XH3005 Social Change and Social Determinants of Health: Community Resources – Sample Presentation
Published 2026-08-19
XH3005 Assessment Instructions Summary
The XH3005 Performance Task asks the learner to act as a community health advocate and social change agent by developing an evidence-based plan for a specific population affected by social determinants of health. The final product is an eight- to ten-slide PowerPoint presentation, plus title and reference slides, designed for stakeholders in the healthcare facility or community. The learner begins by summarizing concerns about health quality and equity in the local community and explaining specific professional nursing goals for community health advocacy. A target population is then selected and described using relevant characteristics such as age, language, cultural background, technology access, literacy, or other factors that affect how services should be delivered and communicated.
The core of the assessment requires analysis of the population’s needs using the social determinants of health, including economic stability, education access and quality, healthcare access and quality, neighborhood and built environment, and social and community context. The learner identifies three existing community organizations or services that could respond to the population’s needs and explains the rationale for each selection. Essential access information—such as location, hours, languages, special services, free materials, and online links—should be included. The learner also identifies at least one important missing resource, recommends ways existing services could better meet the population’s needs, and proposes strategies for reaching the group through communication methods appropriate to its characteristics. The presentation concludes with measurable goals for improving health outcomes. Scholarly writing, appropriate APA citations and references, adherence to the slide requirements, and removal of template instructions are expected throughout the completed presentation.
Completed XH3005 Presentation
Slide 1
SDoH Community Resources
RN-BSN Tempo Program, Walden University
Health Assessment
XH3005: Social Change and Social Determinants of Health
Month 04, 2025
Slide 2
Concerns About Health Quality and Equity
The Hispanic immigrant population in Houston faces significant barriers in accessing equitable healthcare. A large number of people do not have health coverage and avoid seeking help because of their immigration status. There is a lack of communication because of language differences which results in low utilization of services and manageable health issues (Birkelund et al., 2025). Furthermore, other providers do not have the appropriate cultural understanding to adequately address the needs of this population which affects trust and quality of care (Barrio-Ruiz et al., 2023). These inequalities remain unresolved in our local community and need to be focused on in order to improve equity.
Population Needs Based on Social Determinants of Health
Health Care Accessibility: Limited insurance and a considerable deficiency of culturally appropriate caregivers.
Economic Stability: Many are excluded from public benefits like SNAP and Medicaid, making it difficult to afford basic health services and daily needs (Gizaw et al., 2022)
Informal Education: Health literacy gaps and language barriers inhibit comprehension of care instructions.
Social Interaction: The combination of fear of discrimination and undocumented status create perpetual stress that hinders participation in the health system.
Slide 6
Identifying and Recommending 3 Community Resources
El Centro de Corazón offers bilingual, affordable primary healthcare access (Gizaw et al., 2022).It also addresses Language, cost, and healthcare access barriers
Houston Food Bank supports nutrition, SNAP, and benefit enrollment services. It addresses economic insecurity and nutritional needs
BakerRipley assists immigrants with employment, legal, and housing support. It also Housing, job stability, language, and legal protection
Slide 7
Essential Information for Accessing Resources
El Centro de Corazón:
Services: Bilingual care, affordable primary health
Location: East Houston
Contact: (713) 660-1880 | elcentrochc.org
This clinic eliminates the fear and language barriers that often prevent Spanish-speaking patients without insurance from receiving primary care services.
Houston Food Bank:
Services: Food distribution, SNAP support
Open weekdays | Walk-ins welcome
Contact: (832) 369-9390 | houstonfoodbank.org
This resource alleviates food insecurity, which indirectly improves health outcomes, by providing walk-in SNAP enrollment services to low-income immigrants.
BakerRipley:
Services: ESL classes, legal aid, employment support
Appointments required | Online info available
Contact: bakerripley.org
BakerRipley builds economic and health literacy frameworks by providing ESL classes and legal aid. This strengthens community care seeking and lowers community stress.
