S.C. Migrant Health Program Overview

Project History and Community Served

The South Carolina Primary Health Care Association (SCPHCA) became the grantee for theSouth Carolina Migrant Health Program (SCMHP) in October of 2004. The mission of the SCMHP is to enhance access to preventive and primary health care services for the Migrant and Seasonal Farmworkers community in South Carolina.

Services Provided, Delivery Method, and Staffing

The Program currently provides primary care (family practice/internal medicine, behavioral health, OB/GYN, pediatrics and vision), dental, ancillary (laboratory and radiology), emergency care, and pharmacy services. In addition, the SCMHP's scope of service includes the provision of outreach and enabling services such as transportation, translation/interpretation, health screening/assessment, health and social services referrals, follow-up, basic counseling, health education, and health advocacy.

Utilization Tables

Health Care Services

2015

2016

Medical  Patients

1,789

1,994

Dental Patients

518

491

Behavioral Health Patients

75

24

Vision Patients

108

122

Medical Visits

5,031

4,859

Dental Visits

1,142

975

Behavioral Health Visits

120

37

Vision Visits

110

132

 

Outreach/Enabling Services

2015

2016

Case Management  Services

13,800

15,894

Health Education Services

4,500

3,053

 

The SCMHP is a Migrant Health Voucher Program.  As such, the Program utilizes a network of fee-for-service providers to render health care services to migratory and seasonal agricultural workers and their families statewide. This service delivery model has been proven effective in addressing the health care needs of MSFW in South Carolina not only from a continuity of care standpoint, but also from a fiscal perspective. Migratory patients move from one area of the state to another in search of work, thereby needing a coordinated system of care that could accommodate this migration. 

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The SCMHP is administered and staffed by seasoned personnel with requisite expertise and experience in migrant health. Led by the Chief Program Officer, who functions as the SCMHP Director and who has more than 10 years of Program experience at the management level, staff consists of a board-certified (family practice) Clinical Director, Clinical Quality Improvement Coordinator, and outreach and administrative support personnel.

 

Special Needs of the Agricultural Worker Community and Effective Project Response to Identified Issues.  The MSFW population has complex health care needs. Agricultural workers in South Carolina have a higher prevalence of diabetes, hypertension and other chronic diseases, tuberculosis, dermatitis, dental caries, substance abuse, and depression compared to the general population. Insufficient prenatal care and low birth weight infants are all too common for agricultural worker women. Exposure to pesticides and other toxins causes additional health problems for MSFW. Work-related injuries are among the most common reasons for seeking medical care. To exacerbate the poor health status of the population, agricultural workers encounter numerous barriers that adversely impact their health-seeking behavior. Most MSFW in the state is of Hispanic/Latin origin (85%) and unable to adequately communicate in English. The nature of their work involves long hours at remote, hard-to-reach fields, and they frequently have limited access to transportation. Furthermore, agricultural workers are largely indigent, uninsured, and ineligible for Medicaid and other public benefits.

In a constant effort to address the myriad of issues faced by MSFW, the SCMHP provides comprehensive health care and enabling services that are designed to improve the accessibility of quality, culturally-appropriate health care services and reduce health disparities for the community. Moreover, partnerships with pertinent local, state, regional, and national collaborators are maintained and developed, and the needs of MSFW are assessed on a continuous basis in order to effectively and proactively respond to issues as they are identified.

For further information pertaining to the SCMHP or agricultural worker health, please do not hesitate to contact the SCMHP by phone at 800.768.3627 or 803.788.2778

 

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