By Day 6 of Week 9 Respond to at least  two of your colleagues * on two different days by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues. Response 1 HealthCare Program Evaluation  A program evaluation is an effective and systematic way to improve and account for different public health actions (Framework for Program Evaluation - CDC, n.d.). Policy evaluation is essential in public health and is essential to take public health action (U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES, 1999). This evaluation is an effective way that is designed to summariz and oragnize essential elements of program evaluations (Framework for Program Evaluation - CDC, n.d.). The process of evaluating policy may be done using a formal method called a program evaluation design (Milstead & Short, 2017). This relies on standardized strategic evaluation processes (Milstead & Short, 2017). Program evaluation follows specific guidelines tha ai,s to provide information to assit others in making accurate and well informed decisions about a program or policy (Milstead & Short, 2017).  There are five steps involved in the evaluation framework (Milstead & Short, 2017). The first step begins as the program is being planned and aims to establish goals, objectives, and timelines (Milstead & Short, 2017). The second step involves developing a formalized process where individuals are given responsibilities for each step, data is collected, and a timeline is selected (Milstead & Short, 2017). The third step involves gathering data using a determined format which is analyzed to reach a conclusion (Milstead & Short, 2017). The fourth step involves the evaluator trying to understand the success of the program in attaining the goals and objectives that were first set (Milstead & Short, 2017). Step five involves sharing the information in an evaluation report high is a formsal document that highlights the evaluation methods and results (Milstead & Short, 2017). At the federal level the oversight and evaluation of policies or programs occurs in the executive agencies and General Accounting Office (Milstead & Short, 2017).  When conducting a program or policy evaluation, it may be negative,y or positively skewed by different social determinants. For example, if you are evaluating the a program aiming to decrease the amount of cavities seen in kids, the community you are eva,hating is going to skew the results. In a wealthier neighborhood, kids will have the necessary resources to see a regular dentist and eat healthy foods to prevent cavities. In a low income neighborhood, kids may not have the necessary resources to see a regular dentist and to eat healthy no sugary foods. A program evaluation in the rich neighborhood may seem successful, where the low income neighborhood may seem like it failed. In reality, this program could be equally impactful in both communities, the only difference is o.

1. By Day 6 of Week 9
Respond to at least
two of your colleagues
* on two different days by suggesting additional
opportunities or recommendations for overcoming the
challenges described by your colleagues.
Response 1
HealthCare Program Evaluation
A program evaluation is an effective and systematic way to
improve and account for different public health actions
(Framework for Program Evaluation - CDC, n.d.). Policy
evaluation is essential in public health and is essential to take
public health action (U.S. DEPARTMENT OF HEALTH &
HUMAN SERVICES, 1999). This evaluation is an effective way
that is designed to summariz and oragnize essential elements of
program evaluations (Framework for Program Evaluation -
CDC, n.d.). The process of evaluating policy may be done using
a formal method called a program evaluation design (Milstead
& Short, 2017). This relies on standardized strategic evaluation
processes (Milstead & Short, 2017). Program evaluation follows
specific guidelines tha ai,s to provide information to assit others
in making accurate and well informed decisions about a
program or policy (Milstead & Short, 2017).
There are five steps involved in the evaluation framework
(Milstead & Short, 2017). The first step begins as the program
is being planned and aims to establish goals, objectives, and
timelines (Milstead & Short, 2017). The second step involves
developing a formalized process where individuals are given
responsibilities for each step, data is collected, and a timeline is
selected (Milstead & Short, 2017). The third step involves
gathering data using a determined format which is analyzed to

2. reach a conclusion (Milstead & Short, 2017). The fourth step
involves the evaluator trying to understand the success of the
program in attaining the goals and objectives that were first set
(Milstead & Short, 2017). Step five involves sharing the
information in an evaluation report high is a formsal document
that highlights the evaluation methods and results (Milstead &
Short, 2017). At the federal level the oversight and evaluation
of policies or programs occurs in the executive agencies and
General Accounting Office (Milstead & Short, 2017).
When conducting a program or policy evaluation, it may be
negative,y or positively skewed by different social
determinants. For example, if you are evaluating the a program
aiming to decrease the amount of cavities seen in kids, the
community you are eva,hating is going to skew the results. In a
wealthier neighborhood, kids will have the necessary resources
to see a regular dentist and eat healthy foods to prevent cavities.
In a low income neighborhood, kids may not have the necessary
resources to see a regular dentist and to eat healthy no sugary
foods. A program evaluation in the rich neighborhood may seem
successful, where the low income neighborhood may seem like
it failed. In reality, this program could be equally impactful in
both communities, the only difference is one community has the
necessary resources while the other doesn't. When evaluating a
program it would be helpful to have data on a whole people
group, while also having data on the smaller people groups that
make up the larger community. By doing this it would be
possible to determine which people groups are or aren't being
affected and determine how to reach those that are still
experiencing little to no change.
Response 2
The healthcare program/policy that I choose is the impact of the
Affordable Care Act (ACA) on access to healthcare services by

