GLOBAL HEALTHCARE COMPARISON MATRIX AND NARRATIVE STATEMENT

Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
Select at least one additional country to compare to the U.S. for this Assignment.
Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
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.
Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
Explain how the health policy you selected might impact the role of the nurse in each country.
Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.
Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

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 social change. Be specific and provide examples

Full Answer Section

       

Strengths:

  • These policies promote prenatal care, access to skilled birth attendants, and postpartum care – all crucial for reducing maternal mortality.
  • Medicaid and WIC programs address social determinants of health by providing essential resources to low-income mothers.

Weaknesses:

  • The U.S. healthcare system is fragmented and expensive, leading to disparities in access to quality care, particularly for low-income and minority women.
  • The U.S. has a high rate of cesarean sections, which can increase maternal complications.
  • Lack of paid maternity leave can create financial strain and limit access to prenatal care.

India's Health Policies:

  • Janani Suraksha Yojana (JSY): Provides financial assistance to pregnant women for institutional deliveries.
  • Mission Indradhanush: Aims to achieve full immunization coverage for all pregnant women and children.
  • LaQshya: Focuses on improving quality of care in labor rooms at public health facilities.

Strengths:

  • JSY addresses affordability concerns, encouraging institutional deliveries with skilled birth attendants.
  • Mission Indradhanush protects mothers and newborns from vaccine-preventable diseases.
  • LaQshya aims to improve the quality of care in public facilities, which serve a large portion of the population.

Weaknesses:

  • India still has a high maternal mortality rate, particularly in rural areas.
  • Shortage of qualified healthcare providers can hinder access to quality care.
  • Social factors like malnutrition and gender inequality contribute to maternal mortality risks.

Social Determinants of Health Impact:

  • Poverty: Limited access to nutritious food and healthcare can increase pregnancy complications.
  • Education: Lack of education about pregnancy and childbirth can negatively impact maternal health behaviors.
  • Gender Inequality: Limited access to decision-making power and resources can hinder women's ability to seek quality care.

Examples:

  • In the U.S., low-income women might delay prenatal care due to cost concerns, leading to higher risks of complications.
  • In India, uneducated women might not be aware of the importance of prenatal care or skilled birth attendance, increasing their risk of complications.

Cost, Quality, and Access:

  • U.S.: High cost of healthcare can be a barrier to accessing quality prenatal and delivery care.
  • India: JSY helps address affordability, but quality can vary depending on the healthcare facility. Rural areas often have limited access to skilled providers.

Impact on Global Health:

  • Reducing maternal mortality is a global health target. Effective policies in one country can inform and inspire improvements in others.

Impact on Nurses:

  • Nurses play a vital role in providing prenatal care, education, and support to pregnant women. Effective policies can empower nurses to deliver better care.

Example: JSY policy in India might encourage more women to deliver in hospitals, increasing the need for skilled nurses to manage deliveries and provide postpartum care.

Local Healthcare Organizations:

  • Global health issues can strain local resources. For instance, a rise in maternal mortality rates in a community might require local hospitals to adjust staffing or allocate more resources to prenatal care programs.

Part 2: A Plan for Social Change

Social Change Plan:

As a nurse leader, I would advocate for incorporating a global perspective into my local practice by:

  • Promoting Cultural Sensitivity: Implementing educational programs for staff to enhance cultural competency in caring for diverse patient populations.
  • Partnerships with Global Organizations: Building partnerships with international organizations working on maternal health issues. This allows for knowledge sharing and potential collaboration on local initiatives.
  • Advocacy for Global Health Funding: Supporting advocacy efforts to increase funding for global maternal health initiatives.

Impact on Local Practice:

  • A global perspective would foster a more inclusive and culturally sensitive approach to patient care.
  • Partnerships could lead to the adoption of best practices from other countries, improving local care delivery.
  • Advocating for global health funding indirectly benefits the local community by contributing to a healthier world and reducing the burden of infectious diseases.

Social Change Contribution:

  • This plan promotes social change by:
    • Addressing health disparities faced by immigrant and minority women in the U.S. healthcare system.
    • Contributing to improved maternal health outcomes globally.
    • Encouraging collaboration and knowledge sharing across borders.
    • High

Sample Answer

     

Part 1: Global Health Comparison Matrix

Global Health Issue: Maternal Mortality

Country for Comparison: India

U.S. National/Federal Health Policies:

  • Healthy People 2030: This initiative sets goals for reducing maternal mortality rates.
  • Medicaid: Provides health insurance coverage for low-income pregnant women and their newborns.
  • Special Supplemental Nutrition Program for Women, Infants, and Children (WIC): Provides nutritional support and education to pregnant women, new mothers, and young children.