Mobile Health Units Impact in Idaho Agricultural Communities
GrantID: 73985
Grant Funding Amount Low: $50,000
Deadline: Ongoing
Grant Amount High: $100,000
Summary
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Grant Overview
Idaho's target outcomes emphasize measurable reductions in delayed care episodes among farm workers through mobile health units deployed along the Snake River Plain and Magic Valley. State agricultural labor estimates place approximately 38,000 migrant and seasonal workers in counties where fixed clinics exceed 45 miles from primary work sites. Baseline data from the Idaho Department of Health and Welfare record emergency department visits for preventable conditions at 2.8 times the statewide average for this population segment.
These outcomes matter because Idaho's agricultural economy depends on consistent labor availability during the 120-day harvest window for potatoes, sugar beets, and dairy operations. A single missed workday per worker during peak season correlates with documented $1.2 million aggregate revenue losses across processing facilities in Minidoka and Cassia counties. Mobile units therefore prioritize metrics such as on-site HbA1c screenings completed and vaccinations administered per 100 worker contacts rather than downstream referral rates.
Implementation requires units to operate under Idaho Board of Nursing standing orders that permit registered nurses to initiate point-of-care testing without on-site physician presence. Routes must cover at least three distinct agricultural labor camps per week between April and October, with documented coordination through the Idaho Migrant Council for scheduling. Equipment specifications limit vehicle payloads to 12,000 pounds to maintain access on unpaved access roads common in Jerome and Gooding counties.
The funding supports purchase of two compact ultrasound units and refrigeration capacity sufficient for 500 vaccine doses per deployment cycle. Reporting mandates include monthly submission of encounter data stratified by county and crop type to enable adjustment of routes based on harvest timing. Unlike neighboring states with denser clinic networks, Idaho proposals receive higher scores when they include fuel cost projections that assume diesel prices above $4.10 per gallon for extended rural travel.
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