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Assignment 4 Essay.

Health promotion program in your community. 

Continuing with your scholarly paper, “Health Promotion Program Proposal,” propose a health promotion program following MAP-IT previously exercised in week 5. 

Write the essay describing each aspect of the strategy. Introduce the problem with concise overview about its health impact. (1 paragraph)

1. Introduce the need for the strategy. (1paragraph).

2. Mobilize. What would be your objective and mission? How would you include stakeholders? What would be their roles? (1-3paragraph).

3. Assess. How are you planning to assess the problem? What are your short-term and long-term goals? (1-2 paragraph).

4. Plan the steps to organize and implement the strategy. (1-2 paragraph).

5. Track. Describe the evaluation process to measure and track your progress. Include statistic evaluation and collaboration with statistician as required. (1 paragraph).

6. Conclude the idea justifying the development of this particular promotion strategy. (1 paragraph).

Write the essay following the rules of formal writing and APA 7th edition. Observe also originality. Avoid plagiarism and self-plagiarism. 


This week assignment, due Sunday, is the continuation of your health promotion proposal. 

Please read the orientations carefully. Don’t do extra work regarding recommended extension of the ideas. 

1. Point 1: “Introduce the need for the strategy. (1paragraph)” will your first paragraph and introduction of the essay. Don’t type the word “introduction”.

2. You will type the name of your essay on the title page, as usual, but also on top of your introduction. That first line will be centered, non-bolded. 

3. Point 6: “Conclude the idea justifying the development of this promotion strategy. (1 paragraph)” will be your last paragraph and conclusion. Don’t type the word “conclusion”. 


Breast Cancer Description

Florida National University

Jose Cardentey

Health Promotion and Role Development in Advanced Nursing Practice

Professor: Alexander Garcia Salas

January 20, 2022



Breast cancer is a form of cancer that attacks cells of the breast. It is a global problem as it

has affected the lives of many families across the world. Around the world, it mostly affects women

but it is not rare in men. Most of the effects of breast cancer come during treatment which mostly

entails surgery, radiation, and chemotherapy. The effects include; tiredness, bone thinning, hair

loss, swelling of different body parts, and scarring. From recent statistics, it has been noted that

deaths associated with it are in steady decline and the World Health Organization is trying to bring

the mortality rate down to 2.5% per annum. In this article, we will look at the global, national, and

local descriptions of breast cancer.

Global Impact:

Statistics show that breast cancer is declining in high-income countries but the trend is

increasing in low and middle-income countries. Treatment of breast cancer at a global level is

challenging due to the economic disparities of countries in different regions and also because of the

heterogeneous realities that exist in these different places. The cases in low and middle-income

countries are attributed to the adaptation of the western culture, poor lifestyle habits, and poor diet

in these countries (Gogate et al., 2021). The regions most affected by it are South America, Sub-

Saharan Africa, and India (Hu et al., 2019). In light of this, there have been collaborations between

different organizations in Europe and North America that have tried to come up with a better

treatment of the disease in high, low, and middle-income countries. Breast cancer affected 2.3

million women in 2020 and the number of diagnosed cases in the past five years stood at 7.8

million, and there were more than 685,000 deaths (Gogate et al., 2021). These statistics made it the

most common type of cancer globally.


National Relevance:

The Breast Cancer organization estimates that the new cases in the U.S in 2022 will be

around 288,000 in women and it has also projected around 43, 000 deaths in women in the same

year (Gogate et al., 2021). One in every eight women in the U.S will get invasive breast cancer

during her lifetime. When it comes to race and ethnicity, black women are more likely to die from

breast cancer than white women. Hispanic, Asian, and Native-American women are less like to

develop and die from breast cancer (Hu et al., 2019). In the U.S, the estimated economic burden

associated with this cancer was about $21.9 billion and it is estimated that this number might be

higher. The government has supported different cancer organizations in the country to come up

with up-to-date treatment guidelines.

Local Relevance:

Treatment of breast cancer is high and rank as the topmost expensive treatment regiment in

the U.S. most families are undergoing a tough time when it comes to treatment especially if they

are uninsured or underinsured. In California, the incidence rate stands at 403 persons per 100,000

people and it is more prevalent in Whites than in any other race (National Cancer Institute, 2021).

This number is very high when compared to other types of cancer except for skin cancer.

Mammography is the state stands at 68% and is ranked the 25 among the states ( National Cancer

Institute, 2021). Almost 200, 000 women living with breast cancer in California (National Cancer

Institute, 2021).


Research has shown that breast cancer can be combated at global, national, and local levels. All it

takes is a collaboration between the relevant stakeholders. Low and middle-income countries are at


risk of being overwhelmed by the disease because of the alarming rates at which it is growing in

these countries. Better infrastructure needs to be developed when it comes to the supply of the

relevant drugs a most of them are used up in developed countries leaving developing countries

strained accessibility to the best drugs.



Gogate, A., Wheeler, S. B., Reeder-Hayes, K. E., Ekwueme, D. U., Fairley, T. L., Drier, S., &

Trogdon, J. G. (2021). Projecting the prevalence and costs of metastatic breast cancer from

2015 through 2030. JNCI Cancer Spectrum, 5(4), pkab063.

Hu, K., Ding, P., Wu, Y., Tian, W., Pan, T., & Zhang, S. (2019). Global patterns and trends in the

breast cancer incidence and mortality according to sociodemographic indices: an

observational study based on the global burden of diseases. BMJ open, 9(10), e028461.

National Cancer Institute. (2021). Annual Report to the Nation Part 2: Patient economic burden of

cancer care more than $21 billion in the United States in 2019. cancer.gov.