Refugee Women’s Health

HMAP 5326

April 28. 2014THE A-TEAM: CYMPHONI CAMPBELL, SHAILESH JAISWAL, CHIAO-CHIN (GEORGE) LIN, SUBHADA PRASAD, KENZIE TABOR, AND SHAMYRA THOMPSON

Background Population• Refugee women in the Dallas-

Fort Worth Metroplex

Program Problem Statement• In 2012, Texas had the largest

number of refugees in the United States

• Many refugee women did not receive proper health care

• Refugee women only receive free health care for 8 months

Goals and Objectives• Goal #1: Increase the level of health

knowledge relating to the issues facing refugee women.

• Goal # 2: To coordinate, fund, and educate a city-wide community center in order to decrease the risk and rates of refugee women’s health threats by 30%

• Goal # 3: Increase access to health care for refugee women.

Methods• Develop Partnerships

• Implement Educational Programs

• Create a Network of Resources

Logic ModelsInputs Outputs Outcomes -- Impact

Activities Participation Short Medium Long Resources Community Partnerships Paid staff Volunteers Students Money

Develop partnerships with providers and stakeholders Implement educational programs related to women’s health Create a network of resources

Refugee women

Educational sessions Information on US healthcare system Form relationships with staff

Attend education sessions Learn about insurance enrollment process Establish relationship with PCP

Gain knowledge about reproductive health Enroll in insurance Annual exam by PCP

Assumptions: The women will attend the classes being offered and take advantage of the other services and education being offered at the Refugee Women’s Health Clinic.

Evaluation Resources• Team members and the

evaluation team volunteers for conducting evaluations

• Questionnaire translators

• Technology to collect and analyze data

Evaluation Team• Lead Evaluator: Conduct process

and outcome evaluation

• Evaluation Analyzer: Create frame of evaluation; Collection of data and initial analysis

• Evaluation Advisor: Providing external oversight for evaluation

Stakeholder Assessment and Engagement Plan

• Funder: Efficient use of grants

• Governance: Legal compliance

• Influencers: Program process

• Providers: Gain insured patient pool

• Stakeholders: Refugee women, Catholic Charities, World Relief Fort Worth, International Rescue Committee, Refugee Services of Texas, other and existing refugee clinics.

Impact & Outcome Impact:

• Thoroughly education is in regards to personal women’s health.

• Within 8 months, 75% of the refugee women attending the clinic will be enrolled in proper health care coverage.

• 90% of those women will have a primary care physician whom they are visiting at least once a year.

Outcome:• Attend weekly information sessions

about reproductive health topics

• Complete the necessary steps and requirements to enroll in health insurance.

• Within 3 months of entering the program, 60% of insured refugee women would get their annual exams and have established relationship with their primary care physicians.

Outcome Indicators• Increased knowledge: By 2016 70 % of participants will

increase their knowledge of health and human service for which they are eligible from baseline.

• Education Session Attendance: By 2016 80% of participants will be in attendance at least 3 educational sessions each month.

• Physician Visit Follow-Up: By 2016 90% of participants will have a primary care physician and attend their annual appointments.

• Health Insurance Enrollment: By 2016 75% of program participants will be enrolled in a quality health insurance program.

Analysis Plan• Qualitative comparison and association:

Measuring the pre-test and post-test the refugee women take

• Association and prediction: Calculating how many refugee women signed up for health insurance at the end of the program (8 months)

• Descriptive and prediction: Calculating how many refugee women went to their bi-annual check-ups with their physicians at the end of 2 years