
“Health is more than the absence of disease. Health is about jobs
and employment, education, the environment, and all of those
things that go into making us healthy.” ― Joycelyn Elders
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URWell(NC)
The United Rural Health & Wellness Initiative of North Carolina
PURPOSE
To provide holistic, outcome-based services customized to address poverty and identified social determinants of health in rural NC counties.
STRATEGY:
Utilizing the Results Oriented Management & Accountability Model (ROMA) for program development & design, the URWell(NC) Initiative provides solutions to the most pressing concerns identified in each county's four-year community health assessment. It also supports the Healthy North Carolina Initiative and addresses the impact of COVID-19 pandemic.
URWell(NC)-Pender ROMA Model

"The priority areas that will be incorporated into health planning over the next four years are:
Mental Health - Substance Use Disorders - Nutrition - Physical Activity - Cancer Education and Prevention
Click "view more" below to access the 2018-2022 Pender County Health Assessment
This state-of-the-art approach to holistic care combines personal care, medical services and assistance with social resources provided through one primary care facility. This model is most effective in highly marginalized, rural communities for which transportation, continuums of care, and personal accountability are barriers to holistic health.
URWELL(NC) - PENDER PILOT PROGRAM
Destiny Total Healthcare, PLLC. - 407 E. Fremont St., Burgaw, N.C. 28425
"To promote it's holistic mission towards healthcare, Destiny Total Healthcare houses Shackle Free Community Outreach Agency, Inc., a non-profit 501c3, that utilizes a strengths-based outcome approach to push vulnerable populations toward self-reliance with little to no dependence on government assistance."
"The CEO, Chiquitta W. Lesene, MS/IO Psychologist, comes highly qualified and with a proven track record for assessing and combining the conditions of poverty and the social determinants of health to design and implement programs that evoke documented change. Education, employment, case management, counseling, and other services geared toward personal independence will be provided to participants at no cost. These types of services not only benefit the individuals and their families, but make all of our communities safer places in which to live, work, and play. Our intention is to grow this primary care facility into a community staple, duplicating our system to replicate in several other areas of the state. All individuals deserve access to quality care and must be served equally and efficiently."
- Tonia Whitley-Gray, FNP-C, MSN-Ed - Destiny Total Healthcare, PLLC. - 407 E. Fremont Street Burgaw, N.C.