1 Unit 5 Assignment: Local, National, and Global Public Health Approaches Unit Outcomes addressed in this Assignment: • Design strategies for continuous quality improvement in public health. • Identify strategies for promoting health equity. Course Outcomes assessed in this Assignment: PU500-4: Describe how public health practice addresses health concerns locally, nationally, and globally. Introduction: This Assignment builds upon your work started in the Unit 3 Looking Ahead. In the Unit 5 Assignment, you will: ● Describe how public health practice addresses health concerns locally, nationally, and globally. ● Leverage policies and laws to address public health issues. ● Apply the strategic planning process to resolve a health problem. To reach these learning goals, this Assignment guides you through the completion of two critical parts of this project: ● Part 1 - SWOT Analysis ● Part 2 - Evaluation of strategic planning process and related policies/laws You will finalize both sections of your Unit 5 Assignment and submit as one document to the Dropbox for grading. 2 Instructions: Part 1 - SWOT Analysis: Using the table below, you will apply strategic planning techniques to evaluate selected local, national, and global health issues. You identified these issues in the Unit 3 Looking Ahead. You will expand your analysis of the policies and laws by conducting a SWOT analysis. ● First column: Please use the “Level & Issue” column to note a brief overview of the issue at the particular level. ● Second column: This column does not need editing, as it organizes the rest of the chart by SWOT element. ● Third column: You should list at least three items per SWOT component for each level--one sentence per item will suffice. ● Fourth column: You will integrate the Unit 3 Looking Ahead coursework into this column. ● Fifth column: Notate your sources in this column. Level & Issue SWOT SWOT Components Related Health Policy/Law Citation(s) Local Level: [Insert 1- 2 sentence summary of health issue here] Strengths ● Item 1 ● Item 2 ● Item 3 Weaknesses ● Item 1 ● Item 2 ● Item 3 Opportunities ● Item 1 ● Item 2 ● Item 3 3 Threats ● Item 1 ● Item 2 ● Item 3 National Level: [Insert 1-2 sentence summary of health issue here] Strengths ● Item 1 ● Item 2 ● Item 3 Weaknesses ● Item 1 ● Item 2 ● Item 3 Opportunities ● Item 1 ● Item 2 ● Item 3 Threats ● Item 1 ● Item 2 ● Item 3 Global Level: [Insert 1- 2 sentence summary of health issue here] Strengths ● Item 1 ● Item 2 ● Item 3 Weaknesses ● Item 1 ● Item 2 ● Item 3 Opportunities ● Item 1 ● Item 2 ● Item 3 Threats ● Item 1 ● Item 2 ● Item 3 4 Part 2 - Strategic Planning: You will gather your notes for each SWOT analysis and present a “Discussion” section in which you describe how public health practi ...

1. 1
Unit 5 Assignment:
Local, National, and Global Public Health Approaches
Unit Outcomes addressed in this Assignment:
• Design strategies for continuous quality improvement in
public health.
• Identify strategies for promoting health equity.
Course Outcomes assessed in this Assignment:
PU500-4: Describe how public health practice addresses health
concerns locally,
nationally, and globally.
Introduction:
This Assignment builds upon your work started in the Unit 3
Looking Ahead. In the Unit 5
Assignment, you will:
● Describe how public health practice addresses health concerns
locally, nationally,

2. and globally.
● Leverage policies and laws to address public health issues.
● Apply the strategic planning process to resolve a health
problem.
To reach these learning goals, this Assignment guides you
through the completion of two
critical parts of this project:
● Part 1 - SWOT Analysis
● Part 2 - Evaluation of strategic planning process and related
policies/laws
You will finalize both sections of your Unit 5 Assignment and
submit as one document to the
Dropbox for grading.
2
Instructions:
Part 1 - SWOT Analysis:
Using the table below, you will apply strategic planning

