Emotional Issues

IMHM Project Proposal for Assignment 1, HLTH 5195 Project Proposal Project name: Evaluation of Men ’sShed Regional Coordinator Initiative Date: Version: Project sponsors Minister of Health Key people involved Projector sponsor -Minister of Health for the Government of Australia Men ’sShed members Men ’sshed organizations (AMSA, CAMSA) Men ’sshed volunteers Background –About the Program Males comprise around half of the population of Australia. "About two-thirds of them reside in major cities, with the rest residing in regional or remote regions. Males in Australia have a life expectancy of 79.1 years, which is 4.6 years less than females. Indigenous males have a life expectancy of 59 years, which is six years lower than Indigenous females and 20 years lower than non-indigenous males" (Stephen ’set al. 2017). Almost any indicator of health status shows that Australian men have worse health outcomes than women. This discrepancy grows as you get farther away from civilization, and it's especially noticeable among Indigenous men. "Men have been statistically found to have three times higher chances of committing suicide than women, and they have been also found to have a70% risk of illness related to injury" (Snowdon et al. 2017). "Prostate cancer (which affects only men) is, for example, the most often diagnosed internal cancer in Australia, and further it causes the second-highest number of deaths resulting from cancer in men (lung cancer having the highest), accounting for 4.3 percent of all male deaths. While breast cancer, on the other hand, which accounts for 4% of all female deaths, is afocus of significantly higher media coverage and receives better funding too.. Australian men still have the world's second- highest prevalence of bowel cancer, a fact that isn't well known" (Australian Institute of Health and Welfare, 2018). In relation to healthcare use, men tend to seek access to healthcare facilities on much lesser frequencies and have been observed to tend to avoid consultations and counselling. They even spend much lesser time visiting doctors in order to get health advice when compared to IMHM Project Proposal for Assignment 1, HLTH 5195 women. When they may seek medical help, they tend to concentrate on physical issues and are not likely to address behavioural or emotional issues. The factors that influence men's health-seeking behaviour and the obstacles to men using health care have not been thoroughly studied; however, avariety of causes have been proposed. It is awidely accepted argument too complain that men withhold their emotions and exude an image of strength perpetually as aresult of the fear of being considered weak or inferior by their peer groups. While it is stated by many others than men hold a very functional paradigm towards the concept of healthcare and well-being and that they prefer to wait until the problem get out of their own control before approaching any services for healthcare. It is said that they tend to try their best to tend to their ailments by themselves rather than get clinical help. The dominant yet misguided dogma of hegemonic masculinity, which urges men to be risky in life and thereby risky regarding health and further, expects them to be self-sufficient, strong and stoic, reinforces these notions (Boucher et al. 2021). There are also avariety of outreach services that reach out to men with agoal to provide informational education regarding health problems that the men might face in their age. A large number of these services have a small format, based on models of health education meant for older men. Some services have accomplished more than most others, and only a handful have undergone accurate assessment (Waling et al. 2017). Men seem to be in search of guidance on how to use health knowledge in their everyday lives. Part of this entails presenting material in a manner that recognises man's diversity and that men can comprehend. In addition, the intervention environments must be varied. Programs must be held in settings that are comfortable and non-threatening to all types of males, as well as conducive to the way men study. Local, casual, functional community sessions in settings where they feel at ease are the best environments (Mackenzie et al. 2017). A communal men's shed will provide this environment. According to health reports, more robust health education services for men, as well as programmes that address the most vulnerable men in society, are urgently needed. It remains to be described and tested what comprises best practise frameworks for such systems. However, through shifting from a social marketing setting to a multi-strategy setting, the wellbeing requirements of the more marginalised populations is addressed. The 'Shed' is asignificant part of Australian male society. It has traditionally been a‘man's room,' where men have gone to get away from the stress of the worldly facets of their lives in IMHM Project Proposal for Assignment 1, HLTH 5195 order to fix and further try to restore their sense of liveliness and find enjoyment in the company of other men who serve as their peers which helps them alot through the loneliness of old