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MSFW Analysis - Mississippi

MSFW Analysis - Mississippi. National Center for Farmworker Health December 2003. MSFW Analysis - Mississippi. Presentation Controls Legend. Next slide. Previous Slide. County Information. Data. Only buttons in lower right hand corner are operational. Return to presentation.

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MSFW Analysis - Mississippi

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  1. MSFW Analysis - Mississippi National Center for Farmworker Health December 2003

  2. MSFW Analysis - Mississippi 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 - Mississippi 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 - Mississippi Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

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

  6. MSFW Analysis - Mississippi 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) MSDH – Mississippi Department of Health MSFW – Migrant and Seasonal Farmworker MSPHCA – Mississippi Primary Health Care Association NCFH – National Center for Farmworker Health NP – Nurse Practitioner PA – Physician Assistant UDS – Uniform Data System

  7. MSFW Analysis - Mississippi 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 - Mississippi 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 - Mississippi Data Sources • MSFW numbers are taken from the MSFW Enumeration Profiles Study - Mississippi, 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 MS Department of Health and the MS Primary Health Care Association in May 2003. • User data was provided by the Health Resources and Services Administration (HRSA) and BPHC.

  10. MSFW Analysis - Mississippi 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 - Mississippi 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 - Mississippi 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 - Mississippi 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 - Mississippi 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 - Mississippi 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 - Mississippi Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

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

  18. MSFW Analysis - Mississippi Mississippi Data AREA - 47,619 square miles POPULATION (2000) – 2,858,029 TOTAL MSFW POPULATION – 18,191 COUNTIES – 82 counties (ranging in size from 405 to 932 square miles) CHC ONLY SITES – 22 Grantees and 104 sites

  19. MSFW Analysis - Mississippi Mississippi Counties Benton Alcorn Tisho-mingo De Soto Mar-shall Tippah Pren-tiss Tunica Tate Union Itaw-amba Lafayette Coahoma Panola Lee Pontotoc Quitman Yalo-busha Calhoun Talla-hatchie Chicka-saw Monroe Bolivar Grenada Webster Clay Sun-flower Mont-gomery Leflore Oktib-beha Lowndes Choc-taw Wash-ington Carroll Hum-phreys Noxubee Holmes Attala Winston Sharkey Nesh-oba Yazoo Kemper Leake Issaquena Madison New-ton Lauderdale Scott Warren Hinds Rankin Smith Clarke Jasper Claiborne Simpson Copiah Jefferson Coving-ton Jones Wayne Lincoln Jefferson Davis Lawrence Forrest Adams Franklin Marion Greene Amite Lamar Perry Pike Wilkinson Walthall George Pearl River Stone Harr-ison Jackson Hancock

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

  21. MSFW Analysis - Mississippi MSFW Population The migrant and seasonal farmworker population is estimated at 18,191. This number includes workers and their dependents. The largest concentration of farmworkers and their families is located in the west central part of the state. The next slide will present this data as an overlay on the county. Data source: MSFW Enumeration Profiles Study – MS, Larson, 9/2000

  22. MSFW Analysis - Mississippi MSFW Total Population18,191 48 176 28 8 9 43 24 81 461 24 296 86 30 103 78 312 1,003 130 403 136 801 1,595 767 86 40 170 699 805 119 81 74 158 13 1,058 67 638 428 126 21 412 792 28 5 9 216 335 3 25 20 123 233 81 198 14 1 41 64 29 160 37 170 87 95 0 0 49 8 30 37 339 14 23 1 102 8 51 245 55 262 99 216 114 Data source: MSFW Enumeration Profiles Study – MS, Larson, 9/2000

  23. MSFW Analysis - Mississippi 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 - Mississippi MSFW Total Population – 18,191 Data source: MSFW Enumeration Profiles Study – MS, Larson, 9/2000

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

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

  27. MSFW Analysis - Mississippi 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 - Mississippi MHC Grantees There are no Migrant Health Center grantees in the state. Data sources: BPHC web site, 5/2003; MSDH and MSPHCA, 5/2003

  29. MSFW Analysis - Mississippi CHC Grantees There are 22 Community Health Center grantees in the state. The CHC grantees provide health services at 104 sites in 48 counties. The following map omits 21 school-based clinics. Data sources: BPHC web site, 5/2003; MSDH and MSPHCA, 5/2003

  30. MSFW Analysis - Mississippi CHC Grantee Sites and Counties Data sources: BPHC web site, 5/2003; MSDH and MSPHCA, 5/2003

  31. MSFW Analysis - Mississippi Service Delivery Area 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.

  32. MSFW Analysis - Mississippi CHC Grantee Site Coverage Data sources: BPHC web site, 5/2003; MSDH and MSPHCA, 5/2003

  33. MSFW Analysis - Mississippi CHC Grantee Delivery Areas CHC grantee sites appear to provide significant geographic coverage to the state’s MSFW population centers.

