TITLE
title
HHS INTER-LOCAL MEMORANDUM OF AGREEMENT (MOA) DIVISION OF PUBLIC HEALTH- GUILFORD COUNTY SCHOOLS - SCHOOL HEALTH PROGRAM 2025-2026
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SPONSOR
sponsor
Courtney McFadden
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BACKGROUND
background
Guilford County HHS- Public Health is requesting Board of County Commissioner approval for the continued implementation of an Interlocal Memorandum of Agreement (MOA) between the Guilford County Department of Health & Human Services - Division of Public Health (GCDHHS-PH) and Guilford County Schools (GCS) for the provision of School Health Services. Guilford County schools approved and signed the MOA on July 8, 2025.
The National Association of School Nurses (NASN) advocates that all students should have equitable access to a coordinated school health services team every school day to ensure they are healthy, safe, and ready to learn.
Furthermore, the NC Division of Public Health’s Child Health Agreement Addenda requires that local health departments maintain written agreements with school districts in their jurisdiction, even if health department services are limited to communicable disease control and environmental health functions.
For over 25 years, school health services in Guilford County have been delivered through an MOA between GCDHHS-PH and GCS. For FY25 This MOA enables coordinated school health programs tailored to the local needs and available resources of Guilford County. It defines the roles and responsibilities of both entities in delivering health services to students and includes provisions for annual review and revision by both parties. The number of schools and staff remained the same in FY25. The current nurse to school ratio is 1 nurse to every 2 schools.
Under this MOA, GCDHHS-PH employs:
• 64 School Nurses
• 2 School Health Aides
• 1 Dental Hygienist
• 7 School Nurse Supervisors
• 1 Nursing Services Manager
• 2 Administrative Assistants
These staff provide direct health services in 120 Guilford County Schools and offer consultative communicable disease and environmental health services to all Charter Schools in the county on an as-needed basis.
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BUDGET IMPACT
budget impact
NO ADDITIONAL COUNTY FUNDS REQUIRED
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REQUESTED ACTION
requested action
Approve interlocal Memorandum of Agreement, in substantial form, with Guilford County Schools to be effective August 1, 2025, through July 31, 2026, covering the 2025-2026 School year.
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