age. Backyard sheds are on their way out as aresult of evolving property and social patterns in recent decades. These situations, when associated with retirement or the loss of a wife, which can lead to a lack of social networks which can directly lead to detrimental effects on their self-esteem, and their sense of purpose for life and even identity for many men, lead to negative mental and emotional wellbeing and well-being problems. Men's sheds in Australia are projects of the grassroots level and hence are more often than not considerably under-resourced, unrecognized, and more likely to have little to no connection to the healthcare system. These have sprouted up all over the country as a result of the absence of other legislative structures, funding and coordination at the state and federal levels. Care centres for the elderly, nursing centres, hospitals, Vietnam Veterans organisations and various other similar outfits that are dedicated to social work have made the effort to establish sheds. Men's sheds may vary from garage based sheds of avery small scale to community-level setups on a much larger scale, all of which are situated in community settings. Developing more systematic and scalable programmes to enable men to gain care of their own wellbeing and health-seeking behaviour is agood match for the men's sheds paradigm, which offers amutually safe atmosphere for men. Men's sheds are amodel that encompasses the enablers to men's wellbeing by providing aspace for men to socialise, study, and offer shared support in an atmosphere where men feel at ease within and as part of their society. They are more open to new ideas in these situations. As aresult, the main criteria that can be used to judge the success of amen's shed includes: ensuring availability of local support; enabling alearning environment in which men learn from others; further support of amen's shed support organisation towards the men ’sshed; having a considerable numbers of partners who aid in the operation of the men ’s shed; availability of a suitable location which is accessible to senior men; availability of ample funds for taking care of all the requirements that are usually present in men ’s shed; appointment of a manager who is experienced in the operation of men ’sshed; arange of services that ensures answering of most medical needs of senior men. Additional success factors for Indigenous communities include: engagement with people of Aboriginal origin through the process of involving them in the operations of the men ’sshed by educating them and training them to take up significant roles in operations processes in the men ’sshed. IMHM Project Proposal for Assignment 1, HLTH 5195 Hence, to increase the programme ’soutreach in the regional division agrant of $1,500,000 was sanctioned to be devoted towards appointment and training of coordinators to be employed for the purpose of regional coordination of the men ’sshed with the Department of Health. Evaluation required The Department of Health of Australia decided to commence atargeted grant opportunity to extend towards support to men ’s sheds through the process of establishing positions for regional coordinators in March of 2021. The regional coordinators are expected to serve as singular points of contact within a region with the purpose of providing support to men ’s should through functions that include access to health information and providing guidance need for organizing health events. Several stakeholder meetings were held with key stakeholders to assess the magnitude or nature of the assessment expected by the Department of Health, partially to obtain an overview of the project priorities, gain input, and draft an evaluation strategy for the proposed evaluation (King et al. 2019). Scope statement: The focus of this evaluation will be the resources and support provided to regional coordinators in the aim to provide basic support for the men ’s shed programs through the men ’sshed regional cooperative initiative and to further assess the needs that are to be fulfilled to further enable the coordinators. Key deliverables: Report on an evaluation of Men ’ssheds regional initiative in Australia which can cover all the sections of the scope statement. Approach(es) to be used in the evaluation –this isakey section IMHM Project Proposal for Assignment 1, HLTH 5195 To evaluate men's shed regional coordinator initiative, acompatible framework needs to be established in order to clearly evaluate the inputs and the expected outcomes in order to ensure proper progress of the project as intended by the Department of Health. The constraints in this project can be seen as cost, time and quality and aproportionate balance among the three needs to be maintained to ensure completion and quality of the evaluation. The methods that can be considered for the evaluation project are RE-AIM, IDEAL, PDCA and DMAIC. On aconsideration of the strengths and weaknesses of the various models the PDCA model of evaluation proved to be best suited to the evaluation requirements of this project (Jagusiak-Kocik, M., 2017). PDCA stands for Plan, Do, Check and Act. It is amethod devised for continued improvement in