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2023 SOTCH Report

Progress on CHIP

These priorities listed for Duplin County are addressed in the Community Health Improvement Plan (CHIP). Please click on the hyperlinks below to see the progress made for 2023:

Duplin County priorities include:

Access to Care

DCHD Child Health Clinic 

DCHD Primary Care Clinic

Mobile Medical Unit 

NC MedAssist 

Chronic Disease Prevention

QuitlineNC

Duplin Coalition for Health 

Chronic Disease Prevention Screenings

Community Outreach & Education Events

Mental Health/Illness

Telepsychiatry 

Naloxone Distribution

Operation Medicine Drop 

Too Good Program

Other programs not addressed as a priority:

Cribs for Kids - Safe Sleep Education 

Women Infants and Children- (WIC)

Breast and Cervical Cancer Control Program(BCCCP)

Care Management for At-Risk Children (CMARC) 

Care Management for High-Risk Pregnancy (CMHRP) 

Morbidity and Mortality Changes Since Last CHA

  • In 2023, there were 5 flu outbreaks in Duplin County nursing homes
  • Duplin County had 3 active Tuberculosis cases 
  • 3 Haemophilus influenza deaths
  • 5 COVID deaths

Emerging Issues Since Last CHA

  • Bicillin antibiotic injection shortage for treatment of syphillis cases-giving alternative antibiotics by mouth to treat which leaves room for poor medication adherence 
  • Lack of available appointments with dental providers for Medicaid-insured children
  • Lack of available food, daycare, financial, housing, transportation resources due to geographic location and low funding
  • Cost of housing has increased and resources for affordable rates are unavailable; overcrowding of homes
  • Inflation causing groceries and gas prices to increase making it harder for low income families to afford transportation and food

New/Paused/Discontinued Initiatives Since Last CHA

New:

  • "Too Good" school program: this is a program being offered through our Opioid settlement funding helping students within Duplin County schools to recognize precursors to substance abuse and to help prevent future use of drugs
  • Some Duplin County CMHRP/CMARC patients have already been enrolled in NC Medicaid Tailored Care plans, offering beneficiaries with behavioral, intellectual or developmental disabilities additional specialized services
  • Duplin County Coalition for Health resumes

Paused/Plans for improvement:

  • Mobile Medical Unit program is currently paused while management works on a primary care mobile clinic to provide necessary care to inaccessible areas. The health department team is looking at the needed staff and supplies to bring this unit back up and running.
  • Plans to increase community awareness of the Catch My Breath program and encourage more usage within the Duplin County School system. 
  • Work with Operation Medicine Drop Box sites to encourage record keeping of poundages of medications being disposed of annually
  • Provide more outreach and community awareness for QuitlineNC program

 

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