1. Part A

   Health education\health promotion project Plan

    

   Word Count: approximately 2000 words

   (reference does not contribute to word count)

   Use 11 or 12pt font either calibri or arial preferred.

   Reference list at end of document using APA style 6^th edition , with at least 9-10 references used including research articles.

   Headings are okay to use. 

    

   Importantly, this encourages you to identify that any form of health education or promotion should be designed to meet the needs of the target group and involve some form of community consultation to ascertain the need and acceptance of the health promotion.

    

    Assignment Criteria:

   Choose one of the following target group areas and a health focus area from the table below (for example target group youth, focus area suicide)

   *Target group	Health issue
   Children (primary school age)	Obesity, oral disease
   Youth/teenagers (middle/upper school age)	Obesity, suicide, alcohol use
   Prisoners	Mental health, illicit drug use
   People who identify as lesbian, gay, bisexual, transgender or intersex (LGBTI)	Sexual health, mental health
   Older people	Vision impairment, oral disease
   *Be specific about your target group in your project: actual age/s, gender/s, location

    

   Prepare a detailed and innovative health promotion project plan for your chosen target group and health issue in an Australian community (Indigenous or non-Indigenous). This needs to be your innovative idea, not reused from a current or past health promotion project.  Make sure you follow the outlined 8 assessment criteria.

    

   The health promotion project plan should be in the form of one of the following:

   • Education on risk factor awareness and/or prevention
   • Health management (such as how to manage hypertension to prevent stroke)

   Your health promotion plan should address the following criteria:

   1. A description of your specific target group and community(for example Children (5-11years) not meeting physical activity recommendations in Palmerston Primary School or adult males (indigenous and/or non-indigenous) who are obese aged 50 years or above in Bendigo, nursing students in WA). This contributes to making your health promotion innovative and focussed.
   2. A detailed outline of why this public health promotion is beneficial for your target group. For example how you anticipate it will improve health outcomes for the chosen target group/community. Include health data/statistics to back up this as a health concern, such as burden of disease.
   3. A description of what your goals/ aims for your health promotion are and what the health promotion project is aiming to achieve(review the SMART mnemonic on page 215 of the text set Fleming & Parker, 2015 Introduction to Public Health, 3E).
   4. You should identify which of the Public Health Promotion Management Perspectivesthis falls into and briefly outline why it falls into this category (Public Health Promotion Management Perspectives are classified as primary, secondary or tertiary- to find out more about this refer to page 316 of Fleming & Parker, 2015 Introduction to Public Health, 3E)
   5. Identify who the additional stakeholders will be for the project, and what community consultationwill take place. Include specific information on who this health promotion project will need to include and why.
   6. Present a specific and original health message/ logo that youhave developed to suit your health promotion (for example: Your smoking harms othersor If you can play you can play).  Make sure this would be appropriate for your target group.
   7. Provide a detailed outline of what the health promotion activity will entail and how youwill promote this to the target group. Look at other health promotion activities for ideas such as the Breast Cancer Mother’s Day Classic Fun Run or the posters you see around the community.  Consider what sort of resources will work to get the message out to your target group such as newspapers, sports event, school visit, radio- what will work for your target audience)
   8. An outline of how you plan to evaluate the success of your health promotion.  Evaluation is an important step, research to find the best way to assess if your health promotion would be successful in achieving its aims/goals.

    

   **This is not surgical nursing- it is health promotion aimed at the community level- so please do not focus on pathophysiology.

   Any health statistics used for your assignment can be based on the overall Australian population (you may not find data for a specific suburb or target group).

    

    

   PART B

    

   Pictorial Health Promotion

   Word count:5-1000 words depending on type of pictorial submitted

    

   The word limit is listed as between 5-1000 words depending on the type of pictorial representation. For example a poster may have very few words and a brochure will have more.

   • Include a reference list using APA style, this should include references for text, images or pictures you have used.
   • Please note you can submit your reference list as a separate word document to your pictorial if required and you do not have to include references on your pictorial if it will affect the quality of the presentation.

    

    

   This assessment provides the opportunity to create a pictorial representing your health promotion project. 

    

   Topic: Pictorial representation of the health promotion project plan in Part A

    

   Assignment Criteria:

   Put together a pictorial representation for your health promotion project outlined in part A. This can be in the form of a poster, flyer, newspaper advertisement, information brochure

   Your pictorial should include the health message/logo outlined in your health promotion plan in part A.

   Preparation:

   • using your public health promotion project conducted in part A and consider what would be visually appealing for your target group or effectively represent your health promotion. 
   • Prepare either a poster, flyer, newspaper advertisement, information brochure representative of your health promotion. Jpeg, pdf, Power Point, Word

    

    

   Pictorial Marking Criteria            

   • Pictorial aligns with part A and provides an accurate representation of the health promotion.
   • The pictorial is appropriate for the target group identified in part A
   • Pictorial presents an original/ innovative community focussed public health promotion prevention or management plan.
   • The presentation of the Pictorial demonstrates quality and consideration in design features and visual appeal.

