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Asthma Health Outcomes Project

Overviews of Surveyed Asthma ProgramsSeptember 2005

Domestic Programs: California (cont'd) Back to Index

Childhood Asthma Initiative, San Francisco

San Francisco Department of Public Health

San Francisco, CA

Karen Cohn, MS, CIH

(415) 554-8930 ext. 11     


The goals of the Childhood Asthma Initiative (San Francisco, CA) were to decrease asthma morbidity and to improve the quality of life of children less than five years with asthma and their families. These goals were to be accomplished by improving delivery, quality, and coordination of preventive, educational, and medical care services directed toward childhood asthma.

The program's three main components were the following: I. Community-based interventions for all ages, including an asthma coalition called the Asthma Task Force, which focused on strategic planning and policy development, asthma education and outreach, childcare provider training, and a parent advocacy project.

II. A Clinical Quality Improvement initiative focused on improving medical care for children with asthma who are under age five. This was a National Initiative for Children's Healthcare Quality-led learning collaborative that involved three clinics in an institutional change model using chronic disease management research findings.

III. Asthma Coordinator Direct Services, in which clinic-based and Department of Public Health-based health workers provided medical and environmental trigger education, home environmental assessments, and advocacy referrals through repeated home visits and follow-up phone calls.

Program evaluation revealed the program had a positive impact on hospital utilization, emergency department visits, urgent care visits, school absences, quality of life for parents, symptoms, and use of an asthma action plan.

The program ended its activities in June 2004.

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