abusiness process and it follows establishment of acontinuous improvement cycle which can prove beneficial for aproject like this as it will be implemented in parts throughout the various regions of Australia through grants to different organisations maintaining men ’s sheds (Wani et al. 2019). In comparison to other evaluation models it suits better to the purpose of the project because it can be seen as aproject implemented through subsequent number of grants and appointments in different regions of the country. Compared to for example the DMAIC model which focuses largely on the framework side of things instead of the solution, the PDCA is amodel that emphasises solution and continuous improvement on those solutions (Realyv ásquez-Vargas et al. 2018). The PDCA also provides a few more advantages: ● Can provide helpful solutions over avariety of situations. ● Is asimple framework that requires less emphasis on instructional work (Dudin et al. 2017) ● The aspect of continuous cyclic improvement ensures improvement of quality of services provided. ● Greater control and analysis is provided by the iterative model (Ren et al. 2021). While the PDCA is very useful and especially so in the current evaluation project, it has a few disadvantages too: IMHM Project Proposal for Assignment 1, HLTH 5195 ● Incorrect usage can be a resultant effect of the simplistic and unspecified definition (Silva et al.). ● The changes required have to be planned over extended periods of time. Program Logic Model –this isakey section Further tools to be employed in this project will be the evaluation framework provided by the Kellogg program (Stegemann et al. 2019). The W.K. Kellogg program formulates amethod of evaluation for projects which divides the evaluation projects into various distinct segments -context, implementation and outcome (Nadiri et al. 2018). And accordingly the program model shows alayout of all the steps that comprise the planning phase, execution phase and evaluation phase of aproject. A logic model's aim is to provide stakeholders with apath map that explains the sequence of events that tie the need for the proposed programme to the program's expected outcomes. Mapping a new initiative allows one to see and appreciate how human and financial resources can help the program's objectives and lead to programme enhancements (Wu et al. 2019). They necessitate systematic thought and preparation to adequately explain services due to their pictorial aspect. A logic model's visual representation of the master plan is adaptive, highlights areas of success and/or vulnerability, and encourages stakeholders to run through a variety of scenarios to find the right solution. When curriculum schedules are created, a logic model may be used to adapt approaches and alter courses. Continual evaluation, analysis, and adjustments will lead to improved programme design and a framework for strategically monitoring, managing, and reporting programme results during growth and implementation. The following are afew strengths of the logic model: ● Assures that the problems identified in the given problem are specifically targeted. ● Establishes the consequential links between resources, objectives and execution. IMHM Project Proposal for Assignment 1, HLTH 5195 The following are afew limitations of the logic model: ● Logic models depict causal relations and do not necessarily establish acause- effect relationship. The following section consists of a logic model that follows the PDCA framework by depicting the Plan and Do phase of the procedure by establishing a working order of correlation between inputs, outputs and outcomes. The logic model is only limited to a depiction of the Plan and Do phase as the later phases are accomplished only after completion of data gathering from these first two stages. The logic model follows the regional coordinator initiative and analyses the inputs made towards it along with the expected outcomes from those inputs with the consideration of assumptions made about the project. Reco mmend data and measures required to support the evaluation –this isakey section IMHM Project Proposal for Assignment 1, HLTH 5195 Of the four phases of the PDCA model, this section seeks to deliberate on the “Check ”phase of the evaluation process and gathers the insights gained from the logic model to establish a clear framework of required measures that are required to be put in place according to the requirements of the project along with providing suggestions for data that is needed to be collected, methods of collection and evaluation of the data collected. Table 1: Some measures for the men ’sshed program logic model. Inputs Measure Data Sources & Collection Proposed Measurement Funds Is the fund available for the initiative in the form of grants a sufficient amount and how is its distribution decided? The data regarding this can be gathered from the Department of Health ’s announcement of the grant and the associated document. The total cost of the project needs to assessed in comparison to other similar initiative and arelative measure of the fund ’s requirement according to a specific region ’s requirement is needed IMHM Project Proposal