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NRSG371: Building Healthy Communities Tutorial 1 In recognition of Aboriginal and Torres Strait Islander peoples’ deep spiritual connection to Country, and in continuing ACU’s commitment to reconciliation, we would like to acknowledge and pay our respects to the First Peoples, the Traditional Custodians of the lands and waterways where ACU campuses are located. We respectfully acknowledge our Elders past and present and remember that they have passed on their wisdom to us in various ways. Let us hold this in trust as we work and serve our communities. Learning Objectives By the end of this tutorial, you will be expected to: 1. Describe roles of the nursing working in primary health care 2. Identify the difference between communities & populations and discuss key characteristics of both 3. Relate pivotal points in the development of building healthy communities, primary health care and health promotion and their significance to the case studies: a. Alma Ata b. Ottawa Charter c. Declaration of Astana 4. Discuss the significance of community & demographic factors on childhood obesity and implications for future health care outcomes 5. Identify and discuss the significance of domestic and family violence in our communities Image sourced from: https://www.health.gov.au/sites/default/files/documents/2021/12/na tional-preventive-health-strategy-2021-2030_1.pdf Activity 1a: Nurse Interview Meet: Danielle Holloway, QLD State Clinical Nurse Coordinator for Partnered health • Broad Activity 1b: Defining communities • Narrow • Informal • Relational • Underserved Image sourced from: Health Action Council - Healthy Communities Where Business Thrives Activity 1b:cont. Populations How do we define populations? Activity 2a: Angelo: case study Angelo Michael Lloyd is a 10-year-old boy living in the northern suburbs of Canberra. Angelo is in year 4 at the local school. Let’s consider the community and demographic factors of Angelo’s case study and how these may be impacting his health & well-being: 1. Socioeconomic status 2. Neighborhood safety 3. Accessibility of recreational activities 4. Work demands 5. Accessibility of convenience foods and restaurants Image sourced from: Preventing childhood obesity: what works? | International Journal of Obesity (nature.com) Activity 2b: Angelo: case study Angelo Michael Lloyd is a 10-year-old boy living in the northern suburbs of Canberra. Angelo is in year 4 at the local school. Let’s consider: After listening to Danielle’s interview (parts of) how do you think a general practice nurse could assist Angelo and his family? Image sourced from: The Role Of Nurses In Treating Childhood Obesity (carlow.edu) Activity 3a: Charlotte: case study Key points This survey Personal Safety, Australia, 2021-22 financial year | Australian Bureau of Statistics (abs.gov.au) collected information from persons aged 18 years and over about the nature and extent of their experiences of violence, including detailed information about experiences of: For this activity – each group is to choose one of these points and report back on the details within the survey. • physical and sexual violence • violence, emotional abuse, and economic abuse by a cohabiting partner • stalking • sexual harassment • childhood abuse and witnessing parental violence before the age of 15 Image sourced from: Family Violence resources | VincentCare Activity 3b: Charlotte: case study A community profile is a comprehensive ‘picture’ of the known, observable features of the community described. This may be generated in written, diagrammatic, visual or other forms. In this way the strengths and needs of the community may begin to be identified. In this activity you will explore community profiles by researching Charlotte’s suburb of Point Piper. • Explore the Community Profiles webpage which has information about the types of community profiles carried out by the ABS and some background about each. Links to the census and other resources are also available on the page. Other links: • https://maps.abs.gov.au/index.html • https://www.ecq.qld.gov.au/electoral-boundaries/local-government-areaboundaries Image sourced from: Family Violence resources | VincentCare Check your understanding of key concepts from this week! NRSG371 2023 Semester 2 National: Week 1 - Test your knowledge (acu.edu.au) Image sourced from: Tips for Better Learning: Test Your Knowledge! - KnowledgeOne Preparation for next week! NRSG371 2023 Semester 2 National: NRSG371 module two preparation - Primary Health Care (acu.edu.au) Image sourced from: Tips for Better Learning: Test Your Knowledge! - KnowledgeOne
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Part A: Food Insecurity and Health Issues
Food insecurity is a significant societal issue in Somalia, a country in the Horn of Africa.
Several factors contribute to the prevalence of food insecurity in Somalia. Initially, prolonged
conflict and political instability have disrupted agricultural activities, displaced communities, and
hindered access to essential resources. Internal displacement and refugee crises create
humanitarian challenges, including limited healthcare, sanitation, and clean water access (Breit
& Ortelli, 2022). Concurrent violence makes it difficult for farmers to cultivate their lands and
for people to access markets and trade freely. Somalia is highly vulnerable to climate change,
experiencing recurrent droughts and erratic rainfall patterns. Climate change has led to the
depletion of water sources, desertification, and decreased agricultural productivity, impacting
food availability (Bryant et al., 2023). In Somalia, between April and June 2023, there are likely
high levels of acute food insecurity for approximately 6.6 million people, according to the United
Nations (United Nations, 2022). Many Somalis lack access to arable land, modern farming
techniques, and adequate water supplies. Traditional farming methods are often insufficient to
cope with the changing climate, leading to poor yields and food shortages. Livestock loss in
livestock farming is a primary livelihood for many Somalis. Droughts and lack of water have led
to significant livestock losses, affecting pastoralist communities' food and economic security.
Aside from one government hospital in the capital, Mogadishu, people often have to seek
health care at a private health facility and pay out of their pockets for treatment. Consequently,
child and maternal mortality are high among people who cannot afford these services.
Economically, high levels of poverty and unemployment limit people's purchasing power,
making it difficult for families to afford food and other essential items. Economic instability
exacerbates food insecurity, especially among vulnerable populations (Callister, 2023).

Humanitarian organisations face challenges accessing vulnerable populations due to security
concerns and logistical constraints (Somalia Humanitarian Needs Overview, 2023). This can
impede the delivery of aid to those in need. Somalia lacks adequate infrastructure, including
roads and storage facilities, which hampers the transportation and storage of food supplies (UN
Humanitarian, 2022). Limited infrastructure also affects the country's overall economic
development. Widespread malnutrition, particularly among children and pregnant women, is a
severe issue in Somalia (Mohamed, 2023). Malnourished individuals are more susceptible to
diseases, further worsening the overall health situation in the country.
Poor health outcomes equate to different societal issues in Somalia. There is a high
incidence of maternal and child mortality rates. Limited access to maternal and child healthcare
services contributes to high maternal and child mortality rates. Complications during childbirth
and preventable diseases are significant causes of mortality. Somalia experiences high rates of...

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