LA+1B

1. Clearly articulate what the nature of your change is: 2. Collect data to support your decision to create a change
 * LA 1B - May 9th, 2012 **
 * Our change is an active process in which we are responding to inequities in primary health care services in a marginalized population. We plan to implement changes that provides this populous with access to primary health care, which encourages health promotion, disease prevention, and disease management. Excellent summary - FYI the tools for change for this weeks course pack readings contain documents along these lines
 * lack of access to primary health care (inequity) - do you mean that you will collect data to determine if access is an issue?
 * what is mental health status of this populous? What is the addicition status?
 * define addiction and mental health in context with this demographic
 * Collect Data on Hep C statistics, HIV stats, diabetes (understand definitions)
 * What is the environment where they live? Poverty? Homelessness? Investigate these conditions - i.e. assess the population using determinants of health to determine risk factors (I see this in the next point now)
 * Research this through the lens of the social determinants of health model
 * What is the age demographic? Are there many youth or elderly?
 * What are the current interventions or programs in place in this population? Are there any? Are they working? What are the gaps/need to be changed so that they will work?
 * Yes, all very good points - you may also consider seeing what programs exist elsewhere and learning from their work what was effective/ineffective
 * Literature review to determine interventions based on evidence, best practice guidelines, etc.

3. Use Lewin’s Change Theory to guide what steps you will follow in pursuing your change project 4. Determine how you might share your vision for change and engage your stakeholders 5. Apply Lewin’s Force Field Analysis to your project, and identify potential strategies to shift the equilibrium in a favourable direction:
 * Unfreezing: Preparing for change
 * gather information: (see above)
 * Identify problems: lack of money/funds, lack of support, desire to change/readiness to learn, lack of knowledge, etc
 * is change needed? YES - can only be determined after data collected and stakeholders consulted
 * factors related to change: money, policies, personnel to implement changes, community support
 * Who will be affected: those living in the community, key stakeholders that fund these changes
 * Movement: Planning, implementation, evaluation
 * Goals: decrease HIV transmission, decrease complications of diabetes, decrease HEP-C transmission, decrease sharing of needles, increase mental health awareness as well as support services in the area (ie. addictions), provide primary health care services, create social housing decrease poor living conditions
 * Evalute these changes in an appropriate amount of time
 * All very good points - we will work on formulating one goal and objectives related to that goal this week
 * Refereezing: Stabilization and support of change
 * Continue to assess the HIV/HEPc/DM stats - evaluation of impact on health outcomes
 * Monitor poverty rates/homelessness/housing availability
 * Monitor/Assess programs for addictions and mental health support
 * Monitor effectiveness of needle exchange programs
 * Interview all affected to see what is working/what needs to be changes or revised in the future.
 * social media (youtube videos, commercials, word of mouth, magazines, fundraisers, submit an articel in the newspaper/journal, community event/meet and greet
 * Engage stakeholders by presenting them with ways that they will benefit from investing in these changes (ie positive publicity/advertising)
 * driving forces (forces for change)
 * Social responsibility -
 * equity for health care services (health for all!!!)
 * increasing community capacity
 * decreasing spread of illnesses
 * increasing positive health outcomes and quality of life
 * Restraining forces:
 * Lack of money/funding (i.e. fiscal resources)
 * Unwillingness to change or lack of understanding as to why change is needed
 * difficulty in mobilizing resources
 * Lack of manpower (i.e. human resources)