Women's Health Services

Women's Health Services
5303 S. Cedar Street
P.O. Box 30161
Lansing, MI 48909

Business Hours
Monday - Friday
8:00 - 12:00
1:00 - 5:00
Phone: 887-4320

Women's Health Services

Women's Health Services provides access to a comprehensive range of health services to low income women in Ingham County. The focus is on reproductive health services, including Family Planning, Prenatal Care, Maternal Support Services, and assistance with enrollment in prenatal care coverage. Primary care services are provided for women without insurance who are enrolled in the Ingham Health Plan and Medical Access Project as well as Medicaid Managed Care programs. Breast and cervical cancer screenings are also provided to women enrolled through Ingham County BCCCP program.

Breast and Cervical Cancer Control Program

The Title XV/Breast and Cervical Cancer Control Program (BCCCP) is part of a nationwide effort to decrease breast and cervical cancer mortality by providing free breast and cervical cancer screening services to women age 40 and over with low or moderate incomes who are underinsured or not insured. The Ingham County Health Department manages the Title XV grant and subcontracts with clinics and providers in Ingham, Clinton, Gratiot, Jackson, Ionia, Washtenaw, Livingston, and Oakland Counties to provide screening services for women. Women who meet the eligibility guidelines receive a pelvic exam, Pap test, clinical breast exam, mammogram and health education. Further diagnostic testing and treatment services are available to women who are found to have an abnormality through screening. Physicians and hospitals have entered into a partnership with the Ingham County Health Department to ensure that women receive appropriate and timely follow-up care.

BCCCP screening services are provided at Ingham County Health Department's Women's Health Clinic, satellite clinics, Cristo Rey Clinic, and Gateway Community Services in Ingham County in addition to multiple sites in the seven other counties.

Overall Program Priorities:

Breast and Cervical Cancer Control Program Activity
within Ingham County Group*
October 1, 1999 - September 30, 2000

Total Number of Women Served 1,702
Total Number of Women Referred for Breast and Cervical Abnormalities (related to Breast or Cervical Cancer)
 173
Total Number of Breast Cancers Found 4
Total Number of Cervical Cancers Found 6
Age Breakdown
40-49
50-64
Over 64
 53.4%
43.2%
3.4%		 Racial Breakdown
White
Black
Native American
Asian

I

74.5%
13.1%
1.3%
2.8%

Poverty Level
Below poverty level
100% to 250%		 44.5%
55.5%		 Other /Missing
Information		 8.3%

*Total Number of Women Screened for all Counties = 2,683

Family Planning
Pregnancy among teenagers, women who are unmarried, women over the age of 35 and women who have had multiple pregnancies are all associated with higher then average rates of matemal and /or infant morbidity and mortality. Women with these characteristics are more likely than other women to have pr nancies that are unintended and unwanted.

Adolescent mothers have a greater risk of lower educational and occupational attainment, reduced income, and increased likelihood of dependency or being on welfare.

Family planning services are provided at the health department's Women's Health Services and at satellite clinic locations.  Comprehensive medical, educational, and counseling services related to contraception including contraceptive supplies are provided.  Surgical contraception and colposcopy services are provided by referral.

Services are provided by health department staff including nurse practitioner and clinicians, nurses, social workers, nutritionists, and support staff.  Physician services are provided through Sparrow Hospital/MSU Family Residency Program and OB-GYN Residency program during 2000.

Family Planning Visits
  1997 1998 1999 2000
ICHD-Sparrow 478 454 381 252
ICHD-Leslie 532 439 339 355
PHN Home Visits 182 510 381 258
Potter Park 77 48 41 40
ICHD-Stockbridge 550 473 400 384
ICHD-MLK-St. Lawrence 723 945 794 690
Willow Plaza 5,052 4,654 4,282 4,039
Women's Health Center 10,388 9,824 10,214 8,179
Total Visits
Total Users		 17,982
8,984		 17,347
10,793		 16,832
10,326		 14,197
9,451

Prenatal Care

Women who received prenatal care services are more likely to have favorable pregnancy outcomes than those who received no or inadequate prenatal care. Prenatal care for low income women is provided by the Health Department's Women's Health Center and Satellite Clinics.

Nurse practitioners and support staff work with physicians to provide comprehensive prenatal care. Services are closely coordinated with Maternal Support Services, Maternal Infant Outreach and Child Health Clinic Programs.

Prenatal Care At Women's Health Center
  1998 1999 2000
Clinic Visits 3,174 3,383 3,087
PAtients Delivered Locally 293 329 278
Patient Total 626 585 525
Nutrition Consultations 821 791 845
Social Worker Consultations 998 1,031 993

 

Prenatal Care at Leslie and Stockbridge
  1998 1999 2000
Clinic Visits 112 188 82
Patients Delivered Locally 11 9 7
Patient (High Risk)-Refer to Sparrow OB 3 4 4
Patient Total 24 25 15

 

Prenatal Care at St. Lawrence
  1998 1999 2000
Clinic Visits 391 316 244
Patients Delivered Locally 30 21 22
Patients Referred to Sparrow OB 13 12 10
Patient Total 59 46 42

Maternal Support Services

Ingham County provides maternal support services to Medicaid eligible women. Services are provided by nurses, nutritionists and social workers employed by the Health Department. Client need for maternal support services is assessed and documented during an initial clinic visit. Clients are assigned to a case manager who is responsible for coordinating development of a care plan, coordinating client care and providing educational services. The client is also seen by a social worker and nutritionist. The social worker and nutritionist are responsible for psychosocial and nutrition related assessment and counseling.

Referrals to other agencies are initiated by the nurse, social worker, or nutritionist, depending on the type of service a client needs. Home visits are provided by public health nurses prior to delivery and following mother and baby's discharge.

Clients are visited in the hospital by a maternal support service provider upon delivery. Women return to the prenatal clinic for their six-week postpartum visit and infants are seen in the department's Child Health Center, Sparrow Health Center, or other primary care provider.

Prenatal Enrollment and Coordination

Since 1989, with Michigan's expanded Medicaid eligibility for pregnant women, the Women's Health Center has provided the service of screening and referring pregnant, low income women for care. In 2000, more than 9,000 women benefitted from this service. Women come to the health department to enroll in the Medicaid program to receive coverage for their pregnancy related expenses, regardless of where they would receive prenatal care.

Prenatal Coordination and Referral
  1998 1999 2000
Medicaid Applications Completed 759 802 769
Prenatal Care Screening & Referrals 1,002 993 989
Social Work 1,137 1,148 1,111

Primary Care Services in Women's Health

In 1994, Women's Health began offering limited enrollment for primary care to women in Medicaid Managed Care Programs. With the creation of the Ingham Health Plan, Women's Health has been able to respond to the increased need for primary care among uninsured women. Primary care services are currently provided to women with Medicaid, Medical Access Program as well as Ingham Health Plan.

Primary  Care Visits
  1997 1998 1999 2000
Primary Care Visits 349 479 1,173 1,417


Maternal-Infant Outreach Program

During 1989, the Michigan Department of Community Health funded the development of paraprofessional outreach teams. The Ingham County Health Department trained and hired four full-time outreach workers under the supervision of the full-time nurse supervisor. The team provides peer social support, through frequent visits with high risk pregnant women. The team also helps to arrange transportation to keep high risk pregnant women in care and the babies connected to pediatric services during the first year of life.


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