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• Some participants who have applied for child care subsidy have been denied because <br />their income was too high, but find unsubsidized child care too expensive. <br />"I haven't worked and I'm at home with my children. Because, to work and pay for day <br />care, there would be nothing left. " - Iglesia Unida de Cristo Focus Group Participant <br />• Some are on the waiting list for child care subsidy. <br />Child Health and Mental Health Care <br />Many of the focus group participants use Piedmont Health Services Clinic in Carrboro as <br />their primary medical provider. This clinic was very highly regarded by participants <br />because of the caring, bilingual staff members, and the clinic's outreach to the Latino <br />community. Other health facilities in the county, including UNC Hospitals and the <br />Orange County Health Department clinics, did not appear as welcoming to focus group <br />participants. <br />Obtaining preventive medical care and immunizations was not a major concern for focus <br />group participants. Some noted the difficulty of finding affordable dental care. Many <br />participants indicated that they did have medical insurance for themselves and their <br />children (primarily Medicaid). However, several noted that their children were ineligible <br />for the new health insurance program for low- income children, and others were not aware <br />of the program. <br />• Clients feel they are well treated at the Piedmont Health Services Carrboro clinic, <br />where doctors and nurses speak Spanish. <br />• Clients expressed less satisfaction with experiences at UNC Hospitals and with the <br />Orange County Department of Health clinic in Hillsborough, where bilingual staff or <br />interpreters are not always available. <br />"When the birth is at night, at all hours, it would be nice to have someone [who speaks <br />Spanish] that could be called. A birth is different than at an appointment because you <br />have a set time and a birth doesn't. " - Iglesia de Unida de Cristo Focus Group <br />Participant <br />• Families sometimes take their child who speaks English to a medical appointment to <br />interpret for them. <br />"Now that my daughter speaks a little bit of English we take her with us. And lately they <br />have more interpreters in the clinic. It might be that the Latin American community is <br />growing and they realize this and they have to provide people to help us. We also have <br />the need to learn English so we can communicate with them... " - OWASA Focus Group <br />Participant <br />• Clients without insurance have been able to arrange installment payments of bills. <br />11 <br />