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Home My WebLink AboutMINUTES - 07151986 - 1.31 �r . 131 POSITION ADJUSTMENT REQUEST No. /� 6 Date: 6/4/86 Dept No. Copers DepartmentHlth Svcs/Public Health Budget Unit. No.._. : o450 Org. No. 5852 Agency No. 54 Action Requested: Classify two (2) 40/40 Public Health.Aide positions, one "flagged" Vietnamese speaking and one "flagged" Laoti'an' speaking. Proposed Effective Date: 7/9/86 Explain why adjustment i'; needed: To provide additional positions funded by SNAP grant in Refugee Preventive Health Services Program. 3 $��ixtJ3�14�d1'� :,ttached: Yes Qx No (Incl Description of duties (7/18/85 memo) benfit ) Estimated cost of adjustment: $46,365/yr Cost is within department's budget: Yes Ox No If not within budget, use reverse side to explain how costs are to be funded. Department must initiate necessary appropriation adjustment. Web Beadle, Use additional sheets for further explanations or comments. Dept. Personnel Officer for Department Head Personnel Department Recommendation Date: b -e2 S-96 Classify two (2) 40/40 Public Health Aide positions, one "flagged" Vietnamese speaking and one "flagged" Laotian speaking, Salary Level C5 0956 (1182-1437). Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic/Exempt Salary Schedule, as described above. Effective: day following Board action. 7- 5- 76 - -L� �"� Date for Director a sonnel County Administrator Recommendation Date: Approve Recommendation of Director of Personnel Disapprove Recommendation of Director of Personnel Other: rCounty Administrator Board of Supervisors Action Phil Batchelor, Clerk of the Board of Adjustment APPROVED D on JUL 15 1986 Superv' ors and County Administrator Date: JUL 15 1986 By: 4%&;b-,tA APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT. (M347) 2/85 Z -0 M--wz- (&C4.v VA4) I.. BACKGROUND AND NEED STATEMENT A. Demographic Characteristics of Refugee- Population in West Contra Costa County. The count of open Public Health Nursing records for refugees in the Richmond area of Contra Costa County is greater than 3,000 individuals. This count includes only refugees who have been actively involved with the Public Health Nurses during the past three years. There are undoubtedly many refugees who are not known to the Health Department, or who have had their records closed. During the past year, approxi- mately 500 primary and secondary refugees moved to the West County area. More than 85% of the Indochinese refugees living in West County are not newcomers. The ethnic make-up of the refugee population in the Richmond area is approximately two-thirds Laotian and one-third Vietnamese with small numbers of Cambodian and Afghan also. The majority of the refugees are between the ages of 15 and 45 years, the child bearing groups. As a result, there are many babies being born to the refugee community. Approximately 150 Laotian children under the age of three are enrolled in the WIC Program in West County - of these, 86 are under the age of 12 months. B. Health Problems in the Refuyee Population. Tuberculosis remains the most serious of health problems among the Indochinese refugees. Of the 58 refugees who started INH prophylactic therapy in the six months between July 1, 1984 and December 31, 1984, 35 live in the Richmond area. The incidence of intestinal parasites is high and we are finding that secondary refugees and those who have lived in this country for several years also continue to have a high number of positive tests for parasites. Hearing problems are common among the refugees, possibly because of the history of untreated ear infections leading to permanent damage. Many of the incoming refugees are Hepatitis B carriers and this creates a serious health risk to the newborns of mothers who are carriers. Lack of dental care has caused many refugees to have serious dental problems. Many of these families consume an inordinate amount of sugar, sweet foods, and soft drinks which compounds their dental problems. In addition, the refugees suffer from the same problems as other Americans. Heart disease, cancer, birth defects, stress related illnesses and diabetes are all health problems identified in- our refu= gee patients. C. Barriers to Care. The lack of sufficient interpreter service is a major barrier to care for the refugees. There are a few Chinese and Vietnamese speaking phy- sicians in the area but they do not have the ability to meet all of the -i- demands for service. The two primary providers of care to the Indochinese refugees in the Richmond area are the Martin Luther King j Health Center and the Richmond Health Center of the- County Health Services Department. Interpreter service is limited in both of these facilities. There are a large number of Hmong in the Richmond area, many of whom do not read or write. Written material and information is of little use to this population. Although there are public buses available in Richmond, it is still quite difficult to get to the clinics easily. The Richmond Health Center no longer has a van available to pick up patients and transport them to the clinic for their appointments.. D. California Refugee Preventive Health Services Program. This county receives funding under the California Refugee Preventive Health Services Program which is used to hire interpreters to assist the Public Health Nurses in 'butreach, health screening, control and prevention of tuberculosis and communicable diseases, referral and follow-up, and health education and counseling. These services are provided to primary and secondary refugees who are new arrivals to the county. At the present time, Public Health Nurses manage screening/assessment clinics in Richmond to provide a comprehensive health assessment to newly arriving refugees in need of this service. Approximately 1.5 interpreters are funded by this project to provide service in the Richmond area_ They are used in the office, in home- visits with Public Health Nurses, and in the clinic setting to assist the provider in deli- vering preventive health care. In these roles, the interpreters pro- vide a valuable health accessing service as well as assist in the provision of health education to this population. During the calendar year of 1985, the services of over two full time equivalent Public Health Nurses were spent in meeting the requirements of this project. This California Refugee Preventive Health Services Program does not provide service to refugees who have been living in the county more than a few months, however. The much more extensive ongoing population remains in even greater need of service, both to contain communicable disease problems such as tuberculosis, hepatitis, and parasites, and to meet other significant health needs. E. Services Available at the Richmond Health Center. The Richmond Health Center has provided comprehensive health services to refugees ever since the Indochinese refugees began arriving in this county. The Richmond Health Center has specialty clinics as well as Family Practice Clinics available and has set aside several clinics each week for the exclusive use of Indochinese refugees. Health -2- CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT PUBLIC HEALTH DIVISION U TO : Ray Philbin, pate : July 18, 1985 Personnel Analyst From: HelenNN Nielsen, Subject : DUTIES OF PUBLIC HEALTH Heal services Administrator AIDE, FOREIGN LANGUAGE �J FLAGGED POSITIONS Public Health Aide--foreign language flagged positions will perform duties as follows: Work in a variety of Public Health programs, Health Services clinics, and the hospital assisting various health professional staff with routine duties involving activities such as child health and disability prevention, child health screening, family planning, family practice clinics, client home visits, information gathering and health education. Receive and act on referrals for services, schedule medical, dental and ancillary services appointments. Follow-up on broken appointments, make home visits with Home Health nurses--follow up on visit. Under supervision, provide health education regarding proper health, dental and nutritional practices. Refer clients to appropriate agencies regarding health problems. Check immunization levels in children; take health and social histories; assist medical examiners with clinic activities, clean exam rooms after use, sterilize instruments check vital signs, weigh patients, collect urine specimens; take blood pressures and temperatures. Label slides for Pap smears. File reports in client's medical charts. Interpret medication dosage; ancillary services instructions; assist patients in meeting transportation needs; participation special health projects. Interpret to clients in their own language and staff in English with regard to all the above tasks. HMN:lh r� f" �: •�r j� „ , D ► U <<; �r h6 1 VJr a �H COIR HEND H SERM:E_5 pi ftSUP� i � GA- 9 5/84 SM