Agenda - 01-19-1993 - VIII-E - Laserfiche WebLink

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2 TARGET POPULATION: Older and minority women in North Carolina are least likely to be screened and are most likely to die. The target population includes women who are at or below 200 percent of poverty, are older, are uninsured and are minorities, including Native Americans. Women who are or have been sexually active, or have reached the age of 18 years are eligible for cervical cancer screening. Women who are 40 years and older are eligible for breast cancer screening. INTERVENTIONS: A clinical breast examination (CBE) and instruction on self- examination will be provided to each women screened. Mamograms and cervical cancer screening, including a pelvic exam and pap smear will be provided according to guidelines developed by the American Cancer Society (ACS) . Finally public and professional education will be provided to increase public awareness about breast and cervical cancer and to assure that the services of the Health Department are high in quality. STAFFING: The minimum services required by the contract addendum can be accomplished by a half-time temporary Public Health Nurse I position and an increase by 10 hours per week of an existing permanent, part-time Family Nurse Practioner (FNP) position. FUNDING: The State has allocated, from their CDC Grant, $24,714 dollars to the Orange County Health Department through the end of fiscal year 92-93. There is a 3:1 federal, non-federal matching requirement; therefore orange County must match the dollars of state/federal funds with a local allocation of $8,238 dollars. Fortunately, this can be accomplished by allocating $4,613 dollars of current operating funds, $367 dollars of anticipated revenue and $3,258 dollars from the Kellogg Grant. The latter match is acceptable to the state authorities since the Kellogg Grant will be engaging in community education which will include breast and cervical prevention. Thus, the total budget for the balance of the fiscal year will be $32,952 dollars. RECOrM4ENDATION(S): The Manager recommends as follows: (1) Accept additional funding in the amount of $24,714 dollars through the state consolidated contract. (2) Approve the plan for matching funds. (3) Establish part-time, temporary PHN I position and expand existing part-time FNP position by 10 hours per week. (4) Authorize the Health Director to enter into contracts for Mammography and Colposcopy services. (5) Authorize the chair to sign the contract amendment and the budget pages.