wondering how far has it begun in terms of public education it's probably the most safe and reliable source of conservatives for women but the numbers are low due to provider bias that it might increase project executes you might know that right. >> i'm wondering how much have we done in terms of public education and awareness around lark in san francisco. >> dr. a james. >> we're ableers there's no question about that so i believe to date 3 of our clinics have gloen the training it's a real clinic wide effort from the person answering the phone to you know the janitor everyone is on board we want to support women in those choices

so and then the rest of the clinics we're hoping to bring that over time we have 3 pioneers it started this they've doubted their rates of ivs and the public awareness campaign and you know, i think the h pc are v is something we've been successful not only for the young women but young men as well. >> dr. would you like to - >> dr. you wanted to say a couple of words. >> in terms of of the long acting we have a birth outcomes initiative that is going on right now it has two main strategies and one of them to improve the sergeant of lark and

this is focused on the disparity and access to family planning and lark for young african-american women so we are working with the initiative that's a collaborative with many partners including the clinics and this pilot project but there's a workshop that is focusing on lark in particular and the public education piece of it is on their agenda this is one of the main strategies with the idea we have to really focus on the health of the young woman and that's going to lead towards better birth outcomes for the family yeah, that's one thing i wanted to add. >> any other questions? >> i just want to make a couple of comments especially around those really personal stories that you all shared and it's

really heart living and when i look at the way that the community oriented prim care 52 percent of those patients of women i think that those become important as we continue to move into the ac a era when we look at the patient retention and outreaching and 345shg9d the services we provide i think there will be more and more opportunity with those stories to be shared, you know, so it's not necessarily the stories we hear about primary care (laughter) but 101 you've seen one of them it's important and i think that's part of what we haven't touched on how do we really

educate those who are eligible for our services that you know the transfer of the services we actually especially in this case it looks like it will be more women a than men ceasing those questions. >> i wonder if the director of the health would like to respond to our strategy. >> good evening, commissioners i'm roland director of the health network in terms of respond to the community i'm sure you're aware of the health network we're in the process of rolling out a marketing and branding campaign which you'll be hearing more about on the october 7th commissioner meeting but part thought is both an internal and external communications plan we worked for the last 6 months on the

external and now moving into the face of the overall community part of that will be the development of a newsletter that will be administered by the network and distributed to the patient who are assigned to our network same we're part of the san francisco health plan that actually has a robust communications system already in play so we'll continue to strengthen our partnership with them in terms of getting out the information of the services we provide. >> thank you so the other questions i have is the do those numbers include the other community clinics signatures martin and the free clinic and i see the deputy shaking his head and nate's that's our network by the way, u. >> because those are somewhat

of a speciality clinic so serving the women in the community do we see any value in creating a medical home oh. >> oh, absolutely some of the clinic consortium have a contracts with us but did you say larkin. >> no, no lion martin. >> lion martin has been absorbed by h.r. 360 with a large contracted they're a primary care clinic they've been providing speciality and hospitalizations so they're a vendor or contractor within our network. >> so in the future will we see their data included. >> probably through the health plan and so certainly we could share that information and get access to the health plan

providers and translate that to our network and that's something we can certainly is provide you. >> absolutely ze we have a strong collaboration with the san francisco clinic consortium we meet with them and the medical directors work together again, we provide the hospital care so they are we consider them part of the family we plan together and implement together and share data together. >> at this rate they'll out grow us first (laughter). >> i have one comment i think this goes to healthy san francisco when the date of the clients is important i notice it's mustard together with another organization i want to know if you can keep the data

separate the highest rate of solicitation are in oakland i've been taking language classes at the college and taking mandarin they've wield i widow he would away a lot of the programs so if we don't keep the statistics of the languages we can't help our social workers that want to be medical interpreters. >> we'll take that suggestion. >> we'll not received public comment requests but there are there any public comment. >> general public comment. >> no for this item. >> any other comments commissioners. >> so the item is concluded i'm

wondering if the president would rodriguez want to make comments how she feels how i'm wondering some of the things we might want to look forward in working with you. >> i know the hour is getting late i will make my comments short and sweetie think this has been an and we'll productive joint commission hearing i've found a lot of enlightening information and perhaps for further collaboration and i'm sure all of our commissioners will probably like to make comments but i would ask if the directors might like to make any

