How to write a custom nursing essays on Global Health Issues (Solved)

How to write a custom nursing essays on Global Health Issues (Solved)

Global Health Comparison Grid Template

This Assessment requires the submission of two (2) files, a completed Global Health Comparison Matrix and a completed Plan for Positive Social Change.
Compare the national/federal healthcare policy you selected in both the United States and in one additional country. Address the following in the Global Health Comparison Matrix:
Describe the global health issue you selected.
Describe the policy in each country related to the selected global health issue.
Explain the strengths and weaknesses of each policy.
Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
Analyze how each country’s government addressed cost, quality, and access related to the global health issue selected.
Explain how the health policy you selected might impact the global population. Be specific and provide examples.
Explain how the health policy you selected might impact the role of the nurse as an advocate in each country.
Explain how global health issues impact local health organizations and policies in both countries. Be specific and provide examples.

Part 2.
A Plan for Positive Social Change
Reflecting on the global health policy comparison and analysis you conducted in Part 1, develop a 1-page plan for social change in which you address the following:

Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to positive social change. Be specific and provide examples

SOLUTION TO THE IDENTIFIED GLOBAL HEALTH ISSUE (HIV/AIDS)

Global Healthcare Issue  

HIV/AIDS
Description In the past two decades, global health has gained publicity in an attempt to improve the health of populations through political revolutions. As healthcare issues have become the central focus of the global agenda, significant resources in development aid have been made available to tackle major health problems. One of the key health issues that affect populations globally is HIV/AIDS (Bekker et al., 2018). Although there has been a massive decrease in the number of infections and deaths in the past decade, HIV/AIDS remains a major threat to the health of many people. Reports from international organizations like the AIDS Society indicate that HIV response requires a more integrated approach to health (Bekker et al., 2018). There is limited evidence that the epidemic is on track to end leading to the formulation of more policies to combat the disease. Central to the prevention of HIV/AIDS is maintaining access to healthcare including timely diagnosis, treatment, follow-up, and improving the conditions of those living with the disease.
Country United States Canada
Describe the policy in each country related to the identified healthcare issue. The HIV/AIDS programs and the Government Relations Office collaborate to develop policies on HIV/AIDS, behavioral science, and mental health service delivery. One of the policies governing HIV/AIDS in the US is the Ryan White HIV/AIDS program legislation. This legislation is the largest federal program in the US that mainly focuses on care delivery and treatment to low-income people living with HIV/AIDS who are uninsured or underserved (Health Resources & Services Administration (HRSA), 2020). This policy ensures that minority populations get to receive adequate services and ensures the availability of technical assistance for programs, training of clinicians, and other innovative models that can be used to combat the disease (HRSA, 2020). The policy deals with the distribution of grants to eligible metropolitan areas and increasing screening to increase the population of those aware of their HIV status.

 

 

 

 

 

 

 

 

 The federal initiative to address HIV/AIDS in Canada is among the key elements of combating the disease in the country. This policy has focused on the prevention of acquisition and transmission of new infections, slowing the progress of the disease, and reducing the socio-economic impact of the disease on the people (Ontario HIV Treatment Network, 2019)). The availability of federal drug insurance programs is one of the approaches to slow the progress of the disease. Each of the Canadian provinces has at least one federal drug insurance program that fully subsidizes the cost of antiretrovirals for eligible patients regardless of their income (Ontario HIV Treatment Network, 2019). In some provinces like British Columbia, )antiretrovirals are provided at no cost to patients.
Explain the strengths and weaknesses of each policy. Strength: This policy focuses on improving access to healthcare services for disadvantaged groups in society. The majority may not be able to afford drugs and other services that are necessary for the effective management of the disease.

Weakness: This policy mainly focuses on promotive rather than preventive healthcare. For example, the policy fails to advocate for interventions that can prevent contracting the disease. The services provided only target individuals with HIV/AIDS making it unsuitable for preventive healthcare.

 

 

 

 

 

 

 

 

 Strength: This policy focuses on increasing funding and the availability of essential healthcare services to those living with HIV/AIDS. The focus on preventive healthcare like early testing and diagnosis of the disease is fundamental to combating the disease.

Weakness: While the policy provides funding and insurance subsidies to those living with the disease, it does not consider the uninsured and underserved in some regions. This means that those without insurance may have challenges with getting medication in provinces that do not offer free services.
Explain how the social determinants of health may impact the global healthcare issue you selected. Be specific and provide examples.

 

 Social determinants of health are factors that can affect a person’s health, functioning, risks, and quality of life. These factors include socioeconomic status, level of education, access to healthcare, neighborhood, and physical environment, and employment. For example, individuals who have little information about the spread and management of HIV/AIDS may find it difficult to avoid getting the disease. Health literacy which encompasses the use of PEP and PREP in HIV prevention is a factor that can affect how one gets the disease. Another crucial factor is access to healthcare services that are determined by the availability of health insurance and socioeconomic status. The unemployed and uninsured may face challenges with receiving the right treatment for the disease. Lastly, individual behavior like alcohol intake and the use of other drugs may affect how individuals contract the disease and how well it is managed after diagnosis.
Analyze how each country’s government addressed cost, quality, and access related to the global healthcare issue selected. The United States health insurance programs are the primary means of getting treatment and medication for those with HIV/AIDS. The Affordable Care Act grants permission for providing coverage to individuals with preexisting conditions including cancer and HIV. Other Medicaid expansion programs are available to cut costs for those that are uninsured include low-income childless adults.  Regarding the issue of access, Medicaid is the largest payer for HIV care in the US. The Ryan Whites HIV/AIDS Care Program is another way that those in low-income areas access HIV services. Those with low to moderate incomes also qualify for federal subsidies to buy new plans through the Marketplace for HIV/AIDS management.

