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If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?
You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.
Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.
In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.
To Prepare:
Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
Select at least one additional country to compare to the U.S. for this Assignment.
Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
Review and download the Global Health Comparison Matrix provided in the Resources.
The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)
Part 1: Global Health Comparison Matrix
Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:
Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
Explain the strengths and weaknesses of each policy.
Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
Explain how the health policy you selected might impact the role of the nurse in each country.
Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.
Part 2: A Plan for Social Change
Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.
In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.
Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples
Submit both Part 1 and Part 2 of your Assignment.
Before submitting your final assignment, you can check your draft for authenticity.
NURS_6050_Module06_Week11_Assignment
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Global Health Comparison Matrix: United States vs. India
Global Health Issue: Tuberculosis
Component United States India
National/federal health policies The US has a national TB control program called the Division of Tuberculosis Elimination, which provides funding, technical assistance, and guidance to state and local health departments. India’s Revised National Tuberculosis Control Program (RNTCP) was launched in 1997 and is the country’s flagship program for TB control. The program is implemented by state and district health societies and provides free diagnosis and treatment to patients.
Strengths and weaknesses of each policy Strengths: Robust infrastructure and well-coordinated system for TB control; partnerships with stakeholders, including private providers, to strengthen the program. Weaknesses: Inadequate funding; disparities in access to care and treatment. Strengths: Large-scale program with extensive reach; well-established diagnostic and treatment infrastructure. Weaknesses: Lack of patient adherence to treatment; underfunding and inadequate resources.
Social determinants of health impacts Social determinants of health, such as poverty, homelessness, and substance abuse, increase the risk of TB transmission in the US. Social determinants of health, such as overcrowding, malnutrition, and poor hygiene, increase the risk of TB transmission in India.
Government’s approach to cost, quality, and access In the US, the cost of TB treatment is high and can vary depending on insurance coverage. Access to care and treatment is also limited for uninsured and underinsured populations. Quality of care is generally high, but disparities exist. In India, TB treatment is free for patients under the RNTCP. However, quality of care is often poor in public health facilities, and private providers may charge high fees for diagnosis and treatment. Access to care is also limited in rural and remote areas.
Impact on the global population The US contributes to global TB control efforts through funding and technical assistance. However, the high incidence of TB in certain populations, such as immigrants and refugees, poses a risk to global health. India has the highest burden of TB in the world and contributes significantly to the global TB epidemic. The country’s efforts to control TB are crucial for global health.
Impact on the role of the nurse Nurses play a critical role in TB control in the US, providing patient education, case management, and infection control measures. Nurses in India are involved in TB diagnosis, treatment, and patient education, but may face challenges related to inadequate resources and staffing.
Impact on local healthcare organizations and policies Local healthcare organizations and policies in the US focus on TB control through screening and treatment programs, but may face challenges related to funding and disparities in access to care. In India, local healthcare organizations and policies are integral to the implementation of the RNTCP, but may face challenges related to inadequate resources and staffing.
Plan for Social Change:
As a nurse leader, I would advocate for the incorporation of a global perspective into local TB control programs in the US. This could involve increased awareness and education about the global impact of TB, as well as partnerships with international organizations and stakeholders to support TB control efforts in other countries. Incorporating a global perspective into local practice could also involve promoting research and innovation in TB control that is applicable to global health challenges. By incorporating a global perspective, local TB control programs could contribute to the global effort to control TB and address disparities in access to care and treatment. This would also enhance the role of nurses in TB control, allowing them to play a more active role in the global health community and contribute to social change.
