The North Carolina Historically Black College and University (HBCU) Health Promotion
Alliance is a partnership between four North Carolina HBCUs and three state agencies
(the Office of Minority Health, Office of Rural Health and the Office of Medical
Assistance).  The partnership was first created by support from a Health Care
Financing Administration  planning grant in 1997.  The mission of this partnership was
to identify those factors impacting access to Medicaid services for African Americans
in four counties and to identify practical solutions to some of the access issues.
The project was supported in 1998-2000 by a grant from the Kate B. Reynolds
Charitable Trust.  Fiscal support since that time has been provided by state contracts
and partnering with other projects at the universities.  

As a result of the Kate B. Reynolds Grant the HBCU Health Promotion Alliance
(Alliance) has four sites, located in Greensboro on NC A & T State University’s
campus, in Durham on NC Central University’s campus, in Raleigh on St. Augustine’s
College campus and in Fayetteville on Fayetteville State University’s campus.
The main office for the Alliance is located on the NC A and T State University campus.
This office coordinates partnership activities with state agencies and supports the
Alliance activities that occur on each of the campuses.  The Alliance has continued to
provide services to individuals and training for health and human services professionals
to increase access to health services to the poor and underserved through partnerships
with state agencies and local organizations.
The findings of the project along with recommendations were presented to unit heads of the Office of Medical Assistance in the
spring of 2000.  The Alliance stated its’ willingness to work with state to make these recommendations realities for economically
disadvantaged clients in North Carolina.  The Alliance continues to develop and implement strategies.  Relevant health 
information has been obtained from state health agencies and local non-profit health organizations.  Health information and project
material dissemination is accomplished through growing partnerships with community organizations and churches, and through 
radio, conferences and workshops.

The Kate B. Reynolds funding provided the opportunity to conduct assessment and evaluation of access barriers to health care as
perceived by Medicaid eligible and enrolled individuals. The Alliance has been able to follow up with participants in the survey and
focus groups to provide services and lines of communications for those participants and others with similar needs.  The following
is a description of those activities:
 
  •   The Alliance partnered with the North Carolina Advisory Committee on Cancer Control and Coordination to increase
      minority enrollment in clinical trials.  Three workshops were held for health professionals, lay individuals and nursing
      students.  The workshops included instruction on how to address questions about the use of Medicaid in participation
      in clinical trails.
 
  •   Partnering with the Hurricane Floyd Relief effort, the Alliance provided training to college students who served as
      community workers and provided information about Medicaid to citizens in 27 eastern counties.
 
  •   The Alliance presented the project findings to health and human services professionals at a statewide conference
      on understanding and eliminating health disparities sponsored by the NC Department of Health and Human Services
      on December 13, 2000.  The Alliance partnered with the Healthy People Coalition, Greensboro AHEC and the Guilford
      Countyhealth department to plan and implement a follow-up health disparities conference for health and human services
      professionals in central North Carolina.  Issues of access to health services for high risk and poor individuals were a
      focus of the conference.  The conference was held in Greensboro, June 12, 2001. 
 
  •   Radio Public Service Announcements (PSAs) were aired for the past year on each HBCU partner’s campus radio
      station.  The announcements are designed to reinforce the fact that Medicaid services are each eligible participant’s
      right and responsibility while raising awareness of services provided by the Medicaid program.
 
  •   To gauge the effectiveness of the PSAs, increase access to the Alliance offices, and to facilitate client access to
      Medicaid services, a 1-800 hotline was established and a web site was created.  During the first six months, the
      1-800- hot line averaged eight (8) to ten (10) calls a week.
 
  •   The Alliance partnered with the NC Advisory Committee on Cancer Control and Coordination to provide a statewide
      conference in June 2, 2001 for two hundred African Americans, Native Americans and Latinos.  The results of the
      conference included a published transcript of the conference mailed to the participants and a set of recommendations
      for the Advisory Committee to aid in providing better cancer care through the state’s cancer plan.  The information fair
      at the conference distributed information about access to Medicaid services.  A curriculum was, also, developed for lay
      community advocates and included information about access to Medicaid services to aid with cancer detection and
      treatment in the African American community.  Twenty individuals were trained using the curriculum in June 2001.
 
