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Helping People Live Better Lives. 1
Helping People Live Better Lives. 2
Josie Rodriguez, Administrator Helping People Live Better Lives. 1 - - PowerPoint PPT Presentation
Josie Rodriguez, Administrator Helping People Live Better Lives. 1 - - PowerPoint PPT Presentation
Communities Concerned for Immigrants and Refugees: A Network for Learning & Action Nebraska Department of Health & Human Services Division of Public Health Office of Health Disparities & Health Equity Josie Rodriguez, Administrator
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*Promote awareness of health disparities *Provide minority health data *Promote cultural intelligence/fluency *Promote community outreach *Collaborate with stakeholders
Core Functions
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Helping People Live Better Lives. 4 White, Non-Hispanic 79.6% Black, Non-Hispanic 4.7% America Indian, Non-Hispanic 0.8% Asian, Non-Hispanic 2.4% NHPI*, Non-Hispanic 0.1% Two or more races,Non- Hispanic 1.8% Hispanic 10.7% Percent Distribution of Nebraska Population by Race/Ethnicity, 2016 * Native Hawaiian and Other Pacific Islander Source: US Census Bureau, 2016 Population Estimates Total Nebraska Population 1,907,116 Total Nebraska Minority Population 389,590
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Total Foreign-Born Population: 120,417 Percent of Nebraska Population: 6.5%
Source: 2010-2014 American Community Survey
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Helping People Live Better Lives. 6
TOP REFUGEE POPULATIONS IN NEBRASKA
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COUNTY MINORITY POPULATION: NEBRASKA 2010
Data Source: U.S. Census Bureau, 2010 Census
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WORK TO IMPROVE ACCESS TO IMMIGRANTS AND REFUGEES IN NEBRASKA
- Minority Health Initiative Funding
- Refugee Behavior Risk Factor Surveillance Survey
- State Health Improvement Plan - Health Equity Priority
- Improving data collection efforts
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EFFORTS TO SERVE IMMIGRANTS AND REFUGEES IN NEBRASKA Minority Health Initiative Funding – specifically for minority populations in Nebraska
- Funding allocated by Nebraska Legislature
- Funds originally from tobacco master settlement dollars
- $1.58 million annually
- Distributed on per-capita basis to counties having a minority population
equal to or exceeding 5% of the total population based on most recent decennial census.
- Available to 1st and 3rd congressional districts of Nebraska
- Funding also for FQHC’s in Cong. District 2
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MHI - INNOVATIVE WORK
- Specifically address chronic diseases
- Funding for Community Health Workers
- Integration of public health and primary care
- Address Social Determinants of Health Issues - access
- Funds support screenings and other needs
- Organizations address Cultural and Linguistic Appropriate Services
Standards
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INNOVATIVE WORK
¡ Community Health Worker training offered by State of Nebraska – Free ¡ Behavior Risk Factor Surveillance Survey completed with refugee population in
Nebraska
¡ Project Purpose: to identify health related key risk factors for Nebraska’s refugee
communities
¡ Work with refugee community partners to complete the surveys ¡ Funding allocated to community-based organizations to address access and other
issues that affect health – Public Health and Health Services Block Grant funding
¡ Refugee resettlement program works with organizations to increase awareness of
needs of refugee populations
¡ Refugee leaders sit on Statewide Health Disparities and Health Equity
Advisory Council
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Helping People Live Better Lives. 13
INNOVATIVE COMMUNITY WORK TAKING PLACE IN COMMUNITIES
Lexington Regional Hospital
¡ Somali and Spanish interpreters available 24-7 on-site; ¡ CHW’s hired that work to address access and social determinants of health issues ¡ Routine cultural training to all staff to educate on cultural differences and how this may/may
not impact healthcare choices;
¡ Health Education to different cultures at their location of preference; ¡ Increase staff awareness of cultural differences regarding how care is performed ¡ Education to staff on their holiday of Ramadan as due to fasting, their energy conservation is
affected and will affect their performance in therapy;
¡ Education to patients on pain and the mechanism of pain; in some cultures
it is thought to be a 'reason it is happening to them' per their belief.
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INNOVATIVE COMMUNITY WORK TAKING PLACE IN COMMUNITIES
Lutheran Family Services
- Community Health Workers to assist with needs and access issues
- Increase refugee health literacy so that refugees can navigate the health system independently
and maintain a long-term healthy lifestyle
- Increase refugees' access to regular and long-term medical and mental health care services
beyond initial refugee medical screenings – Peer support training
- Increase refugees' access to mental health support resources through peer support or refugee
support groups
- Increase providers' ability to serve refugees with culturally- and linguistically- appropriate care
Asian Center
- CHW’s hired to work with refugees to assist in addressing access issues
- Placing nurse at cultural center a few hours a week to assist with health
needs and improve access to Medicaid
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dhhs.ne.gov
@NEDHHS @NEDHHS NebraskaDHHS
Administrator, Office of Health Disparities and Health Equity
Josie Rodriguez
http://dhhs.ne.gov/publichealth/Pages/healthdisparities_index.aspx
Josie.Rodriguez@Nebraska.gov