Community Health Project for Pregnant Women
Healthcare is the fundamental necessity for every individual living in any state, regardless of religion, race, sex, color, etc. The population chosen for this paper is that of JMJ Pregnancy Center, which is a catholic pro-life crisis pregnancy management base. The reason for selecting this center is that it often resides with low socio-economic status women without health insurance. This paper aims to identify and prioritize community diagnosis for the women of this center so that a plan is developed to address their healthcare needs.

Part 1: Literature Review

Crisis pregnancy centers (CPCs) are pro-life organizations that are non-profit and work for women who experience unplanned pregnancies and are considering abortions (Holtzman, 2017). These centers are more religious to mentor and convince pregnant women to reconsider their abortion and contemplate adoption or parenting. Unwanted pregnancies are most commonly seen among adolescents, and that too belonging to the lower socio-economic class who have less access to the best medical health services and insurance facilities (Yazdkhasti et al., 2015). There is an unwanted increase in population, and the country's healthcare budgets increase despite the allocated yearly budgets from the government. The economic conditions tighten for the state authorities, and the employment is affected as well. Also, the unequal distribution of healthcare is experienced by unintended pregnant women, leading to health inequalities. Teens are more prone to health risks since they have less education and knowledge about the pregnancy, resulting in severe bias n health insurance and medical aid disparities.

Research has also shown that pregnancy centers do not give accurate and ample health knowledge to pregnant women since their ideologies are more religious, and they want these women to stop thinking about it (Rosen, 2012). They think that abortion is against God’s will, and pregnant women should not commit this crime. They spread knowledge like abortion causes future pregnancies, is conducive to breast cancer and harms mental health. The Society for Adolescent Health and Medicine (SAHM) and North American Society for Pediatric and Adolescent Gynecology (NASPAG) stated that crisis pregnancy centers do not provide essential health and sexual information that is critical for maintaining health standards of pregnant women (SAHM & NASPAAG, 2019). The reproduction of health information is misleading, and informed consent is not given due importance in these organizations, causing serious health threats to these women who are already deprived of health insurance facilities. Such tactics are often considered as subtle cases of fraud since the CPCs provide counseling that instills fear into the minds of pregnant women who are already going through a mental trauma of unwanted pregnancy (Brown, 2018). In certain instances, the state government has been collaborating with the CPCs to disclose ‘informed consent’ by convincing the physicians to give the women inaccurate information, which is called TRAP laws. It is understood that physicians can be forced to give misleading information as they are ‘professionals,’ but the crisis pregnancy centers cannot. Such a situation makes women vulnerable to the harms of paradoxical treatment, both mentally and physically.

Assessment

The selected population of pregnant women is the JMJ pregnancy center, a pro-life pregnancy center for women planning to abort their unwanted pregnancies. The women are from adolescence years and have low socio-economic status. They even do not have access to health insurance, which costs a great deal to the government, as mentioned earlier in the previous section.

A similar section of the population was selected as a sample for the study that aimed at studying the effect of low socio-economic status on the unintended pregnancy of women as a risk factor (Iseyemi...…constant counseling and mentoring for the women by the nurses so that they let go of their resistance towards the unwanted pregnancy. Otherwise, if they still are resilient, they should be mindful of the state laws and the physical condition required for early abortion, especially during the first three months of pregnancy since in later pregnancy months, it is not possible.

Evaluation

The evaluation plan can include weekly, or monthly assessments and discussions for the women who have either changed their abortion plan are still contemplating to go for it. The nurses would take notes on whether they have complied with the nursing guidelines given to them for coping with stress and fear of unwanted pregnancy. Mentorship and guidance programs would be evaluated based on how willful pregnant women continue their uninvited gravidity. If they express satisfaction with their decision, then the mentoring would be assumed successful.

This evaluation method's limitations can be personal subjective judgments regarding their positive or negative reactions toward unwanted pregnancy, which can cause bias in the evaluation results. Recommendations for nurses can include remaining unbiased and objective towards the women and treating them as ordinary patients. Also, the nurses should develop any personal inclination to any of the women to avoid bias.

The implication for community health nursing is to recognize the significance of mental healthcare and physical care for pregnant women, especially in the unintended pregnancy population. Since the crisis pregnancy centers are Catholic and would imply their religious concerns on the pregnant women to stop the abortion of unwanted pregnancy, which would impose more mental pressure with fear and uncertainty of unwished pregnancy. The nurses should mentor and guide proper health care directions so that pregnant women's psychology should be amended towards their satisfaction regarding their decision to either continue or abort the pregnancy.…