1. By: Sara Huber Mallory Gilbert Felicia Wright-Williams Corby Ash
Newaygo County
By: Sara Huber
Mallory Gilbert
Felicia Wright-Williams
Corby Ash

2. Basic Facts of Newaygo County
Located in western portion of Michigan
Relies on tourism, agriculture and small manufacturing for economic support
Great area for hunting, fishing, and camping because half of county is located in the Manistee National Forest
Over 230 natural lakes and over 350 miles of rivers and streams within county
(Newaygo County, 2013)

3. Analysis of Newaygo County: Strengths
Active community foundations and public services that promote and support health
Majority of residents report good or better health
More residents graduate high school compared to MI and US averages
Low violent crime rates compared to MI and US averages
Lower rate of risky behaviors among adolescents (smoking, binge drinking, or marijuana use) compared to MI and US averages
High rate of child immunizations
High rates of adults immunized against pneumonia and flu
Fewer low birth weight babies than MI and the US
Lower Prevalence of cardiovascular conditions (heart attacks, angina, or coronary heart disease) compared to MI and US averages
(Hill, Mullins, & Warner, 2011)

4. Analysis of Newaygo County: Weaknesses
High unemployment rate
High poverty rate
Low life expectancy and higher mortality rate for men and women compared to MI and US averages
Lack of programs for the underserved (low income, uninsured, and underinsured)
Low number of primary care physicians for the population
High incidence of diabetes and asthma compared to MI and US averages
High rate of child abuse/neglect rates
Death rates for cancer, Alzheimer’s, and respiratory diseases are higher compared to MI and US averages
Majority of adult population is either overweight or obese compared to MI and US averages
(Hill, Mullins, & Warner, 2011)

5. Analysis of Newaygo County: Weaknesses Continued
High prevalence of cigarette smoking among pregnant women
Higher displeasure with life than MI averages
1 in 5 adults have no health care coverages
Transportation to health care is a barrier
High proportion of hospitalizations paid by Medicaid
Inadequate fruit/vegetable consumption among adults and children
High prevalence of depression, with low community response
Lack of dental services and mental health services, especially to underserved.
(Hill, Mullins, & Warner, 2011)

6. Newaygo County Statistics
Unemployment rate is 13.8% in Newaygo County; Michigan is 10.5% and United States is 9.2%
Poverty rate is 16.0% in Newaygo County; Michigan is 16.1% and United States is 14.3%
Medicaid paid births are 50.2% in Newaygo County; Michigan is 41.2%
(Hill, Mullins, & Warner, 2011)

7. Community Resources
The high unemployment rates, high poverty rates, and high amount of people on Medicaid in Newaygo County, can lead to difficulty accessing health care
Fortunately most primary care providers within the county accept Medicaid
Unfortunately most specialized care providers do not reside within the community, which makes it difficult for vulnerable populations (low income, uninsured, underinsured, and Hispanic) to access specialized care due to lack of transportation
There is a lack of pediatric specialized providers within the community, as well as mental health treatment options
(Hill, Mullins, & Warner, 2011)

8. Community Resources
Community health nurses along with doctors within the community need to join together to provide people of the community with more primary care providers
These primary care providers should be equipped to work with mental health patients to decrease their chance of hospitalization
Leaders of the community along with community nurses should form a committee to brainstorm ways to transport community members to out of county doctors appointments either via bus or taxi

9. Theory of Reasoned Action
According to the theory or reasoned action a person’s behavior is determined by their intention to perform that behavior, including their attitudes and the influence of their environment (Harkness & DeMarco, 2012).
Since most people of the community perceive their health as good or better, they will want to continue their health or improve it, especially when the community is attempting to make improvements in the access to healthcare.

10. Problem Statement Risk of: lower life expectancy
Among: Newaygo County residents
Related to: lack of access to health care
As demonstrated by: “One in five (19.3%) Newaygo County adults aged have no health care coverage and slightly more than one in ten (11.4%) have no personal health care provider. Also, more than one in ten (13.9%) were denied health care access in the past year due to health care costs” (Hill, Mullins, & Warner, 2011).