comments about kind of a path forward for future moderation. >> i'll echo that a lot of us have discussed a lot of temptations and a new magnetically health system we ask our directors where it is to have the intersection and where it would be appropriate to report back to the commission to see the progress that's being made on the subject being made her here and other subject i'll invite both the 0 decorators to ma make their comments. >> thank you very much i want to say that 9 leadership has been meeting are director garcia on a fairly regular basis by 24

reinforces i need to meet with director garcia a number of times we look forward to working with you. >> i was writing notes back and forth an organization closed and it's an appropriate comment we remember working on the human trafficking that organizations have difficulties so we'll be working closely with the director to look at how to continue to provide those services with one less community-based organization that's able to do that so we'll commit to work and i've been taking notes on the areas we're talked about and create a report for the commission and continue to work on some of the areas i think this issue of trama and the impact of trauma i think the pictured it very well an entire impact on the health statutes

and you, add many things and you talked about splitting. >> i'm on number 2 i think we certainly have common items to work and a on and learning our work as commissioners also as the directors we forward to working with you. >> i love the high-level reports they give a view of the whole city but i was laborer for maybe next time either by, you know, health network service area or by zip code or something we might look at the issues in terms of the service programs or population issues like for example, the health relate breast cancer screen rates you can compare the

clinics and rates and stuff. >> any further comments if comments otherwise we'll call the next item. >> general public comment we have one card submitted and son-in-law. >> i'll call the card submitted we have 2 minutes rubbing deny e benefit goldman. >> i'll hold the timer up when you're finished. >> president curtis and honored commissioners i'm a dual diagnosed mental health consumer at mission that is part of the mission mental health services i'm under the excellent care of my psych social worker and my

psychiatrist recently, i spoke out about a violation of the admission agreement between myself and the board and care i stay and mary in her house i've been living there for 4 years without incident my incident and stable illicit has been an important part of my wellness and recovery the violation of the admission agreement builds down to one sandwich the facility agrees to provide 3 meals and two snacks i was out all day working busily when i thought were good works and returned to the occur, if you will, if you time of 10:00 p.m. was given my lunch and requested my diaper the administrator is

donya herself defenses refused me the sandwich i called the sfpd to be witnesses to her refusal and i mentioned i was going to state licensing following that a few days later i received an eviction notice regarding thirty days notice dear mr. goodman i give you thirty days eviction notice because our 52-year-old we can't meet our needs. >> mr. goodman. >> they were quarterbacking this if anyone was expertise to share please do so thank you. >> thank you, mr. goodman that was one other public that wanted to speak also.

>> reroberta and staying say our name. >> i'm the co-chair for a e w san francisco when is for the university of women i come to the commission meeting open a regular basis and it's been griffin to see the issues that the cross over between our commission and the women's commission items i just wanted to update that on the women's side we were very interested in stem and getting women and girls into stem we weekday back our girdles if the math and science camp there were 15 of them and one story that stuck out one girl was working with a skid that competed on her

and math and science is a very creative endeavor the other item oh, they were planning for 2015 so we sent 15 girls to science and math camp every year there's a 69th anniversary of the united nations signing felt declaration on october 19th a e w is is a co-sponsoring and telling them for human right if anyone wants information i can turn this on send this along thank you for an insignificant full meeting. >> thank you next item. >> we're at adjournment commissioners. >> so we need to have a motion for adjournment did the health

commission wish to stay or is there a motion for adjournment (laughter) all in favor if not the health commission is adjourned we have a tradition of egyptian in women we're lost i want to call for a motion and say that - >> i have 3 women to adjourn first is john rivers she was the first hollywood women to come up in hiv aids and remove the stigma we lost lillian polling the k cf for asian pacific

islanders and i was up in the san francisco when the population was 23 percent and a lot of public service announcements on health care and finally joanne garvey a a long time attorney who argued in front of the superior court but founded the california lawyers so it's a tremendous loss to our community as well. >> i'll second. >> all in favor. >> i okay. we are now both adjourned. >> okay. we're now both adjourned so everybody on novem.

