Community Health Strategy

Community Health Strategy

The health of communities is the priority of nurse practitioners. Studying diseases among
different populations and in varied regions improves the understanding of nurses, and therefore
facilitates patient care. Other than attending patients directly, nurses require establishing
strategies that would benefit their communities on health matters.
Studying a particular type of disease in a narrow population could lead to more effective
community health strategies. With such type of a study, nurses can identify issues that could not
have been determined through studies that are too general.

Population, Demographic Area and Disease Identification

The essay explores Sexually Transmitted Infections (STIs) among African Americans residing
within Washington DC. The paper emphasizes on vaginal as well as vulvar infections.
Vulvovaginal Infections and Sexually Transmitted Infections
Among the commonest health hazards striking the female gender are the reproductive tract
infections. Often, infections on either the vagina or the vulva lead to the inflammation of the
respective organ. Women can acquire reproductive system infections either through sexual
intercourse or other means. Common vaginal and vulva infections include those of protozoon,
viral or bacterial origins.
Trichomoniasis, gonorrhea, HIV/AIDS, vaginosis, herpes, chlamydia infection, and syphilis are
just but examples of highly prevalent Sexually Transmitted Infections (STIs). While some
infectious agents limit their damaging effects to the reproductive system, some such as
HIV/AIDS virus extend to other body systems. Different populations face unequal risks to most


of the infections. Among the infections causing vaginal and vulvar inflammation are genital
candidiasis, trichomoniasis as well as vaginosis (Moreira Mascarenhas, Sacramento Cunha
Machado,Borges da Costa e Silva,FernandesWeyll Pimentel, Teixeira Ferreira,Silva Leoni,
&Grassi, 2012, Pg. 1)
Prevalence of STIs among the African Americans in Washington
Brown, Sales, DiClemente, Salazar, Vanable, Carey, and Stanton (2012) reported that African
Americans in general have a disproportionate exposure to STIs (Pg. 1491). Research indicates
that among other STIs, chlamydia infection and gonorrhea are most prevalent, especially among
female adolescents within the African American population (Brow et al., 2012, Pg. 1491). With
Chlamydia, for example, Center for Disease Control and Prevention (CDC) found from research
that cases of the disease are six times higher in black women than they are in their white
counterparts. For the males, as CDC further indicated, occurrence of chlamydia was nine times
higher in the blacks as compared to the whites (2012).
The Importance of Studying Vulvovaginal Infections and Sexually Transmitted Infections

among Black Americans in Washington DC

So many factors necessitate the study of STIs among African Americans. Investigations
are not only important for the African Americans in Washington, but also for those in America at
Background information


Black Americans constitute 4% of the population in Washington DC (United States Census
Bureau, 2015). Owing to their high predisposition to STIs, African Americans are worth special
attention. Again, the varied nature of STIs calls for effective interventions.
Considering their numbers, African Americans are among the minority groups, both in
Washington DC and in the US at large. In most cases, minority groups encounter hardships while
accessing certain services in the community. As such, the minoritiesgroups end up receiving care
of lower value than that enjoyed by the majorities.Financial strains and other barriers among
populations limit their access to health care services.Nijhawan, Chapin, Salloway, Champion,
Roberts and Clark (2012) wrote that for trichomoniasis, for example, lack of quality
gynecological care accounts for high number of cases among minority populations (Pg. 3).
African Americans Face High Risk to a Variety of STIs
A number of findings indicate disproportionality in the predisposition of African
Americans to STIs. Swartzendruber, Sales, Brown, DiClemente and Rose for instance, indicated
that women within the group face higher risk for both HIV/AIDS and trichomonasvaginalis
(2014, Pg. 240). Other infections to which African Americans depict higher predisposition than
normal include gonorrhea, chlamydia and syphilis (CDC, 2012). Owing to the facts and the
current research findings established, it is important to study STIs among African Americans.

