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N.C. Department of Environment, Health, and Natural Resources <br />Division of General Services <br />CONTRACT ADDENDUM <br />Maternal Health Branch <br />Office, Section, or Branch <br />Page 1 of 4 <br />F, 1991 <br />91 -5422 -068 <br />Contract Number <br />Orange County Health Dept. Maternal Health <br />Contractor Activity <br />1. An estimated 210 (r=ber) new patients will be witted to the Health <br />Department Maternity Program. HSIS Report: L EMI ACTIVITY <br />S (Item I.A.) <br />2. An estimated 1400 (umber) patient visits (i.e. complete service) will be <br />made to the Health Department maternity clinics. HSIS Report: MAMML <br />Hll?1&M AGTIVMY SE149M (Item V.A -1. - "'DOTAL" column) <br />3. An estimated 50 $ of thrice persons served by the Health Department <br />Maternity Program will initiate prenatal care in the first trimester (0-14 <br />weeks) of pregnancy. HSIS Report: MMERNAL EMML H MXFM 1NDICATURS (Item <br />I.A. — "ALL PERSC+1S SERVED" column) <br />4. An estimated 45 % of those pexsons under 20 years of ague served by the <br />Health Department Maternity Program will initiate prenatal care in the first <br />trimester (0-14 weeks) of pregnancy. HSIS Report: HAMERNRL HEN= FFOGMK <br />IImcw l IS ( Item VII . B.1. - "ALL PERSM SERVED" column) <br />5. An estimated _15__% % of tixm persons served by the Health Dement <br />Materntiy Program will initiate prenatal care in the second trimester (15 -27 <br />%wks) of pregnancy. HSIS wort: MMML HI?1RM FRDL AM TIDiCAM 19 5; (Item <br />I.B. — "ALL PONS SERVED" column) <br />6. An estimated 40 % of those persons urdQr 20 years of age served by the <br />Health Departmarit Maternity Program will initiate prenatal care in the second <br />trimester (15-27 weeks) of pregnancy. HSIS Report: OMML HFAL7H MICWM <br />DMCMM (Item VII.B.2. - "AIL PERSM SEWED" column) <br />7. An estimated 5 % of those persons served by the Health Dent <br />Maternity Program will received WIC Program services. ISIS Report: XWERKNI, <br />HM CLOSM S1U*2W (Item X.A. "TOML" column) or HSIS - WIC MATCH FM <br />WC KW. <br />Reviewed by <br />DEHNR 3300 (Revised 2/90) C. �-' s "11" Y" <br />General Services Division (Review 1!95) Initials Date <br />