Nebraska’s Collaboration in
Working with Refugee
Populations
Kristin Gall, RN, BSN, MSN
Community Health Nurse III
Nebraska Department of Health and Human Services
Lincoln, Nebraska
Nebraska’s TB Program
 Rural
State
 Limited Staff
 Local Health Departments



Omaha
Lincoln
Rural
Foreign Born in Nebraska
 Refugees


301 in Fiscal Year 2006
490 in Fiscal Year 2007
 Secondary


Migrants
Families
Jobs
• Meat Packing Plants
(Department of State, 2008)
Tuberculosis in Nebraska
Foreign Born vs Active Cases
2003-2007
50
40
30
20
10
0
2003
2004
2005
Foreign Born
2006
Active Cases
2007
Refugee Challenges Accessing
Health Care
 Complex American
Health System
 Work Focused Environment
 Language
 Lack of Resources
 Lack of Knowledge
Reasons for Education Among
Agencies
 Fear
 Lack
of Information
 Local Health Department Request
 Need Determined by State TB Program
Collaboration with Refugee Task
Force
 Refugee
Resettlement Staff
 Refugee Community
 Local Organizations
 Nebraska Refugee Resettlement
Coordinator

Karen Parde
 Local
Health Department Staff
Colleges
 Foreign
Born Students
 Policy Need
 “TB On the College Campus”
 Staff Helping Students
Target TB Education for Groups
that Serve Refugees in
Communities
 Lexington,




Nebraska
Community Members (School, Hospital,
Health and Human Service Workers)
Health Department and Local Providers
Clinic
State Quarterly Meetings
Meat Packing Plant Collaboration
 “Red




Meat” Education
Basic TB Information
Contact Investigation
Refugee Background Information
Screening Requirements
 Contacts
with Meat Packing Plant
Education for Direct Care Staff
 Refugee

Resettlement Staff
Basic TB Information
 Employment

Arbor Group
First Group
Health Care Providers
 Creighton-Florence

Clinic, Omaha
QuantiFERON®-TB Gold Update
• University of Nebraska Public Health Lab
• State Presence
• Pilot Study
 Local
Conferences
 Local Health Departments
Collaboration between States
 Minnesota


Website for Language Materials
DVD (audio and visual)
Future Goals
 Correctional
Facilities
 Minnesota DVD Distribution
 Quarterly Conference Calls
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Nebraska’s Human Resource Development Plan