Assessment of Health-Related Problems in Dizaj-e Siavosh Community of Urmia, Iran, Based on the North Carolina Model

Introduction: To determine the health-related strengths, resources, and needs of a given community, it is necessary to obtain complete and correct information about its healthcare system and the people’s health problems. In this study, we identified and prioritized the health-related problems of the highly disadvantaged Dizaj-e Siavosh community of Urmia, Iran.Materials and Methods: This study was based on the so-called North Carolina Model. In this eight-step model, a community’s health-related problems are identified in the first seven stages. In the eighth stage, an operational plan is developed with the goal of addressing, prioritizing, and solving the identified problems.Results: In this study, 10 different problems were identified, including improper removal of sewage and garbage; involuntary marriage of girls, especially at an early age; the large number of poor households; the lack of continuing education for girls after elementary school; keeping pets without observing principles of health; lack of respect for a 3-year child-bearing interval; a generally poor socioeconomic situation; unemployment; widespread substance abuse; and low level of education for men. These problems were prioritized respectively.Conclusion: Most problems identified in this study were associated with people’s lack of knowledge about health-related issues, which is rooted in low social, cultural, and economic status.

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Addressing college access and success gaps in traditionally underrepresented populations: The North Carolina early college high school model

Higher Education Politics & Economics ◽

10.32674/hepe.v2i1.20 ◽

2016 ◽

Vol 2 (1) ◽

pp. 82-93

Author(s):

Dean Roughton

Keyword(s):

High School ◽

North Carolina ◽

High School Students ◽

Economic Status ◽

Early College ◽

Completion Rates ◽

Underrepresented Populations ◽

School Students ◽

High School Graduation Rates ◽

The North

Most states now allow qualifying high school students to take college courses free, or at a reduced rate, while still enrolled in secondary education, saving students and their families tens of thousands of dollars. Increased access, however, has not necessarily led to increased student success in terms of academic achievement and completion rates, especially among students from traditionally underrepresented populations. Racial and ethnic minorities, first-generation students, and students from low socio-economic status (SES) families continue to have lower than average college completion rates. The North Carolina early college model, in particular, has demonstrated effectiveness in improving high school graduation rates and college readiness among traditionally underrepresented populations.

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THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽

10.1542/peds.1.2.288 ◽

1948 ◽

Vol 1 (2) ◽

pp. 288-290

Keyword(s):

North Carolina ◽

Medical Care ◽

Rural Areas ◽

Economic Status ◽

Careful Study ◽

Small Hospital ◽

Care Plans ◽

The North ◽

State Commission ◽

Consultation Services

FROM what Dr. London reported in his paper "The North Carolina Plan for Improved Medical Care," published in this Section last month, this reader concludes that North Carolina is, as is stated, truly "in the vanguard" not only "with respect to advancement of medical education and expansion of medical care facilities," but with respect to sound policies and procedures to be used in planning for and achieving such advancement. Those worthy of particular notice are: 1. Leadership shared by lay and medical persons: Thus, in contrast to some other medical care plans where only doctors sit in on planning and administering programs, representatives of all those concerned were in from the beginning in the North Carolina plan. Doctors, educators, leaders in industry and government, farm and labor groups, consumers of medical care, etc., helped make initial plans. Lay as well as professional personnel constitute this State Commission which now adopts policies and administers funds. 2. Careful study of facts as plans were developed: It should be emphasized that the studies took special cognizance of the economic status of the population and the availability of services they needed. 3. The steps taken to solve the problems uncovered by the studies were realistic and designed to attack those problems which were solvable in the near future. Thus the problem of lack of well trained personnel was faced and three important steps were taken to solve it. A medical school is being expanded. Loan funds are made available so students can go to universities. Post-graduate education is being expanded through consultations for physicians less well trained and in smaller hospitals. Another problem faced quite realistically was that the best modern medical care demands more than the average doctor or small hospital can supply. Apparently some assistance in solving this problem will be given by having consultation services supplied from larger and better staffed units. The development of additional diagnostic services within reach of the patient and the doctor in rural areas will also help.

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