The few existing economic evaluations of community-based health promotion interventions were reported retrospectively at the end of the trial. We report an evaluation of the costs of the Kin Keeper(superscript SM) Cancer Prevention Intervention, a female family-focused educational intervention for underserved women applied to increase breast and…

Purpose: Prostate and colorectal cancer (CRC) rates are disproportionately high among African-American men. The purpose of this paper is to describe the development of an intervention in which barbers were trained to educate clients about early detection for prostate and CRC. Design/methodology/approach: Working with an advisory panel of local…

Context: The challenge of providing meaningful health care services to veterans living in rural communities is a major public health concern that involves redefining the traditional facility-based model of care delivery employed in urban areas. Purpose: This paper describes the steps of a demonstration project, the Elko Telehealth Outreach Clinic.…

Background: This paper describes a portion of a larger evaluation project of a state hepatitis prevention program. Purpose: The study explored the suggestions of key informants related to the delivery of hepatitis services in the state. Methods: Researchers conducted key informant interviews lasting 30 to 45 minutes. Results: Important findings…

Intended for workers in Medicaid's Early and Periodic Screening Diagnosis and Treatment program, this booklet describes steps in providing EPSDT services. Focusing on methods of outreach and follow-up services, it concludes with a discussion of principles upon which effective client contact may be based. Section I outlines eight steps in the…

Purpose--The purpose of this paper is to explore the efficacy of a community-based outreach initiative, piloted in Worcester, Massachusetts, to reduce children's exposure to toxic chemicals in common household products by changing parental behavior regarding product purchase and use. Design/methodology/approach--The program model was based on the…

Targeted at all professionals working in the area of child health, this book aims to consolidate information and place it within the theoretical frame of "community child health." Part 1 focuses on the community and the changes within it which have resulted in macro- and microenvironmental influences on child health outcomes. It also…

The book defines and discusses eight key elements of a family-centered approach to care for children with chronic illnesses and special health care needs: (1) recognition that the family is the constant in the child's life, while the service systems and personnel within those systems fluctuate; (2) facilitation of parent/professional collaboration…

Instead of increasing institutionalization of the elderly, the author suggests increasing life enhancing programs with preventive health care. She discusses various health and social services in New York City, including outreach projects, day care programs for the elderly, and the value of senior center-hospital cooperative services. (MF)

In keeping with its priority to reduce the disproportionate burden of heart, lung, and blood diseases in minority populations, the National Heart, Lung, and Blood Institute has established an outreach project called Building Healthy Hearts for American Indians and Alaska Natives. This background report provides an overview of the cardiovascular…

Purpose: This article reports on the interest within the religious community in a medical-religious partnership model designed to address some of the health challenges communities face as the population continues to age and become more diverse. Design and Methods: A geographically and religiously diverse group of 183 clergy who were attending a…

In view of the many factors threatening the survival, health, and cognitive development of the world's disadvantaged children, both in the United States and in developing countries, the Ford Foundation has begun a new program, called Child Survival/Fair Start, to improve these children's chances. In this working paper, Fair Start's overall…

In 1995, the federal Office of Rural Health Policy awarded 3-year outreach demonstration grants to 25 projects to provide direct primary and preventive health care services to rural residents in 20 states. The grant program allows recipients to test innovative ideas against persistent problems of rural health care, such as provider shortages,…

In 1996, the federal Office of Rural Health Policy awarded 3-year outreach demonstration grants to 25 projects to provide direct primary and preventive health care services to rural residents in 20 states. The grant program allows recipients to test innovative ideas against the challenges of rural health care delivery, such as provider shortages,…

In 1997, the federal Office of Rural Health Policy awarded 3-year outreach demonstration grants to 45 projects to provide direct primary and preventive health care services to rural residents in 28 states. The grant program allows recipients to test innovative ideas against the challenges of rural health care delivery, such as provider shortages,…