3. techniques to evaluate selected
local, national, and global health issues. You identified these
issues in the Unit 3 Looking
Ahead. You will expand your analysis of the policies and laws
by conducting a SWOT
analysis.
● First column: Please use the “Level & Issue” column to note
a brief overview of the
issue at the particular level.
● Second column: This column does not need editing, as it
organizes the rest of the
chart by SWOT element.
● Third column: You should list at least three items per SWOT
component for each
level--one sentence per item will suffice.
● Fourth column: You will integrate the Unit 3 Looking Ahead
coursework into this
column.
● Fifth column: Notate your sources in this column.
Level & Issue SWOT SWOT
Components
Related
Health
Policy/Law
Citation(s)
Local Level: [Insert 1-

4. 2 sentence summary of
health issue here]
Strengths ● Item 1
● Item 2
● Item 3
Weaknesses ● Item 1
● Item 2
● Item 3
Opportunities ● Item 1
● Item 2
● Item 3
3
Threats ● Item 1
● Item 2
● Item 3
National Level: [Insert
1-2 sentence summary
of health issue here]

5. Strengths ● Item 1
● Item 2
● Item 3
Weaknesses ● Item 1
● Item 2
● Item 3
Opportunities ● Item 1
● Item 2
● Item 3
Threats ● Item 1
● Item 2
● Item 3
Global Level: [Insert 1-
2 sentence summary of
health issue here]
Strengths ● Item 1
● Item 2
● Item 3
Weaknesses ● Item 1
● Item 2
● Item 3
Opportunities ● Item 1
● Item 2

6. ● Item 3
Threats ● Item 1
● Item 2
● Item 3
4
Part 2 - Strategic Planning:
You will gather your notes for each SWOT analysis and present
a “Discussion” section in
which you describe how public health practice addresses health
concerns locally,
nationally, and globally. Your discussion section should be at
least 750-1000 words in
length (about 250-300 words per local, national, and global
level health issue). It is
recommended that you use subheadings to delineate the various
levels of public health.
See example below:
Discussion
Local Level Public Health Practice

7. Information
National Level Public Health Practice
Information
Global Level Public Health Practice
Information
Please collate parts 1 and 2 into an APA Style formatted paper
(with title page and
reference list) and submit to the Dropbox for grading.
Grading Criteria
Be sure to review the grading rubric for this Assignment in the
Course Home.
Submitting Your Work
You will submit your work in a Word document to the Dropbox.
For directions on how to
submit your work and review your graded Assignments, refer to
the Dropbox Guide found on
the Academic Tools tab. Make sure that you save a copy of your
submitted work.
Running head: Unit 3 Assignment 1
Unit 3 Assignment 8
Unit 3 Assignment
More than 16 million Americans are living with a disease
caused by smoking. For every person who dies because of
smoking, at least 30 people live with a serious smoking-related

8. illness. Smoking causes cancer, heart disease, stroke, lung
diseases, diabetes, and chronic obstructive pulmonary disease
(COPD), which include emphysema and chronic bronchitis.
Smoking also increases risk for tuberculosis, certain eye
diseases, and problems of the immune system, including
rheumatoid arthritis. Smoking is a known cause of erectile
dysfunction in males. Smoking is the leading cause of
preventable death (Fast Facts, 2015).
Worldwide, tobacco use causes nearly 6 million deaths per
year, and current trends show that tobacco use will cause more
than 8 million deaths annually by 2030. Cigarette smoking is
responsible for more than 480,000 deaths per year in the United
States, including nearly 42,000 deaths resulting from
secondhand smoke exposure. This is about one in five deaths
annually, or 1,300 deaths every day. On average, smokers die 10
years earlier than nonsmokers. If smoking continues at the
current rate among U.S. youth, 5.6 million of today’s Americans
younger than 18 years of age are expected to die prematurely
from a smoking-related illness. This represents about one in
every 13 Americans aged 17 years or younger who are alive
today (Fast Facts, 2015).
The National Tobacco Control Program (NTCP) fosters and
supports coordinated, nationwide, state-based activities to
advance its mission to reduce disease, disability, and death
related to tobacco use. CDC/OSH has identified four program
goal areas:
· Preventing initiation of tobacco use among young people;
· Eliminating nonsmokers’ exposure to secondhand smoke;
· Promoting quitting among adults and young people; and
· Identifying and eliminating tobacco-related disparities.
The Inputs are resources used to plan and set up a program.
While the output direct products of program activities;
immediate measures of what the program did. Process
evaluation on the other hand is the systematic collection of

