Population health intervention part 2

 

 

Instructions

For a population health intervention consider the categories of intervention identified in the Yellow and Orange wedges on The Wheel.Links to an external site.

 

Your intervention needs to be a Community or Systems level intervention, not an Individual level intervention.

 

The intervention you select will target the health risk or health-related problem/issue you identified in your unit 5 paper.

Directions

The Population Health Proposal – Part 2 assignment will be constructed in a presentation format.

All in-text and reference citations need to be formatted consistent with 7th edition APA guidelines.

The presentation needs to have a minimum of 9 slides and include the following:

  • Slide 1– Title slide
  • Slide 2– A succinct definition of the population presented in your unit 4 assignment supported by information/data (include an in-text citation for the resources you sourced the population data)
  • Slide 3 – A succinct overview of the significant health or health-related problem that you identified in your unit 5 paper (include an in-text citation for where you sourced the health problem/issue data)
  • Slide 4– An overview of the range of interventions that you located in the literature that may be reasonable to implement for addressing the problem (with references that support those interventions)
  • Slide 5– An overview of the intervention you selected from the Orange or Yellow wedge category of the “Wheel” as the best fit to address the problem for your identified population
  • NOTE:You are required to provide support for your selected intervention with scholarly resources.
    • NOTE: advanced graduate level scholarship requires a well-articulated and in-depth overview of the intervention; consider utilizing the ‘Notes’ section of the slide if needed to provide additional details
  • Slide 6– Provide a brief rationale as to why you believe your selected intervention was the best fit for addressing the problem with your identified population
  • Slides 7 (or more if needed)– A discussion of how and where the intervention would be implemented. Provide enough specificity about the intervention such that your reader has a clear understanding of your intervention and your implementation strategies.
  • NOTE:You are required to support your discussion of how and where the intervention would be implemented with scholarly resources.
    • NOTE: advanced graduate level scholarship requires a well-articulated discussion about how and where the intervention would be implemented; consider utilizing the ‘Notes’ section of the slide if needed to provide additional details
  • Slide 8– an overview of the anticipated/desired effect of implementing your selected intervention
  • NOTE:Be sure to support your discussion of the anticipated/desired effect of implementing the intervention with scholarly resources.
    • NOTE: advanced graduate level scholarship requires a well-articulated discussion about the anticipated/desired effect of implementing your selected intervention; consider utilizing the ‘Notes’ section of the slide if needed to provide additional details
  • Slide 9 – Reference citations list

 

The assignment requires you to upload a file of the full-text article for all of Part Instruction your resources for faculty to review. The assignment will earn no more than “emerging” points for supporting evidence and analysis without the PDFs of all listed articles.

 

Population Health Proposal – Part 2: Community-Level Intervention for Hypertension Management in Rural Kenya


Slide 1: Title Slide

Community Organizing for Hypertension Control: A Population Health Intervention for Rural Kenyan Adults

[Your Name]
[Course Name]
[Date]


Slide 2: Population Definition

Population: Adults Living in Rural Western Kenya

  • Geographic Area: Rural communities in Western Kenya (e.g., Kisumu, Migori, and surrounding counties)

  • Age Range: Adults aged 30–79 years

  • Population Size: Approximately 2.5 million adults in the region

  • Key Characteristics:

    • Predominantly agricultural livelihoods

    • Limited access to healthcare facilities

    • Low health literacy levels

    • High prevalence of cardiovascular risk factors

Population Data:

  • Approximately 813,000 adults in Kenya are living with diabetes, with roughly 54% undiagnosed (IDF, 2026)

  • One in four Kenyan adults is living with hypertension, with many remaining undiagnosed or untreated (WHO, 2025)

  • Among adults aged 30–79 years in Kenya, the age-standardized prevalence of hypertension is approximately 29.4% (WHO, 2025)


Slide 3: Health Problem Overview

Hypertension: A Silent Epidemic in Rural Kenya

Significance of the Problem:

  • Hypertension is the leading risk factor for cardiovascular disease, stroke, and chronic kidney disease

  • Nearly one in four Kenyan adults lives with hypertension, yet the majority remain undiagnosed or untreated (WHO, 2025)

  • Among adults aged 30–79 years, the age-standardized prevalence is approximately 29.4%

  • Only 22% of those diagnosed have initiated treatment (WHO, 2025)

  • In rural communities, prevalence of known hypertension is 13.9%, with an additional 2.3% newly diagnosed (BMC Public Health, 2026)

Health Disparities:

  • Rural populations face greater barriers to healthcare access, including distance to facilities, transportation costs, and limited availability of screening services

  • Low health literacy contributes to delayed diagnosis and poor disease management

  • Socioeconomic factors, including poverty and food insecurity, exacerbate hypertension risk and complicate management


Slide 4: Range of Interventions from the Literature

Evidence-Based Interventions for Hypertension Management

Intervention Type Description Evidence
Community Health Worker (CHW) Home Visits CHWs conduct home-based screening, education, and lifestyle counseling CHW-led interventions reduced uncontrolled hypertension by 59-60% in rural East Africa (SEARCH study, 2025)
Community-Based Screening Campaigns Mobile or community-based screening events to identify undiagnosed hypertension Feasibility studies show promise for community-centered hypertension screening by CHWs (IMPLEMENT-IHCoR, 2026)
Health Education and Social Marketing Community awareness campaigns using radio, community meetings, and peer education Social marketing campaigns have improved health-seeking behaviors in similar contexts
Policy Advocacy Advocacy for improved access to hypertension medications and screening services at primary care level Policy development is a recognized intervention for addressing systemic barriers
Community Organizing Mobilizing communities to identify health priorities, develop solutions, and advocate for resources Effective for addressing social determinants of health and building community capacity

Slide 5: Selected Intervention – Orange Wedge

Community Organizing (Orange Wedge of the Intervention Wheel)

Definition:
Community organizing is a public health intervention that involves helping community groups to identify common problems or goals, mobilize resources, and develop and implement strategies for reaching the objectives they want to accomplish (Minnesota Department of Health, n.d.).

