Friday, November 25, 2011

Lebanon Family Health Services: Maternal and Newborn Health

This is the first of a 5 part series on "Women's Health".  Thank you to Lebanon Family Health Services for their assistance with this series.

Lebanon Family Health Services
Ann Biser, Donna Williams, Kim Kreider Umble, Vicki DeLoatch
A young couple with a newborn infant fastened to a car seat carrier was exiting Lebanon Family Health Services on a late September day.  In the brightly lit waiting area with neatly arranged children’s toys, a new mother nurses her infant.  Next to her, a pregnant woman waits.  Nutrition information is displayed about the room that is also the home for the WIC program (Women, Infants and Children-special supplemental nutrition program).  As you enter the upstairs hallway, one will find displayed the remnants of a “clothesline project”, an exhibit where colorful t-shirts depict the tragedy endured by those who are survivors of domestic abuse and rape put together by the Sexual Assault and Resource Center.  Each shirt tells its own story of pain, sorrow and agony.  However, like a mother’s embrace, the warmth that permeates the walls of this central Pennsylvania facility encircle the display and all the empowered souls it represents.  They have endured and they are safe in this place.

 It hasn’t always been this way.  In 1973, when Lebanon Family Health Services began, these women had nowhere to go for women’s health services.  Through the years, as the ranks of the uninsured grew, so did the number of women showing up to the emergency room in the Lebanon County community ready to deliver a baby that had never received any prenatal care.  In 1990, their services expanded to include prenatal care.  For over 35 years, The Lebanon Family Health Services has been serving uninsured and underinsured woman with reproductive health and nutrition services. 

 The benefits of prenatal care are conclusive.  Women who receive prenatal care while pregnant experience a dramatic reduction in maternal deaths, low birth-weight babies, miscarriages, birth defects and many other preventable infant problems.  However, with roughly 13% of woman being uninsured and many others considered underinsured because their health insurance policies either do not cover prenatal care or consider it a pre-existing condition, many woman, particularly minority woman are not able to access this vital and research proven medical care.[1]  The sad reality, as the numbers of uninsured has grown over the past few decades, so has the grim statistic of infant mortality.   According to the Centers for Disease Control, in 1960, the United States ranked 12th in infant mortality, 23rd in 1990 and 29th in 2004.

 In 2014, because of the Patient Protection and Affordable Care Act (PPACA), these women that have utilized Lebanon Family Health Services will now be insured.  Above all however, the PPACA also states that as part of the essential benefits, healthcare items that insurance plans are now mandated to cover, prenatal and infant care are included.   It has become a question to many that have worked for decades helping the uninsured acquire access to healthcare what will happen to places like The Lebanon Family Health Services.  For Kim Kreider-Umble, CEO of Lebanon Family Health Services, she welcomes this change.  “Bring them on,” she responds in response to the new inflow of patients.  After all, this is what she and advocates like her have been fighting to achieve for decades.  “Now, this can be a place of choice instead of a place of need for our clients,” she explains.  They plan on marketing directly to this population with their quality services and meet the increased demand with smart utilization of resources such as schedule adjusting and doubling duties.  “After all,” Kim concludes, “Healthcare is a right, not a privilege!”


[1] “Health Insurance for Pregnant Women,” American Pregnancy Association, http://www.americanpregnancy.org/planningandpreparing/affordablehealthcare.html

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