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MINUTES -Draft ORANGE COUNTY BOARD OF HEALTH November 18, 2015 Ms. Bridges provided information on 3 kinds of LARCs — Nexplanon subdermal implant, Mirena IUD and Paraguard IUD. Their effectiveness ranged from a maximum of 3 years up to a maximum of 10 -12 years. The associated costs (device and procedure) varied as well. In 2014 -2015, 12% of women in the OCHD Family Planning Program were using LARCS with Nexplanon having the greatest use by our clients followed by the 2 IUDs Mirena and Paraguard, respectively. In the U.S., 7.2% of women ages 15 -44 used LARCs. The Colorado Family Planning Initiative increased LARC use in Title X clinics from 4.5% in 2008 to 19.4% in 2011. The OCHD's goal is to meet and /or exceed Colorado's 19.4 %. She continued by stating that some possible barriers to LARCs were concerns regarding procedure and side effects as well as others' negative experiences. Cost was also a barrier as 59% of LARCs users were self -pay. Of that 59 %, 84% of that group actually slid to 0% having to pay nothing. Ms. Bridges also noted some of the best practices for increasing LARC use which included offering LARCs first, leading with its benefits, exploring and incorporating patient preferences and reducing barriers such as cost and the number of appointments. The recommendation to the BOH was to: Move forward with high and moderate impact, low difficulty best practices - Exam room visuals; educational pamphlets, electronic promotion /outreach - Provider tip- sharing opportunities and staff education Support initiatives for high impact, moderate -high difficulty best practices - Consider video clip use and evaluate against organizational priorities - Support work toward identification of contraceptive tool at intake The BOH members had questions that were addressed by Ms. Bridges and Dr. Bridger. B. Radon Action Month The NC Department of Health and Human Services Division of Health Service Regulation Radiation Protection Section has asked that the BOH recognize January as National Radon Month. Alan Clapp, Environmental Health Director, provided information on Radon Action Month as the OCHD is partnering with the NC Radon program to provide free short -term radon test kits in recognition of National Radon Action Month. A limited supply of 100 test kits for Orange County will be available from January 11th through January 29th. They will be distributed by Environmental Health. Motion to pass the resolution to recognize January 2016 as Radon Action Month in Orange County was made by Sam Lasris, seconded by Barbara Chavious and carried without dissent. The BOH members had questions that were addressed by Mr. Clapp. C. Media Items Media items were in the packet which focused on Orange County's events and our involvement in various efforts. VIII. Closed Session to Discuss Health Director's Annual Review S: \Managers Working Files \BOH \Agenda & Abstracts \2016 Agenda & Abstracts/ January Page 6