Identifiable Factors Proposal

Question: Discuss about the Identifiable Factors Proposal. Answer: Introduction There are various factors, which contribute to the population health and make situations complex.Oneof such identifiable factors is rate of smoking that is higher in the Bay of Plenty, located in the northern cost of New Zealand. High rates of smoking are probably due to greater percentage of Maori population. Smoking rate is much higher among Maoris compare to non-Maoris. It is evident that almost 45% of Maoris are regular smokers than 21% non-Maori (Chamberlain et al., 2013). The smokers include both the male and female population, even the pregnant women, which complicate the situation to a greater extent. It is evident that almost 15% pregnant females are smokers. Pregnant females below 20years are more likely to smoke, which accounts for almost 34% of the population. Communities residing in this region are comparatively poorer than those living outside the Bay of Plenty and it is documented that poorer communities (24%) smoke more than the wealthy communities (4%).Data also demonstrated that almost half of the pregnant population are smokers in the BOP (Tauranga). 23% of them giving birth had a history of smoking and it is recorded that almost 90% of the pregnant women are provided with support and advic e based on ABC approach regarding smoking cessation. Smoking during pregnancy is considered as one of the foremost causes of SUDI (Sudden Unexpected Death in Infancy) that contributed to almost 87% of SUDI incidences since last 4years("Health Promotion Agency Smokefree", 2016). Jha Peto, (2014) in his research revealed that SUDI rate is much less (14%) in the babies born to non-smoker mothers. This has captured the attention of many health care organizations,professionals, policy makers,worldwide. Health initiative ABC approach implementing in BOP As smoking during pregnancy is a behavioural issue,ABC approach could be implemented in BOP to support pregnant women for smoking cessation. The health promotion could be provided through various settings like maternity clinics, social environments and programs like implementation of zero-smoke zone policy through midwives and local authorities.Asymbolizes the precursor that means conditions,which are present prior to any behaviour occurs. In this case, as a health care professional, one should ask pregnant females about smoking status and record their responses that may involve emotional state. B represents behaviour to the stimulus: brief advice should be provided to pregnant smokers, irrespective of their motivation or desire to quit, andC represents consequence of the actions: offer the target population with evidence-based quitting treatment, like nicotine-free chewing gums could be distributed among the pregnant females. In order to successfullyimplement initiative, the respons ible implementer could structure necessary funding so that adequate financial support could be received from local governments. Conclusion For successful implementation of such health initiatives, the treatment providers should be trained enough to understand the clients concerns, address their issues and provide them with proper support. Evidence-based incidences could act as motivational factors that would further enable the pregnant women to quit smoking. However, sometimes, it is seen that individuals suffer from withdrawal syndrome, like intestinal cramping, tingling in limbs, sweating and so on. In this particular situation, the treatment providers should be careful enough as pregnant mothers require addition care support during gestational period (Falk et al., 2011). Also, helpful resources should be available and easily accessible for the pregnant female of Traunga region. A multidisciplinary and collaborative approach of various health care professionals like midwives, treatment providers, and nutritionist etc. could effectively diminish the rate of smoking among pregnant females. References Chamberlain, C., O'Mara?Eves, A., Oliver, S., Caird, J. R., Perlen, S. M., Eades, S. J., Thomas, J. (2013). Psychosocial interventions for supporting women to stop smoking in pregnancy.The Cochrane Library. Facts figures | Health Promotion Agency Smokefree. (2016).Smokefree.org.nz. Retrieved 9 November 2016, from https://www.smokefree.org.nz/smoking-its-effects/facts-figures Falk, E. B., Berkman, E. T., Whalen, D., Lieberman, M. D. (2011). Neural activity during health messaging predicts reductions in smoking above and beyond self-report.Health Psychology,30(2), 177. Jha, P., Peto, R. (2014). Global effects of smoking, of quitting, and of taxing tobacco.New England Journal of Medicine,370(1), 60-68.