The document discusses the opening of the new Share Center Free Clinic in Lexington, Kentucky. It provides background on how the clinic was established to fill a gap in healthcare for the underserved North Side community after the local health department closed. Medical students and the Muslim community worked together to set up the volunteer-run clinic, which provides primary care services two Saturdays a month. The clinic directors hope to expand services and address the cultural and linguistic needs of their diverse patient population.
Bridging Gaps in Healthcare for Underserved Communities
1. Campus Voices Script: Sofie Tapia
Share Center Free Clinic Sofie.Tapia@uky.edu
(859) 230-2282
Air Date: February 24th, 2016
Welcome to Campus Voices, where each week we take a look at key issues that affect students,
the U-K campus and the Lexington community. I’m your host, ________ and today we’re
talking about the new Share Center Free Clinic and how they are providing much needed
services to the North Side of Lexington as well as the greater community. Kentucky received
expanded Medicaid in 2014, but there are still people falling through the cracks. Joining us this
evening are the medical experts and people who keep the Share Center running.
The medical students involved in the free clinic conducted a neighborhood assessment of the
North Side Community to assess their needs. The facility located in the 40508 zip code, has the
highest poverty rate in Lexington according to the U.S. Census Bureau (39.6% of individuals,
31.2% of families, and 51.3% of children fall below the federal poverty line). The nearest
healthcare provider to the facility, the Fayette County Health Department, closed its clinic
recently, leaving many in the area without a viable option for primary care. Sofie Tapia reports
on the North Side Community and how the Muslim community and a group of students came
together to make up for a loss in an underserved community.
Set Up: Starting the Clinic
VO: The Share Center, located on Georgetown Street, is not new to the community. The Share
Center Free Clinic opened its doors this year as an initiative set in motion by a group of
University of Kentucky medical students.
VO: Director of the Share Center Sabora Dixon El-Amin believes part of the clinics success is
timing.
Sabora Dixon El-Amin: 2:35 - 2:45 RT: 10
“So you know the health department bluegrass health, Bluegrass first moved out of the
health department over on Newtown pike so the share center comes really on time the clinic
comes on time.”
Sabora Dixon El-Amin: 10:47-10:55 RT: 8
“The nearest health department is over on Brian Station or out there on Southland Drive.”
VO: Director of the Share Center Free Clinic Dr. Farooqui says the groundwork for the clinic
had been laid out by services provided by the center.
Dr. Farooqui: 12:32 12:47 RT: 15
“Then we have the flu vaccine shots free that we have going on since the last three years now
even before the clinic started, so these are the things we just spread the word in the community there is a
facility there are people who are working for that community
VO: Dr. Farooqui attributes the projects success to the drive of the volunteering medical
students.
Dr. Farooqui: 5:28-5:40 RT: 12
2. Campus Voices Script: Sofie Tapia
Share Center Free Clinic Sofie.Tapia@uky.edu
(859) 230-2282
“Right now we have I think eight or nine physicians volunteering and then there are a lot
of medical students and they are basically the ones who are the strong workforce behind all this.”
VO: Funding for the Share Center and free clinic come from donations by the Muslim
community. When the community saw the need for a clinic Dr. Farooqui feels the next step was
obvious.
Dr. Farooqui: 5:08- 5:16 RT: 8
“Once the Share Center is started then it is a natural progression, we have to go to
something else and thats what we started as a clinic because we know that we have the
resources”
VO: The clinic operates on a volunteer basis and is only open two Saturdays every month. There
is talk of expanding their operation as needed. Dr. Farooqui feels starting small was necessary.
Dr. Farooqui: 10:20 - 10:30 RT: 10
“I personally believe that starting small and going bigger is the right way to go though
our vision is always big.”
Return to Host
With us tonight is, Humza Qureshi, University of Kentucky medical student with the Share
Center, University of Kentucky professor Dr. Ihsan Bagby who serves as chair of the Share
Center and Lori Clemons, Director of neighborhood services Lexington Rescue Mission Clinic.
