Arizona Rural Women's Health Network Development Survey (2015)
The Arizona Rural Women's Health Network (AzRWHN) is requesting your assistance and input to identify and prioritize the health issues/topics impacting women (Adolescent Girls, Women and Pregnant Women) living in our rural communities. The information you provide here will help guide the future of the Network. In addition, the results of the survey are expected to help the Network identify and reach out to other partners in rural Arizona. Thank you in advance for sharing your views, experience, and expertise with the AzRWHN.
1. What zip code do you work in?
Your answer
2. Gender:
Your answer
3. Which type of organization do you work at?
4. What is your primary role within that organization?
5. As a Network, to whom should we be reaching out to/partnering with (local groups or organizations) to address the health needs of women living in rural Arizona?
Your answer
6. What resources (advocacy, policy development, materials, training, continuing education, etc.) can we provide to state and local organizations to help them address the health needs of women living in Arizona's rural communitites?
Your answer
7. Priority needs for ADOLESCENT GIRLS living in rural communities
Please rank the top 5 priority needs from 1-5 (1 being the most important) for the target population. You are only allowed to rank ONE need PER COLUMN. If you would like to add other topics/needs please do so in the last question.
1 (most important)
2
3
4
5 (least important)
Access to health care services
Access to health insurance
Anemia/iron deficiency
Cancer screenings (such as: breast, cervical, colon)
Chronic diseases and conditions (such as: diabetes, high blood pressure, high cholesterol)
Depression
Dating Violence/Domestic violence
Environmental hazards (such as: pollution, mold)
Family planning
Folic acid
Health disparities (avoidable health inequalities between or within specific population groups)
Immunizations
Injury prevention
Inter-conception health (birth spacing)
Linkage to community resources
Nutrition and physical activity
Obesity
Oral health
Poverty
Preconception health
Prescription misuse during pregnancy
Primary preventive health care (well women visits)
School enrollment for teen mothers
Sexual Violence
STD and HIV screenings
Stress
Substance Use
Unintended and unplanned pregnancies
Unsafe neighborhood
8. Priority needs for WOMEN living in rural communities
Please rank the top 5 priority needs from 1-5 (1 being the most important) for the target population. You are only allowed to rank ONE need PER COLUMN. If you would like to add other topics/needs please do so in the last question.
1 (most important)
2
3
4
5 (least important)
Access to health care services
Access to health insurance
Anemia/iron deficiency
Cancer screenings (such as: breast, cervical, colon)
Chronic diseases and conditions (such as: diabetes, high blood pressure, high cholesterol)
Depression
Domestic violence
Environmental hazards (such as: pollution, mold)
Family planning
Folic acid
Health disparities (avoidable health inequalities between or within specific population groups)
Immunizations
Injury prevention
Inter-conception health (birth spacing)
Linkage to community resources
Nutrition and physical activity
Obesity
Oral health
Poverty
Preconception health
Prescription misuse during pregnancy
Primary preventive health care (well women visits)
Sexual Violence
STD and HIV screenings
Stress
Substance Use
Unintended and unplanned pregnancies
Unsafe neighborhood
9. Priority needs for PREGNANT WOMEN living in rural communities
Please rank the top 5 priority needs from 1-5 (1 being the most important) for the target population. You are only allowed to rank ONE need PER COLUMN. If you would like to add other topics/needs please do so in the last question.
1 (most important)
2
3
4
5 (least important)
Access to health care services
Access to health insurance
Acute/infectious disease
Alcohol use during pregnancy
Anemia/irony deficiency
Autism screening
Birth defects
Breastfeeding
Child abuse and neglect
Child care
Chronic diseases and conditions (such as: diabetes, high blood pressure, high cholesterol)
Depression
Environmental hazards (such as: pollution, mold)
Folic acid
Genetic counseling
Health disparities (avoidable health inequalities between or within specific population groups)
Injury prevention
Inter-conception health (birth spacing)
Lead poisoning
Low birth weight (LBW) births
Male/father involvement
Maternal mental health screening, assessment, and treatment
Maternal mortality
Medical complications during pregnancy
Newborn screening
Nutrition and physical activity
Poverty
Prematurity (preterm births)
Prenatal care
Primary preventive health (well woman visits)
Stress
Substance use during pregnancy
Tobacco use during pregnancy
Unsafe neighborhood
Very low birth weight (VLBW) babies born at facilities for high risk deliveries
Weight gain during pregnancy
10. Are there any other needs or issues that were not captured by questions 7-9 that you feel the Network should prioritize?
Your answer
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