Slide 8
Missing Resource: Health Literacy & Navigation Center
Unmet Social Determinant of Health: Education and Health Literacy
Hispanic immigrants in Houston often struggle with low health literacy due to language barriers and unfamiliarity with the healthcare system. This limits their ability to understand medical instructions, access services, and make informed health decisions—making health literacy an unmet social determinant in this community.
A bilingual, community-based health literacy and navigation center is a critical but currently unavailable resource. A community-based center for health precisely aims at mitigating the essentials gap through engagement at the individual level. It would have an open-door policy for assistance in understanding documents, navigating healthcare, and obtaining referrals. By eliminating barriers of health literacy and intersystem navigation, the center will greatly encourage people to partake in self-care, minimize preventable hospitalization rates, and improve general health condition.
Slide 9
Evidence-Based SDOH Program Recommendation
Promotores de Salud empowers Hispanic communities through peer education.T
rained community members deliver health info in Spanish (Finlayson et al., 2025).
Program builds trust, improves preventive care, increases health access.
Targets health literacy, language barriers, cultural relevance, and equity.
Expand interpreter availability beyond Spanish to include indigenous dialects to enhance access for underserved linguistic groups.
Extend operational hours to evenings and weekends for better access among patients working multiple jobs .
Add bilingual mental health counseling services to address stress and trauma among undocumented patients .
Houston Food Bank
Include culturally relevant food items aligned with Hispanic dietary customs to promote trust and nutritional engagement (Finlayson et al., 2025).
Offer bilingual nutrition workshops targeting chronic disease prevention and health literacy .
Partner with clinics for onsite health education and referrals during food distributions to improve healthcare outreach (Finlayson et al., 2025)..
BakerRipley
Strengthen outreach for ESL, employment, and legal aid services via trusted community channels like churches and Spanish radio.
Host culturally relevant mental health workshops to reduce stigma and address immigration-related stressors.
Provide guidance on health insurance options through Spanish-language sessions to aid uninsured, undocumented individuals .
Slide 11
Strategies for Reaching the Population
Run advertising campaigns in Spanish for Facebook, Instagram, and WhatsApp aimed at engaging and informing the uninsured or undocumented community members (Barrio-Ruiz et al., 2023).
Work with local pastors and businesspeople as well as other community members to disseminate health-related information and promote service utilization.
Distribute Spanish posters in churches, marketplaces, bus stations, and community centers with the aim of aiding the visually and intellectually challenged to read and comprehend images and straightforward text.
Use text messages and WhatsApp to provide appointment and health tip reminders in Spanish and English—an accessible, low-stigma resource valued by the community.
Facilitate resource fairs with music, food, and childcare to increase advocacy and necessity and decrease stigma around utilizing healthcare services.
Barrio‐Ruiz, C., Ruiz, R., Colaceci, S., Juárez-Vela, R., Santolalla-Arnedo, I., Durante, A., & Di Nitto, M. (2023). Language and cultural barriers and facilitators of sexual and reproductive health care for migrant women in high-income European countries: An integrative review. Journal of Midwifery & Women’s Health, 69(1). https://doi.org/10.1111/jmwh.13545
Birkelund, L., Dieperink, K. B., Sodemann, M., Lindell, J. F., Steffensen, K. D., & Nielsen, D. S. (2024). Communicating without a shared language: A qualitative study of language barriers in language-discordant cancer communication. Journal of Health Communication, 29(3), 187–199. https://doi.org/10.1080/10810730.2024.2309357
Finlayson, T. L., Malcarne, V. L., Ayala, G. X., Schiaffino, M. K., Hoeft, K. S., Garcia-Alcaraz, C., Ryder, M., Gansky, S. A., Martinez, L. S., Yang, M., Dougherty, E., Maupomé, G., Stamm, N., & Shue, B. (2025). Development of new bilingual oral health behavior social support (OHBSS) scales in English and Spanish. PLoS ONE, 20(3), e0317133. https://doi.org/10.1371/journal.pone.0317133
Gizaw, Z., Astale, T., & Kassie, G. M. (2022). What improves access to primary healthcare services in rural communities? A systematic review. BMC Primary Care, 23(1), 313. https://doi.org/10.1186/s12875-022-01919-0