Alfredo, his wife, and two children live in a lower-middle income neighborhood situated in a rural community of 800 people.

Alfredo, his wife, and two children live in a lower-middle income neighborhood situated in a rural community of 800 people. The main source of income for the community is farming commodity crops, with yearly swings in value and profits. Very few high school graduates attend college, with the majority of children taking over farming duties from aging parents. Those that do leave for college rarely return to the community. The nearest state college is 300 miles away. There is a local branch of the regional community college system that two dozen recent college graduates and other adults attend throughout the year. Within this community there are four churches, one small grocery store with limited availability of fresh fruit and vegetables, a high variety of canned and processed foods, and a large selection of sugar-sweetened and alcoholic beverages. There are very few sidewalks in the neighborhoods, and only a few sidewalks lining the downtown main street in the business district. There is no gym and one city park that is crowded with teenagers after school hours. There are four hiking trails within a 10-minute drive from the center of town (two trails are beginner trails, one is for intermediate hikers, and the last is rated as difficult). The rate of obesity in town is higher than the state average for adults and children. Alfredo’s two teen children—David, 16, and Paula, 14—are both overweight, drink one–two sugar-sweetened beverages per day, and eat mostly processed foods. Alfredo’s wife, Gina, who works as a teacher at the local elementary school, has type 2 diabetes, a BMI of 36, and chronic right knee pain. Gina, who you see in the clinic, has been reducing the amount of processed foods that are high in calorie density in her diet and replacing them with fresh fruit and vegetables as much as possible or as available at the local grocery store.


The rural town that Alfredo, Gina, and their children live in is situated in the northwestern part of the state. The state capital is over 500 miles to the southeast. The state senator who represents the town lives in a larger town 200 miles away. The representative of the state house who represents the town lives 60 miles away in a larger town. The towns in which the state senator and representative live in are similar to Alfredo’s town, although due to their slightly larger size, they have increased amenities that include a larger grocery store, local gyms, and small health-promotion programs sponsored by the state leaders. The state in general has higher obesity (10th highest in the nation), poverty (15th highest in the nation), and lower literacy rates (25th lowest in the nation) than most states. The state economy is driven by commodity farming and mining. Mining’s impact on the state economy is diminishing due to reduced demand for coal and other mined minerals. The state government has severely underfunded the state retirement system and is looking to increase taxes as a mechanism of balancing the state budget. Additionally, social systems programs are seeing funding cut or frozen until state funds stabilize.




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Select one of the following three options to create for this task:


community action plan

community health policy proposal

innovative business plan

A. Identify the priority community health issues for the community in the scenario by doing the following:


1. Explain how using community health data allows you to identify priority community health issues.


2. Describe the process of determining the priority community health issues from the community’s perspective.


3. Propose how you would assess the available community resources to address the priority community health issues.

B. Analyze a priority community health issue from part A by doing the following:


1. Explain the process by which you will engage with key community stakeholders to create the community action plan, community health policy proposal, or innovative business plan that is focused on the priority health issue.


2. Describe the sequential steps needed to take your idea from community engagement to project completion.

C. Describe how you will measure the progress of your community action plan, community health policy proposal, or innovative business plan by doing the following:


1. Describe the specific metrics you will use to measure change for your chosen priority community health issue.


2. Explain how you would use the data from the community action plan, community health policy proposal, or innovative business plan in the quality improvement process of community healthcare.


3. Explain the importance of the iterative process in delivering community health activities.

D. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

E. Demonstrate professional communication in the content and presentation of your submission.

Alfredo, his wife, and two children live in a lower-middle income neighborhood situated in a rural community of 800 people.

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