Meet Maristela, the Brazilian mother of 5 children*

• Busy mother of 5 children living in rural Brazil (Northeast)
• Illiterate with minimal access to health information

o Main points of contact include children’s school, local healthcare center, local market

• Responsible for key health-related decisions within the household
• Recently concerned about Kalazar, a parasite disease carried by sand-flies/ intermediate vectors (e.g. domestic animals)

o Two of her children’s playmates recently died of kalazar (also know as visceral leishmaniasis)

o Diagnosis was missed on first visit to healthcare center; low recognition of key symptoms among health care providers; parents do not know enough about the disease to suggest that physicians/healthcare providers consider it as a potential diagnosis

o Second visit to healthcare center was just too late

o Closest healthcare center is several miles from Maristela’s rural village; transportation problems may delay care

• Feeling powerless and scared for her own children; yet, most people in the village have a fatalistic attitude toward health and illness
• Confused about how Kalazar is contracted, how to suspect it, how to recognize early symptoms, what to do if she does suspect it
• In her village, most communication/news take place via word-of-mouth, radio, and meetings at local religious meetings, markets, etc. A few people have access to television. Schools and health centers have access to the Internet.

Note: Kalazar presents vague symptoms such as fever, weight loss, fatigue, loss of appetite, and an enlarged spleen and liver (CDC, 2006) — also known as “potbelly”. The disease is endemic in the Northeastern region of Brazil and is primarily found in rural areas. The disease has a high mortality rate among children less than five years of age. Treatment is available and effective if administered not too late after the disease’s onset.

Based on the above information and on the definition/examples provided in your book (Schiavo, R. Health Communication: From Theory to Practice. Second Edition. San Francisco: Jossey-Bass, an imprint of Wiley, 2013) 1) Develop the following elements of a potential health communication program intended to engage Maristela and her peers (Brazilian parents of young children who live in rural areas):

• Overall program goal
• One behavioral objective in support of the overall program’s goal
• Two communication objectives in support of the behavioral objective
• One communication strategy that you think would help achieve your behavioral and communication objectives
• Two core messages for Maristela and her peers (please make sure your messages address the most prominent issues that emerged from the above profile and execute your communication objectives and strategies)
• Key progress and outcome indicators (at least one progress and one outcome indicator) to take into account as part of your evaluation plan

Your paper should be 1- 2 pages, double-spaced, and follow APA 7th edition formatting. You will include the primary NCHEC Area of Responsibility and Competencies you are addressing in this assignment as a separate paragraph. Discuss the areas you are practicing for this assignment and the specific competency(ies) you are utilizing. Discuss the importance of these competencies as it relates to the profession of public health. Make sure all program elements are connected (and supportive of each other) and take into account the information (situation- and audience-specific facts) shared in this handout 2) Use one or two sentences to describe how you will make sure that your messages and activities (a) are culturally competent and (b) adequately address the needs of low health literacy groups such as Maristela and her peers (indicate specific activities or methods). What kind of media channels will you consider to reach Maristela and her peers?

Read chapters 18 and 19 of the class textbooks and review the PowerPoint presentations located in the PowerPoint folder. Once done answer the following questions.

1. Identified and explain situations that make populations underserved and apply the recommendations from Healthy People 2020 initiatives to meet individual, family, and population health needs.

2. Are there legal obligations that you can identify in relation to rural, correctional, LGBTQ, or homeless health? Give specific examples and what your resource would be to address these issues.

3.  Explain the different types of disasters and how they may vary, the primary goal of simulation in disaster preparedness and the phases involved in disaster planning

A minimum of 3 evidence-based references no older than 5 years must be used 

APA format (intext citations and references)

800 words

Plagiarism FREE

Choose a topic related to health that has meaning to your personal  health, interests, and well-being. This may be a disease, such as  diabetes, or a healthy fitness activity.

Conduct a database search comparing one of the following database directories with Google Scholar.

• CINAHL and Google Scholar
• PubMed and Google Scholar

Explain how you were able to narrow down the number of article hits  you had initially, and present within your post a summary of the  credible article you chose as your resource. How do you know your  article choice is credible? Which database do you prefer and why?

How will using a database search facilitate your:

• scholarly work;
• nursing work (evidence-based practice); and
• personal self-development?

Scholarly Activities

This document describes the scholarly activity elements that should be included in a five paragraph summary. You may use this resource to help guide the preparation of the Scholarly Activities assignment, due in Topic 10.

Overview 

This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you.

Problem 

This section consists of either a short narrative or a list of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate: What is the current state of the activity topic? Explain why this is a problem, and for whom is it a problem? Inspire: What could a nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more. 

Solution 

This section consists of either a short paragraph or a list of bullet points that concisely describes the solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section. 

Opportunity 

This section consists of short paragraphs that define the opportunity that the scholarly activity is designed to capture. It is important to cover the objectives and goals that were met. How will attending/participating in this scholarly activity help you grow as a nurse?

Program Competencies Addressed

This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP.

To Prepare for the Discussion:

• Review the Learning Resources.
• Select one of the following topics for the Discussion:
• • Adoption
  • Foster care
  • Gender dysphoria
  • Forensic issues
  • Impact of terrorism on children

Post:

• Write your selected disorder in the subject line of your Discussion post.

• Explain the psychological issues that may result from your topic.

• Describe the most effective assessment measure that could be used, and explain why you selected this.

• Explain the treatment options available for children and adolescents involved with your selected disorder.

• Explain how culture may influence treatment.

 Provide a minimum of three academic references. Including Introduction and Conclusion