Sample Selection and Application Paper

Globally, more than half the nations are categorized as developing countries. Most of these countries, including DR Congo and Mali in Africa, have a very low per capita income. Some citizens in these countries live below the poverty level. Poverty is often associated with other problems such as poor education and poor health. Poor sanitation, hygiene, and lack of advanced technology are several other consequences of abject poverty. Malnutrition and death due to hunger are the effects of extreme poverty. Countries and responsible organizations should continuously evaluate the poverty burden to ensure they solve the poverty ‘pandemic.’ This paper focuses on poverty as presented in all districts in the sentinel city simulation and proposes evidence-based interventions to address the problem.

Sample Selection and Application Paper

Some districts such as Nightingale Square and Acer Tech Center have high household incomes, indicative that poverty is not a problem in these districts. The Casper Park and Industrial Heights Districts have low household incomes, the lowest being Industrial Heights District ($24,572) (Sentinel City, n.d.). Different features identify the districts as poverty-laden, among them, an abandoned lot, seemingly homeless people, piles of crates, debris, and unattended trash lies at the building corners.

Narrowing down to Industrial Heights reveals a more significant problem of poverty. Smoke and debris float in the air in the area. Several instances show a lack of security in this district, among them a house with smashed windows barricaded probably for further investigations by the police, a burning car which could be a consequence of violence and observed gang violence. The buildings in this area appear run down.

There is also a busy soup kitchen behind the church, mainly serving the elderly, homeless, and disabled adults. The area lacks groceries, retail services, or new food points. No prominent good hotels, restaurants, or recreation services were available. In addition, 37.5% of the population in Industrial Heights are uninsured (Sentinel City, n.d. Sample Selection and Application Paper).

Furthermore, the reports from the city indicate increased homicides, simple and aggravated assaults, and robberies in the industrial Heights District. Only less than 10% of the students have comprehensive student health services, with the rest having poor or no student health services (Sentinel City, n.d.). Health and nutrition are good indicators of the poverty state of a region. Poverty often translates into poor health and health services and poor nutrition, as seen in Sentinel City. From the above findings from the Sentinel City simulation, it is evident that poverty is rampant and corrective measures are necessary to improve the quality of life for the citizens.

The sustainable development goals (SDGs) address improving the quality of life in at least five areas. These goals include “a) end poverty in all its forms everywhere, b) end hunger, achieve food security and improved nutrition, and promote sustainable agriculture, c) ensure healthy lives and promote well-being for all at all ages,” (Roy et al., 2018). The first intervention is initiating irrigation farming to achieve food security in this area.

The second intervention is initiating education and screening for obesity, hypertension, and diabetes. The interventions aim at promoting food security and health through health empowerment and health screening, positively impacting the quality of life for the sentinel residents. Irrigation is a regional intervention to promote food security in any community that faces food shortage (Kesuma, Maryunianta & Muda, 2018), such as this Sentinel City community. Various healthcare and other professionals should be involved in the planning and implementation of this intervention. Industrial Heights District lacks enough food, as evidenced by the soup servings being the primary food source for some people.

Kesuma, Maryunianta, and Muda (2018) carried out a study to evaluate the effectiveness of an irrigation system to support the implementation of a food security policy. Indonesia is an agrarian country, and agriculture development is a top priority. In this research study, the role of irrigation in supporting food production was evaluated. The results revealed that over 64% of rice production in the North Sumatera region was from irrigation. The contributions were relatively high in other areas such as Toba Samosir, where over 90% of total rice production was through irrigation. Industrial Heights is a relatively dry area. Initiating farming could work to increase the availability of fresh food that is lacking in this region. It would also create new jobs for this population and promote independence.