  34. MSFW Analysis - Mississippi CHC Grantee Sitesand MSFW Population Data sources: MSFW Enumeration Profiles Study – MS, Larson, 9/2000; BPHC web site, 5/2003; MSDH and MSPHCA, 5/2003

  35. MSFW Analysis - Mississippi MHC/CHC Grantee Delivery Areas However, CHC clinic sites are located in counties that account for only 52.3% of the state’s MSFW population, leaving a large population unserved.

  36. MSFW Analysis - Mississippi CHC Grantee Service Potential We will now look at the existing potential for service to the state’s MSFW population counties.

  37. MSFW Analysis - Mississippi Analysis of Counties with 1,000-1,999 MSFW Population There are three 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.

  38. MSFW Analysis - Mississippi MSFW Population 1,000 – 1,999 1,003 1,595 1,058 Data source: MSFW Enumeration Profiles Study – MS, Larson, 9/2000;

  39. MSFW Analysis - Mississippi CHC Grantee CountiesMSFW Pop 1,000 – 1,999 Data sources: MSFW Enumeration Profiles Study – MS, Larson, 9/2000; BPHC web site, 5/2003; MSDH and MSPHCA, 5/2003

  40. MSFW Analysis - Mississippi Calhoun County MSFW Population 1,5951 Calhoun Calhoun County adjoins a county that has a CHC grantee2, and this site is close enough to provide services to a portion of the MSFW population of the county. 1 MSFW Enumeration Profiles Study – MS, Larson, 9/2000 2 BPHC web site, 5/2003; MSDH and MSPHCA, 5/2003

  41. MSFW Analysis - Mississippi Analysis of Counties with 500-1,000 MSFW Population There are six counties that have MSFW populations ranging from 500 to 1,000.

  42. MSFW Analysis - Mississippi MSFW Population500 – 1,000 801 767 805 699 638 792 Data source: MSFW Enumeration Profiles Study – MS, Larson, 9/2000

  43. MSFW Analysis - Mississippi Analysis of Counties500-999 MSFW Population Of the six counties that have MSFW populations ranging from 500 to 999, four counties have a CHC grantee delivery site in the county.

  44. MSFW Analysis - Mississippi CHC Grantee CountiesMSFW Pop 500 – 999 Data sources: MSFW Enumeration Profiles Study – MS, Larson, 9/2000; BPHC web site, 5/2003; MSDH and MSPHCA, 5/2003

  45. MSFW Analysis - Mississippi Tallahatchie County MSFW Population 8011 Tallahatchie Tallahatchie County adjoins three counties that have CHC grantees2, but these sites are not close enough to provide services to the MSFW population of the county. 1 MSFW Enumeration Profiles Study – MS, Larson, 9/2000 2 BPHC web site, 5/2003; MSDH and MSPHCA, 5/2003

  46. MSFW Analysis - Mississippi Leflore County MSFW Population 8051 Leflore Leflore County adjoins four counties that have CHC grantee sites2, but these sites provide services to only a portion of the MSFW population of the county. 1 MSFW Enumeration Profiles Study – MS, Larson, 9/2000 2 BPHC web site, 5/2003; MSDH and MSPHCA, 5/2003

  47. MSFW Analysis - Mississippi Presentation Outline • Introduction • State Overview • Service Delivery Gaps • Other Data

  48. MSFW Analysis - Mississippi Other Data • CHC Grantee Service Penetration • % of Population Below 100% Poverty

  49. MSFW Analysis - Mississippi MSFW Estimated Population Statewide Service Penetration MSFW Population Estimate 18,191 MSFW Users 690 Service Penetration 3.79% UDS Reports - 2001, BPHC MSFW Enumeration Profiles Study – MS, Larson, 9/2000

  50. MSFW Analysis - Mississippi % of Population Below 100% Poverty Data source: Census 2000

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