Health Disparity Area:
Cardiovascular Disease HIV/AIDS Cancer Diabetes	Immunization Adult Immunization Child Infant Mortality Any Health Disparity Area
Racial/Ethnic Groups (Check all that apply):
Black/African-American Hispanic/Latinos American Indian/Alaska Native Asian American Native Hawiian/Other Pacific Islander Any Race
Age Groups(Check all that apply):
Infants & Toddlers (0-3 yrs) Child/Youth (4-12 yrs) Teens (13-18 yrs) Young Adults (19-25 yrs)	Adults (26-54 yrs) Elderly (55-64 yrs) Senior (65+ yrs) Any Age Group
Gender: Male Female Male and/or Female
Specific Populations (Check all that apply):
Families Homeless Low Income Low Literate	Migrant Workers Underinsured Uninsured Any Population
Services Provided (Check all that apply):
Transportation Screening/Treatment/Follow-Up Treatment Only Screening Only Minority Health Professions Development Enhance/Facilitate Private/Public Partnerships Ensure Adequate Infrastructure/Resources Increase Health Literacy	Outreach Training Create Educational Materials Grant Writing Insurance Coverage Research/Clinical Trials Data Collection Assessment/Evaluation Education/Outreach (Presentations, Etc.) Public Relations (Media) Any Service
Duration: Less than 1 Year 2-5 Years 6-10 Years Any Years
Poject/Initiative Scheduled to End: 2005 2006 2007 2008 2009 2010 Any Years
Setting (Check all that apply):
Community Health Department Worksite Hospital Church Faith Store/Mall Restaurant	Communitiy Health Center Grocery Store Daycare Facility Doctor's Office School/College Recreational Facility Any Place
Project/Initiative Conducted In: Rural Area Urban Area Both
Select Primary County(s) of Initiative To Multi-Select, hold down the CTRL key and click on desired counties.	Any County in South Carolina Abbeville Aiken Allendale Anderson Bamberg Barnwell Beaufort Berkeley Calhoun Charleston Cherokee Chester Chesterfield Clarendon Colleton Darlington Dillon Dorchester Edgefield Fairfield Florence Georgetown Greenville Greenwood Hampton Horry Jasper Kershaw Lancaster Laurens Lee Lexington McCormick Marion Marlboro Newberry Oconee Orangeburg Pickens Richland Saluda Spartanburg Sumter Union Williamsburg York
Has the Initiative Been Formally Evaluated? Yes No All
If Yes, The Outcomes Resulted In... Policy Change Environmental Change Increased number of persons impacted Increased knowledge base Increased fiscal resources Changed attitudes and behavior Any Outcome
Prevention Level (Check all that apply): Primary (Targets persons who are at low risk or not currently affected by certain illness) Secondary (Targets persons with major risk factors) Tertiary (Targets persons with the illness or disease, provides medical treatment and referral) Any Prevention Level
Challenge(s) to Your Efforts (Check all that apply):
Recruitment/Retention of participants Recruitment/Retention of providers Establishing Partnerships Implementation Process Transportation Fiscal Resources	Treatment Options Screening Services Data Collection Medicaid/Medicare Reimbursements Any Challenge
Funding Agency (Check all that apply): Centers for Disease Control and Prevention (CDC) National Institutes of Health (NIH) US Department of Health and Human Services (HHS) US Office of Minority Health SC DHEC Susan G Koman Foundation American Cancer Society Robert Wood Johnson California Endowment Foundation Any Agency
Funding Source (Check all that apply): Private Donor Foundation Federal Government State Government Local Government Corporate Any Source
Is the Initiative Being Implemented by Other Entities? Yes No All
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