9. information to document and assess how a program is
implemented and operates. This information can help determine
whether the program is being implemented as designed and can
be used to improve the delivery and efficiency of the program
(Centers for Disease Control and Prevention. Introduction to
Process Evaluation in Tobacco Use Prevention and Control,
2008).
The 10 Essential Public Health Services is to monitor health
status are:
1. To identify and solve community health problems
2. Diagnose and investigate health problems and health hazards
in the community
3. Inform, educate, and empower people about health issues
4. Mobilize community partnerships to identify and solve health
problems
5. Develop policies and plans that support individual and
community health efforts
6. Enforce laws and regulations that protect health and ensure
safety
7. Link people to needed personal health services and assure the
provision of health care when otherwise unavailable
8. Assure a competent public and personal healthcare workforce
9. Evaluate effectiveness, accessibility, and quality of personal
and population-based health services
10. Research for new insights and innovative solutions to health
problems
Accurate, periodic assessment of the community’s health status
and the identification of health risks, attention to vital statistics
and disparities, and identification of assets and resources are
vital. When pertaining to tobacco use timely identification and
investigation of health threats can be used as well as the
availability of diagnostic services. One great initiative is to use
health education and communication sciences to build
knowledge and shape attitudes, inform decision-making choices,
and develop skills and behaviors for healthy living. Health
education and health promotion partnerships within the

10. community to support healthy living through media advocacy
and social marketing could also be a great asset. (Office for
State, Tribal, Local and Territorial Support Centers for Disease
Control and Prevention, 2014).
National Center for Chronic Disease Prevention and Health
Promotion (US) Office on Smoking and Health. Preventing
Tobacco Use Among Youth and Young Adults: A Report of
the Surgeon General. Atlanta (GA): Centers for Disease Control
and Prevention (US); 2012. 2, The Health Consequences of
Tobacco Use Among Young People. Available from:
https://www.ncbi.nlm.nih.gov/books/NBK99242/
In this reading based on preventing tobacco use among youth
and young adults by the Surgeon General it addresses the
adverse health consequences of tobacco use by children and
young adults. It focuses primarily on childhood through young
adulthood and briefly considers the pre-natal period and
examines the adverse effects of smoking before conception as
well although it is not a main focus of the reading. It illustrates
this phase as being a critical period for health since it is related
to early life nutrition and the risk of future diseases.
The article was great in coming to a conclusion on what triggers
are from youth through young adulthood. Although it only
consists of four major sections which correspond to the
principal health domains that are related to smoking during
adolescence and young adulthood like factors related to
initiation and continuation of smoking, including nicotine
addiction, smoking and body weight, respiratory symptoms, and
cardiovascular effects. It neglected to mention the active use of
tobacco after the age of young adults, secondhand smoke, and
the biological basis of disease, respectively.
Balluz, Lina S., William P. Bartoli, Pranesh P. Chowdhury,
Carol A. Crawford, William S. Garvin, Candace K. Jones,
Wilmon Murphy, Carol Pierannunzi, Simon W. Salandy,
Machell Town, Fang Xu, and Yuna Zhong. "Surveillance for
Certain Health Behaviors Among States and Selected Local

