You are the Program Manager, and you are trying to decide on the best course of action to decrease incidence and prevalence of the disease chosen in Week 1(Sickle Cell Anemia). You must decide from the data which population is most at-risk and decide on the most appropriate intervention to which you should allocate funds. To do this, you need to see the big picture. In this assignment, you will write a proposal (3-4 pages) to your Chief Executive Officer outlining the following:
- History of the disease (show trends and data)
- Needs assessment for your population:
- Social factors that may increase risk (poverty, health insurance, race/ethnicity, etc.)
- Morbidity and mortality data
- Incidence and prevalence data
- Suggested intervention program with cost analysis
- Justification and explanation for why this is the most appropriate intervention for the target population
Expert Solution Preview
Sickle cell anemia is a genetic disorder that primarily affects individuals of African descent. It is caused by an abnormality in the hemoglobin protein of red blood cells, leading to the cells taking on a sickle shape, which can block blood vessels and lead to acute and chronic pain, organ damage, and other serious complications. In this proposal, we will outline the history of sickle cell anemia, assess the needs of the population, analyze morbidity and mortality data, and suggest an appropriate intervention program with a cost analysis.
History of the disease:
Sickle cell anemia was first described in the United States in 1910 by Dr. James B. Herrick. It is estimated that over 100,000 people in the United States are affected by sickle cell anemia, with the majority of cases occurring in African Americans. The disorder also affects individuals of Hispanic, Middle Eastern, and South Asian descent. Sickle cell anemia is a chronic disease that can lead to a variety of complications, including joint damage, chronic pain, stroke, and damage to the liver, kidneys, and spleen.
Needs assessment for your population:
Demographics: The target population for this proposal is African Americans, as they are disproportionately affected by sickle cell anemia. According to the Centers for Disease Control and Prevention (CDC), sickle cell anemia occurs in approximately 1 out of every 365 African American births.
Social factors that may increase risk: Poverty, lack of health insurance, and race/ethnicity are all factors that can increase the risk of developing sickle cell anemia. African Americans are more likely to live in poverty, and they are also more likely to be uninsured or underinsured, which can limit their access to healthcare services.
Morbidity and mortality data:
Individuals with sickle cell anemia experience higher rates of morbidity and mortality compared to the general population. According to the CDC, sickle cell anemia is associated with increased rates of hospitalization, emergency department visits, and premature death.
Incidence and prevalence data:
Sickle cell anemia is a relatively common genetic disorder, affecting millions of people worldwide. In the United States, it is estimated that sickle cell anemia affects approximately 100,000 individuals.
Suggested intervention program with cost analysis:
Our proposed intervention program is to establish sickle cell clinics in areas with high rates of sickle cell anemia. These clinics would provide comprehensive care for individuals with sickle cell anemia, including routine check-ups, acute pain management, and coordination of care with other healthcare providers. The cost of establishing a sickle cell clinic would be approximately $500,000 per year, including staffing, equipment, and supplies.
Justification and explanation for why this is the most appropriate intervention for the target population:
Establishing sickle cell clinics would help to address the needs of individuals with sickle cell anemia, particularly those who are uninsured or underinsured. These clinics would provide access to high-quality, comprehensive care in a patient-centered setting. In addition, providing care in a specialized clinic would help to reduce the burden on emergency departments and hospitals, which are often not equipped to handle the specific needs of individuals with sickle cell anemia. This intervention program is the most appropriate for the target population because it addresses the specific needs of individuals with sickle cell anemia and can help to reduce morbidity and mortality rates.