Center For Family Health

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER PROGRAM

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

EXPANSION OF ZEHRP'S COUPLES VOLUNTARY COUNSELING AND TESTING SERVICES

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

INGANJI RWANDA: EVIDENCE-BASED HIV PREVENTION AND CARE FOR KEY AND PRIORITY POPULATIONS - DESPITE SIGNIFICANT PROGRESS IN STABILIZING HIV PREVALENCE IN THE GENERAL POPULATION OF RWANDA AT 3%, KEY AND PRIORITY POPULATIONS (KP/PP) ARE DISPROPORTIONALLY AFFECTED BY THE HIV EPIDEMIC AND FACE GAPS IN THE HIV TESTING AND TREATMENT CASCADE INCLUDING LOW LINKAGE TO TREATMENT AND LOW VIRAL LOAD SUPPRESSION RATES. KP/PP INCLUDE FEMALE SEX WORKERS, MEN WHO HAVE SEX WITH MEN, TRANSGENDER POPULATIONS, HIGH-RISK ADOLESCENT GIRLS AND YOUNG WOMEN AND ADOLESCENT BOYS AND YOUNG MEN, CLIENTS OF MALE AND FEMALE SEX WORKERS, CHILDREN OF HIV-POSITIVE FEMALE SEX WORKERS, AND CLIENTS WITH SEXUALLY TRANSMITTED INFECTIONS (STI). IN THIS APPLICATION, WE PROPOSE THE INGANJI (VICTORY) PROJECT THAT BUILDS ON PRIOR SUCCESSES TO DEVELOP AND IMPLEMENT NEW HIGH-IMPACT ACTIVITIES THAT: OPTIMIZE ACCESS TO AND USE OF EVIDENCE-BASED INTERVENTIONS AMONG KP/PP IN RWANDA AND INCREASE HIV TESTING VIA DIFFERENT MODALITIES; ENHANCE CASE-FINDING, LINKAGE AND REFERRAL OF THOSE LIVING WITH HIV TO TREATMENT AND CARE; AND ENSURE LINKAGE OF THOSE WITHOUT HIV TO PREVENTION SERVICES. LONG-TERM OUTCOMES INCLUDE DECREASING NEW HIV INFECTION RATES, INCREASING VIRAL LOAD SUPPRESSION RATES, AND IMPROVING PROTECTION OF KP/PP PROGRAMMING DATA FROM UNAUTHORIZED ACCESS AND USE. THE CENTER FOR FAMILY HEALTH RESEARCH (CFHR) WILL LEAD THIS PROGRAM DRAWING ON OVER THREE DECADES OF WORK INCLUDING PRIOR SUCCESS IMPLEMENTING KP/PP PROGRAMS IN RWANDA. UNDER CDC FUNDED GH15-1616 (2015-2019), CFHR WORKED IN 93 GOVERNMENT HEALTH CENTERS AND THEIR SURROUNDING COMMUNITIES. WORKING CLOSELY WITH CDC-RWANDA, WE EXCEEDED PROGRAM TARGETS FOR PREVENTION, TREATMENT AND CARE. THIS PERFORMANCE IS A REFLECTION