Direct Service In the U.S., many factors impede the most vulnerable from accessing health services. These barriers include low socioeconomic status, limited education, English language, lack of health insurance, unfamiliarity with the U.S. healthcare system, lack of transportation, and immigration status. Residence and structural factors such as stigma, racism, and anti-immigrant policies further influence individual behaviors in obtaining health services. Access to information and health education is essential, but it is limited and lacks cultural and linguistic appropriateness. The Primary Prevention Mobile Health Unit (MHU) at the University of Arizona, Mel and Enid Zuckerman College of Public Health, Office of the Associate Dean of Community Outreach and Engagement, provides and facilitates access to health care needed resources. The overarching goal of the MHU is to prevent the uninsured and underinsured from relying on the emergency room as their primary form of healthcare. The MHU addresses community needs through research, education, and service. Some of the services we provide include free health screenings (blood glucose, blood pressure, physical measurements, hemoglobin A1Cs, HIV, Hepatitis C, and lipid panels), COVID-19 testing and vaccination, flu vaccines, as well as orientation and education on health insurance enrollment, the control, and management of cardiovascular and chronic diseases. The MHU also provides referrals to Federally Qualified Health Centers and other local resources. The team comprises Health Educators, also known as Promotores de Salud, who are leaders in their communities that have long-standing trust between community members intending to link people to much needed outside resources. The Health Educators help identify sites in the rural and urban neighborhoods in Maricopa County. We also work with various health institutions to identify high-need areas with limited access to health services, such as Aguila, Arizona, to provide direct services. The Mobile Health Unit Phoenix team has provided over 100,000 services in the last seven years. Health screenings focus on reducing cardiovascular and chronic diseases and lead to individualized health orientation, education, and referrals to Federally Qualified Health Centers and other local clinics. Many participants are referred to partner organizations and health institutions for health insurance enrollment, establishing primary care providers or medical homes, and for elevated health screening results at the time of service. The Health Educators provide active follow-up with participants at one and three months from initial contact to ensure that participants did establish routine care. Our program also serves as a community service-learning opportunity for an interprofessional group of students from various health science disciplines (Public Health, Medicine, Pharmacy, Nursing, and Physician Assistants). This opportunity allows students to learn from needs identified by community members and challenges them to acknowledge, understand, and practice addressing health disparities through a health equity lens. Since its inauguration in 2016, the MHU has had a positive standing as a program that empathizes and adapts to various community needs and social and cultural backgrounds. With the help of Vitalyst, we hope to increase the number of health screenings we can provide to our community. The funding will allow for additional health screening equipment and traveling costs attributed to these outings. Population Served The MHU in Phoenix has provided health screening services to more than 40,000 individuals. And over 100,000 services over the last seven years. Most of the clients we see are female (68%), the most common age range is those 40-50 (78%) years of age with a monthly accumulated household income of less than $3,000 (83%), uninsured (57%) and those who have access to insurance rely on Emergency AHCCCS. Most of the participants have a Body Mass Index (BMI) of overweight or obese (80%) and, at the time of screening, high blood pressure results (50.4%). The MHU targets disadvantaged communities of low income, people of color, LGBT+, seniors, multigeneration homes, under or uninsured, people experiencing homelessness, and immigrants in rural and urban Arizona. Our overarching goal is to reduce the number of individuals who rely on the emergency room as their main source of health coverage. The MHU provides a direct health screening service to marginalized communities and helps educate in a manner that is easy to understand and free of judgment. For the last seven years, we have continued to assist marginalized populations who do not know they have or are at high risk of developing cardiovascular disease because they have never received primary or preventative care due to barriers. We also assist individuals unable to maintain and control their glucose, blood pressure, or cholesterol levels for many reasons, such as the inability to afford testing strips or challenging work schedules that do not allow regular doctor's visits. Multiple CardioChek machines and strips will allow us to provide additional services. A CardioChek machine can screen for cholesterol, triglyceride, high-density lipoproteins, and low-density lipoproteins. As our service area in Maricopa County grows, we often receive multiple invitations to participate in more than one event daily; having more equipment will facilitate the increase in scheduled sites. We have also seen a growing need for glucometers and blood pressure machines among people who do not have health insurance coverage or the ability to afford the purchase, even though they are necessary for the upkeep of healthy levels. We will purchase several machines for people most in need. The funding will also staff time and transportation costs associated with travel to rural areas surrounding the Phoenix metropolitan area. All these items are necessary for the MHU to provide as many services as possible. 1.0 SCOPE OF WORK - GOALS & OBJECTIVES: MEZCOPH MHU will plan to provide health screenings and heart-related education for 700 community members within the prescribed timeframe. MEZCOPH MHU will plan to provide 300 blood pressure machines and 300 glucometers with strips and lancets to targeted residents in Maricopa County that do not have access to health insurance coverage or the ability to pay the necessary equipment to monitor their blood pressure and glucose levels within the prescribed timeframe: 1.1 Have and maintain throughout the period of performance, sufficient qualified staff to perform all functions related to providing health screenings and referrals, including but not limited to, patient registration, observation, education, and follow-up. 1.1.1 MEZCOPH shall ensure at least one bilingual staff person is available at each site event. 1.1.2 Proper use of personal protective equipment (PPE), especially as it relates to proper protection from COVID-19 and other infectious diseases 1.2 Participate in mobile activities as requested 1.3 Work with representatives of the chosen locations to discuss set-up and tear down requirements, and any other information that may be required for each location. 1.4 MEZCOPH shall enforce current social distancing guidelines as set forth by Centers for Disease Control (CDC) and/or Arizona Department of Health Services. 1.4.2 MEZCOPH shall provide all clients with a safe, temperature-controlled environment in which to wait for services when possible. 1.4.3 All locations shall be American Disabilities Act (ADA) compliant and clients with Disabilities or Access and Functional Needs (DAFN) shall be able to access the clinic without the need for accommodation. 1.5 MEZCOPH shall always ensure proper storage of CardioChek machines and lipid panels based on manufacturer’s requirements. 1.7 Provide all supplies needed to conduct health screenings in accordance ADHS recommendations. Ensure staff utilize appropriate PPE while conducting work under the terms of this contract. All PPE shall be used as indicated and in accordance with current ADHS and/or CDC guidelines or best practices. 1.7.1 Confirm that all supplies and materials used conform to governmental industry standards and either meet or exceed the minimum performance requirements in use at their time of service. 1.8 MEZCOPH shall document each health screening with name of person; date of birth; date of service; and name, title, and office/company address of person who conducting health screening. 1.9 MEZCOPH shall provide community members with documentation of health screening results for their personal records and to share with their providers. 1.10 Provide a mid-year and annual report with the number of health screenings and blood pressure machines and glucometers to Vitalyst Foundation via email.