  •   In partnership with the American Red Cross and stemming from work begun at North Carolina Central University,
      the Alliance began the Aggie-Eagle Classic Blood Donation Challenge.  The project affords the opportunity to
      educate college students and the African American community on the importance of blood and marrow donation.
      The project will also serve as a model for other HBCU and American Red Cross partnerships across the country. 
 
  •   The Alliance in partnership with Carolina Donor Services and the University of Rhode Island’s Cancer Prevention
      Research Center was awarded in October 2001 a U.S. Department of Health and Human Services grant to study
      strategies to increase organ and tissue donation.  The target population for the project is the African American
      college student on the Alliance campuses.  A high percentage of individuals needing these organs and tissue
      donations are African American, medically underserved and poor.  The project will include information about Medicaid’s
      role in organ and tissue transplantation in North Carolina.
 
  •   The Alliance has a proposal recently approved for funding by the NC Advisory Committee on Cancer Control and
      Coordination to establish community resource advocate positions in Durham and Wake counties to educate the
      African American community and especially Medicaid eligible individuals about cancer prevention.  The project will
      expand by collaborating with Native American and Latino organizations in the state to adapt the cancer curriculum
      for lay community advocates and training to the needs of these communities.

   
   
 
In addition to maintaining the operational and program activities of the Alliance at the Wendover facility, the NC A&T State
University site provided direct services to over 1,000 individuals in Guildford, Orange, and Cabarrus counties.
These services included participation in six workshops (four church based and two community based) and distribution of
Medicaid and health literature. NC A&T State University partnered with the Guildford county CHIPS program and the
Dudley High School Academy to provide information to low income communities in eastern Greensboro about participation
in the CHIPS program.  Presentations were made of grant project findings to residents of eastern Greensboro housing projects
who participated in the survey and focus groups as well as distribution of information about access to health services in
Guildford country.  Nursing students provided health access and Medicaid information to residents of St. Leo’s Place, low
income senior housing in Greensboro. 
 

 
 
Saint Augustine’s College estimates by way of attendance, sign-in and registration records that it has served over 7,000
residents of Southeast Raleigh and Wake County.  The Resource Referral Coordinator office in the Community Health and
Wellness program serves as the site for the Alliance on the campus.  Through the Community Health and Wellness program,
St. Augustine’s College has made efforts to close the health care access and educational gap that exists among residents
of Wake County.  Citizens have been served through the following programs as a direct result of the Kate B. Reynolds initiative:
 
  •   Summer Children’s Food Service Program for over 1,500 children ages 10-16 years old during the
      summers of 2000 and 2001.
  •   Distributed literature and favors in communities on topics such as CHIPS, Cancer Awareness, Women
      Health issues, STD’s, Smoking Cessation, Stress Management, and drug awareness in partnership with
      other health agencies.
  •   In collaboration with Healthy Mothers, Healthy Babies, we brought together health care providers and
      low-income women for Women’s Health Education programming and Wellness Brunches for over 300
      women.
  •   A six-week class on “Good Health Practices for Women” for Habitats for Humanity.
  •   Maintained the telephone service and walk-in service for individuals seeking Medicaid information.
  •   Sponsored a Health, Housing and Employment Fair in partnership with Habitat for Humanity.
  •   A number of free memberships to our Community Health Wellness Programs and Fitness Center have
      been issued to low-income clients.
  •   Health and Wellness education programming for clients of the Rex Senior Health Center, Project
      D.I.R.E.C.T. and other like organizations.
The grant provided the opportunity for Saint Augustine’s College to contribute to making health  care access a
reality by serving as a medium to bring those in need of health care together with those that provide services.
The College stands proud of what it is doing to impact access to health services among minorities and
African Americans.  The Kate B. Reynolds commitment has made it possible for Saint Augustine’s College to
make the significant impact that it has made on the lives of citizens of Wake County.
     
     
   
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