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MSFW Analysis - Arkansas

MSFW Analysis - Arkansas. National Center for Farmworker Health. MSFW Analysis - Arkansas. Presentation Controls Legend. Next slide. Previous Slide. County Information. Data. Only buttons in lower right hand corner are operational. Return to presentation. MSFW Analysis - Arkansas.

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MSFW Analysis - Arkansas

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  1. MSFW Analysis - Arkansas National Center for Farmworker Health

  2. MSFW Analysis - Arkansas Presentation Controls Legend Next slide Previous Slide County Information Data Only buttons in lower right hand corner are operational Return to presentation

  3. MSFW Analysis - Arkansas Purpose The purpose of this presentation is to conduct spatial data analysis of MSFW enumeration data to enable health planners to target limited resources to areas of greatest MSFW need .

  4. MSFW Analysis - Arkansas Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

  5. MSFW Analysis - Arkansas Introduction • Acronyms • MSFW Enumeration Profiles Studies • Rationale for State Selections • Data Sources • MSFW Population Categories • Rationale for MSFW Population Categories

  6. MSFW Analysis - Arkansas Acronyms BPHC – Bureau of Primary Health Care CHC – Community Health Center (Section 330 grantee) HRSA – Health Resources and Services Administration MHC – Migrant Health Center (Section 330 grantee) MSFW – Migrant and Seasonal Farmworker NCFH – National Center for Farmworker Health NP – Nurse Practitioner PA – Physician Assistant PCA – Primary Care Association PCO – Primary Care Organization UDS – Uniform Data System

  7. MSFW Analysis - Arkansas MSFW Enumeration Profiles Studies In 1998, the Bureau of Primary Health Care (BPHC) and the Environmental Protection Agency jointly funded a study to estimate MSFW populations at the county level, and awarded a grant to the National Center for Farmworker Health (NCFH). NCFH subsequently contracted with Alice C. Larson, Ph.D., to research and develop state estimates for the MSFW population in ten states: Arkansas, California, Florida, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, and Texas.

  8. MSFW Analysis - Arkansas Rationale for State Selections Five states were chosen because they are home to the largest MSFW populations (California, Florida, North Carolina, Texas, and Washington). The other five states (Arkansas, Louisiana, Maryland, Mississippi, and Oklahoma) were selected because they were states for which minimal data was available, and they appeared to provide a broad sample of MSFW employment environments.

  9. MSFW Analysis - Arkansas Data Sources • MSFW numbers are taken from the MSFW Enumeration Profiles Study - Arkansas, September 2000. • MHC and CHC grantee site locations were taken from the BPHC web site (http://ask.hrsa.gov/pc/) in May 2003, and updated by the Arkansas Department of Health, Division of Public Health (PCO) and the Community Health Centers of Arkansas, Inc. (PCA), in May 2003. • User data was provided by the Health Resources and Services Administration (HRSA) and BPHC.

  10. MSFW Analysis - Arkansas MSFW Population Categories • In this analysis, there are four county MSFW population categories: • 0 to 499 • 500 to 999 • 1,000 to 1,999 • 2,000 and over

  11. MSFW Analysis - Arkansas Rationale for MSFW Population Categories The four MSFW population categories were selected based on assumptions about deriving a potential clinic user population number from a target population estimate. Potential clinics include existing CHC service sites or a new access point. A new access point is a new delivery site for the provision of comprehensive primary and preventive health care services.  The two types of new access points are (1) new starts and (2) satellites. We assume that a target population will produce a 75% clinic user rate and that a clinic site requires 750 to 1,500 users (based on an average ratio of 750 users per PA/NP and 1,500 per physician).

  12. MSFW Analysis - Arkansas MSFW Population Category 0 - 499 Counties that have an MSFW population from 0 to 499 are assumed to have an MSFW target population sufficient only to support a user population that would account for less than 25% of the users of an existing CHC service site or a new access point.

  13. MSFW Analysis - Arkansas MSFW Population Category 500 - 999 Counties that have an MSFW population from 500 to 999 are assumed to have an MSFW target population sufficient to support a user population that would account for 25% to 50% of the users of an existing CHC service site or a new access point.

  14. MSFW Analysis - Arkansas MSFW Population Category 1,000 – 1,999 Counties that have an MSFW population from 1,000 to 1,999 are assumed to have an MSFW target population sufficient to support a user population that would account for 50% to 100% of the users of an existing CHC service site or a new access point.

  15. MSFW Analysis - Arkansas MSFW Population Category Over 2,000 Counties that have an MSFW population over 2,000 are assumed to have an MSFW target population sufficient to support a user population that would justify a new access point.

