Executive summary. Georgia Farmworker Health Program, Department of Community Healt

EXECUTIVE SUMMARY
Georgia Farmworker Health Program
Department of Community Health May 2003

Performance Audit Operations Division Russell W. Hinton, State Auditor Department of Audits and Accounts

254 Washington St. Atlanta, GA 30334

Background
The mission of the Georgia Farmworker Health Program is to improve the quality of life of Georgia's migrant and seasonal farmworkers and their families by providing cost-effective, culturally appropriate primary health care and by arranging for other levels of health care through collaboration and advocacy. The Program contracts with five providers to provide health services in 21 rural counties. The Program's budget for fiscal year 2003 is $2.3 million, of which $1.8 million is federal funds and $441,224 is state general funds.
Recommendations
Action should be taken where possible to increase the number of counties served by the Program. Although the Program should be commended for focusing on counties with the largest number of migrant and seasonal farmworkers, services are currently provided to only 67% of the eligible population. Providing services to eight additional counties that are adjacent to current service areas would increase the percentage served to 84%.

The Program should take steps to obtain more up-to-date information regarding the number and location of migrant and seasonal farmworkers in the state. The Program currently relies on a 1995 study to make decisions regarding the placement and funding of new project sites. Obtaining current population data would ensure that resources are directed to those areas where they are most needed.
The Program should consider basing the dollar amount of the contracts with its service providers on the estimated number of farmworkers in the providers' service areas. The current contract amounts are not in line with the number of actual Program users or the number of farmworkers who are potentially in need of health care in each service area.
The Program should hold the providers responsible for meeting performance standards that are reasonable and reflective of past performance. The performance standards included in the providers' contracts are not current and are not accurate measures for assessing performance.

To the extent possible, the Program should establish uniform procedures regarding the administrative activities carried out by the project sites. On-site reviews found a lack of uniformity in some of the administrative functions performed at the project sites.

For additional information or to request a copy of the audit, contact Paul Bernard at 404-657-5220.