Imani Clinic was the brainchild of UC Davis medical students in the Student National Medical Association (SNMA), an organization dedicated to improving outcomes--medical, academic, and social--among members of the African-American community. Ten years of planning, research, and negotiations were initiated because students became concerned about the staggering and persistent morbidity and mortality from hypertension, heart disease, cancer, and inadequate prenatal care among African-Americans. SNMA redoubled its efforts in light of the apparent demise of Health Care Reform, and the serious threat to universal access to health care posed by Proposition 187. The clinic opened on October 22, 1994, in the heart of the Oak Park neighborhood in South Sacramento. This site was selected because of the ethnic diversity of the community--recent census data indicates that 57 percent of the population are members of minority groups and 80 percent of this community can be classified as working poor or unemployed. "Imani" is the Swahili word for "faith," and symbolizes the trust we hope to foster within our community that the health care system will address their medical needs and social realities. Imani Clinic is open every Saturday from 9:00 AM to 1:00 PM, and we generally see 10-15 patients--usually, at least half are Spanish-speaking. Unlike the other clinics, we run as a "weekend extension" of the Sacramento County primary care facility. The clinic is staffed by undergraduates who do intake (checking height, weight and vital signs), lab work and create patient charts, and by medical students who see patients under the supervision of 1-2 preceptor physicians. Clinic affairs are managed by the undergraduate board which works under the supervision of 4 medical student co-directors.