  16. MSFW Analysis - Arkansas Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

  17. MSFW Analysis - Arkansas State Overview • Arkansas Data • Arkansas Counties • Perspective: Arkansas vs. Maryland • MSFW Population • MSFW Population – Data Map • MSFW Population – Spatial Map

  18. MSFW Analysis - Arkansas Arkansas Data AREA - 52,913 square miles POPULATION (2000) – 2,692,090 TOTAL MSFW POPULATION – 27,613 COUNTIES – 75 counties (ranging in size from 538 to 1,061 square miles) CHC/MHC SITES – 1 Grantee and 6 sites CHC ONLY SITES –9 Grantees and 40 sites

  19. MSFW Analysis - Arkansas Arkansas Counties Clay Fulton Randolph Benton Carroll Boone Baxter Marion Izard Greene Sharp Lawrence Madison Searcy Mississippi Washington Newton Stone Independence Craighead Van Buren Poinsett Cleburne Crawford Johnson Jackson Franklin Pope Conway Cross Crittenden White Sebastian Logan Woodruff Faulkner St. Francis Yell Perry Prairie Lee Scott Pulaski Lonoke Monroe Saline Phillips Montgomery Garland Polk Jefferson Arkansas Hot Spring Grant Howard Pike Clark Sevier Cleveland Dallas Lincoln Desha Nevada Little River Ouachita Hempstead Drew Calhoun Lafayette Bradley Miller Chicot Union Ashley Columbia

  20. MSFW Analysis - Arkansas Perspective: Arkansas vs. Maryland Relative Size Relative Location

  21. MSFW Analysis - Arkansas MSFW Population The migrant and seasonal farmworker population is estimated at 27,613. This number includes workers and their dependents. The largest concentration of farmworkers and their families is located in the eastern part of the state. The next slide will present this data as an overlay on the county. Data source: MSFW Enumeration Profiles Study – AR, Larson, 9/2000

  22. MSFW Analysis - Arkansas MSFW Total Population - 27,613 723 0 0 889 55 50 0 11 44 490 0 21 5 4,823 381 27 2,370 0 81 22 25 1,349 408 502 18 122 218 118 188 1,079 0 447 62 145 6 51 504 0 38 38 0 656 137 609 376 22 0 1,708 0 0 44 12 0 1,229 7 5 6 70 0 770 0 1,681 346 34 30 0 718 0 465 101 981 123 36 0 1,219 Data source: MSFW Enumeration Profiles Study – AR, Larson, 9/2000

  23. MSFW Analysis - Arkansas MSFW Population The next slide will depict the state’s counties organized into four categories, based on the county’s MSFW population. In addition to the three categories already described, there is a category for counties with an MSFW population below 500.

  24. MSFW Analysis - Arkansas MSFW Total Population State Total 27,613 * * 4,823 represents the MSFW population of the most populous MSFW county Data source: MSFW Enumeration Profiles Study – AR, Larson, 9/2000

  25. MSFW Analysis - Arkansas Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

  26. MSFW Analysis - Arkansas Service Delivery Gaps • Analysis Process • MHC Grantees • CHC Grantees • Grantee Delivery Area vs MSFW Population • County Analysis by MSFW Population Category

  27. MSFW Analysis - Arkansas Analysis Process • Service potential will be evaluated in the following order: • MHC grantee in county • CHC grantee in county • MHC grantee in adjoining county • CHC grantee in adjoining county

  28. MSFW Analysis - Arkansas MHC Grantees There are two Migrant Health Center grantees in the state. These grantees provide services at 6 sites in 6 counties. Data sources: BPHC web site, 5/2003; AR Department of Health Staff Services, 5/2003

  29. MSFW Analysis - Arkansas MHC Grantee Sites and Service Counties Data sources: BPHC web site, 5/2003; AR Department of Health Staff Services, 5/2003

  30. MSFW Analysis - Arkansas Service Delivery Sites The next slide will depict the service delivery area in three rings representing 5, 10, and 15 mile radii from the delivery site. Although a 20 mile distance is sometimes used as a planning radius, that is assumed to be travel miles. These rings represent straight line measures.

  31. MSFW Analysis - Arkansas MHC Grantee Delivery Sites Coverage Data sources: BPHC web site, 5/2003; AR Department of Health Staff Services, 5/2003

  32. MSFW Analysis - Arkansas CHC Grantees There are ten Community Health Center grantees in the state. One of the two MHC grantees is also a CHC grantee. The nine additional CHC grantees provide health services at 40 sites in 24 counties. Data sources: BPHC web site, 5/2003; AR Department of Health Staff Services, 5/2003

  33. MSFW Analysis - Arkansas CHC Grantee Sites and Service Counties Data sources: BPHC web site, 5/2003; AR Department of Health Staff Services, 5/2003

  34. MSFW Analysis - Arkansas MHC/CHC Grantee Delivery Sites Coverage Data sources: BPHC web site, 5/2003; AR Department of Health Staff Services, 5/2003

  35. MSFW Analysis - Arkansas MHC/CHC Grantee Delivery Sites MHC and CHC grantee sites together appear to provide significant geographic coverage to the state’s MSFW population centers.

  36. MSFW Analysis - Arkansas MHC/CHC Grantee Delivery Sites vs. MSFW Population Data sources: MSFW Enumeration Profiles Study – AR, Larson, 9/2000 ; BPHC web site, 5/2003; AR Department of Health Staff Services, 5/2003

  37. MSFW Analysis - Arkansas MHC/CHC Grantee Delivery Coverage However, MHC and CHC clinic sites are located in counties that account for only 42.5% of the state’s MSFW population, leaving large concentrations unserved.

  38. MSFW Analysis - Arkansas MHC/CHC Grantee Delivery Coverage & MSFW Population Data sources: MSFW Enumeration Profiles Study – AR, Larson, 9/2000 ; BPHC web site, 5/2003; AR Department of Health, Staff Services, 5/2003

  39. MSFW Analysis - Arkansas Analysis of Counties with >2,000 MSFW Population There are two counties that have MSFW populations in excess of 2,000. Neither have an MHC or CHC grantee delivery site in the county.

  40. MSFW Analysis - Arkansas MSFW Population > 2,000 2,370 4,823 Data source: MSFW Enumeration Profiles Study – AR, Larson, 9/2000

  41. MSFW Analysis - Arkansas Craighead County MSFW Population 2,3701 Craighead Craighead County adjoins two counties that have CHC grantees2, and two grantee sites are close enough to provide services to a portion of the MSFW population of the county. 1 MSFW Enumeration Profiles Study – AR, Larson, 9/2000 2 BPHC Web Site, 5/2003; AR Department of Health Staff Services, 5/2003

  42. MSFW Analysis - Arkansas Mississippi County MSFW Population 4,8231 Mississippi Mississippi County adjoins two counties that have CHC grantees2, and one grantee site is close enough to provide services to a portion of the MSFW population of the county. 1 MSFW Enumeration Profiles Study – AR, Larson, 9/2000 2 BPHC Web Site, 5/2003; AR Department of Health Staff Services, 5/2003

  43. MSFW Analysis - Arkansas Analysis of Counties with 1,000-1,999 MSFW Population Of the six counties that have MSFW populations ranging from 1,000 to 1,999, only one does not have a CHC grantee delivery site in the county.

  44. MSFW Analysis - Arkansas MSFW Population 1,000 – 1,999 1,349 1,079 1,708 1,229 1,681 1,219 Data source: MSFW Enumeration Profiles Study – AR, Larson, 9/2000;

  45. MSFW Analysis - Arkansas County Service Area with no MHC/CHC Data sources: MSFW Enumeration Profiles Study – AR, Larson, 9/2000; BPHC Web Site, 5/2003; AR Department of Health Staff Services, 5/2003

  46. MSFW Analysis - Arkansas Desha County MSFW Population 1,6811 Desha Desha County adjoins two counties that have CHC grantees2, and two grantee sites are close enough to provide services to a portion of the MSFW population of the county. 1 MSFW Enumeration Profiles Study – AR, Larson, 9/2000 2 BPHC Web Site, 5/2003; AR Department of Health Staff Services, 5/2003

  47. MSFW Analysis - Arkansas Analysis of Counties500-999 MSFW Population Of the nine counties that have MSFW populations ranging from 500 to 999, five counties have a CHC grantee delivery site in the county.

  48. MSFW Analysis - Arkansas MSFW Population500 – 1,000 Data source: MSFW Enumeration Profiles Study – AR, Larson, 9/2000

  49. MSFW Analysis - Arkansas County Service Areas with no MHC/CHC Data sources: MSFW Enumeration Profiles Study – AR, Larson, 9/2000; BPHC Web Site, 5/2003; AR Department of Health Staff Services, 5/2003

  50. MSFW Analysis - Arkansas Benton County MSFW Population 8891 Benton Benton County adjoins two counties that have CHC grantees2, but only one grantee site is close enough to provide services to a small portion of the MSFW population of the county. 1 MSFW Enumeration Profiles Study – AR, Larson, 9/2000 2 BPHC Web Site, 5/2003; AR Department of Health Staff Services, 5/2003

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