Posted: January 17th, 2023

Healthcare Program/Policy Evaluation Analysis

Healthcare Program/Policy Evaluation Analysis

Healthcare Program/Policy Evaluation/country
The Diesel Emissions Reduction Act (DERA) of the United States
The Power Sector Reform Act (EPSRA) of Nigeria
Description This statute was enacted in the year 2008 to address the problem of air pollution. The World Health Organization (hereafter “WHO”) consider carcinogenic content in the emission of diesel as a major global health issue which continually affects the well-being of people across different parts of the globe (WHO, 2019). Consequently, the move by the US to push for the enactment of DERA served to overcome the traditional health issues associated with harmful diesel fuel emissions. The EPSRA is a policy which was enacted in the year 2005 to enable Nigeria to conform to the standards laid down by the WHO on matters of air pollution (Federal Government Press, 2005). Specifically, the statute aims to eliminate air pollution by controlling the emission of harmful carbon contents with carcinogenic elements into the atmosphere.

Write my Essay Online Writing Service with Professional Essay Writers – Explain the strengths and weaknesses of each policy. The strengths of DERA include its main outline which focuses on the regulation of air pollution only. The focus aspect is notable strength in the sense that whereas there are other forms of environmental pollution under the WHO global agenda, DERA’s scope is limited to air pollution thereby offering a high level of clarity and concisely in the policy (WHO, 2019). Also, the clarity of scope allows for ease of implementation of the statute. On the other hand, the shortcoming of DERA is its limited scope which ignores other forms of pollution thereby making US citizens vulnerable to other related forms of health issues from other agents of pollution.
The strengths of EPSRA include the broader scope of the statute in its attempt to regulate all sectoral areas of pollution deriving from the processes of production of energy in Nigeria. This aspect of wider scope is a strength based on the ability of the statute to impose restrictions on all potential hazards which pose a danger to human health (Federal Government Press, 2005). The shortcoming of EPSRA is evident in the absence of a clear focus area in the statute since it covers too wide a scope. Consequently, the weakness of the statute arising from the implementation challenges due to lack of clarity in its protection of human health (Federal Government Press, 2005).

Write my Essay Online Writing Service with Professional Essay Writers – Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples. Social health determinants include both economic and social aspects like income and age of individuals. In the US, income affects the rate of pollution since people with low-income face the danger of exposure to carcinogenic contents as they live in dilapidated areas surrounding industries (WHO, 2019). Also, age is a factor which affects health issues from pollution as adults who work in industrials area in the US is at a high risk of air pollution which could lead to health problems. People with low-income in Nigeria live in dilapidated shelters around industrial zones where they offer manual labor for a living. This aspect is an important economic factor which affects the health conditions on such a group based on the higher risk factor of diseases associated with a carcinogen in the human body (Kelly & Fussell, 2015).

Using the WHO’s Organization’s global health agenda as well as the results of your research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
The US is currently in the process of implementing DERA to offer subsidies to people who are affected by diseases relating to environmental pollution (Poursafa & Kelishadi, 2011). For example, cancer patients who are affected based on the entry of carcinogenic contents into the human body from industrial pollution receive essential subsidies in healthcare (Kelly & Fussell, 2015). Also, the increase of funding for healthcare facilities under DERA enables for the efficiency of healthcare services thereby enhancing access to essential health services across the country.
The government of Nigeria allocated funds for improvement o health facilities to treat people affected by disease related to pollution such as cancer patients. Also, the introduction of medical insurance for citizens address the traditional cost problems hence an improvement of access to healthcare (Federal Government Press, 2005).

Write my Essay Online Writing Service with Professional Essay Writers – Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples Through DERA, the US prohibits air pollution thereby preventing the depletion of the ozone layer (Kelly & Fussell, 2015). This progress is important towards improving the health of the global population since people are less likely to experience health complications from ozone layer depletion The EPSRA upholds environmental conservation thereby reducing risks of health problems associated with poor conditions of the environment across the globe (Salmond & Echevarria, 2017).
Write my Essay Online Writing Service with Professional Essay Writers – Explain how the health policy you selected might impact the role of the nurse in each country. Under DERA, nurses in the US form part of the team of stakeholders who are mandated to implement the policy provisions (Salmond & Echevarria, 2017). Therefore, nurses’ role shifts from healthcare provision to advocate and policy implementation. The EPSRA stipulates the role of nurses in education and awareness of citizens on the health risks presented by environmental pollution (Federal Government Press, 2005). Consequently, nurses act as agents of change in Nigeria.

Write my Essay Online Writing Service with Professional Essay Writers – Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples. Global healthcare issues inspire collaboration as organizations undertake comprehensive research to develop scientific interventions for addressing the problem through policy enactment (Poursafa & Kelishadi, 2011). For example, to address pollution, the CDC highlights the potential diseases while nursing organizations push for policy change to address the problems. The health issues lead to the formation of more organizations in Nigeria to address the problems as outlined by the WHO (Salmond & Echevarria, 2017). Also, through cooperation, policy changes are implemented as evident in the cooperation between the Nigerian Electricity Regulatory Commission and Public Health Professionals.

Part 2
Plan for Social Change
The incorporation of global perspective into local practice will adopt the form of participation in policy-making through my actions as a nurse leader. Under this process, I would push for the adoption of practices which further interest of the public through enacting laws to prevent pollution of the environment by the emission of carcinogenic contents into the environment.
The changes may affect my role as a nurse leader since I will undertake more functions in terms of coordination of the different organizations, teams, and stakeholders involved in the change process to offer permanent solutions to the global health issues of air pollution.
On another front, the inclusion of a global perspective on the pollution affects the local practice through collaboration with other international agencies like the WHO. This aspect is crucial to the local practice through its ability to facilitate the solution to address the health issues under the agenda.

References
Federal Government Press. (2005).The Power Sector Reform Act (EPSRA) of Nigeria. Retrieved from “https://monkessays.com/write-my-essay/power.gov.ng/download/Electric%20Power%20Sector%20Reform%20Act%202005.pdf”
Kelly, F. J., & Fussell, J. C. (2015). Air pollution and public health: emerging hazards and improved understanding of risk. Environmental geochemistry and health, 37(4), 631–649. doi:10.1007/s10653-015-9720-1
Poursafa, P., & Kelishadi, R. (2011). What health professionals should know about the health effects of air pollution and climate change on children and pregnant mothers. Iranian journal of nursing and midwifery research, 16(3), 257–264.
Salmond, S. W., & Echevarria, M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthopedic nursing, 36(1), 12 25. doi:10.1097/NOR.0000000000000308
World Health Organization (WHO). (2019). Ten Threats to Global Health in 2019 (World Health Organization). Retrieved from “https://www.who.int/emergencies/ten-threats-to-global-health-in-2019”

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