Transcript Nebraska’s Human Resource Development Plan

Nebraska’s Collaboration in
Working with Refugee
Populations
Kristin Gall, RN, BSN, MSN
Community Health Nurse III
Nebraska Department of Health and Human Services
Lincoln, Nebraska
Nebraska’s TB Program
 Rural
State
 Limited Staff
 Local Health Departments



Omaha
Lincoln
Rural
Foreign Born in Nebraska
 Refugees


301 in Fiscal Year 2006
490 in Fiscal Year 2007
 Secondary


Migrants
Families
Jobs
• Meat Packing Plants
(Department of State, 2008)
Tuberculosis in Nebraska
Foreign Born vs Active Cases
2003-2007
50
40
30
20
10
0
2003
2004
2005
Foreign Born
2006
Active Cases
2007
Refugee Challenges Accessing
Health Care
 Complex American
Health System
 Work Focused Environment
 Language
 Lack of Resources
 Lack of Knowledge
Reasons for Education Among
Agencies
 Fear
 Lack
of Information
 Local Health Department Request
 Need Determined by State TB Program
Collaboration with Refugee Task
Force
 Refugee
Resettlement Staff
 Refugee Community
 Local Organizations
 Nebraska Refugee Resettlement
Coordinator

Karen Parde
 Local
Health Department Staff
Colleges
 Foreign
Born Students
 Policy Need
 “TB On the College Campus”
 Staff Helping Students
Target TB Education for Groups
that Serve Refugees in
Communities
 Lexington,




Nebraska
Community Members (School, Hospital,
Health and Human Service Workers)
Health Department and Local Providers
Clinic
State Quarterly Meetings
Meat Packing Plant Collaboration
 “Red




Meat” Education
Basic TB Information
Contact Investigation
Refugee Background Information
Screening Requirements
 Contacts
with Meat Packing Plant
Education for Direct Care Staff
 Refugee

Resettlement Staff
Basic TB Information
 Employment

Arbor Group
First Group
Health Care Providers
 Creighton-Florence

Clinic, Omaha
QuantiFERON®-TB Gold Update
• University of Nebraska Public Health Lab
• State Presence
• Pilot Study
 Local
Conferences
 Local Health Departments
Collaboration between States
 Minnesota


Website for Language Materials
DVD (audio and visual)
Future Goals
 Correctional
Facilities
 Minnesota DVD Distribution
 Quarterly Conference Calls