    

    

    

    

    

   Example  of  a good student work

    

   Health Promotion Title: “Walk beside me and stay healthy for me”

   Cardiovascular disease (CVD) – Indicated risk factor of Overweight and Obesity

   Overview

   There exist a plethora of evidence implicating overweight and obesity to many chronic diseases. Its impact on mortality and morbidity in the Australian population is high and presents a significant economic burden on the health system (AIHW, 2018).  Kim, Després and Koh (2016) assert that obesity is currently the greatest public health concerns globally. However, Better Health Channel (2015) noted that overweight and obesity are noncommunicable diseases that can be prevented by eating healthy and being physically active. As such lifestyle modification is critical in combating these factors towards improved health outcome and reduced incidence of cardiovascular disease (Dankel, Loenneke & Loprinzi, 2015). The Australian Institute of Health and Welfare (2018) claimed that insufficient physical activity is the key risk factor contributing to overweight and obesity, increasing the risk of chronic Kidney disease, cardiovascular diseases and diabetes. For optimal health it is recommended that children within the ages of five to seventeen years should engage in at least 60mins of physical activity each day, while adults participate in up to 150 to 300 minutes of moderate five sessions per week (Department of Health, 2017). This health promotion aims to increase physical activity through walking between Parents and school age children within Mickleham a suburb in the Hume Area of Melbourne. The approach aims to capitalise on the close bond between families to initiate and maintain a culture of at least 30 minutes of recreational walk five times a week.

    

   Introduction

   Overweight and obesity contributes 7.0% of the total burden of disease and injuries in Australia in 2011(AIHW, 2018) accounting for 312,505 Disability Adjusted Life Years. These statistics were calculated based on the linked diseases to overweight and obesity with cardiovascular disease appropriating 37.9 % (AIHW, 2017).  The complete expenditure according to PricewaterhouseCoopers (2015) of obesity to the Australia economy in 2014-2015 was $8.6 billion. Its projected economic impact is expected to be $87.7 billion if the current growing rate of overweight and obesity is not combated from 2015 to 2025.

   Specific target group and community

   The overwhelming impact of obesity and overweight in children and adults alike makes it’s a priority in the development of innovative and acceptable health promotions to address this major behavioural and  modifiable risk factors( Morton, 2013). This health promotion target group are parents of primary school children living in Mickleham suburbs within Hume City, along with their primary school kids. The Australian Bureau of Statistics (2016) identified a total of 887 families within this target group with children under the age of 15 years. The focus will be this population group and their estimated 251 primary school aged children. There are eight primary schools in Mickleham that the health promotion campaign will be streamlined towards within the Hume area.

    

   Health Promotion Benefits

   In 2008 31.5% of males were considered overweight and 26.8% obese within Hume city (Hume City Council, 2017).). This is reflective of the prevailing trend in Victoria of about 1.7 million overweight adults and 1.2 million obese adults (ABS, 2016). Similarly Victoria has 248,400 overweight and 82,900 obese children.  Hillsdon and Fox (2007) noted that physical inactivity increases the risk of mortality and morbidity with incidences of cardiovascular diseases, chronic kidney disease and diabetes associated with it. Lavie, McAuley, Church, Milani and Blair (2014) assert that overweight and obesity adversely impact the hemodynamics and cardiovascular structure and functions precipitating cardiovascular diseases. This health promotion aims to eliminate the sedentary lifestyle that is currently linked to chronic disease by providing information for primary school aged kids within the suburb on the importance of at least 30 minutes of physical activity each day for themselves and their parents and how it can help take care of their heart. In addition awareness will be generated from leaflets and schedule meetings in school during their physical education classes. Leaflets of the promotion campaign will be given to each student to take home to their parents. The overarching message will be for an improved health and wellness physical activity is critical, and must be encouraged and sustained. It is expected that once this awareness and excitement is generated various practical options on increasing kids’ physical activities will be provided in the form of riding their scooters, bicycle and walking to school if their houses are within 4 kilometres of the school. A picture of various options will be provided in the campaign poster and leaflets. The strategy is to stimulate the students towards negotiating for increased physical activities as well as fun filled activities from their parents as a means of combating the precursors to overweight and obesity in the community.

