MSFW Analysis - Maryland
National Center
for Farmworker Health
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MSFW Analysis - Maryland
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 .
MSFW Analysis - Maryland
Presentation Outline
Introduction
State Overview
Service Delivery Gaps
MSFW Analysis - Maryland
Introduction
Acronyms MSFW Enumeration Profiles Studies Rationale for State Selections Data Sources MSFW Population Categories Rationale for MSFW Population
Categories
MSFW Analysis - Maryland
Acronyms
MSFW Analysis - Maryland
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)
MSFW – Migrant and Seasonal Farmworker
NCFH – National Center for Farmworker Health
NP – Nurse Practitioner
OPCRH/DHMH – Office of Primary Care and Rural Health, Department of Health and Mental Hygiene
PA – Physician Assistant
UDS – Uniform Data System
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.
MSFW Analysis - Maryland
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.
MSFW Analysis - Maryland
Data Sources
• MSFW numbers are taken from the MSFW Enumeration Profiles Study - Maryland, 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 Office of Primary Care and Rural Health, Maryland Department of Health and Mental Hygiene, in May 2003.
• User data was provided by the Health Resources and Services Administration (HRSA) and BPHC.
MSFW Analysis - Maryland
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
MSFW Analysis - Maryland
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).
MSFW Analysis - Maryland
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.
MSFW Analysis - Maryland
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.
MSFW Analysis - Maryland
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.
MSFW Analysis - Maryland
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.
MSFW Analysis - Maryland
Presentation Outline
Introduction
State Overview
Service Delivery Gaps
MSFW Analysis - Maryland
State Overview
Maryland Data
Maryland Counties
MSFW Population
MSFW Population – Data Map
MSFW Population – Spatial Map
MSFW Analysis - Maryland
Maryland Data
AREA - 67,290 square miles.
POPULATION (2000) – 5,375,156
TOTAL MSFW POPULATION – 9,522
COUNTIES – 24 counties (ranging in size from 85 to 665 square miles)
CHC/MHC SITES – 3 Grantees and 12 sites
CHC ONLY SITES – 9 Grantees and 28 sites
MSFW Analysis - Maryland
Maryland Counties
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*
** *
*
Caroline
Washington
Frederick
Baltimore
Charles
Howard
Montgomery
Prince Georges
Allegany
Garrett
Talbot
Queen Annes
Kent
Cecil
Hartford
Dorchester
SomersetSt Marys
Calvert
Anne Arundel
Worcester
Wicomico
Baltimore City
Carroll
MSFW Analysis - Maryland
MSFW Population
The migrant and seasonal farmworker population is estimated at 9,522. This number includes workers and their dependents.
The largest concentration of farmworkers and their families is located in the southeastern part of the state.
The next slide will present this data as an overlay on the county.
Data source: MSFW Enumeration Profiles Study – MD, Larson, 9/2000
MSFW Analysis - Maryland
MSFW Population - MD
67
59
534
312
283
155
597731
0
330
512
465
96244
802
1,200519
402
243
223
448
941
23
436
Data source: MSFW Enumeration Profiles Study – MD, Larson, 9/2000
MSFW Analysis - Maryland
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.
MSFW Analysis - Maryland
MSFW Total Population
State Total 9,522
Data source: MSFW Enumeration Profiles Study – MD, Larson, 9/2000
MSFW Analysis - Maryland
Presentation Outline
Introduction
State Overview
Service Delivery Gaps
MSFW Analysis - California
Service Delivery Gaps
Analysis Process
MHC Grantees
CHC Grantees
Grantee Delivery Area vs. MSFW Population
Grantee Service Penetration
MSFW Analysis - California
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
MSFW Analysis - California
MHC Grantees
There are three Migrant Health
Center grantees in the state. These
grantees provide services at 12 sites
in 8 counties.
