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Health Connection for School Success

Topics Children
Schools
Transportation
Youth
States served South Carolina
Description Lee County, a rural community 50 miles northeast of Columbia, South Carolina, is one of the most disadvantaged counties in the State. Many families lack transportation and live in poverty. At the same time, many parents lack basic knowledge about the relationship between a child’s health and his or her performance in school. Of the county’s 20,199 residents, 26 percent of the children live in poverty, and 42 percent live in single-parent homes. Some 63 percent of the county’s population is African American, and 74 percent is aged 0 to 17 years.
Services offered Health Connection for School Success (HCFSS) was established to address the fact that children’s health not only is an important measure of community well-being but also is strongly associated with how well children perform in school.

The project had three core goals:

  • To provide transportation to and from health services to at risk children and their families so they can access preventive health, dental, and/or specialty care
  • To offer comprehensive health education services to families on parenting, dental health, HIV awareness, blood pressure training, and volunteerism
  • To maintain the viability of and linkages within the Lee County Primary Prevention Coalition (PPC)

The primary partners of the PPC, a 90-member consortium, included the Lee County School District, the Lee County Health Department, the Lee County Department of Social Services, the Health Reach Program of the Toumey Regional Medical Department, Care South Carolina, the Lee County Disabilities and Special Needs Board, and the Lee County Mental Health Clinic. The consortium also included a wide variety of health and social service agencies and organizations, as well as faith community organizations.

The HCFSS outreach driver visited families at their homes. This approach was necessary because as much as 16 percent of the target population was without a vehicle, and 19 percent did not have a telephone. The outreach driver initiated contact with families who needed services and assisted them by scheduling appointments, driving clients to and from appointments, and providing information on health and community service programs that were available to meet the families’ needs. During the school year, HCFSS transported children from school to their appointments, which helped limit the amount of time they were away from school.

The project’s community health coordinator was primarily responsible for distributing a health book titled “What To Do When Your Child Gets Sick,” which was written at a fourth grade reading level. The health book was designed to assist parents and children in addressing basic health needs. To receive a copy, people were required to attend a short workshop that provided basic instruction on how to use the book effectively. Initially, it was difficult to identify channels for disseminating the book. In the project’s final year, however, HCFSS worked with the Department of Social Services and the local Women, Infants, and Children program to get more parents to participate in the workshop.

Given the dire need for dental health care in the county, the community health coordinator worked with the Health Reach Program to launch an oral health initiative. In addition, the faith community coordinator was responsible for training a health volunteer advocacy group, including representatives from area churches, to help address community health needs through parenting workshops, healthy lifestyle workshops, HIV education, blood pressure training, and teen pregnancy prevention. However, since Lee County communities continue to be largely divided along racial and ethnic lines, the faith community coordinator, who was African American, was not generally well received or accepted by white churches. As a result, 90 percent of the health workshops were conducted in African American churches.

Results In the third year of the grant cycle, 934 medical appointments were scheduled for children living in the county, and 678 of those appointments were successfully completed. HCFSS provided transportation to and from 609 medical appointments. The project distributed more than 650 Healthwise handbooks, including 14 Spanish-language copies for Hispanic families. In addition, the project developed a directory that identified health and social resources throughout Lee County. Some 229 copies of the resource directory were purchased, including 212 that were distributed to various agencies throughout the county.
Replication This primarily transportation-based model could be easily replicated in other communities where transportation to and from health appointments is severely limited. The model can benefit both adults and children.

The transportation component of the project will continue, and the outreach driver and administrative assistant positions will continue to be funded by HCFSS so that medical appointments can be scheduled and children can be transported to them. However, due to a lack of funding resources, the health education and health promotion components cannot be sustained.

Source Outreach Sourcebook, Vol.10, 2000-2003, Office of Rural Health Policy
Contact person Todd Shifflett
Director of Community Development
CareSouth
201 South 5th Street
P.O. BOX 1090
Hartsville, SC 29951
Date added May 15, 2009

Summaries of success stories are provided by RAC for your convenience. Please contact the success story contact person directly for the most complete and current information.