Founded in 1993 to meet the community demand for health services for the homeless, poor and underserved, Mālama I Ke Ola Health Center (MIKOHC) recently completed renovations on its new main facility and clinic at the old Ooka Supermarket. This modern, ‘green’ facility provides significantly more space for patient care and allows providers to deliver the full range of health care services needed by Maui’s rapidly growing community. Maui is an island with a land base of 727 square miles and a total population nearing 120,000. There is no public transportation system to link the many sparsely populated rural communities of the island to resources in central Maui.
Special Populations/Health Issues
Migrants from the Freely Associated States; generally transient and uninsured population; large HIV caseload. Maui county has the highest substance abuse rate in Hawai‘i, and the highest tuberculosis rate in the nation. It also has a high incidence of hepatitis B, diabetes, hypertension, gout, asthma, bronchitis/emphysema, and family violence. MIKOHC sees a large number of patients with chronic disease such as diabetes and hypertension, substance abuse and its resultant health problems, high-risk pregnancies, inadequately immunized children and others with acute and episodic conditions and infections. Thirty-five percent of MIKOHC’s patients suffer social or behavioral problems that require professional intervention.