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The diagram to the right depicts the ten essential public health
services that have been defined, and the specific actions that are
when followed, provide assurance to the public, that they will live healthy and happy lives,
The three core functions of public health noted in the outer ring of the diagram are: assessment,
policy development and assurance. The first core function is assessment. Two of the essential
public health services are included in this core function. The first is to monitor the community
environment and the health status of the public. It requires identification of any health threats or
problems, and identification of specific groups that may be at high risk. The community health
The second essential public health service also falls under the core function of assessment. The
requirement of this service is to diagnose and investigate health problems and health hazards
which exist within the community. This includes ensuring water standards are maintained, the
identification of possible hazardous wastes, and to focus on poor housing conditions to prevent
The third essential public health service falls under the core function of policy development. It
includes the need to inform, educate and empower the community about existing health issues.
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This service includes population-targeted provision of health information within the community,
and the collaboration with other health care providers. It also includes the dissemination of
The fourth essential public health service is included in the core function of assessment,
addresses the need for community public health collaboration and partnerships. It states that the
problems. These program partnerships could include housing authorities, law enforcement,
schools and other community organizations. Included in this service is the need for preventive
The fifth essential public health service is included in the policy development core function. It
addresses the need for development of plans and policies that could include safe, affordable
housing which, could help the homeless, and other programs such as full-day kindergarten.
Policies to be created would include the planning for community health improvement by the
The sixth essential public health service falls under the core function of assurance. It requires the
enforcement of the laws and regulations which enforce and protect the community public health
and safety. This would include safety in the food industry, and provision of clean water supplies
The seventh essential public health service also falls under the assurance core function. It defines
the need to link people to the needed personal healthcare services, and assures the provision of
healthcare when it is not available to the public. This service is listed as a community outreach
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The eighth essential health service also is part of the assurance core function. The community
must assure the availability of a competent public and personal healthcare workforce. This
service can include the education and training of healthcare workers to meet the community
needs.
The ninth essential health service is also part of the assurance core function. This service requires
continuous evaluation of existing health programs for effectiveness, quality of the personnel and
The tenth and final essential health service falls under the assurance core function. It stipulates
the need for new research, which could provide new original solutions to health problems. The
research specified addresses the need for community-based participatory research designs.
and Community Health Sciences), a great deal of their work falls under the scope of the third
essential public health issue, which states the need to inform, educate and empower people about
health problems. The members of the organization work to specifically educate the population of
Hunterdon County, New Jersey on health issues, and how to prevent them. With my preceptor, I
have presented numerous nutrition and health education classes within the county. Together,
with the person in charge of cancer prevention at Hunterdon Medical Center, we presented
information on colorectal cancer, and the dietary recommendations for preventing this disease.
The health professional from the Medical Center presented information on the need to be
screened for colorectal cancer. We presented the dietary methods of prevention, which are
recommended by the American Institute of Cancer Research. The program developed into a long
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presentation, as it became very interactive with attending participants. It was obvious that the
attendees wanted to learn the information which we provided. The facility receives requests for
these types of programs from various community healthcare professionals, on a regular basis.
Additionally, the facility participates in a “Grow Healthy” program, which involves the
elementary schools within the county. The Family and Community Health Sciences department
of Rutgers Cooperative extension, works to educate the young students in the county on healthy
eating and lifestyles, by educating them on ways to eat more fruits and vegetables, making smart
food choices and becoming more physically active. The schools are also able to participate in
creating school gardens, with the help of the Master Gardeners from the Rutgers Cooperative
Extension.
Through my Wellness project we designed and implemented a Worksite Wellness Program for
strategies. The group meets once monthly, and we provide education on the prevention of
chronic disease, through healthy eating, improved physical activity and stress management. I
have had the opportunity to participate in many of these programs which involve educating and
actions that they can collaboratively work to resolve health problems. This is required under the
seventh essential public health service. My preceptor is a member of the Hunterdon County
Partnership for Health. I have attended one of their monthly meetings. Some of the members
included in this program are health practitioners from Hunterdon Medical Center, Hunterdon
Behavioral Health, the Cancer Coalition of Hunterdon and Mercer Counties, board members of
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local schools, United Way of Hunterdon County, New Jersey Department of Health, and
Hunterdon Drug Awareness Programs. These are only a few of the members. The list is quite
extensive. Collaboratively, they work to develop health programs for the community which offer
preventive information, and information on health improvement. Recently, the program members
three different times. Participation was great, even though the weather was not. The group
intends to promote additional walks over the course of this spring and summer, with an effort to
Another program which I was lucky enough to participate in was the planning of a Summer
Feeding Program for children of Flemington, New Jersey. The gentleman who initiated this
program runs the Salvation Army in Flemington. Together with my preceptor and this gentleman
who initiated the program, we planned the entire menu for the summer, the food that would be
required, and assisted with the documentation which needed to be sent to the USDA for
approval. The Partnership for Health, collaboratively again, is working to locate volunteers to
These are only a few the health programs that my facility is involved in. They also work with the
SNAP-Ed programs. One large program which they offer annually, is the 4-H Fair, where they,
among other events, conduct health screenings. Again, this event is one that is planned
collaboratively with other members of the Hunterdon County Partnership for Health.
My preceptor is a member of the Diabetes Coalition, in which she works cooperatively with
other Registered Dietitians from the Diabetes Center of Hunterdon Medical Center. Once
diabetes patients have completed their initial diabetes education at the center, they are referred to
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one of my preceptor’s diabetes support groups. If my preceptor finds that new members to the
diabetes support group require additional individual counselling, she will either refer them back
to the Diabetes center, or to an Endocrinologist within the Hunterdon Healthcare System. This is
an example of Essential Public Health Service number seven, which requires people who work in
the public healthcare system to link people to needed personal health services.
At the meetings, I have had the opportunity to meet other Registered Dietitians, who are
members of the Hunterdon Partnership for Health. One RD who I recently met, had just initiated
a weight management program for older children, at one of the local Wellness Centers. I have
observed many wonderful collaborations within the community at these program meetings. Some
of the RD’s that I have met work in a clinical setting, but they attend the meetings to offer their
knowledge and support, and often to volunteer at one of the many functions the Partnership for
Health offers. I have been lucky enough to observe how many Registered Dietitians are called
upon within the community to contribute to the improvement of the public health of Hunterdon
County.
References:
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