Thank you to all of our guests for joining us tonight.
Question 1 (Dr. Farooqui): What is the demographic the Share Center Clinic is attracting?
Question 2: If you receive patients with insurance what draws them your clinic over another
healthcare center
Question 3 (Humza Qureshi): Where are the most common services you provide?
Question 3: There has been a recent mumps outbreak at UK, does your clinic provide
vaccinations? Do you feel people in low income communities are less likely to be vaccinated?
Question 4: What happens to patients without insurance who are diagnosed with health issues
your clinic is unable to treat?
Question 5 (Ishan Bagby): Why do think we observe so many faith-based clinics?
Question 6: Does the Share Center experience any islamophobia from being funded and
supported by the Muslim Community?
Question 7: Local free clinic directors report long waiting lists and a need for more clinics how
will you deal with overcrowding when your clinic grows?
Question 8: Are you working on any health care initiatives that involve the youth in the
community?
Question 9: How big of a role do you think proximity plays into healthcare in low-income
communities?
3. Campus Voices Script: Sofie Tapia
Share Center Free Clinic Sofie.Tapia@uky.edu
(859) 230-2282
Suitable healthcare. It affects all aspects of our lives, our jobs, our day- to-day life, and our social
interactions. Kentucky saw a spike in those who are insured when expanded Medicaid was
introduced, but not everyone was able to benefit. Sofie Tapia has more on the process behind
relying on alternatives.
First Go-To: Uninsured
VO: When Kentucky made the choice to expand Medicaid in 2014 the level of uninsured
dropped drastically. According to a 2015 Gallup-Healthways Well-Being Index Kentucky
showed the sharpest decline next to Arkansas. Despite this drop there are holes in the system.
VO: Free clinics like the Free Share Clinic are only meant to bridge the gaps in the health care
system and not fill them, explains DR. Farooqui, Medical Director at the Share Center Free
Clinic.
Dr. Farooqui: 2:09 - 2:18 RT: 9
“So our job is not filling the gap of the insurance but to educate people on how important it
is to take care of your health issues and then guide them”
VO: Ideally the clinic will sign patients up for insurance with their on-staff Kentucky connect
officer and guide them to specialists. Farooqui explains even with Medicaid assistance they can
only do so much.
Dr. Farooqui: 2:45- 2:48 RT= 3
“Sometimes you go and one thing is covered one is not one test is covered and one is not.”
Dr. Farooqui: 1:53- 2:08 RT= 15
“So insurance only covers a little part of it, insurance does not cover a lot of other things,
including the sub-specialty visits and the need for the visit for the patient to understand how
needed it is.”
VO: Prevention is an important role the clinic hopes to provide, in order to avoid expensive
medical visits down the line
Dr. Farooqui: 14:50 – 15:10 RT:20
“We still need to reach out to the people who do not have the basic health care, basic preventive,
forget about health care, even basic preventive education they don’t have”
Dr. Farooqui :44 - :57 = 13
“There is always a need for a clinic or a facility where people can come without any effect in
their mind that they have to pay co-pay or whatever kind of payment they need to do”
Return to Host
I’m here with, Humza Qureshi, University of Kentucky medical student with the Share Center
,University of Kentucky professor Dr. Ihsan Bagby who serves as chair of the Share Center and
Lori Clemons, Director of neighborhood services Lexington Rescue Mission Clinic. We are
discussing how free clinics are bridging gaps in Medicaid
4. Campus Voices Script: Sofie Tapia
Share Center Free Clinic Sofie.Tapia@uky.edu
(859) 230-2282
Question 1 (Dr. Farooqui): What are pervasive health issues within this community?
Question 2: The Share Center provides multiple services, such as
job placement, job skills training, free food and
clothing. How do you think health care ties into the
success of a community?
Question 3: Where does Medicaid coverage fall short in terms of
who is being covered.
