nurses are dlrecLly lnvolved wlLh

Lhls program as careglvers. Many

faclllLles accepL lan llrsL! as
paymenL for servlces, lncludlng
pracLlces such as lanned
arenLhood, an organlzaLlon LhaL
employs many nurse pracLlLloners
as provlders of care. nurses ln Lhls
role acL as an advocaLe, educaLor,
communlcaLor, and a role model.
Speaklng wlLh personal experlence,
lan llrsL! ls an excellenL program. lL
ls addresslng an area of healLh LhaL
women should be especlally
concerned wlLh. l have only Lwo
crlLlques of Lhe program LhaL l wlsh
would be addressed. l Lhlnk Lhe age of
ellglblllLy should be lowered Lo lnclude
younger females. Whlle lL ls Lrue LhaL
many women 18 and younger are
covered by Lhelr parenLs' lnsurance,
whaL LhaL lnsurance acLually covers
(such as conLracepLlon and famlly
plannlng) ls noL guaranLeed, noL Lo
menLlon Lhe posslble famlly dynamlcs
aL play LhaL would keep a young
woman from accesslng such servlces
whlle under her parenLs' lnsurance.
Secondly, lan llrsL! needs Lo be more
vlsual. 8rochures for lan llrsL! can be
found ln Lhe offlces of healLhcare
faclllLles, by whlch Llme Lhe lndlvldual
ls already seeklng healLhcare servlces
and llkely does noL requlre asslsLance.
l Lhlnk Lhls program ls greaLly
underused by lLs LargeL populaLlon,
whlch ls a greaL shame.
Mlchlgan ueparLmenL of CommunlLy PealLh. (2006). !"#$ &'()*+ &(,,
&#-'". /"#$$'$0 ),(1'2,)3 [8rochure]. Lanslng: MuCP
MuCP - lan llrsL. (n.d.). 4*#*, 5& 6'27'0#$3 8eLrleved AugusL 10
Lh
,
2013 from
http://www.michigan.gov/mdch/0,1607,7-132-
2943_4853_51959---,00.html !"#" %&'() *#+,,
Evaluation
Bealth Piomotion
Theoiy

PLAN
FIRST!
Nichigan
Bepaitment of
Community Bealth
Role of the Nuise
1he PealLh 8ellef Model assesses a
cllenL's percelved beneflLs vs. Lhe
cllenL's percelved rlsks and barrlers.
Access Lo healLhcare ls ofLen Lhe
prlmary barrler percelved by an
lndlvldual noL engaglng ln healLh
behavlors such as annual physlcals
or dlsease prevenLlon. lan llrsL!
acLs Lo dlrecLly remove Lhe barrler
of lack of access and lLs educaLlonal
componenL of LreaLmenL engages
paLlenLs Lo Lhlnk of posslble healLh
rlsks.



lan llrsL! provldes servlces Lo promoLe
healLh Lhrough educaLlon and early
deLecLlon of lllness.
! Annual physlcal wlLh pap smear for
early deLecLlon of cervlcal and breasL
cancer
! S1l LesLlng for chlamydla, gonorrhea,
herpes, Plv, syphllls, eLc.
! rovlde condoms Lo prevenL S1l
and/or pregnancy
! LducaLe cllenLs regardlng safe sex
pracLlces and famlly plannlng
Seivices
0ffeieu
What is
Plan Fiist! .
-,"# .'/012 ls a communlLy healLh
program lnLended for unlnsured
or under lnsured females wlLhouL
Lhe means Lo oLherwlse access
speclflc healLh servlces. 1he
Mlchlgan ueparLmenL of
CommunlLy PealLh covers Lhe
cosLs of famlly plannlng and blrLh
conLrol servlces for ellglble
females.


Eligibility
Requiiements:

! Women, 19 - 44 years old
! u.S. clLlzen or accepLable
resldenL allen sLaLus
! Mlchlgan resldenL
! unlnsured C8 currenL
healLh lnsurance does noL
cover famlly plannlng
servlces
! noL currenLly Medlcald
ellglble
! noL currenLly pregnanL
! lncome aL or below 183 of
federal poverLy level.


Bealth Piomotion
Risk Reuuction
! Cfflce vlslLs for famlly plannlng or
blrLh conLrol servlces
! Annual physlcal exam, lncludlng
pap smear and/or S1l LesLlng
! 1reaLmenL of S1ls
! rescrlpLlons for blrLh conLrol
! ConLracepLlve supplles and devlces
! Lab LesLs
! SLerlllzaLlons for women 21 years of
age and older
vulneiable
Populations
uoals
lL ls Lhe goal of Mlchlgan ueparLmenL
of CommunlLy PealLh Lo assure LhaL
famlly plannlng servlces are avallable
and accesslble Lo ellglble women
wlLhouL regard for llvlng arrangemenL,
marlLal sLaLus or race." MuCP, 2013
lan llrsL! dlrecLly LargeLs females,
young and old, who are unlnsured or
under lnsured, and fall well below Lhe
federal poverLy llne. 1hls program ls
offered Lo all Mlchlgan resldenLs, Lhus
women llvlng ln urban as well as rural
communlLles have access.