>> hello him i i'm hopping holly with sfgovtv along with the leaguer of women voters here to discuss measure b a ballot measure on november 4th before the voters prop b is a charter amendment a requires the city to provide to the sfmta by a percentage to the portion increase take into account daylight and dynamic population as determined by controller's office in 2015 the city increases the base amount over the previous 10 years in future years the city about

increase the base amount based on the population over the previous year it requires the sfmta to use 75 percent of any population based increases in the basis amount to achieve the service repairs the other 25 percent to improve street safety and authorizes the mayor to discontinue the base amazes required in the voter is impact a vehicle free if you rotate yes increase the amount the city provides to the sfmta based on the population those funds must be used to improve muffin. >> the street safety if i vote no, you don't want to make 24 change i'm here with peter straus from the board of the san francisco

transit riders and proponent of measure b we're joined that i marty the chair of the librarian and a proponent thank you start with opening comments mr. straidz. >> measure b is a common sense approach times transportation funding for population groith growth muni that over recruited crowded and unreliable san francisco's grown that i 10 percent since 20033 and thank you for the opportunity u muni service is not kept up it pays for the muni service to reflect the growth by measure b will not there taxed it will pay for improvements to the prop money not being used 75 percent will pay for muni vehicles maintenance and for the repair

of the fleet and more buses and buses not all of measure b logo for the improvements 25 percent important measures to improve safety ordinance 8sdz street to pay for the measures the plan to eliminate traffic fatalities between 10 years we hope the voters agree that you're opening remarks thank you we've recommended in the libertarian party recommends a no vote because we speak about population growth, however, you population groerth in san francisco is abandonment to be more than reasonable and the reason for that is policies nowadays removes the market forces that keepsz the balances even so this will geology for example, our sewer system has

not been updated since the impoverishing we need first responders and schools all of those systems not tied to population so we have one tied to an unreasonable situation and st. is going to suck up fund from all the others fund there is so much in the pot we need to allocated it as well as we can. >> with that question what benefits will the passage of that bring to the motorists and to motorist i think the primary benefits relies to increase the traffic essentialist for bicyclists and pedestrians for everyone and the measure such as obnoxiously and the defined crosswalks and better signals and really that's the primary benefit for motorists, however, it that benefit the furrier cars

on the street the more people riding muni. >> how do you respond. >> i want to say because we have this didn't mean we have good planning or efficiency and what we're talking about here in my opinion is would be efficiency and for example, when we allocate money to safety bubbles or designing this and that what other jaend agenda are we talking about are we removing cars together on the street my point efficiency should come first, the ability to get paragraph move in a way to get to work there is no impedes funding is not the issue i think the issue is more efficiency and good planning. >> will this measure increase

the frequently of service is low income neighborhoods. >> thank you for your question a number of my colleagues and organizations have been working with the mta the muni transportation agency staff in the last year to develop an entity analysis an analysis of how whether there are inaccuracy in how it serves the minority in san francisco it will provide the fund to address some you know my means identified having an equitable analyze that has money to address the certifies that come up this is i see them as working hand in glove are the mta start to professionalism this year in providing resources to he'd what needs to be addressed. >> thank you r with or what are

you thoughts. >> do we need another layer of bureaucracies may be make sure that muni is seated by the neighborhoods it's aids simple as that we are talking transit crossroads and a completely different design than simply offering muni certifies to you'll neighborhood whether low income or whatever and again, we're not talking about in my opinion funding is not the issue we're just going to add layers of brursz await sufficiency we have muni asking for more money for the past how many years guarantee i don't see improvements you did we have 50 percent on time.

>> shouldn't we be working on this. >> it's time for financial thoughts ms. berry and we need to view it in the context of the entire city we cannot saw we need transportation yes, we need transportation we also need a whole and i way ray of other services i suggest voters think twice regarding the transportation growth and the transportation because all the other services are going to be left behind doesn't like for example, a very important we're addressing that with other proportion is so we need growth and the growth t is going to be particularly abnormal in san

francisco regarding the policies to engendered to remove the connective forces that keep everybody everything in balance. >> financial comments were when the voters established the transportation agency the mta was funded by setting up a fund for the transportation this was done to eliminate what they call the infighting and the set budget the system worked well but not quite well enough not to protect us for the cuts in 2008, and 9 the measure b tweaks the formulas to address the growth and keep up with the growth it supports the prourpgs zero for the fatalities in the 10 years

and invests capacity while investing in making our streets safer and with that said, see i hope during the neighborhood it will help to support measure b in november. >> thank you both if for your time and comments we hope this has been informative for more information in the ballots please invest the website at sf election.org and early voting is available monday through friday from 8 to 5 and vote at city hall 2 we understand before election and if you don't vote early be sure to vote