 

 

 

 

 

 

 

 

 

 

 In Canada, healthcare services regarding HIV/AIDS management are controlled at the provincial level. The provinces and territories decide on the eligibility criteria for public drug issuance.Private insurance and out-of-pocket payments are other alternatives for medication access in the country. To ensure access to medications and other services, five Canadian federal drug insurance programs distributed across each province are available to provide some form of financial assistance to those requiring the services (Ontario HIV Treatment Network, 2019) . The programs fully subsidize the cost of antiretrovirals for all residents while those from low-income areas may benefit from waivers.
Explain how the healthcare policy you selected might impact the global population. Be specific and provide examples. The Ryan Whites Care Act focuses on service delivery for low-income, uninsured, and underserved people living with HIV (HRSA, 2020)). The Act has made it possible for institutions to fund different programs that see many US citizens receive HIV drugs. This policy can be adopted globally to promote healthcare access to those that are unable to pay for their services. Low-income countries should be supported especially on the aspect of medication to ensure people living with the disease receive timely access to medications.

 

 

 

 

 

 

 

 

 

 The federal initiative is a public policy that focuses on the prevention of acquisition and transmission of new infections, slowing the progress of the disease, and reducing the socio-economic impact of the disease on the people of Canada. This initiative addresses the aspect of partnership and engagement, integration of healthcare services, and accountability that are crucial to HIV/AIDS prevention. For example, nations can adopt the integrated approach to link health and social programs that can address barriers to services for those living with the disease.
Explain how the healthcare policy you selected might impact the role of the nurse in each country. Nurses act as patient advocates in matters of policy formulation and policy change. The selected policy provides nurses with a chance to advocate for more allocation of funds to the Ryan White Program to help sustain HIV/AIDS prevention and treatment. Additionally, the nurse can use this chance to organize outreach and educational programs for the uninsured to seek healthcare and treatment for HIV.

 

 

 

 

 

 

 

 

 

 The selected policy talks about accountability and how it can be used to promote HIV/AIDS management. Nurses have an opportunity to demonstrate commitment to transparency and accountability during the management of patients (Kruk et al., 2018). Keeping reports, equal distribution of drugs, follow-up of patients, and providing information to people is all part of this new plan. Financial accountability is another aspect that can be crucial during the management of the disease.
Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples. Global health plays a crucial role in global security and the security of US citizens. Global health issues like HIV/AIDS can impact local healthcare organizations financially as they get to spend many resources in addressing these issues (Kruk et al., 2018). Local organizations spend a lot of time dealing with patients that are uninsured yet require essential services leading to financial challenges. For example, the local healthcare organizations have to keep track of their records, demonstrate accountability and re-organize their resources to fully address the needs of those living with HIV/AIDS.

 

 

 

 

 

 

 

 

 

 

 In Canada, global health issues can have a financial impact on local healthcare organizations that serve the majority of patients living with the disease. The diseases put more stress on the healthcare workforce that has to serve numerous patients daily (Bekker et al., 2018) Secondly, local healthcare organizations have to constantly organize outreach and education services alongside other community interventions to combat the disease. A lot of capital is spent in planning for these services leading to deprivation of resources that could otherwise be used in other health issues.

 

References

Bekker, L. G., Alleyne, G., Baral, S., Cepeda, J., Daskalakis, D., Dowdy, D., Dybul, M., Eholie, S., Esom, K., Garnett, G., Grimsrud, A., Hakim, J., Havlir, D., Isbell, M. T., Johnson, L., Kamarulzaman, A., Kasaie, P., Kazatchkine, M., Kilonzo, N., Klag, M., … Beyrer, C. (2018). Advancing global health and strengthening the HIV response in the era of the Sustainable Development Goals: The International AIDS Society-Lancet Commission. Lancet (London, England), 392(10144), 312–358. https://doi.org/10.1016/S0140-6736(18)31070-5

Health resources and Services Administration. (2020). Ryan White HIV/AIDS program legislation. https://hab.hrsa.gov/about-ryan-white-hivaids-program/ryan-white-hivaids-program-legislation

Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., García-Elorrio, E., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., Malata, A., … Pate, M. (2018). High-quality health systems in the Sustainable Development Goals era: Time for a revolution. The Lancet. Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/S2214-109X(18)30386-3

Ontario HIV Treatment Network. (2019). Out-of-pocket costs associated with HIV in publicly funded high-income health care settings. https://www.ohtn.on.ca/out-of-pocket-costs-associated-with-hiv-in-publicly-funded-high-income-health-care-settings/

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