11. Problem Statement Risk of: higher mortality rates
Among: Newaygo County residents
Related to: higher poverty rates
As demonstrated by: “More than one in five families with children in Newaygo County live in poverty. This proportion rises drastically for single female families where over half (53.3%) with children under 18 years of age live in poverty. Moreover, this is noticeably higher than in Michigan or the U.S” (Hill, Mullins, & Warner, 2011).

12. Planning & Intervention
Increase access to vital services and income improving benefits in order to lessen poverty’s most immediate effects
Provide ways out of poverty that encourage
education, employment, financial literacy and
asset-building

13. Planning & Intervention
Provide social and educational support to the children and families in order to prevent the inheritance of poverty from generation to generation.
Focus on the development of jobs for adults with the greatest obstacles to employment.
Increase the access to public benefits for the vulnerable population for all essential services.

14. Planning & Intervention
The best pathway out of poverty is a well-paying job. To get back to prerecession employment levels, we must create jobs. At the current pace, however, we will not get there until July 2018.
To kick-start job growth, investments should be made in job-creation strategies such as rebuilding Newago infrastructure; developing renewable energy sources; renovating abandoned housing; and making other common-sense investments that create jobs, revitalize neighborhoods, which will boost the economy.
Vallas& Boteach, 2014

15. EVALUATION OF RESOURCES
The Newaygo County Community Collaborative (NC3) is the official State-indorsed community collaborative serving Newaygo County. NC3 is made of representatives of education, governments, employment training, healthcare, human services and other agencies concerned about the quality of life in Newaygo County (Newaygo County Community Collaborative, 2015).
The NC3 is appropriate because it focuses on improving lives of children and families.
The NC3 is adequate because when the information is shared from local, State and Federal levels that could impact support of local programs and service funding.
The NC3 is effective because it supports many efforts among community agencies such as; Great Start, Homeless Continuum of Care and many more.
(Newaygo County Community Collaborative, 2015)

16. (Newaygo County Community Collaborative, 2015)
EVALUATION (example)
LIFE EXPECTANCY
Changes over the period from 1985 to 2013 were in the middle at 50% for females and 25% for males. The national average was an increase of 3.1 years for females and 5.5 for males
PROVERTY
In 2012 female and male poverty was in the middle at 50% compared with the Michigan average.
(Newaygo County Community Collaborative, 2015)

17. EVALUATION OF RESOURCES CON’T
Live Well Newaygo County
WE CAN!
College, Career and Credentials Access Network, and Michigan Works
The goal – A collaborative effort aimed at increasing Newaygo County residents” secondary education to 60% by the year Currently, 25% of Newaygo’s residents have begun or completed secondary education Newaygo County community(Newaygo County Community Collaborative, 2015).
Primary Care Providers
Healthy People 2020 objectives has targeted an increase in health services. No target has been identified as of yet
Access to Care.
Live Well Newaygo
Strategic focus: Increase access to health care, Increase health literacy across the county, collaborative initiative that emphasizes prevention and management of chronic disease.
Uninsured
Healthy People 2020 target for percentage of uninsured individuals is zero percentage of total coverage. Live Well has an assigned program that will assist the residents in preparing documents for the application of the Federal Healthcare Program.
After re-evaluation, new task forces or groups will be recommended as needed.

18. References
Harkness, G.A. (2012). Community and Public health nursing practice: Evidence for Practice Wolters Kluwer/Lippincott, Williams & Wilkins: Philadelphia
Hill, M., Mullins, M., & Warner, L. (2011). Newaygo county health and health care landscape. Retrieved from
Newaygo County. (2013). County of Newaygo. Retrieved from
Newaygo County Community Collaborative. (2015). Newaygo County Community Collaborative. Retrieved from
Vallas, R., & Boteach, M. (2014). The Top 10 Solutions to Cut Poverty and Grow the Middle Class. Poverty News Alerts. Retrieved from top-10-solutions-to-cut-poverty-and-grow-the-middle-class