    

    

   Health Promotion Goals

   It is recommended that goals be descriptive of expected outcome while objectives are streamlines towards desired outcome in terms of time, measurability and specificity (Fleming & Parker, 2015). This health promotion goal is to reduce the percentage of overweight and obese parents and children by 10% over a year period. The main focus will be to use physical activities as a tool to correcting the energy imbalance between consumption of food and its expenditure on a daily basis. The objective is that within six months there will be 80% compliance in the number of children who completes at least 30 minutes walk within five days in a week with their parent in the form provided and a reduction of at least 5 kg in six months for their parents as indicated on the recording sheets. The campaign strategy is on educating both the parents and primary school children on the impact of improved physical activities. This will be achieved through a 5 minutes presentation during assemblies on the importance of physical activities and its reduction in chronic diseases incidence. A form that provides the options of start up weight and a six months comparison will be provided along with indications of minutes walked by day and equipment used in achieving an improved physical activity. The kids are expected to appeal to their parents on a daily basis with the slogan “Walk beside me and stay healthy for me” meaning the more we walk together the healthier the parents and the children will be. The health promotion will be designed to be compelling and emotional, building on the natural love between parents and their children to improve compliance to the request of their children to walk to school on a regular basis.

    

    

   Health Promotion Prevention Management Perspective

   McMurray and Clendon (2015) describe the primary health promotion perspective to be structured towards the reduction in the incidence and prevention of ill health among the population. This health promotion campaign will adopt this primary health prevention model in the delivering of the message to promote physical activity in the community and reduce sedentary lifestyle. This approach aims to reduce overweight and obesity percentage in the Mickleham Suburb and as an aftermath prevent the occurrences of cardiovascular diseases and associated health problems with these risk factors. However, the health promotion does have a tertiary outlook to it. With individuals already dealing with outcomes of overweight and obesity like high cholesterol and hypertension, improved physical activities will enhance the management of this disease and minimise complications and optimise functionality. The purpose of this health promotion is to empower both parents and children within this setting to have increased control over their health and to actively participate in improving their health and wellbeing. While the health promotion is structured toward evoking strong emotions between parents and children toward health, the danger do like in the children being emotional distressed and having a distorted view that improved physical activities can stop all ailments. Hence, a strong emphasis will be place on physical activities as one of the influencing factors to managing obesity and overweight with other factors like healthy eating, moderation in alcohol consumption, and cessation of smoking to be pivotal in maintaining overall health.

    

   Stakeholders and Community Consultation Involved

   The stakeholders that will be directly involved in the successful implementation of the health promotion program will be the principals of the primary schools in Mickleham, the teachers of the schools and the Hume City Council.  The Parents of the school children will be involved and educated on the goals and objectives of the program. The funding required for printing out leaflets, recording cards and posters will be requested from the Hume City Council as part of the community health and wellness program designed to improve the health and well being of Mickleham’s residents. Furthermore, a vital force in the success of this program will be the school children. It is expected that the provision of tailored information and the structuring of the program to be a fun-filled health promotion program will stir up full participation by the school children.

    

   Health Message

   The catch phrase that will be the centre of the health promotion program is “Walk beside me and stay healthy for me” .The first part of Walk beside me creates a clear message that the cornerstone of the program is improved physical activity through walking. The implication of the imbalance between energy intake and energy consumption as the basis for being overweight and obese will depicted in the flyers and posters. The last phrase of “stay health for me” intends to be the emotional tie that will be used by the school children to appeal to their parents that if they want a longer and healthier life then they must walk with them on a regular basis to keep overweight and obese at bay. Another angle will be if parents or children are currently overweight or obese walking will support shedding those weight and improving their health outcomes. The heart and its influence on cardiovascular diseases will be depicted in the leaflets and posters and how being overweight and obese can compromise their health. The flyers will also have pictures of various equipments that the students can use to make the walking fun-filled.

   Health Promotion Activity

   This educational approach to health promotion involves educating the school children on the need to actively engage in physical activities and to also include their parents as a means of keeping the whole family unit well and healthy.  The activities will involve having a meeting with the management of these schools and discussing with them the goals and objectives of the program as well as strategies to ensure it is effective. A once in the month 5 minutes sections for the classes will be proposed to the management team. During this section the students will be educated on the benefits of physical activity and the risk factors that overweight and obesity presents to our hearts. I will be coordinating this section myself and an assembly section awareness campaign will be proposed to the schools to ensure the parents are informed of the current project and the need to comply with the request of their children. Flyers will be distributed to the students to take home to their parents and also a form will be provided to record the minutes walked by the students and to record the Kilogram lost by parents as a result of the program biannually. An incentive award will be proposed for the schools for the highest recorded kilometres for the kids. Hume City Council will be requested to be actively involved in the program by including it in their website and providing gifts for the term awards to the students. The council will be requested to include health promotion program in the community hub newspaper to further ensure comprehensive community awareness is generated for the program.

