Mobilizing for Action through Planning and Partnerships Butler County 2011 Community Health Assessment FOUR CORNERS HEALTH DEPARTMENT MAPP 2011 Page 1
Background Information In October of 2010, Four Corners In October of 2010, Four Corners Health Department launched a community assessment project that will have lasting effects for the entire public health system in the district. Mobilizing for Action through Planning and Health Partnerships Department (MAPP) is a dynamic process launched developed by the a Centers for Disease Control and Prevention and the National Association of City and County community Health Officials that assessment helps communities prioritize project public health that issues and identify resources for addressing them. Community ownership is the fundamental component of MAPP. will have lasting effects for the The MAPP Planning Team consists of representatives entire public from across health the Four Corners system in the District. The team focuses on the vision: district. Mobilizing for Action The Four Corners District Partners envision a healthy, safe environment where education, resources, through and opportunities Planning exist for and all to Partnerships encourage health and wellness. Through community (MAPP) collaboration, is a dynamic confidential disease process prevention services and quality healthcare are accessible developed and affordable by for the all age Centers groups. for Disease Control and Prevention and The MAPP project includes four community assessments. In this report, we have focused on the results of the Community Themes and Strengths the National Assessment. Association of City and County Health Officials that helps A community survey was distributed throughout the district during March and April of 2011. Responses were received from 673 individuals. In Butler communities County, 160 responses prioritize were received. The public compiled results of those 160 surveys are reported here. health To issues learn more about and the identify MAPP project, contact us: resources for addressing them. Community ownership is the fundamental component of MAPP. 2101 N. Lincoln Avenue, York NE 68467 Phone: 402-362-2621-877-337-3573 Fax: 402-362-2687 Email: questions@fourcorners.ne.gov The MAPP Planning Team consists of representatives from across the Four Corners District. The team focuses on the vision: FOUR CORNERS HEALTH DEPARTMENT MAPP 2011 Page 2
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2011 Community Health Survey Additional Comments provided by Butler County Survey Respondents Medical Can get into clinic same day usually. We're mostly a "small town" with the advantage of location close enough to have access to great health care providers and are benefiting from good decisions about health care. I strongly agree that we have a very good medical system. Overall, I think we do well in our county but I think that people need to understand the importance of taking care of themselves. Exercise, eat healthy, and set an example to younger families of the importance of children's vaccinations and proper nutrition. Health costs seem very high. No care providers for homecare. We need to do a community weight loss program. Need to advertise more regarding support networks for individuals and families. Late night health care was very, very poor on the one trip we were there with our children (hospital and doctor). Cost of medical care is astronomical even with insurance. Elderly often times must travel out of town for appointments and procedures. Even elderly living in rural areas have no access to transportation to get to their medical appointments. FOUR CORNERS HEALTH DEPARTMENT MAPP 2011 Page 15
We have had several misdiagnoses when going to the Butler Health Clinic - and when seeing another doctor (out of town), they ve given the right diagnosis and have treated us/our children accordingly with better results. Butler County seems to have a lot of cancer pts. Is the water unsafe or maybe too many pesticides used in farming? Being overweight is an issue. Cost of medical care is higher here then at a larger community with more available tests & medical staff with more knowledge and experience. I feel the cost of health care is outrageous anywhere. It's hard for middle & low income families even with insurance. We need access to cheaper health care for families with low income. Due to the fact that I'm dissatisfied with the health care in Butler Co., I choose to go to more reliable care specialists in Platte Co Employment Not many jobs (to offer lasting careers). There aren t a lot of jobs available. We only have three businesses in town. Community While we're a "small town", we've lost the sense of community which goes with it. But that's normal now. I believe lots of us think we can make the community better, and are doing so, but by no means do all of us think so. I feel we have a relatively safe community in which to have our families. We are very happy with the David City community. It's nice to see such pride and unity. I love living in David City. I was not born & raised here but it is home. FOUR CORNERS HEALTH DEPARTMENT MAPP 2011 Page 16
I think it is very hard to feel welcome when you move here. Maybe we could use a welcoming committee with a packet of social events middle age people can become involved in. I know of some professionals who moved here from out of state & are still having a hard time fitting in. This community is too clicky. Either you belong or you're looked down upon. Too many fake people competing to see who has the best things. It is a good place to raise kids and grow old. It is safe and a "quiet" community. Communication - letting the communities know what is available in terms of programs, resources, etc. What works or is available in one county may not be embraced or available in another. The rural counties are going to need to pool resources now and in the future to provide all types of services and move away from county defined opportunities if we want to keep and serve the population. Education / Youth There are no elementary after school programs offered by our school. Middle and High School students have too many after-school demands on time. Our community needs more after school programs for teens. Adult involvement is a must. We really like the school systems! Educational facilities are nice. Recreation for children/entertainment for teenagers - not much is available outside of the school system (Bowling, movies, etc.). Better meal programs for the aging. Older Adults FOUR CORNERS HEALTH DEPARTMENT MAPP 2011 Page 17
2011 Community Health Survey Additional Results for Butler County What are the most important health problems in our community? Number of Health Problem Responses 113 Cancers 84 Heart Disease & Stroke 47 Diabetes 43 Aging Problems (Arthritis, Hearing or Vision Loss) 39 High Blood Pressure What are the most important risky behaviors in our community? Number of Responses 106 Alcohol Abuse 90 Being Overweight 65 Drug Abuse 45 Lack f Exercise 45 Poor Eating Habits Risky Behavior Of the health problems and risky behaviors that you selected, which one would you suggest the community work on? (write-in) Number of Most Important Responses 37 Overweight / Eating Habits / Exercise 27 Alcohol Abuse 21 Drug Abuse 10 Cancers 8 Diabetes FOUR CORNERS HEALTH DEPARTMENT MAPP 2011 Page 18