Health on Wheels: A Nursing Approach to Uninsured Children

By Savitri Singh-Carlson, Natalie D. Cheffer and Grace Reynolds.

Published by The Sustainability Collection

Format Price
Article: Print $US10.00
Article: Electronic $US5.00

The Health on Wheels Program is a nurse-managed philanthropically funded program to provide services to children in the Norwalk—La Mirada Unified School District of Los Angeles County, California. Since its inception in 1996, the program has provided over 15,300 screenings and immunizations to underserved children. Immunization data reveal that the program is serving children who have not received immunizations according to the standard immunization schedule for children beginning at birth. The mean age at first dose of first vaccination is 2.67 years and the mean age at last dose of most recent vaccination is 4.21 years, however, the ages of children receiving their first dose of vaccine range from less than one year of age to over 16 years of age and the ages for the receipt of the last dose of the most recent vaccination range from less than one year of age to over 17 years of age. The program appears to serve many children who receive vaccinations on the catch-up immunization schedule, who may be eligible for publicly funded children’s health insurance programs but whose families prefer the services of the Health on Wheels program.

Keywords: Vaccinations, Children, Uninsured, Underinsured, School-based Mobile Program

The International Journal of Environmental, Cultural, Economic and Social Sustainability, Volume 6, Issue 3, pp.169-180. Article: Print (Spiral Bound). Article: Electronic (PDF File; 1.186MB).

Dr. Savitri Singh-Carlson

Assistant Professor, School of Nursing, Health Sciences, Long Beach, California, USA

I am the coordinator for the dual MSN/MPH degree program in Nursing at California State University. I teach both theory and clinical components to graduate nursing public health students. As a new faculty member I am excited about teaching public health which is my passion. My excitement lends me to my interest in exposing students to multiple diverse clinical experiences in order for them to develop an understanding of the differences and similarities that a patient brings to the health care relationship. My research is with vulnerable cancer patients who are journeying through the cancer experience post treatment. Breast cancer survivors need a care plan to navigate their journey post-treatment. My interest is to make this care plan is not available to all patients in the language of choice. I am hoping to network with colleagues who have similar interests at this conference in order to further my global health interests.

Dr. Natalie D. Cheffer

Associate Professor, Nursing, California State University Long Beach, Long Beach, California, USA

Dr. Grace Reynolds

Assistant Professor, Health Care Administration, California State University Long Beach, Long Beach, California, USA


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