Health priorities most important and actionable
Implementation of PRECEDE/PROCEED and CHAPS phases resulted in well-structured qualitative and quantitative health data for Mesa County. Thorough analysis of Mesa County indicators allowed for comparison to Colorado, and when available to the Nation. The purpose was to understand trends contributing to quality of life, death, disease, illness, injury, and life changing events. Health data was presented to the stakeholder group in ten different categories; participants scored each category based on importance and action ability. The results identified six health priorities that clustered together as most important and actionable:
- maternal and child health,
- mental health,
- tobacco use,
- family abuse and violence,
- and screening/detection.
Mesa County's Winnable Battles
To further explore factors contributing to the community’s health and to gather additional information concerning personal health needs, the committee facilitated six subject-matter-expert focus groups, one community focus group, and three summits. General questions asked included: “How much of an issue is… in our community?” And, “What barriers, services, or data do you feel influence this issue?” Community input resulted in a comprehensive list of barriers and possible solutions related to the following three critical issues, identified as Mesa County’s Winnable Battles:
- and unintended pregnancy.
Contributing factors to poor health outcomes
The underlying approach of the PRECEDE/PROCEED model is to first identify final consequences, in this case, obesity, suicide, and unintended pregnancy, and work backwards to the causes, known as: predisposing, enabling and reinforcing factors. A closer look at the community input under this scope, revealed significant similarities and determined the following to be contributing factors to poor health outcomes in Mesa County:
- built environment,
- access to health care,
- mental health,
Recognizing them as priorities is a crucial step in identifying potential solutions.