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NU450: Public Health Nursing – Population Centered Health Care in the Community
Unit 5 SWOT Analysis
Introduction to the Community: Guilford County, North Carolina.
Guilford County is in the central part of North Carolina, and home to the third largest city
in the state, Greensboro. As of February 2021, the unemployment rate was 6.5%, down from the
all time high of 14.9 percent in May 2020. While the unemployment rate has improved over the
last year, it remains well above the 3.7% United States average (Best Places, 2021).
Major health concerns for the community include poverty, toxic levels of stress, low birth
weight, infant mortality, racial disparities and Covid-19 (Smith et al., 2021).
SWOT Analysis
Strengths Weaknesses
Guilford Family Connects offers home visits Affordable access to health insurance- many
by public health RN for newborn babies and people living in Guilford County report a lack
mothers born in Guilford county. Home visits of health insurance or sufficient income to pay
offer education, support, and early assessment for care. North Carolina legislators did not
for potential health or safety concerns choose to expand Medicaid under the
(Guilford County, 2021). affordable care act, causing rates of uninsured
adults to be higher than those in neighboring
states that did expand Medicaid (Cone Health,
Refugee Health Services-Refugee Health 2019).
services are provided to individuals with
refugee, asylee or parolee status who have
recently relocated to the United States, and Access to fresh fruits/vegetables-Guilford
living in Guilford County. The Refugee County has a 17.8% food insecurity rate. Only
Health assessment includes 25 percent of the population falls above the
• Communicable disease screening SNAP and other nutrition program threshold of
• Appropriate follow-up 200% poverty. Guilford County currently has
• Immunizations 26 food deserts, and limited access to fresh
, 2
• Lead testing for children ages 6 months fruits and vegetables (Feeding America, 2021)
to 16 years
• Physical exam (or referral for an exam)
(Guilford County, 2021). Racial inequalities- Cone Health’s
medical data exposes concerning disparities
among patients, including
Mental Health services- Guilford County has • African-American patients 10.6% less likely
better availability of mental health providers to complete colorectal cancer screening;
per individual than many other parts of the Hispanic/Latino patients 44.6% less likely to
state. As of 2018, Guilford County had 400 complete colorectal cancer screenings; Asian
behavioral health providers (Smith et al, 2019). patients 95% less likely to complete colorectal
cancer screenings
•African-American patients 54.8% more likely
to have uncontrolled hypertension
• African-American mothers four times more
likely to be readmitted for hypertension than
White mothers
• African-American babies 205 times more
likely to have low birth weight (Cone Health,
2019).
Opportunities Threats
• Implement evidence-based approaches to • Covid-19 continues to be a major health
address chronic illness, mental health, and threat in Guilford County, with 45,064 new
positive cases reported in the last 30 days. 38
infant mortality
percent of newly diagnosed cases are patients
• Prioritize interventions for populations aged 25-49 (Guilford County, 2021).
vulnerable to health inequities including a Covid-19 can cause long-term symptoms
diabetes and hypertension including shortness of breath, extreme fatigue,
• Develop community networks to encourage brain fog, and increased heart rate. Long term
healthier eating habits and active lifestyles symptoms can lead to the need for ongoing
medical care, which is already hard to come by
for many in the community (Cirruzzo, 2021).
NU450: Public Health Nursing – Population Centered Health Care in the Community
Unit 5 SWOT Analysis
Introduction to the Community: Guilford County, North Carolina.
Guilford County is in the central part of North Carolina, and home to the third largest city
in the state, Greensboro. As of February 2021, the unemployment rate was 6.5%, down from the
all time high of 14.9 percent in May 2020. While the unemployment rate has improved over the
last year, it remains well above the 3.7% United States average (Best Places, 2021).
Major health concerns for the community include poverty, toxic levels of stress, low birth
weight, infant mortality, racial disparities and Covid-19 (Smith et al., 2021).
SWOT Analysis
Strengths Weaknesses
Guilford Family Connects offers home visits Affordable access to health insurance- many
by public health RN for newborn babies and people living in Guilford County report a lack
mothers born in Guilford county. Home visits of health insurance or sufficient income to pay
offer education, support, and early assessment for care. North Carolina legislators did not
for potential health or safety concerns choose to expand Medicaid under the
(Guilford County, 2021). affordable care act, causing rates of uninsured
adults to be higher than those in neighboring
states that did expand Medicaid (Cone Health,
Refugee Health Services-Refugee Health 2019).
services are provided to individuals with
refugee, asylee or parolee status who have
recently relocated to the United States, and Access to fresh fruits/vegetables-Guilford
living in Guilford County. The Refugee County has a 17.8% food insecurity rate. Only
Health assessment includes 25 percent of the population falls above the
• Communicable disease screening SNAP and other nutrition program threshold of
• Appropriate follow-up 200% poverty. Guilford County currently has
• Immunizations 26 food deserts, and limited access to fresh
, 2
• Lead testing for children ages 6 months fruits and vegetables (Feeding America, 2021)
to 16 years
• Physical exam (or referral for an exam)
(Guilford County, 2021). Racial inequalities- Cone Health’s
medical data exposes concerning disparities
among patients, including
Mental Health services- Guilford County has • African-American patients 10.6% less likely
better availability of mental health providers to complete colorectal cancer screening;
per individual than many other parts of the Hispanic/Latino patients 44.6% less likely to
state. As of 2018, Guilford County had 400 complete colorectal cancer screenings; Asian
behavioral health providers (Smith et al, 2019). patients 95% less likely to complete colorectal
cancer screenings
•African-American patients 54.8% more likely
to have uncontrolled hypertension
• African-American mothers four times more
likely to be readmitted for hypertension than
White mothers
• African-American babies 205 times more
likely to have low birth weight (Cone Health,
2019).
Opportunities Threats
• Implement evidence-based approaches to • Covid-19 continues to be a major health
address chronic illness, mental health, and threat in Guilford County, with 45,064 new
positive cases reported in the last 30 days. 38
infant mortality
percent of newly diagnosed cases are patients
• Prioritize interventions for populations aged 25-49 (Guilford County, 2021).
vulnerable to health inequities including a Covid-19 can cause long-term symptoms
diabetes and hypertension including shortness of breath, extreme fatigue,
• Develop community networks to encourage brain fog, and increased heart rate. Long term
healthier eating habits and active lifestyles symptoms can lead to the need for ongoing
medical care, which is already hard to come by
for many in the community (Cirruzzo, 2021).
