Tuesday, April 2, 2019
Community Development And Health Inequalities Health And Social Care Essay
Community Development And wellness Inequalities Health And Social C be EssayTo rede the role of lodge learning as a potential scheme for addressing wellness inequalities, this demonstrate aims to provide a discussion of the extent of wellness inequalities in the association in the UK. The nature and outdo of these issues, the different causes of the indifferences, it volition in addition timber at how company phylogeny will work and how it could back up work to the policy goal to descend the wellness divide. It will look at the different issues concerning such a leap out and whether it will prove triumphful. make on from the idea of wellness inequalities creation linked to accessible class, this segment illustrates other rationalisations as to this difference and some clarification as to why this might be. Health inequalities by and large ar calculated by socio-economic groups however thither whitethornbe other explanations for these differences. thither be reasons to see ethnicity make a differences to wellness inequalities, it is stated in the Health Inequalities give out 2008-9 that in April 2001 Pakistani and Bangladeshi men and women inform the highest rates of twain poor health and limiting long term illnesses whereas the Chinese reported the measlyest. This is an alternative to the explanation of the socio-economic difference nevertheless in that respect atomic number 18 likewise other justifications. at that place argon in any case claims that on that point argon sexual urge inequalities which exist The Mens Health Forum argue that mens life expectancy is much severely affected by deprivation than that of women (House of Common 2009), men atomic number 18 more liable(predicate) to commit suicide, suffer from obesity and twice as likely to be diagnosed with and die of give the axecer. on that point is also speculation that in that location is health inequalities amid the young and old as the old dumbfound p oorer treatment and admit less access to certain procedures found in the 2008-9 Health Inequalities report. There atomic number 18 also those who are suffering from bodily and mental impairments with poorer health outcomes than other take offs of society in that locationfore they are more likely to suffer from terminal illnesses and coronary heart indisposition (House of Common 2009). The report has also found that health outcomes also pull up stakes according to geographical area thus those living in a deprived area are more likely to suffer from worse health problems than those in a more affluent area.To further understand health inequalities this section explores the causes of these, such as access to healthcare (House of commonness 2009). There are a plethora of causes why individuals cigaret non get access to the necessary health care and treatment. The most induce concern is about access related to age-related inequalities (House of Commons 2009). There are howeve r arguments refuting this, there are other mitigating factors. There are a wide spectrum of lifestyle choices which further contribute to the inequalities in the populace, included amongst these are smoking, nutrition, exercising and weight (House of Commons 2009). Individuals who are over-weight or given to tumescent habits such as excessive drinking and smoking may demo an increased reluctance to access medical treatment, resulting in a declivity of health and a widening chasm of health inequalities.It is argued that the lifestyle factors which lead to health inequalities drive an underlying socio-economic origin. It is purported that causes of health inequalities reflect what are frequently referred to as the underlying causes-income, socio-economic group, employment status and directional attainment (House of Commons 2009). There is a correlation between education and income in relation to the health inequalities. The lower d have got in the socio-economic hierarchy you ar e, the higher the probability of health inequalities. There is also a widening gap between poorness and housing according to the Heath Inequalities report (2009), those of the low socio-economic group are more likely to have a demonstrable income therefore they are more likely to live in poor housing which in effect leaves them vulnerable to illnesses such as asthma due to dampness. There are many different aspects which maybe the cause of health inequalities in the population however there are disagreements with some of these findings such as the link between socio-economic inequalities and health inequalities (House of Commons 2009). According to a recent publication in Health Economics there is not substantial evidence to say there is an association between socio-economic inequalities and health inequalities. There are no direct links but it is assumed that this is a factor in health inequalities and there is not much that rotter be d unrivalled about this, however lifestyle factors play a with child(p) role in health inequalities in the population which locoweed be assistanted to improve these inequalities.Community ripening is a way forward, this is one way in which health inequalities finish be reduced in the population in the UK. Community maturement is a set up where communities can amplify their power and efficiency to improve association life, by getting batch to recognise and develop their ability and potential and swot up themselves to serve to problems and needs which they share ( Scottish Community phylogeny Centre 2010). This would think up the fraternity is in control they are able to participate in public decision do and governances (Community increment Foundation 2009) as a result they are able to improve their environment for the reveal which gives them better control in the long run. By using the bottom-up meets top-down approach by dint of capacity arming the community members are being used to improve the health ineq ualities of the surrounding areas. In doing so the communities are being appoint as well as individuals being ego empowered consequently the community are more likely to respond than they are if a stranger such as a health professional came in and told the community what they are doing wrong and what needs to be done they have shared values and norms, mutual although not ineluctably equal influence, common interests, and commitment to meeting shared needs (1998). by dint of this approach communities identify and build on strengths, resources, and relationships that exist within communities of personal identity to address their communal health concerns (1998), and do not experience jeopardize or belittled by health professionals and they are taking the possible action to recognise what they themselves are doing wrong or lacking and how this can be make better. Community education means there is not a victim blame approach so no one is construction a person is obese due to th eir eating habits and lack of exercise it is fine-looking the communities the opportunity to voice their opinions as well as giving health professionals the chance to build rapport with the community.Building on from that, the Scottish Community development Centre (2010) have found that Community development allows communities to plan and have positive prospects for the future as well as creating wealth and giving every member of the community access to its benefits. This would help reduce health inequalities significantly, the community can come together and aspect as one and take care of one another which facilitates a safe environment. Through this people are able to develop their skills, reduce isolation by involving everyone as well as creating social networks and building relationships characterized by trust, cooperation and mutual commitment and mediating (1998) with other communities and agencies that affect their community. Community development can prove to be very succ eederful, as an individual a person can be deprived, isolated, intimidated whereas part of a community a person can be rest assured there will always be others, they benefit from community health and feel part of a community by a sense of naming and emotional connection to other members (1998), working together to reduce health inequalities and taking control to help maintain their achievements.It is hard to measure the success of community development as this would have to be looked at eccentric by case however there are success stories such as the March 2010 Rural Community Programme in the northwesterly (Northwest Regional Development Agency 2010). The Northwest have strengthened their countryfied communities and in 3 years have resulted in 57 social enterprises being supported across a range of services including health (Northwest Regional Development Agency 2010). By empowering the community they have made a huge accomplishment, together they have reduced health inequalitie s through providing services therefore there is ease of access. This is a huge success for community development this evidence shows that community development strategies can be used to help reduce health inequalities.Community development can be triumphant by setting up projects in different communities the government can reduce health inequalities in doing so they are reducing numbers of inequalities of health in the population. This can help the NHS if there is less health problems there will be less intake in the NHS and the government save money which they authorise in the NHS to help improve their services. Community development allows capacity building for those communities with lack of education and skills this could be life changing as it allows them to build on their own capacities and improve their lives. Communities come together and become a family. Communities are empowered and as a result voice their opinions and help to decide on policies that put in place, Council s provide local anesthetic leadership. They know their patch, they bring local knowledge and can help bring people together to partitioning the silos that bedevil public bodies (Local Government 2010) this way theses policies are more likely to be successful as they are from the community therefore they are more relevant and money is not wasted in making policies and having to make changes so they meet the needs of communities.Communities learn how to work with others and build relationships and partnerships with other communities and institutions primary care trusts, voluntary sector bodies and local businesses are proving key partners for many of the projects (Local Government 2010). This helps with financial support as there is sponsorship attack from different places rather than just from government making it easier on them. With sustenance from outside deprived communities could become wealthier and the widening gap between the socio-economic groups would reduction and the re would be significant improvements in the health inequalities in communities. just there is a lack of evidence in some community development projects there is a well recognised gap between research findings and the implementation of evidence based prevention strategies in community settings (McGinnis and Foege, 2000). If there is no evidence of success within community development projects the government will be reluctant to invest money into the project which would discourage communities from taking part, which inevitably means the community development strategy will prove to be in trenchant. If this were the case then health inequalities would not be resolved and communities will still be deprived. There is also the finance side of this strategy a project like this can be expensive if government feel its not cost effective there would be limited or no funding available. As this would be new the community and there is no guarantee it will be victorious the community will be disin clined to invest there clock or money in the project. Even if there were funding available there is always the chance that communities will chose not to take part, there will also be communities where only part of the community want to get involved therefore would not be as beneficial as possible.There is a chance these strategies may not meet community needs (Green and Mercer, 2001). If a community development strategy is set up in place but does not meet the communities need it would a waste of time and money. Community development needs to be developed around the members of the community, if the project is too multilateral for the members of the community they will not want to part take or findings could be misleading therefore the project will fail the low level of individual participation rates in studies that recruited from a substitute targeted population raises questions about generalisability (uel.co.uk, 2010). There would be insufficient research and findings can be mis represented. The programme needs to be designed around the community and their capabilities. Another issue could be inadequate resources whether that is down to funding or geographical area and such, without resources the community development would be futile.To conclude, this essay has analysed 4 key ideas, Firstly it has discussed the extent of health inequalities in the population, the nature and scale of these inequalities. Secondly it has discussed some of the causes for these health inequalities. The third area was the community development and its potential as a strategy to reduce health inequalities. lastly this essay discussed the how community development would make a useful part to the policy goal to reduce the health divide.The idea of community development sounds good, many communities would benefit from such projects, this would help change many health inequalities and recent health issues wouldnt be such an issue. There would not so much pressure on the government t o do put furnish in place to reduce health problems such as obesity. If there was a community development project based around obesity, people would learn about the benefits of eating well-grounded and exercising and how to prepare healthy nutritious food on a budget. This would save the NHS millions if the number of obesity related treatments were reduced significantly. Evidence illustrates community development would be a huge success in reducing health inequalities and improving communities.In relation to community development it can be seen that projects can be effective however based on the evidence this not necessarily cost effective, there are no guarantees and even if there is funding there is no assurance the community development will be maintained. There are too many risks involved the situation would have to be assessed very carefully and a lot of planning would have to go into the project. This is not ideal for all aspects of health inequalities there is also the iss ue of insufficient findings or misleading results. Unless there is a big chance of success there is no use of wasting time and resources.
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