WELL Project Women Enjoying Life Longer

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WELL ProjectWomen Enjoying Life Longer A
Womens Health Program in 3 Title X Baltimore
County Family Planning Sites
Eastern Family Resource Center
Dundalk Health Center
Essex Health Center
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Baltimore County Family Planning Program, FY 2004
Percent of Patients
Age group
3
Baltimore County Family Planning Program, FY
2004
Private insurance
Medical Assistance
14 Above FPL
6
14
86
80
At or below federal poverty level (FPL)
Uninsured
INCOME
HEALTH INSURANCE
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Maryland Title X Family Planning Program

• Contraception
• History and physical, including breast exams
• Pregnancy testing

• Pap smear/colposcopy
• Smoking assessment
• STD/HIV screening
• Rubella immunization

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WELL ProjectGuiding Principles

• A large gap exists between health services
  received (e.g. family planning) and health
  services needed.
• Women of reproductive age need comprehensive
  health services that promote physical and
  emotional wellness beyond reproductive health.
• Premature death, chronic and acute disabilities
  can be prevented by reducing risk factors earlier
  in life.

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Health Care Service Needs

• Provider interviews
• Nutrition
• Vision and dental care
• General health care
• Mental health, stress, alcohol and drug abuse,
  violence
• Smoking cessation
• Medications
• Transportation
• Insurance coverage
• Child care

• Clients interviews
• Nutrition /exercise
• Vision and dental care
• General health care
• Mental health, stress, alcohol and drug abuse,
  violence
• Smoking cessation
• Medications
• Legal and social services
• Support groups

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WELL Program Services
Lab screening - TSH, lipid panel, glucose

• Immunizations
• hepatitis B
• tetanus
• rubella

• Smoking cessation
• nicotine patch
• bupropion

Screening, Treatment, or Referral - depression
(postpartum, PMDD, general) - domestic
violence - substance abuse -
medical disorders

• Counseling
• nutrition
• physical activity

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WELL services integrated throughout the patient
visit
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WELL Patient Survey

• Overall satisfaction with facility
• 89 excellent/very good
• 11 good
• 0 fair / poor

• Services they would not have gotten otherwise
• 38 nutrition counseling
• 24 wellness education
• 21 depression services
• 17 immunization, gyn
• 10 preventive tests
• 7 smoking
• 5 DV, Alcohol

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Knowledge of Womens Health
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• Majority of women did not know
• heart disease is the 1 cause of death
• hepatitis B is a sexually transmitted disease
• smoking increases risk for osteoporosis
• a bottle of beer has same alcohol content as
  glass of wine
• fruits are not a good source of calcium
• depression occurs more commonly before menses

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WELL Staff SurveyFall 2004

• Services should be continued 100
• Positive impact on community 100
• Improves quality of care 91
• Patients appreciative 91
• No interference with FP services 82
• Increased likelihood of patients using center
  73

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Percentage Increase of FP Patients2001 to 2004
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Laboratory Screening
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Conclusions

• Integration of WELL services has improved access
  to care.
• Family planning activities were not compromised
  and may have been enhanced by the delivery of
  comprehensive care and increased patient
  satisfaction
• Further evaluation of outcomes will assist in
  identifying areas for improvement