Clinica Monseor Oscar A' Romero

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Clinica Monseñor Oscar A. Romero Our mission is
to provide quality and affordable health care and
health education and advocacy to the underserved
communities of greater Los Angeles Grace
Floutsis M. D. Medical Director.
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Clinica Romero
is a Federally Qualified Community Health Center
with clinical sites in the Pico Union/Westlake
area of down town Los Angeles and in East Los
Angeles.
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What do we do?

• We provide 70,000 visits annually
• We serve more than 15,000 clients annually
• We provide medical services, dental, mental
  health, alcohol and drug counseling
• We are engaged in community organizing efforts to
  improve the health of our community

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• What does our neighborhood look like?

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Who Are Our Patients?

• 93 are Latino/Hispanic
• 95 live below the federal poverty level
• We serve patients who speak Mayan languages-
  Kanjobal, Quiche
• Many of our patients are monolingual non English
  speaking

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The Mayan Population finds a medical home at
Clinica Romero
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What are the Health Concerns of our patients and
our community?

• Diabetes Mellitus-type 2
• Hypertension
• Cardiovascular disease
• Sexually Transmitted Infections
• Asthma
• Depression
• Alcohol and Drug Use

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Diabetes-a health disparities issue

• Affects 8 of Latinos in California compared with
  6.2 of the general population

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Risk Factors for Diabetes-type 2

• Age over 40
• Overweight
• Family history of diabetes
• African-American, Hispanic/Latino or Native
  American

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Prevention of Diabetes

• Exercise
• Eat healthy
• Maintain a healthy body weight

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HypertensionHigh Blood Pressure

• Affects about 23 of adults in the California
  Health Interview Survey
• Affects Latinos and Whites about the same- is
  much more prevalent in African Americans
• When pressure of the blood against the artery
  walls is higher than normal

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Why is it a problem?

• No symptoms
• Increased risk of
• Stroke
• Heart attack
• Kidney disease

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Sexually Transmitted Infections

• Infections passed from person to person through
  sexual intercourse or genital contact
• Our primary service are has higher rates of most
  of these infections
• Chlamydia, genital herpes (HSV), genital warts
  (HPV), gonorrhea, hepatitis B, syphilis and HIV
• Prevention-SAFE SEX or NO SEX

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Childhood Obesity

• About 25 of kids in our neighborhood are
  overweight
• This has increased steadily over the last several
  years
• This is an epidemic- it will lead to future
  health problems

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Su salud en sus manos
Diabetes requires self-management

• Goal setting begins with the provider at every
  visit. Patients set their own goals for managing
  their diabetes

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• Tomando Control workshop is offered to any
  patient who is interested.

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Access to Health Care

• For those with chronic diseases like diabetes or
  hypertension access to health care is crucial.
• Latino adults with diabetes-19.9 or one in 5
  report being without insurance all year
• Access to a regular source of care- a medical
  home- is the best way to prevent complications,
  improve the quality of life and to save money.