Key Components:

  1. Gathering together as a community – Bringing community members together to discuss health concerns

  2. Training leaders to build community capacity – Developing local leadership and skills

  3. Participating in solving community issues – Engaging community members in identifying solutions

  4. Fostering mutual respect, connectedness, and unity – Building social cohesion and collective efficacy

Why This Intervention:
Community organizing is carried out at the community or systems level of practice, making it appropriate for addressing population-level health problems (Minnesota Department of Health, n.d.). It addresses the root causes of health disparities by empowering communities to take ownership of their health and advocate for systemic change.


Slide 6: Rationale for Selected Intervention

Why Community Organizing is the Best Fit

  1. Addresses Social Determinants of Health:

    • Hypertension in rural Kenya is shaped by factors such as poverty, food insecurity, limited healthcare access, and low health literacy

    • Community organizing empowers communities to address these upstream determinants

  2. Builds Sustainable Capacity:

    • Rather than providing temporary services, community organizing develops local leadership and skills that persist beyond the intervention period

    • Communities learn to advocate for their own health needs and hold health systems accountable

  3. Culturally Appropriate:

    • Community organizing respects local knowledge and cultural values

    • Solutions are developed by and for the community, increasing relevance and acceptance

  4. Evidence-Based:

    • Community-based interventions using CHWs have demonstrated significant reductions in uncontrolled hypertension (SEARCH study, 2025)

    • Community organizing has been effective in addressing health disparities in similar settings (COPE project, 2025)

  5. Aligns with the Intervention Wheel:

    • Community organizing is a population-based intervention that addresses entire populations, not just those who seek care (Minnesota Department of Health, n.d.)


Slide 7: Implementation Plan

How and Where the Intervention Would Be Implemented

Setting: Rural communities in Western Kenya (Kisumu and Migori counties)

Partners:

  • County Department of Health

  • Local community health workers (CHWs)

  • Community Health Committees

  • Faith-based organizations

  • Local NGOs

Implementation Steps:

Phase Activity Timeline
Phase 1: Community Entry and Engagement Meet with local leaders, introduce the project, establish trust Month 1-2
Phase 2: Community Assessment Conduct participatory needs assessment to identify hypertension as a priority Month 2-3
Phase 3: Community Organizing Form community health action groups; train leaders in advocacy, health education, and resource mobilization Month 3-6
Phase 4: Action Planning Community groups develop action plans addressing hypertension prevention and management Month 6-8
Phase 5: Implementation Implement community-led activities (screening campaigns, health education, advocacy for medication access) Month 8-18
Phase 6: Monitoring and Evaluation Track outcomes and adapt strategies based on community feedback Ongoing

Key Activities:

  • Train CHWs and community leaders in hypertension screening, education, and referral

  • Establish community blood pressure screening events at churches, markets, and community gatherings

  • Develop and disseminate culturally appropriate health education materials

  • Advocate for improved access to hypertension medications at primary care facilities

  • Link community members to health facilities for ongoing management


Slide 8: Anticipated Effects

Expected Outcomes of Community Organizing Intervention

Outcome Anticipated Effect Evidence
Increased Hypertension Screening 50% increase in the number of adults screened for hypertension in target communities CHW-led interventions have demonstrated feasibility for community-based screening (IMPLEMENT-IHCoR, 2026)
Improved Hypertension Control 30-40% reduction in uncontrolled hypertension among those diagnosed SEARCH study showed 59-60% reduction in uncontrolled hypertension with CHW-led integrated model (2025)
Increased Treatment Initiation 25% increase in treatment initiation among those diagnosed WHO (2025) reports only 22% of diagnosed Kenyans have initiated treatment
Enhanced Community Capacity Sustainable community structures for ongoing health advocacy and action Community organizing builds lasting capacity for addressing health priorities
Reduced Health Disparities Narrowing of the gap in hypertension outcomes between rural and urban populations Addressing social determinants through community empowerment

Long-Term Impact:

  • Reduced cardiovascular morbidity and mortality

  • Decreased healthcare costs associated with hypertension complications

  • Strengthened primary healthcare system through community engagement

  • Empowered communities capable of addressing future health challenges


Slide 9: References

References

BMC Public Health. (2026). Prevalence of hypertension, diabetes, and associated risk factors in a rural community in Western Kenya: A population-based cross-sectional survey. BMC Public Health.

International Diabetes Federation. (2026). Kenya diabetes report. IDF Diabetes Atlas.

Minnesota Department of Health. (n.d.). Public health interventions: Applications for public health nursing practicehttps://www.health.state.mn.us

SEARCH Study Group. (2025). A prospective cohort study of the SEARCH integrated HIV/hypertension community health worker-led intervention in rural Kenya and Uganda. PMC.

WHO. (2025). One in four Kenyan adults living with hypertension, WHO warns. World Health Organization.


PDF Submission Requirements

Please ensure the following full-text articles are uploaded as PDFs for faculty review:

  1. Minnesota Department of Health. (n.d.). Public health interventions: Applications for public health nursing practice.

  2. SEARCH Study Group. (2025). A prospective cohort study of the SEARCH integrated HIV/hypertension community health worker-led intervention in rural Kenya and Uganda.

  3. IMPLEMENT-IHCoR Feasibility Study Protocol. (2026). Feasibility of a community-based intervention for the diagnosis and management of hypertension in two rural populations in Kenya and The Gambia.

 

 

 

 

 

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