Question 4: (Humza Qureshi): The Share Center Free Clinic only has walk-in appointments
twice a month, how do you build a strong patient- doctor relationship with these time
restraints?
Question 5: Has there been any discussion about optical care?
Question 6: With expanded Medicaid it is mandatory for dental care to be covered, however, it is
optional for adults. Have you made contact with dentists who would be willing to take on adult
patients with Medicaid?
Question 7: Why do you think oral care is not being addressed in the healthcare discussion?
Question 8: The clinic recently formed a relationship with AVOL (AIDS Volunteers
Incorporated) to provide free HIV testing? Does the clinic have any other sexual education or
preventive programs? How important is sexual education to comprehensive healthcare?
The North Side Community is made up of a mixture of Latino, White and African American.
The Share Center Free Clinic not only caters to this community but does work with the refugee
ministry. With support from a diverse staff the clinic is able to provide medical care in Arabic,
Urdu, Spanish in addition to English. Sofie Tapia reports on how culture and language are key to
comprehensive health care.
Second Go-To: Language and Cultural Barriers in Healthcare
VO: During a visit with your healthcare professional open communication is essential. It allows
for a proper diagnoses and establishes trust with your physician. Medical interpreter Gaston
Ngandu Sankayi explains just how essential it is.
Sankayi: :29 :46 RT: 17
the importance is for patient to get the best care without a good communication between patient
and medical staff, the patients health may be in jeopardy
VO: Sankayi is from the Congo and works with patience from Africa as well as refugees. He
explained that what is deemed medically appropriate might cross a line of what is cultural
appropriate.
Sankayi: 1:40 1:59 RT: 19
“I had to explain to the medical staff not to ask some questions related to intimate life to a
daughter in front of her parents.”
Sankayi: 2:04 2:30 RT: 34
5. Campus Voices Script: Sofie Tapia
Share Center Free Clinic Sofie.Tapia@uky.edu
(859) 230-2282
“It’s not appropriate to ask a patient like you in a presence of a mother if she's active sexual in
africa she's not supposed to be active sexually until she gets married.”
VO: Interpreters and a culturally aware medical staff can be the key to a comprehensive and successful
diagnoses.
Sankayi: 2:33 2:47 RT: 14
“She may be active sexually and she needs to be treated, but if her mother is there she will say no
and she will not get the best care.”
VO: Sankayi feels an evolution in the way different cultures think about medical care can only come with
education.
Sankayi: 12: 30 13:02 RT: 32
“I noticed that you know we have an advanced medicine in the western society and women were
not used to mammogram pap smear test and this is part of the cultural education we need to spread.”
Return to Host
Question 1 (Qureshi): Can you give examples during your medical experience where
a culture or language barrier affected your doctor patient interaction?
Question 2: Have you seen a large influx of refugees from Syria and other Arab countries?
Question 3: Is emotional trauma something you see with recent refugees? Are you able to
address this need and how?
Question 3: Within the Muslim community do you feel there are social stigmas that could
prevent people from seeking certain care?
Question 4: Do you feel cultural or religious differences can cause people to refuse certain
treatments or medications?
Question 5: The United States is called a melting pot, do you think medical education is adapting
to cultural shifts?
Close
In tonight’s segment of Campus Voices we have discussed the niche group of people not covered
by Medicaid, how the Share Center Free Clinic is doing its part to help the underserved North
Side of Lexington and how language and culture is changing the landscape of medical care.
I would like thank all of our guests again for taking the time to be here, Humza Qureshi,
University of Kentucky medical student with the Share Center, University of Kentucky professor
Dr. Ihsan Bagby who serves as chair of the Share Center and Lori Clemons, Director of
neighborhood services Lexington Rescue Mission Clinic.
Thank you for joining us for tonight’s Campus Voices. Stay tuned for more commercial-free
programming on 88.1 WRFL-FM Lexington, Kentucky. I’m _______