Agenda - 12-17-1991 - Laserfiche WebLink

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12 JUSTIFICATION PUBLIC HEALTH NURSE I Child service coordination (CSC), a state mandated service, has continued to see growth in the number of infants with serious physical problems or harmful psycho - social environments which must be followed. Current staffing is unable to con- tinue to meet the growing need. Family planning services at OCHD have noted a leveling of persons which can be served suggesting that our current clinics and staffing have reached their full capacity for providing services. The family planning program is the most cost effective mechanism for helping reduce infant mortality and morbidity by assist- ing women to maintain or improve their health status and space pregnancies so that they are less likely to have a poor pregnancy outcome. The addition of a half -time nurse would allow the FP program to expand -and provide FP services to more women during clinical time which is currently providing only STD services. An additional 12 service encounters per week could be provided for family planning plus provide additional nursing hours for follow -up of clients with positive or abnormal findings. ACTUAL ACTUAL ACTUAL ACTUAL PROJECTED FY'89-'90 FY'88 -'89 FY'89 -'90 FY190 -191 FY'91 -192 # child Service coor- 54 112 131 156 dination Infants encounters tracked # Home visits in 286 381 556 656 child Health program Family planning services at OCHD have noted a leveling of persons which can be served suggesting that our current clinics and staffing have reached their full capacity for providing services. The family planning program is the most cost effective mechanism for helping reduce infant mortality and morbidity by assist- ing women to maintain or improve their health status and space pregnancies so that they are less likely to have a poor pregnancy outcome. The addition of a half -time nurse would allow the FP program to expand -and provide FP services to more women during clinical time which is currently providing only STD services. An additional 12 service encounters per week could be provided for family planning plus provide additional nursing hours for follow -up of clients with positive or abnormal findings. ACTUAL ACTUAL ACTUAL PROJECTED FY'88-'89 FY'89-'90 FY'90 -'91 FY191 -192 # of clients served 1211 1246 1248 1325 # of FP service 2384 2117 2100 2676 encounters Failure to obtain this additional nursing position will result in our failure to expand family planning services, failure to meet the growing demand for child service coordination visits, placing of infants in need of services on a waiting list, the necessity of removing staff from other needed programs in order to attempt to meet the demand for CSC visits, and a reduced ability to impact on infant mortality and morbidity in our county.