for Assignment 1, HLTH 5195 Staff What is the ideal number of staff required to train and educate the coordinators according to the needs of the region Data is insufficient but a further data from the Department of Health needs to be gathered for a clearer estimate A relative study with similar regional initiatives needs to be conducted so as to provide staff according to the demographic data of the region. Time How much time is allotted to complete the whole process in all the regions and how long is expected to realistically take? Data regarding this has to be gathered from the government ’s project plan for the initiative. Compare the estimated and ideal timeline for the project with other similar regional initiatives Screening staff How are the screening staff trained to ensure the grants being given out to the right organisations Data regarding the operation framework for the screening process for the grant is required for evaluation.. Make and maintain a record of the work record of the various organisations that maintain men ’s sheds so as to identify their effectiveness in utilizing the grants IMHM Project Proposal for Assignment 1, HLTH 5195 Men ’s shed organisations What are the funding sources of the organisation towards this purpose? Data has to be obtained through proper vigilance from the department of health to establish the sources of funding To maintain an ideal framework for an organization which would have criteria that must be fulfilled for receiving the grant. Outputs Measure Data Sources & Collection Proposed Measurement Provide education on regional approaches to men ’shealth care Are the regional coordinators well averse with the region that they serve in? Interviews in order to determine the knowledge of the coordinator according to the regional needs of the people in the shelter needs to be conducted Assess region based knowledge and ensure suitability to the region Men ’s shed ’s organizations appointing coordinator How would the criteria for the coordinator be determined? Information from the various organization hoping to avail the grant money would need to be gathered in regard to their criteria for selection or suggestions for coordinator Provide aclear set of criteria to conform to in the selection process of the coordinator. IMHM Project Proposal for Assignment 1, HLTH 5195 Coordination with the Department of Health Are the coordinators prioritized as points of contact to the department of health? Information in this regard would need to be gathered from the department of health Identify the gaps of communications previously observed with such scales of coordination between regional nd national levels. Accessibility to health department How accessible is the department of health to the members of men ’ssheds Interviews with members of health sheds and members of the organizations like AMSA or CAMSA needs to be made to understand their perception of accesibility Identify the lack of accessibility found in any regional approach towards national offices like the Department of Health Outcomes Measures Data Sources & Collection Proposed Measurement Increased conveyance of men ’s shed ’s member ’sissues How often are the issues of the men ’s shed members getting through to the department of health? Interviews would need to be conducted with various stakeholder both in the men ’s shed and the department of health, along with inputs from the coordinators Analyse results of surveys and interviews IMHM Project Proposal for Assignment 1, HLTH 5195 Increased effectiveness of men ’s shed organization Are the men ’s shed organizations able to accomplish more as a result of the grant Interviews with members of the organizations and the members of the men ’s shed would need to be conducted with the subject of data gathering being the perception of the services provided by the organizations Analysis of the results of the interviews in comparison to the goals envisioned by the programme Increased quality of services provided to members of men ’s sheds Is the increased involvement of the department of health resulting in actual improvements in the quality of healthcare services provided to the men in the men ’sshed? Data regarding this can be gathered through interviews of the men ’s shed members with the subject of the questionnaire being their perception of the quality of services they are receiving The data received would have to be compared to previous assessment of quality of service and also the aim of the new initiative Assumptions ● The foremost assumption is that the initiative is based on abody of extensive research and past evidence ● It is also assumed that men ’sshed programs are an integral factor in the field of IMHM Project Proposal for Assignment 1, HLTH 5195 men ’shealthcare in Australia ● It is assumed that the grant is aimed to empower men ’sshed organizations to be more proactive. ● It is assumed that the project is based on consultations with stakeholders due to which itis in its evaluation phase. ● It is assumed that asingle point of contact is sufficient for aregion. REFERENCES Australian Institute of Health and Welfare, 2018. 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