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create a budget allocating $200,000 for your public health program. Include at least one in-kind support/asset in your budget. Community Name: Perry County, KY Location: A rural area in Southeastern United States Population: Approximately 27,133 residents Demographics: • Age range: Diverse • Economic status: 72.6% of people reside in areas with low population densities. • Predominant language: English (McKenzie et al., 2023). Key Features: Hazard, the county seat has a long history of being a major coal mining hub in the southeast coalfields. The Black Gold Festival honors this tradition every year (Perry County, Kentucky, n.d.). Members Interviewed • A nurse from the health department • City commissioner • A young couple next door with small children Information Gathered from Interviews Health Challenges: • Residents must travel great distances for specialist care due to limited availability to healthcare institutions. • High prevalence of chronic diseases such as diabetes and hypertension, especially among the elderly. • Concerns about mental health, particularly stress and depression among young adults due to lack of employment opportunities. Perceived Public Health Needs: • Improved availability of primary healthcare services as well as support and assistance for mental health. • Health education that emphasizes programs to manage and prevent chronic diseases as well as changes in lifestyle. 4. Available Community Resources • A nonprofit community mental health center, Kentucky River Community Care (KRCC) is committed to enhancing the health and wellbeing of the local population. • Schools rank high in the national rankings. • Department of Community Based Services provides services like family support, child care, and eligibility determinations for benefits such as medical insurance and food benefits. Addressing the Needs within the Community How to utilize resources: • Work together with neighborhood healthcare providers to expand clinic services by arranging for specialists to visit on scheduled appointments. • Schools: Put in place health education initiatives in schools that emphasize mental health, physical activity, and a balanced diet. • Create lifestyle coaching and chronic illness management programs, and use KRCC for workshops and healthy living classes. Addressing Barriers: • Provide a community transportation system (bus or van) to help get to far-off medical facilities. • To obtain funds for more healthcare resources and initiatives, look for grants and other resources. • Establish outreach programs to make sure local residents are informed about the services that are accessible. Use community gatherings and social media to disseminate information. The suggested measures are intended to enhance the general health and well-being of the residents of Perry County by tackling both the obstacles and the available resources. The perceived health need I identified is promoting physical activity in adults with low incomes. The goal of the proposed program is to raise the levels of physical activity among low-income individuals in this neighborhood by offering social support networks, educational workshops, and easily accessible, culturally relevant exercise programs. The program will focus on low-income adults in the designated community who are between the ages of 18 and 64. Due to a number of issues, such as limited transportation alternatives, difficulties juggling work and personal obligations, and a lack of access to safe and reasonably priced exercise facilities, this population group has disproportionately high rates of physical inactivity (Google Books, 2020). Social and cultural standards may also have an impact on how people behave when they are physically active. Addressing these inequities and advancing health equity can be achieved by concentrating on this particular demographic. The project can focus on grants from the Department of Health and Human Services (HHS) or the Centers for Disease Control and Prevention (CDC) to fund programs that promote physical activity in underprivileged areas (Google Books, 2020). For chronic disease prevention initiatives that support Healthy People 2030 goals, including ours, state and municipal health agencies may provide money. By utilizing the community center’s existing infrastructure and encouraging a sense of community ownership, partnering with them can offer an easily accessible location for fitness courses and workshops. Working together with the local health department can help you access more resources and provide experience in developing, implementing, and evaluating public health programs. These collaborations support the “Healthy People 2030” guideline to engage faith-based groups, community partners, and other sectors in health promotion (Google Books, 2020). The strength of the PRECEDE-PROCEED model is its all-encompassing approach, which takes into account not only changes in individual behavior but also the larger environmental, regulatory, and societal issues that affect levels of physical activity. This is in line with the need to address the various levels of causes that contribute to low-income groups’ physical inactivity. Mission Statement By expanding access to preventative healthcare services and supporting educational activities that encourage healthy behaviors, our public health program is committed to boosting community well-being. Goals 1. Expand Access to Preventive Healthcare Services in the Community Justification: Improving general public health outcomes and lowering the risk of chronic diseases depend on having access to preventative healthcare. Our goal is to promote early illness detection and decrease hospitalization rates by improving access. 2. Encourage healthy living by educating the community Justification: Knowledge enables communities to make wise decisions about their health. Our goal is to create a healthier community by spreading awareness about mental health, physical activity, and nutrition. Objectives Short-term Objectives 1. Within the first year, increase the number of free health screenings by 20%. Justification: This goal is time-bound, meaningful, quantifiable, achievable, and specific (SMART). By expanding health screenings, we hope to identify health problems early and offer data-driven insights into the needs of the community. 2. Host Health Workshops Every Month in Collaboration with Neighborhood Organizations Justification: We hope to raise awareness and engagement in the community by working with neighborhood organizations. These courses will give you the knowledge and resources you need to live a healthier lifestyle right away. Long-Term Objectives 1. Decrease the Community’s Obesity Rate by 10% Over Five Years Justification: Being obese increases the likelihood of developing a number of chronic illnesses. This SMART goal is in line with our objectives to prevent disease and encourage healthy living. 2. Over a five-year period, increase community participation in physical activities by 30%. Justification: There are many health advantages linked to increased physical activity. Our goal is to improve community members’ long-term health outcomes by encouraging an active lifestyle. Strategies 1. Developing Partnerships Work together with neighborhood health care professionals, educational institutions, and community centers to deliver health screenings and educational programs at no cost or at a discounted cost. 2. Campaigns for Public Awareness Promote the advantages of healthy lifestyles and preventative healthcare through social media, local media, and community gatherings. Logic Model Inputs include financial support, partnerships, community health information, volunteers, and medical specialists. Public awareness campaigns, educational workshops, and health screenings are among the activities. Outputs: Total number of screenings, number of workshops attended, and media campaign reach Outcomes: 1. Short-term: Greater community involvement in workshops and screenings 2. Long-term: A decline in obesity and a rise in physical exercise Short-term goals aid in measuring immediate effects and enabling prompt strategy adaptation to improve approaches while creating a public health program. Long-term goals provide consistent progress toward major community health gains by keeping the program in line with its overarching mission and goals (McKenzie et al., 2023).

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