Health Beat #4 | Can the NHI fix SA's rural doctor dilemma?

Huge numbers of students lack the chance to go to college because of financial problems. Recently, Kalamazoo schools received more funding allowing them to have the chance to help and pay for students to then go to college and receive a higher education.

Georgia State University's predictive analytics system has helped students graduate by flagging at-risk students using a variety of factors, including college and high school grades, financial aid statuses, and more. While other universities attempt to scale the program to increase retention at their universities as well, serious concerns about privacy and surveillance persist, as do hesitations regarding the cost of expanding advisory services as Georgia State has done.

In several small rural towns in Texas, mental health professionals from Texas Tech are offering telemedicine counseling to make up for a lack of counselors available in local middle and high schools. The Governor's office has now asked the successful school districts to develop a training program for teachers in other Texas districts in order to scale the model.

As colleges and universities across the United States have shifted to online classes and shut down their campuses, not every student simply has the ability to move home. To help support these students, many of whom are low-income or international, the Stay Together Appalachian Youth Project began working with local communities to find housing for displaced students, as well as to provide other support like money or supplies.

The Romani Education Fund in Slovakia is helping children from the Roma community, which has a history of social and economic disadvantages as well as being subject to ethnic discrimination, overcome challenges to finish high school and pursue higher education. The REF works by providing qualifying students with a stipend to pay for educational supplies, as well as providing school guidance and personal mentorship to help both students and parents overcome the social hurdles that impede the student's desire or ability to fulfill their potential.

Frustrated by a tight labor market, two locally owned Grand Rapids employers discovered the virtues – economic, not just moral – of hiring formerly incarcerated people, whose gratitude for an opportunity translated into excellent performance and less risk of adding to rapid turnover. The employers helped guarantee success by paying for support services that made post-prison transitions easier. The employers then talked hundreds of other local employers into doing the same. Besides providing a business advantage, the program changes lives and is evidently contributing to much lower rates of recidivism.

The Golden Girls shelter has been providing meals, medical aid, and other support services for women with children who are experiencing homelessness. Since the Golden Girls living space opened, the program has served a total of 50 women ranging in age from the early 50s to late 70s. While at the shelter, staff members help them complete paperwork so they can receive Social Security payments, pensions, or alimony, and apply for affordable housing. They’re also provided medical care, counseling, and assistance finding jobs.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.

Birth in Color's doulas are filling the maternity care gap as rural labor and delivery rooms close, disproportionately impacting people of color. Doulas provide physical, emotional and informational support before, during and after childbirth, and advocate on the mother’s behalf. Doula care leads to improved birth outcomes and lower rates of C-sections, and in April 2022 doula services were added under the state’s Medicaid program.

Anambra State’s telemedicine program is closing the healthcare access gap in rural communities, making universal health coverage more possible. The program began in 2022 and has since hired and trained 42 doctors in providing remote healthcare. As more people use the telemedicine program, public trust in primary healthcare across the region is increasing.