The second intervention for this area aims at managing the high prevalence of hypertension, diabetes, and obesity in the Industrial Heights District. On analyzing the pharmacy’s statistics, hypercholesterolemia, hypertension, and diabetes mediations are the most common (Simvastatin, Lisinopril, Levothyroxine, and amlodipine, among others) purchases.  Gopalan et al. (2021) review the role of education and screening for obesity, hypertension, and diabetes in women in nine underprivileged areas.

The screening results showed a high prevalence of hypertension, diabetes, and obesity among pregnant and non-pregnant women. The study also had a referral system to aid in managing critically ill patients. The study also revealed that women and all residents in underprivileged areas have poor access to and utilization of healthcare resources (Gopalan et al., 2019). This is the case with health center evaluation results in Industrial Heights District in the sentinel city simulation (Sentinel City, n.d.). The health center and the pharmacy results warrant screening and education on obesity, hypertension, and diabetes.

A door-to-door campaign, community meetings and media houses education shall be crucial to this population. It shall allow screening for these conditions, initiate follow-up for patients suffering from these conditions, and referral of complicated cases for better management (Gopalan et al., 2019). As discussed earlier in this paper, health is the most significant determinant of the quality of life. Improving the health of a population reflects in their quality of life.

A healthy population is often more productive and has a high likelihood of eradicating poverty. Thus, we can conclude that good health in a population indirectly helps eradicate poverty. The three conditions prevalent in this region negatively affect productivity. Improving access to healthcare, enhancing the residents’ knowledge of healthy living, and providing vital health services shall positively impact their health status.

The sentinel city simulation provides access to various ‘neighborhoods’ that reflect our actual neighborhoods. The simulation provides all necessary information regarding the city and its districts. The simulation allows a student to identify a population in need and apply their knowledge to solve the problems unearthed. The Industrial Heights District is an area identified due to the poverty levels that characterize its populace.

Compared to other districts such as Nightingale square, the district lurks behind in development, quality healthcare access, access to good food, security, and health education. The problems require an evidence-based intervention to mitigate or eradicate. The two suggested interventions require interprofessional collaboration and multisector linkages. The activity equips a student with community diagnosis skills and evidence-based practice to improve health outcomes.

Sample Selection and Application Paper References

  • Gopalan, H. S., Haque, I., Ahmad, S., Gaur, A., & Misra, A. (2021). Education and screening for obesity, hypertension, and diabetes (including gestational diabetes) “at the doorstep” of women from nine underprivileged urban areas in Delhi National Capital Region. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 102209. https://doi.org/10.1016/j.dsx.2021.102209
  • Kesuma, S. I., Maryunianta, Y., & Muda, I. (2018). Evaluation of irrigation system to support the implementation of food security policy. International Journal of Civil Engineering and Technology, 9(9), 600-614.
  • Roy, J., Tscharket, P., Waisman, H., Abdul Halim, S., Antwi-Agyei, P., Dasgupta, P., … & Suarez Rodriguez, A. G. (2018). Sustainable development, poverty eradication, and reducing inequalities. http://centaur.reading.ac.uk/81048/
  • Roy, J., Tscharket, P., Waisman, H., Abdul Halim, S., Antwi-Agyei, P., Dasgupta, P., Hayward, B., Kanninen, M., Liverman, D., Okereke, C., Pinho, P. F., Riahi, K. and Suarez Rodriguez, A. G. (2018). Sustainable development, poverty eradication and reducing inequalities. In: Masson-Delmotte, V., Zhai, P., Pörtner, H. O., Roberts, D., Skea, J., Shukla, P. R., Pirani, A., Moufouma-Okia, W., Péan, C., Pidcock, R., Connors, S., Matthews, R. B. R., Chen, Y., Zhou, X., Gomis, M. I., Lonnoy, E., Maycock, T., Tignor, M. and Waterfield, T. (eds.) Global Warming of 1.5°C: An IPCC Special Report. Cambridge University Press.
  • Sentinel City: Sentinel City. (n.d). Retrieved 25th July 2021 from https://learn.americansentinel.edu/mod/lti/view.php?id=452319