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A urinary tract infection is a painful thing to cope with, especially for a child.  Today we followed up again on a mother who has been really struggling to care for her daughter who has been suffering with painful and embarrassing urinary issues for some time.  We have been making ourselves available by phone to the mother whenever she needs some support. And our priority has been to get that little girl well.  We already arranged for her to see a urologist for testing. While results are pending, we have been monitoring her condition and making sure to get prescriptions to her when needed.  The mom can’t get to a pharmacy or pay for the medication.

On the right track

He’s always happy when he comes in and that gives us all a lift.  We have been treating this young man with Down syndrome for some time, and he is doing well now in high school.  He was getting a little overweight, but since coaching his mom on diet and physical activity, we are seeing a positive change.


Everything is bigger in Texas, and that includes the Children’s Health Fund mobile medical clinic, at 44 feet, the largest in our fleet. The clinic’s healthcare team brings medical services directly to urban school sites and local resource centers. And, when specialty care is needed, the team can offer referrals directly to the home medical institution, Dell Children’s Hospital.


With an exceptionally high poverty rate, the need is great.  In 2011, the poverty rate in Texas increased to 18.4%, well above the national average of 15.1%.  And in the state capital of Austin, the 23% poverty rate for Hispanic and African-American residents is double the rate of Caucasians living in poverty.  Children have the highest poverty rate of all, and suffer from the impact.  

“Many of our families are newly immigrated and are not up-to-date on immunizations.  In some cases the kids have received limited or no preventative health care,” says Dr. Marilyn Doyle, medical director of the Austin program.  “We work closely with school nurses and community-based programs so that children and families have consistent ongoing care with a primary care doctor who knows their history and can help connect them to specialists if their conditions are more severe.”


Austin also ranks third in the nation when it comes to the rate of teenage pregnancies.  Often pregnant teens must make the difficult decision to postpone their high school education to care for their baby. Dr. Doyle worked with a city-wide task force to develop solutions to reduce the high rate of high school dropouts due to pregnancy and improve healthcare for the babies of these young moms. They determined that ifmedical care for both the teens and their new babies could come to them, it would help the  teens stay in school and the infants would get the well-baby care they needed.

So now the Austin mobile clinic makes regular visits at an innovative high school that combines academic classes for the teens with a daycare center for the babies. The medical team looks after the physical and mental health of the moms and the babies and has developed productive relationships with the day care providers on site to improve continuity and comprehensiveness of care. Now these teen moms have a chance to graduate and build a future.

“Our goal is to reduce dropout rates and empower young parents to better care for themselves and their families,” says Dr. Doyle. “We want these adolescents to be healthy for school and the hard work of parenting, and their babies to thrive as they grow.”

Home Institution/Affiliation 
Dell Children's Medical Center, Austin, TX
Available services 
  • Comprehensive physical examinations and immunizations
  • Management of acute and chronic illnesses
  • Nutrition assessment and body weight monitoring
  • Screenings for lead, hemoglobin, and vision and hearing testing
  • Substance abuse assessment and referral
  • Social services and case management
  • Community and sub-specialty referrals
Program Fact sheet