11. Areas — United States, 2010." Centers for Disease Control and
Prevention. Centers for Disease Control and Prevention, 31 May
2013. Web. 01 Nov. 2016.
<http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6201a1.htm>.
This reading illustrates how chronic disease like heart disease,
stroke, cancer, and diabetes are the leading causes of morbidity
and mortality in the United States. However, in engaging in
healthy behaviors like quitting smoking or the use of tobacco
and being active and nutritious while accessing preventive
health care can reduce this morbidity and mortality from
chronic and/or infectious disease and lower medical cost. It also
accessed and monitored health risk behaviors and the use of
health services based on state, territory, metropolitan and
micropolitan statistical area and county.
In reading this article it provided a thorough explanation and an
influx of information regarding the Behavioral Risk Factor
Surveillance System (BRFSS) is an ongoing, state based,
random-digit- dialed telephone survey of non-institutionalized
adult that are 18 and older residing in the United States. This
data is collected on health-risk behaviors, chronic diseases and
conditions, access to health care, and use of preventive health
services and practices related to the leading cause of death and
disabilities in the United States.
This article can be used more for a statistical standpoint but
cannot ensure accuracy or an equal accountability of whom
answered the survey or their honesty. Although, it does provide
detailed information as well percentages for those who
completed the survey that would be great when needing a graph
or more of a figure presentation. Since individuals are grading
their own help information can have more pros or cons unlike if
it was institutionalized individuals.
Rondina, Regina de Cássia, Gorayeb, Ricardo, & Botelho,
Clóvis. (2007). Psychological characteristics associated with
tobacco smoking behavior. Jornal Brasileiro de Pneumologia,
33(5), 592-601. https://dx.doi.org/10.1590/S1806-

12. 37132007000500016
This article is a literature review of psychological aspects of
smoking behavior, highlighting personality characteristic of the
smoker as an obstacle to smoking cessation. It also illustrates
the relationship between smoking behavior and personality, and
between smoking and the principal psychiatric disorders.
Studies were performed that revealed smokers tend to be more
extroverted, anxious, tense, and impulsive, and show more traits
of neuroticism and psychoticism than ex-smoker or non-
smokers.
In reviewing this literature it provide great detail in regards to
the association between smoking and mental disorders like
schizophrenia and depression. It provided understanding factors
associated with tobacco smoking and dependence which can
further development and improvement of therapeutic strategies
to be used in smoking cessation programs as well as other
programs that aim to prevent and educate. However, it neglect
to mention the actual behavior of the individuals its focus was
more on the relationship between smoking and personality
characteristics.
Cigarette smoking continues to be the leading cause of
preventable death in the U.S., resulting in more than 440,000
deaths each year. In 2009, approximately 7,930 Washingtonians
died due to tobacco use or exposure. Despite efforts to prevent
and reduce tobacco use, 17.5% of Washington adults are current
cigarette smokers. The harmful effects of tobacco use are
proven and well known, and as a tobacco control strategy, many
campuses (hospitals and health care facilities, colleges and
universities, housing complexes, etc.) are adopting tobacco- and
smoke-free policies. With the intentions to encourage smokers
to quit and protect smokers and non-smokers from secondhand
smoke, these policies seem like a great idea. However,
implementers have discovered a problem: people tend to
congregate near campus entry points to smoke, which means
that anyone entering or leaving the campus will inevitably be
exposed to secondhand smoke.

13. References:
Centers for Disease Control and Prevention. Introduction to
Process Evaluation in Tobacco Use Prevention and
Control. Atlanta, GA: U.S. Department of Health and Human
Services, Centers for Disease Control and Prevention, National
Center for Chronic Disease Prevention and Health
Promotion, Once on Smoking and Health; 2008. Available at:
http://www.cdc.gov/tobacco/publications/index.htm.
Fast Facts. (2015, December 11). Retrieved November 09, 2016,
from
http://www.cdc.gov/tobacco/data_statistics/fact_sheets/fast
_facts/index.htm
Office for State, Tribal, Local and Territorial Support Centers
for Disease Control and Prevention. (2014, March). The 10
Essential Public Health Services – An Overview. Retrieved
November 9, 2016, from
https://www.cdc.gov/nphpsp/documents/essential phs.pdf