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ame of the
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neighborhood of Detroit city.
What is your name and your
My name is James Downy and I work as a health assistant in the local primary care clinic.
What is the main ethnic group in this community?
We, the African people are the main ethnic group in this region.
Please shed some light on the
religious beliefs of this community.
We are mainly of Christian belief. God helps us and gives us strength to fight adverse situations
Is your community in sound health?
The health issues are more among us than the other ethnicities, probably du
e to g
disposition or due to health care
lack of health literacy or poor diet.
What types of medical condition does your community suffer from?
As you can see, obesity is pretty common out here, but the most concerning thing is the
increasing rate of heart diseases among the community. Most of the older peopl
are prone to stroke and heart attack.
How you as a health assistant promote health?
During health care screening, I often provide some health recommen
dations like eating healthy
food, measuring blood pressure regularly, exercising daily. Our health clinic often arrange for
health promotion campaigns for management of conditions like diabetes, heart diseases,
COPD, asthma, smoking
cessation. We take part
What is the perception of health to your community?
People think they will remain healthy by the grace of god. They remain healthy and happy
as long as their entire community is happy and healthy.
Do they have adequate health literacy?
Not in a
ll aspects. They tend to avoid medications and try to adhere more to alternative
They also do not come for regular
screening of hypertension or Diabetes;
frequently misses follow up care and do not adhere to medications.
What are some of the fa
ctors which affect the health of a community?
poverty, disparities in health care facilities.
type of support services is
available in the community for the people?
There are rehabilitation care centers for the one with disabi
lities, one instituition for youth
giving vocational trainings.
Are there any special provisions for vulnerable group like, w
omen, children and older
Yes, there is a NGO that provides support services for the vulnerable adults. But they are
e to do much due to lack of funding.
What is the role does the local church play, in promoting health in the community.
Churches fund for health promotion. The charitable trust of the Church arrange for free
meals thrice in a week for the home less
The obesity rate of people in this community is high. How would you relate it to the dietary
patterns of the this population
Some times they do not get
access to healthy food, as fresh fruits and vegetables are always
not affordable for them.
t of the children we see out here are dependent on burgers and
Do they get affordable food? What resources are available?
Prices are high, it becomes difficult for them to buy health food at such prices.
Does the community have recreational ameni
ties like playground or gym?
Yes, a park is there. There is a gym, but there are very less equipment out there.
Name one heal
, which you find is acute in this community and need
health promotion and initiative.
Hypertension. People do
not screen or measure their blood pressure regularly, not even
once in six months. They have lesser knowledge on food habits, exercises, treatment rights.
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