    

   Health Promotion Evaluation

   This program will be evaluated through the monthly recording form provided for the students to record their walks and the Kilogram lost by Parents. The teachers will be asked to provide support in reviewing these forms to measure the compliance and participation of the students and their parents. Students found to be struggling will be provided positive encouragement and reassurance on the need to keep putting in an effort to increase physical activities.

    

   Conclusion

   Overweight and Obesity are significant risk factors for cardiovascular diseases and also chronic diseases. It presents a huge financial burden to the Australian economy and impacts the health and wellbeing of the community. The decline in Hume Area physical activities as compared to a Victorian statistics presents a peculiar problem within the communities within this area. The health promotion program of “Walk beside me and stay healthy for me” will provide a strategic approach to combating sedentary lifestyles in the Mickleham community. The goal is to improve both primary schools aged children and their parents’ physical activities through walking. The anticipated response is that the parents of the children will comply with the demands by their kids on finding ways to improve their physical activities either through scooter, bicycles rides or walking to school. With Parents and students making a conscientious effort to improve their physical activities it is expected that the risk associated with overweight and obesity can be minimised.

    

   References

   Australian Bureau of Statistics (2016). 2016 Census QuickStats. Retrieved from  . http://quickstats.censusdata.abs.gov.au/census_services/getproduct/census/2016/quickstat/SSC21664

   Australia Institute of Health and Welfare.(2018).  Overweight and obesity. Retrieved from https://www.aihw.gov.au/getmedia/4b395076-f554-4818-9150-64ffe2fc3039/aihw-aus-221-chapter-4-10.pdf.aspx

   Australian Institute of Health and Welfare. (2017). An interactive insight into overweight and obesity in Australia. Retrieved from https://www.aihw.gov.au/reports/overweight-obesity/interactive-insight-into-overweight-and-obesity/contents/how-many-people-are-overweight-or-obese

   Better Health Channel. (2015). Obesity. Retrieved from https://www.betterhealth.vic.gov.au/health/healthyliving/obesity

   Dankel, S., Loenneke, J., & Loprinzi, P. (2015). The impact of overweight/obesity duration on the association between physical activity and cardiovascular disease risk: An application of the “fat but fit” paradigm. International Journal of Cardiology,201, 88. Retrieved from  https://cdu-edu-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_gale_ofa433851854&context=PC&vid=61CDU&search_scope=default_scope&tab=default_tab&lang=en_US

   Fleming, M., & Parker, E. (2015). Introduction to public health (3rd ed.). Chatswood, NSW: Elsevier Australia.

   Fox, K., & Hillsdon, M. (2007). Physical activity and obesity. Obesity Reviews, 8(S1), 115-121. doi-org.ezproxy.cdu.edu.au/10.1111/j.1467-789X.2007.00329.x

   Hume City Council (2017). Health and wellbeing plan 2013 – 2017. Retrieved from http://www.hume.vic.gov.au/files/a2f5d8cb-be13-4964-8e1e-a29700e60367/Hume_Health_and_Wellbeing_Plan_2013-2017.pdf

   Kim, S., Després, J., & Koh, K. (2016). Obesity and cardiovascular disease: Friend or foe? European Heart Journal, 37(48), 3560-3568.Retrieved from https://cdu-edu-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_oxford10.1093/eurheartj/ehv509&context=PC&vid=61CDU&search_scope=default_scope&tab=default_tab&lang=en_US

   Lavie, C. J., Mcauley, P. A., Church, T. S., Milani, R. V., & Blair. S. N. (2014). Obesity and Cardiovascular Diseases: Implications Regarding Fitness, Fatness, and Severity in the Obesity Paradox: Implications Regarding Fitness, Fatness, and Severity in the Obesity Paradox. Journal of the American College of Cardiology, 63(14), 1345-1354. doi.org/10.1016/j.jacc.2014.01.022

   McMurray, A., & Clendon, J. (2015). Community health and wellness: Primary health care in practice (5^thed.) Chatswood, NSW: Elsevier Australia.

   Morton, K. (2013). Implementing evidence-based health promotion strategies. Nursing Standard, 27(33), 35-42.Retrieved from http://web.a.ebscohost.com.ezproxy.cdu.edu.au/ehost/pdfviewer/pdfviewer?vid=1&sid=eb06eaad-022e-40d4-bf04-9ca81b46b919%40sessionmgr4007

   PricewaterhouseCoopers. (2015). Weighing the cost of obesity: A case for Action. Retrieved from https://www.pwc.com.au/pdf/weighing-the-cost-of-obesity-final.pdf

   The Department of Health.(2017). Australia’s physical activity and sedentary behaviour guidelines. Retrieved from http://www.health.gov.au/internet/main/publishing.nsf/content/health-pubhlth-strateg-phys-act-guidelines

    

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