grivell, R. M., Deussen, A. R., Dodd, J. M., Patro-Golab, B., & Zalewski, B. M. (2019). Nutrition during pregnancy, lactation and early childhood and its implications for maternal and long-term child health: The early nutrition project recommendations. Annals of Nutrition and Metabolism, 74(2), 93–106. https://doi.org/10.1159/000496471 

Kyprianidou, M., Tzira, E., Galanis, P., & Giannakou, K. (2021). Knowledge of mothers regarding children’s vaccinations in cyprus: A cross-sectional study. PLOS ONE, 16(9). https://doi.org/10.1371/journal.pone.0257590 

Nandi, A., & Shet, A. (2020). Why vaccines matter: Understanding the broader health, economic, and Child Development Benefits of routine vaccination. Human Vaccines & Immunotherapeutics, 16(8), 1900–1904. https://doi.org/10.1080/21645515.2019.1708669 

Puri, N., Coomes, E. A., Haghbayan, H., & Gunaratne, K. (2020). Social Media and vaccine hesitancy: New updates for the era of COVID-19 and globalized infectious diseases. Human Vaccines & Immunotherapeutics, 16(11), 2586–2593. https://doi.org/10.1080/21645515.2020.1780846 

Office of Disease Prevention and Health Promotion. (n.d.) Reduce the proportion of children who get no recommended vaccines by age 2 years – IID-02. Reduce the proportion of children who get no recommended vaccines by age 2 years – IID-02 – Healthy People 2030. Retrieved April 14, 2023, from https://health.gov/healthypeople/objectives-and-data/browse-objectives/vaccination/reduce-proportion-children-who-get-no-recommended-vaccines-age-2-years-iid-02 

Siddiqui, F. A., Padhani, Z. A., Salam, R. A., Aliani, R., Lassi, Z. S., Das, J. K., & Bhutta, Z. A. (2022). Interventions to improve immunization coverage among children and adolescents: A meta-analysis. Pediatrics, 149(Supplement 6). https://doi.org/10.1542/peds.2021-053852d

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