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Factors Associated with First Trimester Prenatal Care: An Evaluation of Presumptive Eligibility in Five Colorado Local Health Agencies
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| Presenter(s):
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| Mario Rivera, Colorado Department of Public Health and Environment, mario.rivera@state.co.us
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| Abstract:
Presumptive eligibility (PE) is federal legislation that allows eligible pregnant women to receive 45 days of temporary medical coverage through Medicaid and CHP+ while eligibility for full health care benefits is determined. During 2009-2010, an evaluation of PE at the five local health agencies was conducted. The evaluation determined the extent to which women who receive PE services obtain prenatal care during their first trimester of pregnancy and what characteristics are associated with receipt of first trimester care. A 20-item telephone survey was the data source. The survey examined the utility of enrolling individual clients into PE services and provided an opportunity for local public health agencies to learn how evaluation can help shape local public health programming. Conclusions drawn from the evaluation suggest that PE services in conjunction with a broader system of services may work more effectively than a focus on one-on-one application services for pregnant women.
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Triangulating a Three-Legged Stool: Self- and Other-Assessments of the Three Components of the North Carolina Public Health Preparedness System
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| Presenter(s):
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| Doug Easterling, Wake Forest University, dveaster@wfubmc.edu
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| Lucinda Brogden, Core Path Solutions LLC, lubrogden@earthlink.net
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| Abstract:
Preparedness for and response to disasters has become a core responsibility of public health agencies. In North Carolina, public health preparedness is coordinated and carried out by three levels of actors: the NC Division of Public Health, 85 local health departments, and a set of intermediate groups (Public Health Response Teams) that provide technical assistance to local health departments. A system-wide assessment was commissioned in 2009 to inform the refinement and possible restructing of the system. That assssment asked stakeholders at each level of the system to report on the strengths and limitations of their own agency and of the other levels of the system. This paper will present results that focus specifically on the congruence between self-assessments and external assessments. In some areas, the reports were largely in agreement (e.g., the relative strength of different forms of organizational capacity within local health departments). However there were also areas where outside stakeholders identified major weaknesses not reported by those within the respective agency.
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Windows of Opportunity for Improving Public Health Insurance Coverage In Mexico: Main Findings of a Qualitative Evaluation of the Implementation of Seguro Popular
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| Presenter(s):
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| Adolfo Martinez-Valle, Coordinacion Nacional Programa Oportunidades, adolfomartinezvalle@gmail.com
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| Abstract:
Objetive. Identify windows of opportunity by assessing the implementation of Seguro Popular de Salud (SPS) to improve its effectiveness both at the estate and federal level, as well as the challenges facing its consolidation in the year 2012 when universal coverage should be achieved.
Methods. A qualitative evaluation was performed between March and December of 2006 to assess the implementation of SPS in 13 states where approximately 60 percent of the national coverage was achieved in Mexico.
Results. Ensuring financial resources for prevention is a key window of opportunity to enhance the financial feasibility of SPS. More effective and timely financial flows will improve health care delivery by increasing drugs supply and other health care inputs. Certifying health care units financed by SPS is crucial to ensure a minimum quality of care.
Conclusions. The evaluation strategy allowed identifying key windows of opportunity to improve the implementation of SPS.
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