3. diabetic adults. ACA has been the most important policy across
the globe in transforming America's history recently. This
policy was commissioned by President Obama back in 2010 and
since then it has been the driver in transforming the country's
healthcare. Before the introduction of this policy, uninsured
adults living with diabetes could hardly access affordable and
preventive health care care (Huguet et al., 2018). ACA has
greatly increased coverage and access to uninsured adults with
diabetes, thus increasing their health care use. This has led to
reduced incidences of diabetes-related complications and
improving health in general. ACA has increased health
insurance coverage for the uninsured and implemented reforms
to the health insurance market.
To measure the success of the policy or program, the evaluation
considered the program’s impact on the healthcare outcomes of
diabetic individuals. The healthcare outcomes of insured
individuals were compared to those of the uninsured. Various
aspects were considered during the evaluation. They include
expenditure on health services and access to care (Brown &
McBride, 2015). The program's success was measured against
insured persons' outcomes by paying attention to the access
between the groups, their uptake of healthcare services, and
how much they spend on such services.
Lack of health insurance has been a barrier to medical care thus
increasing the costs and the risk of diabetes complications.
Poverty is one of the social determinants of health. Uninsured
persons reported poorer access to care, compared to insured
adults (Myerson & Laiteerapong, 2016). Assessing the potential
of the Affordable Care Act of 2010 can help in improving
diabetes care by increasing health care access. Health and
health care outcomes of both uninsured and insured persons can
be compared under ACA.
Marcus Garvey Discussion
At least 75 words when you are replying to another student and

4. you must reply to at least one student.
SHELIA’S POST:
Marcus Garvey's message is unity of four million negroes in the
world to Africa through the Universal Negro Improvement
Association and African Communities League of the World.
Africa for the Africans to join the mother land for the purpose
of bettering our industrial, commercial, educational social and
political conditions to bring about an emancipated race.
This compared to Booker T. Washington who wanted blacks to
make themselves indispensable and industrial. W.E.B. DuBois
wanted blacks educated in liberal arts. Both goals were to uplift
black community and both were key figures in advancement of
blacks.
Marcus Garvey suggestions make sense to those blacks wanting
to return to Africa. But doesn’t make sense to those blacks who
were looking for unity with other races and not return to Africa.
Wilson's War Message Discussion
At least 75 words when you are replying to another student and
you must reply to at least one student.
KIMBERLY’S POST:
On April 2, 1917, President Woodrow Wilson went before a
joint meeting of Congress to demand a formal statement of war
against Germany. Wilson referred to Germany's infringement of
its promise to suspend unlimited submarine fighting in the
North Atlantic and the Mediterranean, as well as its endeavors
to tempt Mexico into a partnership against the US, as his
purposes behind pronouncing war. On April 4, 1917, the U.S.
Senate cast a ballot on the side of the action to proclaim the
battle against Germany. The House agreed two days after the
fact. The US later proclaimed the battle on German partner
Austria-Hungary on December 7, 1917. Germany's resumption
of submarine assaults on traveler and shipper ships in 1917
turned into the essential inspiration driving Wilson's choice to
lead the US into The Second Great War.

5. If I was sitting in Congress listening to Woodrow Wilson’s
speech, I would have voted on War with Germany because as
Wilson stated the world must be made safe for democracy.”
Wilson argued that the United States had a duty as “one of the
champions of the rights of mankind.” It would not merely defeat
Germany but free its people.
Jane Addams Discussion
At least 75 words when you are replying to another student and
you must reply to at least one student.
KIMBERLY’S POST:
The settlement house was designed to uplift urban populations.
“First, the desire to interpret democracy in social terms;
secondly, the impulse beating at the very source of our lives,
urging us to aid in the race progress; and thirdly, the Christian
movement toward humanitarianism.” Addams believed social
settlements in the United States would satisfy two needs.
First, American cities had large numbers of immigrants who
needed help adjusting to life in a big city. Second, she believed
many educated and socially favored young people living in the
cities needed to use their energies to serve others.