Need: Population-based rates of adult vaccinations and cancer screenings are low. Delivery rates are lower still in low-income and minority communities.
Intervention: SPARC was established to develop and test new community-wide strategies to increase the delivery of clinical preventive services.
Results: Across the United States in both rural and urban communities, SPARC programs, which broaden the delivery of potentially life-saving preventive services, have been successfully launched, improving residents' health.
Need: Hispanic women have the highest incidence rates of cervical cancer among any ethnicity in the United States.
Intervention: The development of a lay health worker (promotora) curriculum that provided information on cervical cancer, HPV, and the HPV vaccine to Hispanic farmworker women living in rural southern Georgia and South Carolina.
Results: Significant increases in post-test scores relating to cervical cancer knowledge and increases in positive self-efficacy among promotoras.
Need: Oral healthcare for low-income adults and children unable to obtain dental care in the Mid-Ohio Valley of West Virginia.
Intervention: Public health dental hygienists act as gatekeepers, screening low-income clients and placing them with area dental providers who volunteer from their private practices to provide needed dental treatment.
Results: Reduces the number of emergency department visits for dental pain and infections and provides a safety net for those unable to afford dental treatment.
Need: Low rates of immunization and a lack of knowledge about physical health among school age children in the rural areas of Nelson County, Virginia.
Intervention: A School Nurse Program placed a registered nurse in each of the four county public schools to track and encourage immunization compliance, provide health education, and handle students' daily health issues.
Results: School-age children are having many of their minor health concerns addressed throughout the day by registered nurses at school. Compliance for childhood immunizations is now extremely high.
Need: Public health departments in Colorado's rural San Luis Valley region desired to share public health services to improve health outcomes in the region.
Intervention: Six counties joined in a public health cross-jurisdictional sharing arrangement. The partnership has served as a forum for sharing and evaluating opportunities to improve health access and core public health services.
Results: The partnership has enabled health departments to share expertise and develop regional projects to provide a broader range of public health services.
Need: To expand public health and human services to adults living in rural West Central Missouri.
Intervention: The Health Care Collaborative of Rural Missouri's Network organizes Project Connect events, a 1-day public health event that offers free public health and human services to underserved adults.
Results: In 2018 alone, Project Connect events provided a total of 8,870 incidents of services to guests, a $302,000 value.