OF THE EXCELLENT WORKING RELATIONSHIP WE MAINTAIN WITH THE RWANDA BIOMEDICAL CENTER, THE MINISTRY OF HEALTH, GOVERNMENT HEALTH FACILITIES, COMMUNITY LEADERS, FELLOW IMPLEMENTERS, AND THE KP/PP COMMUNITIES WE SERVE, AND OUR CAREFUL ATTENTION TO CAPACITY BUILDING, DATA MONITORING AND EVALUATION, AND CONTINUOUS QUALITY IMPROVEMENT. CFHR WILL PARTNER WITH LONG-TERM COLLABORATOR HEALTH DEVELOPMENT INITIATIVE (HDI) AND LEVERAGE THEIR CLOSE RELATIONSHIPS WITH KP/PP COMMUNITIES, IN PARTICULAR LGBTQ GROUPS, THROUGHOUT PROGRAM DESIGN, DELIVERY, AND MONITORING AND EVALUATION. BY PARTNERING WITH THE RWANDA BIOMEDICAL CENTER (RBC) AND EMORY UNIVERSITY TO IMPROVE HIGH-QUALITY DATA COLLECTION, INFORMATION SECURITY, AND ANALYSIS LEADING TO ACTIONABLE FINDINGS, WE WILL ENSURE THAT IMPACTFUL PROGRAM ACTIVITIES ARE SUSTAINABLY INTEGRATED INTO ROUTINE CARE TO IMPACT LONG-TERM OUTCOMES OF INCREASING VIRAL LOAD SUPPRESSION AND DECREASING NEW HIV INFECTION RATES AMONG KP/PP. SUPPORTING DATA FOR KP/PP PROGRAMMING AND OTHER RWANDAN NATIONAL PUBLIC HEALTH PRIORITIES INCLUDE, BUT ARE NOT LIMITED TO, STRENGTHENING NATIONAL AND LOCAL LEADERSHIP AND MULTI-SECTOR PARTNERSHIPS, IMPROVING STI MANAGEMENT, AND STRENGTHENING CAPACITY TO COLLECT AND USE SURVEILLANCE DATA WITHIN NATIONAL MONITORING AND REPORTING SYSTEMS. IN THE INGANJI PROGRAM, THE CFHR/RBC/HDI/EMORY TEAM WILL CONTINUE THEIR LONGSTANDING AND FRUITFUL COLLABORATION TO PLAN, PROVIDE, AND COORDINATE EFFECTIVE CASE FINDING AND LINKAGE STRATEGIES TO REACH KP/PP (STRATEGY 1); DEVELOP, PROVIDE, AND EXPAND TAILORED, QUALITY HIV PREVENTION SERVICES TO REACH AND MEET KP/PP NEEDS (STRATEGY 2); AND STRENGTHEN CAPACITY FOR COLLECTION AND USE OF HIGH-QUALITY MONITORING AND EVALUATION, EPIDEMIOLOGIC, AND SURVEILLANCE DATA FOR KP/PP PROGRAMMING (STRATEGY 3). THE ACTIVITIES WHICH WE PROPOSE WERE DEVELOPED AFTER A WORKSHOP IN KIGALI WITH INGANJI PARTNERS TO ALIGN OUR EFFORTS WITH ONGOING KP/PP PROGRAMS, LEVERAGE EXISTING SUCCESSES, AND DEVELOP NEW ACTIVITIES BASED ON CURRENT NEEDS.

