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Adolescent Family Life Program (AFLP)

The Adolescent Family Life Program has four major goals:

  • Prevent subsequent pregnancies to teenage parents.
  • Have teen parents graduate from high school.
  • Help pregnant and parenting teens to have healthy babies.
  • Prevent pregnancies among siblings of pregnant teens and teen parents.

Pregnant and parenting teens, up to the age of 18, are referred into the program. Case managers work with eligible clients, their families and children through visits in the home every month. Case managers provide assistance with education regarding pregnancy, labor and delivery, postpartum care, breast feeding, and child health; parenting skills; support with goals for completion of high school education and employment; Medi-Cal, WIC, and Cal-Learn application assistance; counseling and substance abuse prevention services; and referral to local doctors/clinics, and agencies as needed.

Childhood Lead Poisoning Prevention Program (CLPPP)

The goal of the CLPPP is to prevent lead poisoning in children by pro-active action to educate the public regarding the hazards of lead poisoning, and to provide a comprehensive response to support lead burdened children, their families and the community.

The CLPPP outreach and education activities include: assembling quarterly Childhood Lead Poisoning Prevention Task Force meetings, working with Children's Health and Disability Prevention program providers to increase the number of children screened for lead poisoning, providing outreach information at local health fairs, and providing education to high-risk groups.

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Comprehensive Perinatal Services Program (CPSP)

The goal of the Comprehensive Perinatal Services Program is to improve the health of low-income pregnant women and give their babies a healthy start in life. Medi-Cal eligible women receive a comprehensive prenatal risk assessment and services to address problems identified including comprehensive prenatal care, health education, nutrition services, and psychosocial support for up to 60 days after delivery of their infants. Current CPSP offices within Madera County include:

Darin M. Camarena Health Center
Maria Espinosa, CPSP Coordinator
344 East 6th Street
Madera, CA 93638
(559) 675-5600

Madera Community Hospital "Baby Steps" Program
Kathy Johns, CPSP Coordinator
1250 East Almond Avenue
Madera, CA 93637
(559) 675-5547

Planned Parenthood of Madera
Dorothy Razo, CPSP Coordinator
500 East Almond Avenue
Madera, CA 93637
(559) 675-1133

Theodore Nassar, OB/GYN
Alicia McGill, CPSP Coordinator
816 West Yosemite Avenue,
Madera, CA 93637
(559) 674-0917

Madera County Department of Public Health assists local providers in meeting CPSP certification requirements and provides technical assistance after they are certified.

Perinatal Outreach Education Program (POE)

The goal of the POE program is to assure early and continuous prenatal care for all pregnant women, especially low-income women. Home visitation is arranged by the public health nurse through the client referral process. Case management services support the family through education, resource referral, and goal setting for optimal health and wellness. Program activities include:

  • Outreach to women of childbearing age
  • Assessment of smoking status and exposures to second-hand smoke
  • Development of a client plan to prevent smoking and exposure to tobacco smoke during pregnancy and the postpartum period
  • Public health nursing case management/ bilingual health education
  • Transportation vouchers and referral services to improve prenatal, postpartum, and children's health

Public Health Nursing

In the home and community, public health nursing services are provided in the areas of maternal and children's health, chronic disease case management, tuberculosis, lead poisoning, SIDS, communicable disease, and adult health. Public health nurses in Madera County primarily work with the preventive health care needs of low-income, uninsured families and individuals through case management of services needed in order to promote and maintain optimum wellness for individuals, families and the community. Case management services are initiated through family home visitation and utilize the nursing process to assess, counsel, educate, provide resources and referral services, and evaluate the effectiveness of each individual family service plan. For client referral form, click here. To review other programs managed by the Public Health Nursing department, and explore additional website information: