Community Needs Assessment-Cancer in Atlanta

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Question Description

Throughout the course, you have been developing your Community Needs Assessment. For your Final Project, submit the items below. Be sure to incorporate the feedback provided by your Instructors and your colleagues. Also, provide headings that separate and define the different sections of the assignment.

Your Final Project will include the following (10–12 pages)

  • Introduction
  • Initiative Proposal
  • Summarize in paragraph form key relevant information from your Data Analysis (do not submit the worksheets)
  • SWOT Analysis (Week 6)
    • Do not submit your Power Point Presentation.
    • Instead, include a two-page summary of your PowerPoint that identifies the Strengths, Weaknesses, Opportunities, and Threats of your project.
  • Program Evaluation (Week 8)
    • Make sure your paper flows without repeating sections
  • Community Partnerships
  • Social Change
    • Explain in 1-2 pages how you would plan to measure social change. For example, would you track the outcomes or the overall process?
  • Conclusion
  • References

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Submitted by:      Cancer is the second leading cause of death in the US. It is estimated that the disease will be the leading cause of death in the US by 2020. 1.5 million people are diagnosed with the disease every year, a third of which die. Atlanta has a similar demographic outlook like the greater US. Population under the age of 5, ethnic background, education levels and income levels among many other factors are replicated in Atlanta as it is in the US.  The plan’s main objectives are: To accurately describe the demographic outlook of Atlanta in comparison to the entire US. ❖ To discuss emerging and current population issues, trends and overall concerns. To fully explore the impact and extent of the spread of cancer in the US. ❖ ❖  These objectives will be mainly achieved by: ❖ Visiting the city and conducting active qualitative and quantitative analysis ❖ Conducting further research via secondary sources,.    The qualitative and quantitative research methods will give a realistic data on the actual situation on the ground. The secondary data research would inform on what to expect during the study. Analyzing real people that are affected by cancer increases the chance of developing adequate, real-life socially acceptable mitigation efforts as compared to just pure scientific research.     The executors of the research may be blinded by bias and prejudices. Atlanta’s population may be too big to be explored in one assessment activity. The assessment plan is too general (different forms of cancer and an extremely diverse population). The activity might be expensive and time consuming.    The main opportunities presented by the assessment plan is a chance to explore socio-economic factors affecting a population regarding cancer. It offers an opportunity to explore how (or if) the LGBT community is affected by the spread of the disease. It offers an opportunity to explore the community’s opinion, perceptions (or misconceptions) regarding cancer.    Inadequate and unreliable secondary data sources. Bias and prejudice by people executing the plan. The possibility of inadequate resources to effectively travel to Atlanta and execute the plan.     Nutrition, exercise, substance abuse, sufficient sleep and general lifestyle choices impact the spread of cancer. Poor communities are mostly affected by substance abuse and poor diet, which may increase their cancer prevalence rates. Limited access to healthcare may also increase cancer prevalence rates among poor communities. Wealthy or otherwise middle class communities may also be affected by trends of over indulgence which may increase prevalence of the same.  ❖  The direct financial consequences include: Cost of conducting the assessment, travelling, conducting interviews and the like. ❖ Cost of raising awareness on the need to live healthcare lifestyles among the Atlanta population. The indirect financial consequences include: ❖ Increased expenditure on cancer screening and diagnosis avenues. ❖ Increased spending on healthier food as opposed to substance abuse.      Center for disease control (2018). Retrieved from: https://www.cdc.gov/ nchs/pressroom/states/ georgia/georgia.htm Frey, W. H. (2018). Diversity explosion: How new racial demographics are remaking America. Brookings Institution Press. Hannah Nichols (2017). The top 10 leading causes of death in the United States. Retrieved from: https://www.medicalnewstoday.com/articles/282929.php Informplease (2018). Demographic Statistics for Atlanta, Georgia. Retrieved from: https://www.infoplease.com/us/georgia/demographicstatistics-2 Stonehouse, D. (2018). SWOT: what is it all about and how do you use it?. British Journal Of Healthcare Assistants, 12(12), 617619. doi: 10.12968/bjha.2018.12.12.617 Running head: ATLANTA CITY DEMOGRAPHICS Atlanta City Demographics Darren Floyd December 16, 2018 1 2 ATLANTA CITY DEMOGRAPHICS SECTION 1: Data Collection Demographic related data Indicators Data for Atlanta 416,474 Data for US 328,953,02 0 Population under the age of 5 26,666 (6.4 percent). 19,175,798 (6.8 percent). Population over the age of 65 40535 (9.4 percent). 51, 055, 052 (15 percent) Population of male and female Ethnic background s 416,474 328,953,02 0 6 6 Overall population of area of focus Data source Informplease (2018). Demographic Statistics for Atlanta, Georgia. Retrieved from: https://www.infoplease.com/us/georgia / demographic-statistics-2 Sampling notes The population of Atlanta is a fraction of the entire US population. 6.4 percent of Atlanta population is under 5 years compared to 6.8 percent in US. US nation has more senior population (15 percent) compared to Atlanta City (9.4 percent). Both Atlanta City and 3 ATLANTA CITY DEMOGRAPHICS Percentage of nonnative speaking population/ households 99.8% Education levels 89.9% high school graduate or higher Income levels $53,843 median househol d income About 70.6 percent of the population 87.3% high school graduate or higher $57,652 median income household Informplease (2018). Demographic Statistics for Atlanta, Georgia. Retrieved from: https://www.infoplease.com/us/georgia / demographic-statistics-2 US have the same number of race and ethnic groups such as Whites, AfricanAmericans , Asians, Natives. Atlanta has a higher percentage of nonnative population than the entire US population. Atlanta has a relatively higher proportion of population with high school graduate education and higher. Atlanta City has a lower median household income ($53,843) 4 ATLANTA CITY DEMOGRAPHICS than the nation’s median income of $57 652. Health Related Data Indicators Life expectancy mortality Infant mortality Data for Data Atlanta for US 77.4 80 years 7.8 (by 2015) Data source Sampling notes Frey, W. H. (2018). Diversity explosion: How new racial demographics are remaking America. Brookings Institution Press. The data shows that expectancy mortality is higher in US than in Atlanta. Health condition in the whole of US makes it more likely for people to live long lives than in Atlanta. Infant mortality rate is higher in Atlanta than in the US. This means there are more deaths of infants below the age of ne year in Atlanta than the overall mortality on US nation. 5.8 (by 2015) SECTION 2: Proposal Outline Comparison of Atlanta with US United States has a diverse population of different ethnic and racial groups, which can be found in Atlanta City. These groups include Whites (non-Hispanics), Hispanics (not including black and Asian Hispanics, Asians (including Hispanic Asians), Mixed (non-Hispanics mixed race), Native Indians and Other groups. Unites States has a higher population of minor under 5 ATLANTA CITY DEMOGRAPHICS 5 years (6.8 percent) compared with Atlanta City that has 6.4 percent of its population under 5 years. In addition, 15 percent of US in the entire country are aged over 65 years, compared to Atlanta that has 9.4 percent of senior population. In terms of education achievement, Atlanta city has a relatively higher proportion of population with a high school or graduate education (89.9 %) compared to United States (87.3 percent) nationwide statistics. However, the same cannot be said about income levels. Atlanta falls below the US median income household ($57 652) which is currently at $53 843. Life expectancy is lower (at 77.4%) than in the rest of the nation (at 80 years). Additionally, the data shows that infant mortality in Atlanta city is lower (at 7.8) compared to infant mortality across the nation (5.8). These findings suggest that health conditions are more favorable in the across the nation than in Atlanta city. Atlanta city faces health challenges typical in the United States. The top ten most prevalent diseases appear to be spread across Atlanta and US: Heart diseases, cancer, chronic respiratory complications, Alzheimer disease, diabetes, stroke, pneumonia and chronic respiratory. Septicemia is more common in Atlanta city than in the in US. Cancer Prevalence in Atlanta This research will focus on cancer in Atlanta City and across United States because it is one of the most prevalent diseases and major health concern not only in US, but also all over the world. Cancer is the second leading cause of death and according to the Center for Disease Control and prevention (2018), Cancer will be the leading cause of death in United States by 2020 and it is projected the number of cancer cases will increase to nearly 2 million incidences per year. Cancer is an important health issue because more than 1.5 million people are diagnosed with cancer and over 500 00 die because of the disease. Despite the high prevalence, more than ATLANTA CITY DEMOGRAPHICS 6 half of cancer-caused deaths can be prevented by ensuring healthy lifestyle, sufficient sleep, proper nutrition and physical exercises. Atlanta City Population Atlanta is the most populous city in Georgia and the nation’s 39th most populous city. Atlanta metropolitan area is the ninth largest with 5.6 million people while the urban population has 4.5 million people. The city has been experiencing a significant demographic increase in its white population while the black population has been decreasing partly because of influx of white population from neighborhoods like Old Fourth Ward and movement of Blacks in nearby suburbs. African-Americans are the largest racial group who are concentrated in Northwest, Southwest and southeast Atlanta. The city has one of the highest populations of LGBT per capita ranking behind San Francisco and Seattle: 12.8 percent of the entire population is recognized as gay, bisexual or lesbian. Hispanics are the fastest growing group. Objectives 1. To describe the demography of Atlanta City and compare it with United States 2. To discuss current demographic trends, issues and concerns in Atlanta city. 3. To explore the spread of cancer in Atlanta and its impacts on the city Activities Activities for Objective 1 ATLANTA CITY DEMOGRAPHICS 7 1. Conducting research by exploring literature and other sources that talk about the demography of Atlanta city. 2. Reading online sources and print media for information related to Atlanta city. Activities for Objective 2 1. Visiting the city of Atlanta. 2. Conducting research by exploring literature and other sources that talk about the demography of Atlanta city. Activities for Objective 3 1. Visiting institutions and bodies concerned with provision of quality healthcare and prevention, diagnosis and treatment of cancer. 2. Conducting Interviews with healthcare professionals and cancer patients in Atlanta city to understand the prevalence, causes and prevention measures of cancer. 8 ATLANTA CITY DEMOGRAPHICS References Center for disease control (2018). Retrieved from: https://www.cdc.gov/ nchs/pressroom/states/ georgia/georgia.htm Frey, W. H. (2018). Diversity explosion: How new racial demographics are remaking America. Brookings Institution Press. Hannah Nichols (2017). The top 10 leading causes of death in the United States. Retrieved from: https://www.medicalnewstoday.com/articles/282929.php Informplease (2018). Demographic Statistics for Atlanta, Georgia. Retrieved from: https://www.infoplease.com/us/georgia/demographic-statistics-2 1 Running head: PILOT PROGRAM AND EVALUATION Pilot Program and Evaluation Name: The institution of Affiliation: PILOT PROGRAM AND EVALUATION 2 Description of the proposed program developed in Weeks 3 and 6 Earlier on, I proposed a program that sought to compare Atlanta with the entire United States, with the main objectives of this plan being: • To accurately define the demographic viewpoint of Atlanta and comparing it with the entire U.S • To deliberate on the emerging and current population concerns in the U.S • To explore to the maximum, the impact and scope of the spread of cancer in the U.S The objectives can be achieved by carrying out the following activities: Visiting the site, which is the city itself, to conduct an active qualitative and quantitative analysis • Seeking more information from relevant secondary sources The plan, just like any other, has its strengths and limitations. The factors that add to the weight of the merits of this plan are the fact that the use of both qualitative and quantitative research methods give an almost realistic depiction of the actual situation on the ground. Also, more adequate results can be achieved by analyzing real people affected by cancer. Its weaknesses could arise when the executors practice prejudice and bias. The Atlanta’s massive population may also pose a challenge during the assessment. A variety of opportunities that surfaced as a result of the plan such as the chance to explore the socio-economic factors affecting a population with regards to cancer. It also presents the opportunity to access if or how the LGBT community is impacted by cancer. The PILOT PROGRAM AND EVALUATION 3 plan has, however, had its share of threats that seek to sweep it off its feet. Such are the cases of inadequate and undependable secondary sources. Description of the proposed pilot program The Depiction of a small scale program that will help to determine the feasibility of the final project The pilot program should commence with a smaller sized program that mimics the final greater one. The purpose of this undertaking is to measure and to theoretically determine the ease with which the final program will be carried, along with the conventionality of the activities. In this case, it will involve only a small part of the greater Atlanta city. Given the many estates located within (Hirsh, 2019), the estate of choice will be Buckhead Atlanta. The program is to take no more than a week but should span for at least five days. There should be a systematic progression that will take place from neighborhood to neighborhood. Different teams will take different routes, which implies different neighborhoods, to save on time and avoid possibilities of overlapping or confusion. The choice of specific homes to visit is to be chosen randomly to minimize bias. The survey should begin at 8 am, followed by a short half an hour break at 10 am. Another break will occur at 1 pm for lunch, and at 2 pm all teams should resume up to 4 pm. By this time, it is expected that teams allocated to the small neighborhoods like the Memorial Park and the Brookwood Hills have completely been covered. As for the larger sized hoods like the Sandy Springs, at least a quarter should have been completed. PILOT PROGRAM AND EVALUATION 4 A description of how many participants, staff, volunteers, and organizations will be involved The variety of personnel dictates the success of the program. The staff required for this activity is approximately 70 in number. Among them, there should be about ten medical personnel, who are well conversant with the cancer disease. The rest should divide their duties into those who will record the data acquired, the interviewers who will have a one on one conversation with the people being interrogated, and about eight drivers who will aid in moving around the city. A volunteer population of up to 2,000, or about 400 households, may be sufficient enough, since very few people may not give comprehensive results and outcomes, while too many of them will lead to both time and economic constraints. The organizations that may be of help during the process are such as The Atlanta Regional Office, which is responsible for all data collection, distribution and geographic operations based on the current service area boundaries. A description of the proposed evaluation of the pilot program including the Six Sigma tool to improve the proposed piloted processes The evaluation step of the program is as important as the carrying out of the program itself. It ensures that the whole process is not undertaken in vain. It can be done through the application of the Six Sigma technique. It employs five main principles namely define, measure, analyze, improve and control; which is the DMAIC methodology ("Six Sigma | DMAIC Methodology | Quality-One", 2019). These five phases should be undertaken as shown below. PILOT PROGRAM AND EVALUATION • 5 Define- This is where the system needs to be stated, including what the population under study requires as well as the project goals • Measure- Key aspects of the existing process should be quantified and the relevant data collected. Here, the ‘as-is’ Process Capability is to be calculated. • Analyze- An analysis of the data is crucial for the investigation and verification of cause-and-effect relationships. • Improve- Optimize the present process based on various techniques such as the design of experiments or mistake proofing, which work to create a greater state process in the future. • Control- in the future state process, make sure that previous deviations from the target are corrected. Such can be achieved by implementing control systems like statistical process control and visual workstations. An alternative evaluation process- The use of interviews Conducting interviews could be the another effective and less technical means of conducting an evaluation process. They go a long way in acquiring a large pool of opinions both from the volunteers and the staff. It may compose of open-ended questions such as: • How would you describe the entire efficiency of the process? • Are there any improvements that could be made in the final program? PILOT PROGRAM AND EVALUATION • Was the number of staff sufficient to carry out the activity? • What do you think concerning the timeframe allocated? 6 Description of what other health care organizations and nongovernmental organizations have done to address your initiative Several cancer organizations are based in Georgia. One of them is the American Lung Association in Georgia in the state aimed at improving lung health and prevent the spread of lung cancer. Another one is the American Bladder Cancer Society. It is one of the non-profit organizations that gives online support and provides information on blood cancer. The Breast Cancer Survivors’ network, Inc. It was started by volunteers and is now a non-profit organization that seeks to provide free programs, services, and supplies to the uninsured breast-cancer patients in the Georgian region ("Georgia Cancer Organizations | GCI", 2019). PILOT PROGRAM AND EVALUATION 7 References Website Georgia Cancer Organizations | GCI. (2019). Retrieved from https://www.georgiacancerinfo.org/georgia-cancer-organizations.aspx Website Hirsh, B. (2019). A Map of All Buckhead Neighborhoods - Buckhead. Retrieved from https://www.buckhead.com/a-map-of-all-buckhead-neighborhoods/ Website Six Sigma | DMAIC Methodology | Quality-One. (2019). Retrieved from https://qualityone.com/six-sigma/ Pilot Program and Evaluation Darren Floyd Walden University Dr. Forbes January 19, 2019 Description of the proposed program developed in Weeks 3 and 6 Earlier on, I proposed a program that sought to compare Atlanta with the entire United States, with the main objectives of this plan being: • To accurately define the demographic viewpoint of Atlanta and comparing it with the entire U.S • To deliberate on the emerging and current population concerns in the U.S • To explore to the maximum, the impact and scope of the spread of cancer in the U.S The objectives can be achieved by carrying out the following activities: Visiting the site, which is the city itself, to conduct an active qualitative and quantitative analysis • Seeking more information from relevant secondary sources The plan, just like any other, has its strengths and limitations. The factors that add to the weight o ...
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smithwiliams
School: Cornell University

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Running head: COMMUNITY NEEDS ASSESSMENT-CANCER IN ATLANTA

Community Needs Assessment-Cancer in Atlanta
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COMMUNITY NEEDS ASSESSMENT-CANCER IN ATLANTA
Introduction
During the early 20th Century, the leading causes of death in America were
pneumonia, flu and tuberculosis. Pneumonia and influenza averaged a mortality rate of around
200 people per 100,000 people; tuberculosis averaged around 194 deaths per 100,000 people
while cancer only averaged a mere 60 deaths per 100,000 people. Over one hundred years later,
cancer is the second leading cause of death in America, averaging over 186 deaths per 100,000
people. It is estimated that the disease will surpass heart disease as the leading cause of death in
the US, averaging more than 200 deaths per 100,000 people (Tippet, 2019).
Research into the risk of cancer, with all its horror, reveals changes in lifestyle in
America and the world over. The early 20th century was the period of the Second Industrial
revolution, meaning people were transitioning from the rural lifestyle and adapting to the new
wave of technology and discovery. There were few metropolitan areas in America and even
fewer pungent lifestyle diseases. Fast forward and better technology means more food and
generally greater standards of living. This situation gave rise for obesity, increased use of alcohol
and drugs, more environmental pollutants and other fertile ground for the spread of cancer into
the community pandemic we have today.
To find a solution to the cancer problem, it is important to assess the community
for causes and effects, to match the same with the already available and future cancer treatment
plans. A city like Atlanta is a wide metropolitan area, with a favorable economy and an
environment that may be seen as representative of the greater American population. As will be
proved, Atlanta almost mirrors America on several demographic levels. This assessment seeks to
analyze Atlanta, in terms of its demographic similarities to the United States and attempt to
analyze the town according to the social factors that influence, both positively and negatively,

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COMMUNITY NEEDS ASSESSMENT-CANCER IN ATLANTA
the spread of cancer with the hope of drawing meaningful conclusions that will help in the fight
against the disease.
Initiative Proposal
The proposed initiative seeks to analyze the cancer situation in Atlanta, through
qualitative and quantitative research methods. This initiative seeks to draw from the similarities
between the demographics of Atlanta and the greater United States. The main objectives of this
research are:


Demographic comparison. A comparison is needed between Atlanta and
the US on criteria that circumnavigate vital demographic statistics. This
comparison is the only sure scientific way of painting a clear picture of the
cancer situation in the US.



An analysis of the current and emerging population concerns in the US
and their relations to cancer. A qualitative and quantitative analysis of
cancer in Atlanta would be vital in showing the problem of cancer from a
social perspective, through linking the population problems to the spread
of the disease.



To explore, in its entirety, the scope and impact of cancer in the US. If
Atlanta is taken as a sample representation of the US, at least, as far as
cancer is concerned, it is possible to trace the scope of impact of cancer in
the United States via Atlanta.

The initiative will consist of collecting relevant quantitative and qualitative data
on Atlanta. The quantitative data will mostly consist of secondary sources; on matters such as
demographics, mortality and the socio-economic situation in Atlanta. The qualitative data will

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COMMUNITY NEEDS ASSESSMENT-CANCER IN ATLANTA
essentially consist of primary sources. This section of the initiative will be executed in Atlanta,
via surveys, interviews and questionnaires. This section will be executed in two phases, the first
phase consisting of a pilot program, which will involve only a small sample of Atlanta
(Buckhead) to serve as a research reconnaissance to the second phase. This phase should take
between 5-7 days. The second phase of collecting q...

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Anonymous
awesome work thanks

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