Public Health Nursing Services
Darla Hansen, Public Health Nurse Supervisor
Graham County Health Department
826 W. Main Street, Safford AZ 85546
Through a variety of Local, State and Federal Funding, the following services are available at no cost to the public (unless otherwise noted).
Free vaccines are available to children, up to and including age 18, who are determined to be uninsured, underinsured or on AHCCCS. Protection against eleven serious childhood diseases is available with today’s vaccines. A completed registration form and copy of the child’s shot record is required for any child needing immunizations. Appointments can then be scheduled for a Wednesday afternoon (1:30-5:30 pm) or a Thursday morning (8:30-11:00 am) immunization clinic. The afternoon clinic is held on the second Wednesday of every month and the Thursday clinic is held each week. Also, an Adult Tetanus Diphtheria Acellular Pertussis (TDAP) vaccine is available for those over age 18, who either need a booster or in response to a wound.
ANNUAL FLU SHOT CLINICS
The most current Influenza Vaccine is provided for high-risk adults and children during the fall season. The scheduling of the clinics is dependent upon the receipt of the vaccine shipment and varies annually. The public is informed at the time of these clinics through articles in the newspaper and Public Service Announcements on the local radio station.
FOLIC ACID MULTIVITIAMINS
Women ages 14 to 44 who are pregnant or are anticipating becoming pregnant may receive a one year supply of multivitamins that includes 400 mcg. of Folic Acid.
TUBERCULOSIS (TB) CONTROL SERVICES
The Tuberculosis Skin Test is a simple procedure to determine if a person has been exposed to the TB bacteria. These clinics are held on the 2nd and 4th Mondays of each month (1:30-4:30 pm) on a walk-in basis. Individuals who take the test must return on the subsequent Thursday (1:30-3:30 pm) to have the test results read. Persons found to be infected with the TB bacteria, or those with active disease, will receive a medical evaluation, including consultation with a pulmonologist, preventive therapy or treatment for disease, and routine follow-up services as necessary.
BLOOD PRESSURE CHECKS
A Blood Pressure Clinic is offered every Monday morning from 7:30 am to 11:30 am on a walk-in basis. Cards are provided for maintaining a record of serial blood pressure readings.
Several methods of birth control are offered to women who meet established income guidelines and wish to prevent or delay pregnancy. Services include consultation, a physical exam, necessary lab work, a Pap smear and enrollment into a birth control method, which can all be done in one visit. Clinics are held Tuesday afternoons from 1:30-4:00 pm. The types of contraception offered are Birth Control Pills, Condoms, and Depo-Provera Injections. Please call 428-0110 for more information or appointments.
Please Note: Although there are no age restrictions for participation in the Family Planning Program and we are under strict guidelines for maintaining the confidentiality, recent revisions to state status require that participants under the age of fourteen that are believed to be engaging in either consensual or non-consensual sexual activity, must be reported to DES Child Protective Services. DES may then initiate an investigation.
This service is available to women who suspect they may be pregnant. The time interval needed to do a pregnancy test is at least 6 weeks after the first day of the woman’s last menstrual period. Testing if offered every Monday afternoon (3:30-4:30 pm) and Thursday afternoon (3:00-4:00 pm) on a walk-in basis. Depending on the test results, appropriate referrals are offered to other available health care services.
HIV COUNSELING AND TESTING
Anonymous and confidential HIV testing is available any day of the week. Pre-test counseling is offered at the time that the lab test specimen is obtained, by a painless oral swab method. The specimen is then forwarded to the Arizona State Lab and test results are ready in about two weeks. Health education, risk reduction, and referrals to other health care services (including Ryan White case management) are provided as needed. It is best to call for an appointment, but walk-ins are accepted.
WELL WOMAN HEALTHCHECK SERVICES
The Well Woman Healthcheck Program is a confidential breast and cervical cancer screening service for women who are uninsured or underinsured, and who meet the established income guidelines. Services include a clinical breast exam, pelvic exam, Pap test and mammogram. Further necessary diagnostic testing may also be covered, and treatment services are available for women who are screened through this program. Please call Susan Franco-Lee at 428-7386 for an appointment.
CHILDREN’S REHABILITATIVE SERVICES FOR CARDIOLOGY
The Arizona Department of Health Services (ADHS) administers a program that provides medical care to children diagnosed with heart conditions. Eligibility is based on established income and medical guidelines. ADHS contracts with a service provider that conduct a clinic at the Graham County Health Department on a quarterly basis.
COMMUNICABLE DISEASE REPORTING
Monitoring and surveillance of communicable diseases is an additional function of the Health Department. Communicable disease reporting is accomplished in accordance with the Arizona Administrative Codes R9-6-101-601. Statistics are compiled locally and also in collaboration with the ADHS Bureau of Epidemiology and Disease Control.
RELATED EDUCATIONAL LINKS
Arizona Dept. of Health Services: www.azdhs.gov
Center for Disease Control: www.cdc.gov
Immunization Schedule: www.cdc.gov/nip/recs/child-schedule.htm
Medical Information: www.medlineplus.gov
Pediatric Information: www.aap.org