Latest / Illinois Valley - Shaw Local / Bureau County clinic creating blueprint to address gaps in rural women’s healthcare
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- 0:05Speaker 1: Bureau County Clinic creating blueprint to address gaps in rural
- 0:08women's healthcare. Written by Bill Frescoes, This article is being
- 0:15read by an automated voice brought to you by Everlett.
- 0:19As rural areas across the country continue to lose access
- 0:22to obstetric and women's health services, leaders at the Bureau
- 0:27County Health Department say their newly established Family Health Clinic
- 0:31is proving local health departments can help fill the gap
- 0:35and potentially serve as a model for communities across the state.
- 0:39The Bureau County Family Health Clinic, which opened in April
- 0:42last year, was created specifically to address growing concerns surrounding
- 0:47women's health access in Bureau, Putnam and Marshall Counties. After
- 0:51years of hospital service reductions and providers shortages, we felt
- 0:56that the health department needed to step up and take
- 0:58responsibility for local health. Bureau County Board of Health chare
- 1:02Pat Show said, if you look at this area ten
- 1:05years ago, we had three hospitals providing ob services. All
- 1:09of a sudden it fell apart, and it's not just
- 1:12happening here. According to a twenty twenty five study from
- 1:15the University of Minnesota, School of Public Health. Access to
- 1:18obstetric care in rural areas is declining significantly across the country.
- 1:23Between twenty ten and twenty twenty two, seven states had
- 1:27at least a quarter of their hospitals stopped providing obstetric services.
- 1:32By twenty twenty two, there were eight states where more
- 1:35than two thirds of rural hospitals were without obstetric services. Sku,
- 1:41who has chaired the Bureau County Board of Health for
- 1:43about thirty years, said the clinic was born out of
- 1:46a Community Needs aspsciment and conversations with longtime women's health
- 1:50providers about how rural communities could respond to declining care access.
- 1:56We can't always expect a large health system to fix everything, said,
- 2:00We also have to know what our local needs are
- 2:03and we have to be responsible locally. The clinic now
- 2:07provides women's healthcare, family planning, prenatal and postpartum care, gynecological services,
- 2:13primary care, immunizations, and behavioral health support through a partnership
- 2:17with Aruka Institute of Healing. Angie Readner, who has worked
- 2:22in women's healthcare for four decades and as a midwife
- 2:25for thirty five years, said the clinic was designed around
- 2:28low barrier care tailored to the realities of rural communities.
- 2:33When you can include the family and the women's healthcare
- 2:36together in one setting, you're really providing comprehensive low barrier care,
- 2:41Readner said. For rural women, that's important because sometimes you're
- 2:45traveling an hour and a half to get the care
- 2:48that you need. Readner said the clinic has focused heavily
- 2:52on prenatal and postpartum care, areas she believes have become
- 2:56increasingly vulnerable as rural hospitals have scaled back upstetrical programs.
- 3:01She added that postpartum care is often overlooked despite rising
- 3:06concerns nationwide surrounding maternal mental health and safety. Unfortunately, one
- 3:11of the leading causes of mortality during the postpartum period
- 3:14is maternal suicide and violence. Readner said, we really need
- 3:18to make sure that we are available and that we
- 3:21are seeing women after they have their babies easily, quickly,
- 3:24and regularly. According to Schau, the clinic started entirely from scratch,
- 3:30a challenge both she and Readner acknowledged is one reason
- 3:33similar models have not become more common among local health departments.
- 3:38This coming together was certainly not easy, show said, you
- 3:42have to set up a clinic, build consensus, get community support,
- 3:45and have your board beside you rather than relying on
- 3:49major grants, Show said. The health department used reserve funds
- 3:53and secured a one hundred and fifty thousand dollars line
- 3:56of credit through county government to launch the clinic. That
- 4:00just shows you how supportive the community was. Scaou said.
- 4:04The clinic has quickly grown since opening, with officials saying
- 4:08patient demand exceeded typical expectations for a startup rural practice.
- 4:13We are full moost days, Readner said. From day one,
- 4:16we've seen a minimum of fourteen to sixteen patients a day.
- 4:19Usually when you start a practice you see two maybe
- 4:22three patients a day if you're lucky. Chu said patients
- 4:26now come from roughly fifty zip codes throughout the region.
- 4:29Repeatable success. The clinics leadership believes the model could eventually
- 4:35help shape rural health strategies elsewhere in Illinois and beyond.
- 4:39Chu said he has already presented on the clinic at
- 4:42a national conference and discussed the concept with state and
- 4:45maternal health officials. I hope they do look to model this,
- 4:49Readner said, of other health departments, we have to realize
- 4:53that our communities have to take care of our communities.
- 4:56Looking ahead, Readner said, the clinic hopes to continue expand
- 5:00community education, increase access to walk in care for sexually
- 5:03transmitted infections and urgent women's health concerns, and reduce stigma
- 5:08surrounding issues such as substance use, violence, and mental health.
- 5:13We need to be very intent on meeting their needs
- 5:15for low barrier care and non stigmatizing care, Readner said.
- 5:20Scow said the long term goal extends beyond their community
- 5:24and ties directly to the future healthcare of rural communities.
- 5:28If we're going to keep our rural communities viable, we
- 5:31have to have young families and we have to support
- 5:33and provide things they need. Shu said people in rural
- 5:37areas deserve quality care.