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Nebraska’s Collaboration in Working with Refugee Populations

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 .

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Nebraska’s Collaboration in Working with Refugee Populations

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  1. 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

  2. Nebraska’s TB Program • Rural State • Limited Staff • Local Health Departments • Omaha • Lincoln • Rural

  3. 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)

  4. Refugee Challenges Accessing Health Care • Complex American Health System • Work Focused Environment • Language • Lack of Resources • Lack of Knowledge

  5. Reasons for Education Among Agencies • Fear • Lack of Information • Local Health Department Request • Need Determined by State TB Program

  6. Collaboration with Refugee Task Force • Refugee Resettlement Staff • Refugee Community • Local Organizations • Nebraska Refugee Resettlement Coordinator • Karen Parde • Local Health Department Staff

  7. Colleges • Foreign Born Students • Policy Need • “TB On the College Campus” • Staff Helping Students

  8. 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

  9. Meat Packing Plant Collaboration • “Red Meat” Education • Basic TB Information • Contact Investigation • Refugee Background Information • Screening Requirements • Contacts with Meat Packing Plant

  10. Education for Direct Care Staff • Refugee Resettlement Staff • Basic TB Information • Employment First Group • Arbor Group

  11. 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

  12. Collaboration between States • Minnesota • Website for Language Materials • DVD (audio and visual)

  13. Future Goals • Correctional Facilities • Minnesota DVD Distribution • Quarterly Conference Calls

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