Sleuthing Journal On Current Health Promotion

Purificacion Cristobal, RN, MSN, PNP, FNP

Health Care Access

Health Care Access

Health Care Access

Cont. Health Care Access

I choose for my area New York City, NY, (NYC). NYC has over 8 million residents and covers 302.64 miles spread among five counties, two of them islands (New York, better known as Manhattan, and Richmond, better known as Staten Island), two sections of a third island (Kings, better known as Brooklyn, and Queens) and part of the continent (Bronx). Public health services are offered by the NYC Department of Health and Mental Hygiene (DH&MH) (http://www.factmonster.com/ipka/A0108570.html)

Cont. Health Care Access

I called the Fort Greene Immunization Center (FGIC) and it sent me an information sheet. This center is one of DH&MH’s three walk-in immunization clinics.

DOCUMENTS: Information sheet received by mail; conversation with the woman who answered my call.

Cont. Health Care Access

Cont. Health Care Access

Additionally, I visited Doctor’s Walk-in Urgent Care and on the street was given a handout. This clinic is in an upscale densely populated neighborhood. Representative services offered: Asthma, colds, ear infections, urinary infections, x-rays, labs, vaccines, stitches, physicals, and workman’s comp/no fault. (www.nydoctorsurgerntcare.com).

DOCUMENT: Promotional card given to persons passing the clinic:NEW YORK DOCTORS

WALK-IN URGENT CARE

WALK-IN WALK-OUT

IT’S URGENT CARE

Greenwich Village Tel. #: 212-414-2800Murray Hill Tel. #: 212-684-4700

www.nydoctorsurgentcare.com

Local Public Health Services

Cont. Local Public Health Services

Public health services in NYC are at the city level. DH&MH, in its many sites, offers the following health services:

VACCINATION: Seasonal vaccination in schools and at pharmacies and at clinics; vaccination for hepatitis A; vaccination for meningitis.

HEPATITIS B AND C SERVICES: Testing, treatment, and personal navigation.

SERVICES FOR TEENS: Gold Star Clinic; counseling, LGBT services, greater variety of condoms along with other contraceptive items,; gynecology services; abortion.

Cont. Local Public Health Services

ADDITIONAL SERVICES FOR UNINSURED OR UNDERINSURED PERSONS LIVING WITH HIV; care coordination/medical care management; drop in center, intervention services; food and nutrition counseling; harm reduction; recovery and relapse prevention; home care services; housing placement assistance; housing services; injection drug users health alliance; legal services; mental health services,; outreach to homeless and or street youth; positive lifestyles workshop; Riker’s Island transitional service project; supportive counseling and family stabilization services; transitional care coordination; transitional housing for special populations. STD testing and treatment; mental health services; supportive counseling and family stabilization, early intervention, transitional housing for special populations. (https://a816-healthpsi.nyc.gov/Dispensing site Locator/mainview.do)

(www.hjk.org)

Cont. Local Public Health Services

Vaccination Rates

Cont. Vaccination Rates

Con’t. Vaccination Rates

The national average for the vaccination of children is 94 % and NYC’s rate is 95% (www.cdc.gov).

DOCUMENT: The website of CDC.

Children can go to the New York City Free Clinic.

DOCUMENT: Fact sheet given to me .

Cont. Vaccination Rates

Comprehensive Free Health Services Provided by the NYCFC

Free services currently offered by the NYCFC:

The only requirement to receive care at the NYCFC is that you must be an uninsured adult age 18 or older. Those insured and private pay, the pricing varies according to their insurance coverage and co-pay i.e. $5.00 - $20.00.

2014 New York City Free Clinic Address:

16 East 16th Street, New York, NY 10003

Tel. #: 212-206-5200

http://nycfreeclinic.med.nyu.edu

It is safe to assume that anyone can get a flu shot at any medical facility. Also, from my personal observation, virtually every pharmacy strenuously promotes its readiness to offer the vaccinations.

Disaster Planning

The NYC Office of Emergency Management has detailed plan preparing for a disaster, which seems to meet the suggestions of the World Health Organization. Office of Emergency Planning (OEM) develops contingency plans and protocols that guide NYC’s response to natural and man-made emergencies, from extreme weather to power outages. The plans focus on 3 components of a disaster: preparedness, initial response, and recovery.

Cont. Disaster Planning

Each plan and protocol describes a coordinated, flexible response to the hazards:

• Defines agency roles and responsibilities

• Guides agencies through key decisions and actions to mitigate effects on people, critical infrastructure, and City operations.

The purpose of these plans is to minimize the effect of hazards on NYC and following a disaster, to return residents to their daily routines as

quickly as possible. When the plan is activated, OEM coordinates the actions of City , state, federal and nongovernmental agencies to ensure the plan is effectively carried out.

DOCUMENT: website of OEM

(www.nyc.gov/oem).

The community has always notified me when the disaster has occurred or, if possible, when one might occur. All news media have been successfully stimulated by state or federal agencies to offer warnings, alerts, etc..

Picture of Disaster Planning

Picture of Disaster Planning

Health Education and PromotionExamples of health messages in my community.

DOCUMENT: Take one paper on a table in a pharmacy:

Health Tip

Make your Workout Work For You

There’s more to a great fitness regimen than a positive attitude and a good pair of sneakers.

Health Education and Promotion Picture

Health Education and Promotion Picture

References

https://a816-healthpsi.nyc.gov/DispensingSiteLocator/mainView.do

http://www.factmonster.com/ipka/A0108570.html

http://nycfreeclinic.med.nyu.edu

www.cdc.gov

www.hjk.org

www.nyc.gov/html/doh/html/living/std-clinics.shtml

www.nyc.gov/oem

www.nydoctorsurgentcare.com“New York City is known as the big apple, the city that never sleeps”.