Term Paper on "Grant Proposal the Saint Anselm's Cross Cultural"

Term Paper 13 pages (5231 words) Sources: 10

[EXCERPT] . . . .

Grant Proposal

The Saint Anselm's Cross Cultural Center has a multi-faceted programming dynamic offering essential information and services to mainly a Vietnamese immigrant culture though the center serves other populations and provides services as needed to other immigrant groups and families. One of the core programs within the center that has a serious need for expansion is the community and family health portion of the center. The center currently holds three community health fares annually but would like to expand the program to offer it on a more regular basis, to respond to increased community need for health provision of services in the challenged economy and for the sake of offering services more frequently so people in need of community access for health services are offered more opportunities to seek such care and apply for community services on a more need centered basis. Currently the 3 health fairs offered in the year has an astounding community response, with 200-400 individuals attending each fair. The center would therefore like to spread out the health fair and be able to offer it twelve times per year, on a monthly schedule to better serve the community. The health fair itself has limited cost as many providers and other community health volunteers bring with them supplies and other materials they need to provide the many types of medical screening done by the center volunteers and others are supplied by various donations to the center. Yet, these resources are limited, as is the time of the volunteers, and if more of these materials were provided by the center could offer volunteer positions to individual health care providers who do not have the physical resources to provide them through links to employers or other community aide agencies. We would also like to expand immunization offerings to be included at health fares and provide screening specific to children, like lead paint testing. The most significant and possibly costly addition we would like to provide at our center health fairs is an expansion of the health fair concept to include a common health problem clinic, concurrent with the fair, which we would hope to also offer monthly. Individuals could be seen free of charge for minor health problems, on a first come first serve basis for the duration of the health fair. Issues such as common rashes, parasitic infections, ear infections in children and other common minor illnesses could be treated with exams and if needed prescriptions for attendees of the fair.

Community Health Fair is one of our Health and Wellness Program's activities designed to help low-income, un-insured or under-insured people to access health services. For every health fair, we usually have 2 health presentations by medical specialists to raise community's awareness about nutrition, prevention and early intervention of common diseases.

With the collaboration of the local doctors, medical centers, community clinics, and especially the support of Orange County health Care Agency, we provide from 10 to 12 different medical screening tests for 200 to 400 clients at each fair.

The 3rd health fair falls in the winter. We will provide FREE flu shots for the residents.

Services of most interest are: Cholesterol Test, Bone Density Test, Glucose Test, Stroke Screening. (St. Anselm's Cross-Cultural Community Center Website, Community Health Fair Day)

CalOptima is the main financial contributor for the current health care fair offerings, but has expressed the need to cap the service as it stands unless the center is able to find another comparable financial partnership.

Statement of Need

Vietnamese, Koreans, Hispanics and Middle East immigrants from the surrounding neighborhood all present in the numbers of around 200-400 at current health fair offerings. Seeking screening and information on services and programs they are eligible for. Though the center and the health fair has an open door policy and will serve anyone, in need of low cost or free medical screening. This population, surrounding the center in this very community is at high risk for falling through the cracks with regard to access to health services. Health disparities for minority populations are extreme. Asian-Americans have higher rates of death from cancer, while Hispanic populations are particularly plagued by diseases related to obesity, diabetes, cardiovascular disease and some select cancers. Information specific to Vietnamese populations are particularly troubling, regarding death rates for certain types of cancer.

Liver, Stomach, Cervical Cancer Common in Vietnamese. Vietnamese men have the highest incidence and death rates of liver cancer of all Asian-American groups studied. Liver cancer is very common in Vietnam, where chronic infection with the hepatitis B virus is widespread. Because many Vietnamese in the U.S. are recent immigrants, they may be more likely to have this risk factor for liver cancer, the report says. Vietnamese women have the highest incidence and death rates for cervical cancer of all Asian groups studied. Screening for cervical cancer with a Pap test is less common among Vietnamese women than it is among several other Asian groups. About 70% reported getting a Pap test within the past 3 years. Lung cancer is more common among Vietnamese men and women than it is among the other Asian groups included in the report. Stomach cancer is also common among both men and women of Vietnamese descent. (American Cancer Society Website)

Data is not available in California for disease profiles regarding immigrants of Middle Eastern descent.

Immigrants are nearly always subject to economic disparities as the dismantling and rebuilding of an entire life is a significant financial strain and many immigrants migrate specifically to attempt to better a poor finical situation in their home nation. Many are political refugees seeking asylum in the U.S., a situation that creates barriers above and beyond those that already plague immigrants succeeding economically in the U.S. Many live in cramped conditions, as multiple family or friends share small homes to support one another. Extreme cultural and language barriers also bar immigrants from seeking medical care and other needed resources, including but not limited to employment, health care, health care insurance and even healthy foods, as varieties of fresh foods are often completely different in the U.S., than they are in other places and unknown are not always welcome to an individual with limited financial resources. Another issue that is specific to international immigrants is the issue of credential, while an immigrant may be of high rank and education in their home nation, e.g. doctors, lawyers, professors, nurses, ect…their professional credentials and educational attainments often do not transfer to the U.S., even if they are proficient in English communications. (Marquez NP) The community center therefore fills a void in the community by offering a hub for interconnectivity, health access, information and resource access and networking for social, personal and economic betterment. Additionally, language barriers are overcome by the fact that former immigrants are often on site volunteering at the center.

Why this project is necessary.

Healthcare access and/or lack there of has been on the radar of the government, healthcare stakeholders and the whole of the U.S. population for a very long time. There is a clear recognition that healthcare is a universal need, but actions of the healthcare system as well as the outcomes of having or not having quality accessible care for minorities has proven that the system does not seem to answer the problem with the idea that healthcare is a right, rather than a privilege.

…access to quality health care is essential to realizing our full potential as individuals, families, communities, and as a society. Our children learn more effectively when they come to school healthy and strong. Our workforce is more productive and our economy more robust when workers and their families receive quality health care. (Jenkins, and Ardalan 479)

Individuals and groups recognize that when healthcare is provided, equitably and even preventatively the whole of the community and therefore the economy is better served.

Affordability of care promotes not only good health, but also economic security. In addition, the affordability and quality of the health care that all of us receive improves drastically when our system prevents and treats health problems early and through regular, rather than emergency, care. (Jenkins, and Ardalan 479)

Yet, a timely question arises when we discuss the issue of continued and pervasive health disparities between the majority and minority populations in the U.S., especially considering the current state of the economy.

The future health of the nation will be determined to a large extent by how effectively we work with communities to reduce and eliminate health disparities between non-minority and minority populations experiencing disproportionate burdens of disease, disability, and premature death. (Office of Minority Health and Health Disparities Centers for Disease Control and Prevention NP)

Despite the recognition by many that healthcare is an essential need and that minority health is fundamental and important hospitals and clinics in both urban and rural areas, are closing, as a result of the failing economy. Speaking specifically of New York one expert stressed the inability of the state and local agencies to seek understanding… READ MORE

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