Questions and Topics We Can Help You To Answer:
Paper Instructions:

Please complete Rationale PART II, and also answer 4 questions task bellow the Rationale Part II. 
Under the Rationale I PROBLEM STATEMENT #2 pls ad to behavioral ( what literature is saying about is a behavioral factor on why this target group (over 65 African-American) is at highest risk for a Stroke?; 
Thank you!



Developing your Program Rationale – PART I

Includes the following section:

Statement of the Problem
1.  Name of your agency or hospital or school (Must be a venue in the BRONX NY):

Montefiore Medical Centre in the Bronx New York.

2.  Name of the FUNDER to which you are submitting your Pilot Program Proposal:

New York Department of Health as they are in charge of ensuring the highest quality of health care is provided in all medical centers.

3.  Target Population (Include all relevant information, e.g. age group, race/ethnicity, sex):

The project will target specifically African American adult men over the age of 55. This target population is based on the fact that over three-quarters of stroke cases in the United States is experienced by individuals over the age of 65. At the same time, African Americans are more prone to stroke cases, as compared to another ethnicity. 

4.  Health problem faced by this population that your proposal will address:
      
Stroke. 



Use the following section title (“Problem Statement”) and answer the questions below:


PROBLEM STATEMENT  

(Please use Data Source document on Blackboard for assistance)


1.    In bullet points, list at least 5 statistics related to the problem your program will address (should include both national-level and local level statistics).  Include name of source and full web  
•    One in every four deaths in the United States is due to heart diseases, with over 795,000 of stroke cases. 
•    Over 6,000 individuals die of a stroke in New York State each year. (New York government: https://www.health.ny.gov/diseases/cardiovascular/heart_disease/)
•    In the United States, Stroke and heart problems rate third as a cause of death, with over 140,000 deaths due to stroke each year and about 600,000 first time attacks, and the leading cause of long-term disability. (stroke statistics: http://www.strokecenter.org/patients/about-stroke/stroke-statistics/)
•    Approximately three-quarter of all cases of stroke is seen in individuals over the age of 65. At the same time, the chances of experiencing heart diseases double after the age of 55. (stroke statistics: http://www.strokecenter.org/patients/about-stroke/stroke-statistics/)
•    The leading cause of hospitalization in the Bronx among individuals above the age of 65 is usually heart diseases and ischemic heart disease. This statistic is also seen in the whole New York region (New York Government: Bronx: https://www1.nyc.gov/assets/doh/downloads/pdf/data/2000nhp-bronx.pdf.) 
2.    In bullet points, provide two factors (determinants) that contribute to the health problem you have chosen.  One should be behavioral.  One should be nonbehavioral. Include name of source and full web link after each in parentheses.


•    Nonbehavioral- Age; as people age, their heart wall thickens, increasing the chances for heart problems. (Gupta, J & Shea, M. (2019). Effects of Aging on the Heart and Blood Vessels. https://www.msdmanuals.com/home/heart-and-blood-vessel-disorders/biology-of-the-heart-and-blood-vessels/effects-of-aging-on-the-heart-and-blood-vessels)
•    Behavioral - Lack of exercise.( what literature is saying about is a behavioral factor on why this target group (over 65 African-American) is at highest risk for a Stroke?;    Lifestylesitting (Hopkinsmedicine https://www.hopkinsmedicine.org/health/wellness-and-prevention/sitting-disease-how-a-sedentary-lifestyle-affects-heart-health)
  
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                                        Program Rationale
                                                Part Two

Includes the following sections:

Significance
Solution

Complete the following:


SIGNIFICANCE


1.    In sentence format, give TWO to THREE reasons WHY this health problem needs to be addressed (Think:  improved quality/quantity of life; money saved; needs of population better met, etc.)


SOLUTION


1.    Write the name of your proposed pilot program.



2.    Write ONE goal for your proposed program. 
                  Start your goal with the word, “To:” (e.g. To increase; To decrease; To promote, etc.)          
                GOAL SHOULD BE ONLY 1 SENTENCE LONG.




3.    BRIEFLY describe your pilot program’s intervention components in 2 sentences each:


a.    Health communication strategy (Outreach Technique):


b.    Health education strategy:


c.    Policy-related or environmental change strategy:



4.    List two or more Healthy People 2020 objectives that your pilot program would help to meet. 




5.    In 3-4 sentences, describe ONE SIMILAR PROGRAM that is currently being implemented to address this problem. Include the program’s name, goal, and activities.    



6.    Explain how your pilot program would positively impact the current and future needs of your target population:    



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Answer the following 4 questions:


1.    What is the reason for creating a program rationale?



2.    Why is the support of decision makers important in planning a program?


3.    Who would make good planning partners?



4.    Who should be selected as the member of a planning committee?