Health is the least considered issue among the Hispanic immigrants that stream into America annually. This is because Hispanics, just like the rest of immigrants from other races usually come to America in search of job and education opportunities. However, the nation cannot totally ignore the presence of Hispanics or their basic needs as they are the third largest racial groups that compose the entire American population. The large dominance has attracted many more each year as the Hispanics value and stick to their social ties. Among the major cities in America, New York City hosts the largest number of both documented and undocumented immigrants and they mostly occupy the suburbs. The ricochet effects of that is, New York hosts the largest number of Hispanics that suffer from Type 2 diabetes, obesity; especially among children and adolescents and poor diet diseases like kwashiorkor. Among the major cities, New York also records the highest number of Hispanic alcohol consumers and early pregnancies among girls.
In my previous paper, I used Windshield Survey assessment to develop a health promotion and disease prevention initiative for the Hispanic population. This paper acts as a continuation as it aims to build a wellness education program that will be used to ensure that the objectives and goals in the health promotion and disease prevention initiative are met. The paper will explain the methods and techniques that can be used to ensure that benefits of the health initiative are visible to the target population, the health sector, education sector and the employment sector; the basic aim is to bridge the gap that exists between the initiative and the population. For the whole process to be scalable, effective and efficient there must be key players. In my case, I propose the state health agencies, private health practitioners, lawyers and the targeted Hispanic population. The state health agencies will act as mass service providers, the private health practitioners will be the material and fund donors, the federal legal system will help educate the Hispanic mass about the legal benefits they are supposed to utilize and the Hispanic population will be the recipients and customers to the initiative.
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Problem Statement
We classified the target population according to age and employment status. That was done so that we could come up with tailor made solutions to each group without affecting their daily activities. The three main groups were children, adolescents and middle-aged men. The adolescent bracket was typically made of females and the middle-aged men group was further subdivided into employed and unemployed. Their type employment was not stressed on; as long as they were the providers for their nuclear or extended families. Adult females were not targeted as customers but as volunteers that will steer the whole initiative. Statistics from the affordable care act state that 27 percent of Hispanic children suffer from Type 2 diabetes, the number has been on the rise in the last four years and most of the children have high mortality rates. 32 percent of the Hispanic adolescents get early pregnancies and they are forced to abandon their education in order to look after their kids (Shaw, 2016) . The immediate result of early pregnancy in girls is that they are given up to the boy’s family and the ties she had with her family are cut. Startling statistics reveal that 49 percent of Hispanics males are alcohol consumers with varying extends. Employed middle age men make up more than half the total percentage, this can have attributed to the notion that they can spend more on alcohol than their unemployed counterparts. Obesity was a negative characteristic in all the three target groups and women also added up to the total 41 percent of Hispanic populace that was obese.
Implementation Process
The wellness education program will be done in three confines; in schools, where a large number of children and adolescents can be found, in churches, where the whole family can be found, and in social gatherings. Churches were prioritized as the Hispanics regard their religion as vital human component and they emphasize on catholic spiritual matters; even families that have drunkards. Part of the recommendations that were given in the health promotion and disease prevention initiative were; to build three modern fitness facilities, to build more grocery stalls, to provide home diabetes test kits and set up two rehabilitation centers in the suburbs. The fitness facilities and grocery stalls will be part of the techniques to ensure that the health initiative is holistic (Sandon, 2016) . The implementation will be preceded by civic education of the importance of all the facilities and set out the guidelines to be used in the whole set of facilities and services offered by the initiative.
Interviews and observation will be used as data collections methods. The two methods are vital in understanding the traditions and notions that the Hispanic populace has in all the targeted health risks. The sample size of each group will be diverse according to the magnitude of the problem along the entire affected population. Due to the language complexities, translators will be availed to facilitate communication during the interviews and the gatherings. This act is supposed to boost the confidence of the customers and make them realize that their health and not their money is what are being emphasized on. Women are the preferred translators and marketers because they are the ones naturally tasked to nurture the family in non-economic matters. A separate education for women will be conducted, whereby, all the women will be tasked to monitor the progress of the target individuals that are in their families; diabetic children, female adolescents and drunkard men. Penetrative pricing will be part of the marketing strategy; members will subscribe to the facilities at a low fee and the fee will slightly rise annually. Free health product deliveries and free consultation services will be part of the incentives used to attract customers to the health products and services.
The laws that govern the affordable health care act stipulate that undocumented immigrants; especially ones that are unemployed, cannot be beneficiaries to the program. This has increased the mortality rates among Hispanic children because they cannot benefit from the childcare program. Representatives from the legal system will invited to educate about the importance of being documented and initiate the whole process. We propose that immigration documentation forms be availed to the localities where they will be readily available to the target groups (Kalina, Flores-Montero, Lecrevisse, Pedreira, van der Velden, Novakova & Sedek, 2015) . A major setback to the whole health initiative is that, even the documented employed population has not subscribed to the employer insurance programs and they; individually, or their families cannot be guaranteed adequate mediation when ill.
Benefits
The major benefit after the whole process has been carried out successfully is that a large number of the Hispanic population will be documented and they will be accessible to the products and services offered by the affordable healthcare program, the education levels in the city will are set to rise because the number of adolescents that drop out due to pregnancies will be drastically reduced. Devastating health complications like hypertension and heart attacks that are aftermaths of obesity will be greatly reduced and the mortality rates in the entire population will be significantly drop. Proper diet and eating habits will be enhanced and the trend in increase of diabetic patients will gradually drop. The overall benefit that comes with the whole wellness education program is that there will be less resistance from the locals because they will realize that both the state and the federal governments are concerned about their healthcare. The advantage of using women is that the society will be willing to corporate and collection of results after the initiative has started will easy.
Conclusion
The whole wellness education program is meant to sensitize the people about the importance of their health and make them see the benefits of the health promotion and disease prevention initiative that will be launched. The program can also be used as magnet to attract investors into the initiative because they will they see the level of preparedness of the whole initiative and the readiness in the customers. However, the main emphasis of the initiative is not taking economic advantage of the Hispanic population but make them realize that their health is as important as their economic welfare. All three recommendations that were given in the previous paper; which touched on health promotion and disease prevention initiative, have been stressed on in the wellness education program and this will ensure the fluidity of activities and acceptance when the initiative begins (Arnold, Sullivan & Okah, 2018) . Data collection methods will basically give the steps in which the policies will be drawn and ensure that all the products and services don’t profane the religious and traditional practices of the Hispanic; the method is very relevant as it provides a better way to understand the people and incorporate the health techniques to their natural setting and norms. The overall benefit of the education program will be realized by the health initiative stakeholders and the entire targeted population.
References
Shaw, M. K. (2016). Embodied agency and agentic bodies: negotiating medicalization in Colombian assisted reproduction.
Sandon, L. F. (2016). Pilot study: Effect of a worksite weight-loss intervention and social influence on self-efficacy and self-regulation for eating and exercise . Texas Woman's University.
Arnold, L., Sullivan, C., & Okah, F. A. (2018). A Free-Market Approach to the Match: A Proposal Whose Time Has Not Yet Come. Academic Medicine , 93 (1), 16-19.
Kalina, T., Flores-Montero, J., Lecrevisse, Q., Pedreira, C., van der Velden, V. H. J., Novakova, M., ... & Sedek, L. (2015). Euroflow Quality Assurance program: proposal for structure and implementation.