Community Based Health Promotional Model

To fight STIs among African Americans, one of the most applicable strategies include the
Community Organization Model of Health Promotion.
Concepts of the Community Organization model


In the model, healthcare practitioners take a central position toward promotion of health in the
community. To implement measures, healthcare workers rely on the community for support and
material resources (US department of Health and Human Services, 2011, Pg. 8). With the
method, healthcare practitioners cooperate with social organizations such as learning institutions
and religious groups to pursue the common goal of health promotion (US Department of Health
and Human Services, 2011, Pg. 8).
Advantages of Using the Community Organization Model
The Community Organization Model allows nurses to associate with the society. Through
the model, nurses and other healthcare professionals can help the community in identifying
problems within their environment. For instance, nurses can sensitize African Americans on their
high predisposition to sexual illnesses. After understanding their situation, people within the
population would take more precautions to protect themselves. The community would also get
involved for the promotion of their own health. It would be easier solving the menace with
optimal involvement of the affected population.
How Community Organization Model was used in the Creation of Health Promotion


The community organization model motivated the strategy that aimed at promoting the
health of African Americans.
The Activities Involved
Community assessment was performed, and it was established that there was need for the study
of vulvovaginal infections, as well as STIs among African Americans. The model also motivated


the involvement of clinicians in addressing the situation. Usually, community organization
model requires cooperation between the members of the society and healthcare practitioners (U.S
Department of Health and Human Services, 2011, Pg. 9).
The Expected Outcomes after the Application of the Model
Since the model connected clinical care providers to the community, the health of African
Americans was expected to improve. The clinicians would offer necessary information to the
community on matters concerning their sexual health. Interaction between involved parties
would facilitate the move toward a healthier society.
Improvement of Sexual Health among African Americans as aCommunity Health

Promotion Strategy

Sexual behavior was found to be an essential element in the high occurrence of STIs
among African Americans (Brown et al., 2012, Pg. 1493). The public therefore, need knowledge
on safe methods of participating in sexual activities. Again, education on practices that would
reduce infection through non-sexual practices is necessary. Employing an educative strategy
would help in community health promotion. Nurses can offer the education needed by the


Following the raised risk for STIs among African Americans, relevant bodies need to work
tirelessly to promote the health of the population. Stakeholders need to employ effective
strategies that would offer the best outcomes. When addressing a health issue affecting an entire
population, methodologies applied need to take a communal approach, rather than focusing on


singular patients. To reduce the susceptibility of African Americans to vulvovaginal infections
and STIs, clinicians and other health advisory groups need educating the population. They
should sensitize the community on its high susceptibility to the infections, in addition to offering
it the protective measures.




Brown, J. L., Sales, J. M., DiClemente, R. J., Salazar, L. F., Vanable, P. A., Carey, M. P., …
Stanton, B. (2012). Predicting Discordance between Self-reports of Sexual Behavior and
Incident Sexually Transmitted Infections with African American Female Adolescents:
Results from a 4-city Study. AIDS and Behavior, 16(6), 1491–1500.
Center for Disease Control and Prevention. (2012). STDs in Racial and Ethnic Minorities.

Moreira Mascarenhas, R. E., Sacramento Cunha Machado, M., Borges da Costa e Silva, B. F.,
FernandesWeyll Pimentel, R., Teixeira Ferreira, T., Silva Leoni, F. M., &Grassi, M. F. R.
(2012). Prevalence and Risk Factors for Bacterial Vaginosis and Other Vulvovaginitis in
a Population of Sexually Active Adolescents from Salvador, Bahia, Brazil. Infectious
Diseases in Obstetrics and Gynecology, 2012, 1-6.
Nijhawan, A. E., Chapin, K. C., Salloway, R., Andrea, S., Champion, J., Roberts, M., & Clarke,
J. G. (2012). Prevalence and Predictors of Trichomonas Infection in Newly Incarcerated
Women. Sexually Transmitted Diseases, 39(12), 1-14.
Swartzendruber, A., Sales, J. M., Brown, J. L., DiClemente, R. J., & Rose, E. S. (2014).
Correlates of Incident Trichomonasvaginalis Infections Among African American
Female Adolescents. Sexually Transmitted Diseases, 41(4), 240–245.
U.S Department of Health and Human Services. (2011). Community Health Workers Evidence-
Based Models Toolbox HRSA Office of Rural Health Policy. Retrieved June 7, 2015


United States Census Bureau. (2015). State and County Facts: Washington DC. Retrieved June
7, 2015

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