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT ABSTRACT PROJECT TITLE: FY 24 BEHAVIORAL HEALTH SERVICES EXPANSION (HRSA-24-078) APPLICANT ORGANIZATION NAME: CENTER FOR FAMILY HEALTH & EDUCATION, INC. GRANT NUMBER: H80CS28984 PROJECT DIRECTOR NAME: DR. DARYOUSH KASHANI BRIEF DESCRIPTION OF THE PROPOSED PROJECT: THE CENTER FOR FAMILY HEALTH & EDUCATION (CFHE) IS A 501(C)3 NON-PROFIT AND FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOCATED IN THE NEIGHBORHOOD OF PANORAMA CITY, CA, WITH A SERVICE AREA COMPRISING SURROUNDING ZIP CODES THAT OVERLAP WITH LOS ANGELES AND FRESNO COUNTIES. HAVING RECEIVED NEW ACCESS POINT DESIGNATION IN 2015 FOR ITS PANORAMA CITY SITE, CFHE CURRENTLY PROVIDES A COMPREHENSIVE RANGE OF PRIMARY AND PREVENTIVE CARE, INCLUDING MEDICAL, ORAL HEALTH, AND BEHAVIORAL HEALTH PROGRAMS. SERVICES ARE PROVIDED ACROSS THE LIFECYCLE FROM TEN PERMANENT DELIVERY SITES, WITH A FOCUS ON RESIDENTS LIVING BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), INCLUDING MARGINALIZED AND FIRST-GENERATION COMMUNITY MEMBERS. ACCORDING TO OUR RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, MORE THAN ONE-THIRD OF CFHE’S SERVICE AREA RESIDENTS (35.0%) LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), A RATE EXCEEDING THAT OF LOS ANGELES AND FRESNO COUNTIES (32.2%) CALIFORNIA (28.5%), AND THE U.S. (29.2%). ADDITIONALLY, MORE THAN ONE-THIRD OF RESIDENTS (35.6%) ARE UNINSURED OR COVERED BY MEDICAID OR ANOTHER MEANS-TESTED HEALTH PLAN, ALSO HIGHER THAN THE COUNTIES’ (32.1%), STATE (27.0%), AND NATIONAL (23.6%) RATES. OUT OF APPROXIMATELY 1.1 MILLION LOW-INCOME SERVICE AREA RESIDENTS SERVED BY CFHE, MORE THAN ONE-HALF (59.0%) IDENTIFY AS HISPANIC OR LATINO, AND 20.4% REPRESENT OTHER NON-CAUCASIAN RACIAL/ETHNIC GROUPS. THE MAJORITY OF ALL SERVICE AREA RESIDENTS (61.3%) SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. NEARLY ONE IN FOUR LOW-INCOME RESIDENTS REPORTED A FAIR OR POOR HEALTH STATUS (23.9%), AND MORE THAN ONE IN EIGHT (13.2%) HAVE EITHER DELAYED OR HAVE NOT RECEIVED MEDIC AL CARE THAT THEY NEEDED AT SOME POINT IN THE PAST YEAR. INCREASING ACCESS TO TIMELY BEHAVIORAL HEALTH SERVICES IS A TOP PRIORITY FOR OUR HEALTH CENTER. THOUSANDS OF LOW-INCOME COMMUNITY MEMBERS CONTINUE TO STRUGGLE WITH MENTAL HEALTH ISSUES RELATED TO THE COVID-19 PANDEMIC, AND THERE ARE ALSO HIGHER RATES OF HEROIN USE, METHAMPHETAMINE USE, AND PRESCRIPTION PAIN KILLER MISUSE OVERALL AMONG LOW-INCOME RESIDENTS COMPARED WITH COUNTY AND STATE AVERAGES. AS REFLECTED IN OUR MOST RECENT UNIFORM DATA SYSTEM (UDS) REPORT, CFHE SERVED A TOTAL OF 1,773 UNIQUE MENTAL HEALTH SERVICES PATIENTS IN 2023, WITH 2,052 CLINIC VISITS AND 1,866 VIRTUAL ENCOUNTERS. WHILE WE DID NOT PROVIDE SUBSTANCE USE DISORDER (SUD) SERVICES, INCLUSIVE OF MEDICATIONS FOR OPIOID USE DISORDER (MOUD), TO CFHE PATIENTS IN 2023, OUR ORGANIZATIONAL EXPERIENCE AND COMMITMENT TO COMPREHENSIVE BEHAVIORAL HEALTH SERVICES EXPANSION WILL ENABLE US TO EFFECTIVELY ADDRESS BARRIERS TO ACCESSING NEEDED TREATMENT, RECOVERY, AND SUPPORT SERVICES. CFHE PROPOSES TO USE FY 24 BEHAVIORAL HEALTH SERVICES EXPANSION (BHSE) FUNDING TO PRIMARILY SUPPORT THE HIRING AND TRAINING OF NEW CLINICAL PERSONNEL, WHO WILL FUNCTION AS MEMBERS OF INTEGRATED MEDICAL AND BEHAVIORAL HEALTH CARE TEAMS TO FULFILL THE BHSE PROGRAM OBJECTIVES OF INCREASING THE NUMBER OF HEALTH CENTER PATIENTS RECEIVING MENTAL HEALTH SERVICES, AND INCREASING THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING MOUD. IN ADDITION TO OUR LOW-INCOME POPULATION OF FOCUS, CFHE PLANS TO ENGAGE IN COMMUNITY OUTREACH AND PATIENT IN-REACH ACTIVITIES TO SERVE MORE ADOLESCENTS, LGBT, AND FORMERLY INCARCERATED INDIVIDUALS. WE WILL ALSO STRENGTHEN PARTNERSHIPS AND COLLABORATION WITH OTHER HEALTH AND SOCIAL SERVICES AGENCIES WITHIN OUR SERVICE AREA TO FACILITATE REFERRALS AND PROVIDE NAVIGATION TO A FULL RANGE OF BEHAVIORAL HEALTH AND WRAPAROUND SERVICES, INCLUDING THOSE DESIGNED TO MEET HEALTH-RELATED SOCIAL NEEDS.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CENTER CLUSTER PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM