Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: California (cont'd)
California Childhood Asthma Initiative
California Department of Health Services
David Núñez, MD, MPH
In 2000, the Department of Health Services received funding from First 5 California to establish a statewide asthma project (funded through June 30, 2005). The goals of the Childhood Asthma Initiative (CAI) are to decrease asthma morbidity and to improve the quality of life for children aged 0 to 5 years with asthma and their families. These goals have been accomplished by improving the delivery, quality, and coordination of preventive, educational, and medical care services directed toward childhood asthma.
CAI supported community asthma intervention projects, asthma treatment services for uninsured and underinsured children, provider education about quality asthma care, and an assessment of childcare facilities concerning practices and policies that impact children with asthma. CDHS partners in the CAI included the Chronic Disease Control, Environmental Health Investigation, and Children's Medical Services Branches. Through the Chronic Disease Control Branch, eight California communities received funding for community asthma intervention projects that supported community asthma coalitions, clinical asthma quality improvement activities, and the use of trained asthma coordinators to provide patient/family education, self-management training, and home asthma trigger assessment.
CAI had a positive impact on the following outcomes: hospitalization rates, emergency department visits, unscheduled (sick) office visits, pre-school/daycare absences, work loss, quality of life, symptoms, medication use, change in clinical actions, and use of an asthma action plan.
State funding for CAI community projects ended in 2004, but some of the sites continue program activities through local funding. CDHS has received additional one-time State funding in 2005-06 to start the program again and to include more sites in conjunction with the California Asthma Among the School-Aged (CAASA).
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