Data source: MD OPCRH/DHMH, 5/2003
MSFW Analysis - Maryland
MHC Grantee Sites and Service Counties
Data source: MD OPCRH/DHMH, 5/2003
MSFW Analysis - Maryland
MHC Grantee Sites Coverage
Data source: MD OPCRH/DHMH, 5/2003
MSFW Analysis - Maryland
CHC Grantees
There are twelve Community Health Center grantees in the state. All three of the MHC grantees are also CHC grantees.
The nine additional CHC grantees provide health services at 28 sites in 6 counties.
Data source: MD OPCRH/DHMH, 5/2003
MSFW Analysis - Maryland
CHC Grantee Sites and Service Counties
Data source: MD OPCRH/DHMH, 5/2003
MSFW Analysis - Maryland
CHC Grantee Sites Coverage
Data source: MD OPCRH/DHMH, 5/2003
MSFW Analysis - Maryland
MHC Grantee Service Coverage
We estimate that over 67% of the
MSFW population lives or works
within 15 miles of the 11 MHC
grantee sites.
MSFW Analysis - Maryland
MHC Grantee Sites and MSFW Population
Data sources: MD OPCRH/DHMH, 5/2003; MSFW Enumeration Profiles Study – MD, Larson, 9/2000
MSFW Analysis - Maryland
MHC Grantee Site Coverage of MSFW Population
Data sources: MD OPCRH/DHMH, 5/2003; MSFW Enumeration Profiles Study – MD, Larson, 9/2000
MSFW Analysis - Maryland
MHC Grantee Service Penetration
The seven MHC grantees provided services to 2,009 users1 during 2001, which represents 21% of the estimated statewide MSFW population.
The estimated MSFW population in the counties where the grantees provided health services is 5,3412. The reported users represent over 37% penetration of this population.
1 UDS Reports - 2001, BPHC
2 MSFW Enumeration Profiles Study – MD, Larson, 9/2000
MSFW Analysis - Maryland
CHC Grantee Service to MSFW Population
No CHC grantees report providing services to farmworkers or their families.
We estimate that over 80% of the MSFW population lives or works within 15 miles of an MHC or CHC grantee site.
MSFW Analysis - Maryland
MHC & CHC Grantee Sites and MSFW Population
Data sources: MD OPCRH/DHMH, 5/2003; MSFW Enumeration Profiles Study – MD, Larson, 9/2000
MSFW Analysis - Maryland
MHC & CHC Grantee Coverage of MSFW Population
Data sources: MD OPCRH/DHMH, 5/2003; MSFW Enumeration Profiles Study – MD, Larson, 9/2000
MSFW Analysis - Maryland
MSFW Analysis - Maryland
National Center
for Farmworker Health
Garrett
Allegany
Washington
Frederick
Howard
CarrollBaltimore
Hartford
Cecil
Montgomery
Kent
Calvert
Anne Arundel
Prince Georges
Charles
St Mary
Queen Annes
CarolineTalbot
DorchesterWomico
Somerset
Worcester
Baltimore City
MSFW Analysis - Maryland
County Adj MSFW
MFW SFW NonFW in MHH
NonFW in SHH
MSFW TOTAL
Allegany 55 49 6 7 4 67Anne Arundel 275 243 31 34 21 330Baltimore 609 540 69 75 47 731Calvert 432 383 49 53 33 519Caroline 784 695 89 97 60 941Carroll 498 441 57 62 38 597Cecil 335 297 38 41 26 402Charles 387 343 44 48 30 465Dorchester 1,000 886 114 124 76 1,200Frederick 260 231 30 32 20 312Garrett 49 43 6 6 4 59Harford 202 179 23 25 15 243Howard 129 115 15 16 10 155Kent 193 188 5 26 3 223Montgomery 236 209 27 29 18 283Prince Georges 427 378 49 53 33 512Queen Annes 374 331 43 46 29 448Somerset 696 680 16 95 11 802St. Marys 793 703 90 98 61 952Talbot 19 17 2 2 1 23Washington 445 394 51 55 34 534Wicomico 363 322 41 45 28 436Worcester 36 32 4 5 3 44Reforestation 41 36 5 5 3 49STATE 7,934 7,030 905 981 606 9,522
MSFW Analysis - Maryland