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Fleming Collaborates, Rethinks Rural Street Medicine in NC

April 28, 2026

W. Oscar Fleming, DrPH, MSPH — a member of the National Maternal and Child Health (MCH) Workforce Development Center team — is featured in an Innovate Carolina article highlighting a collaborative effort to redesign street medicine for rural communities in Burke County, North Carolina. The project focuses on adapting street medicine models, which are more commonly implemented in urban settings, to work effectively in rural contexts where workforce capacity, geography, and sustainability pose unique challenges.

The project’s recent initiatives include delivering patient care via a mobile bus and “backpack medicine.”

 The mobile bus clinic in the parking lot of Burke United Christian Ministries in Morganton, N.C.

“The mobile bus pilot is an excellent example of what’s possible when you listen first, co-create with the community, and then team with partners to prototype and test using what you’ve learned. We’re incredibly proud of the Burke County team for turning lessons learned from residents into more effective street medicine practices that are poised to create healthier outcomes for all people in the community.”

— Bill Romani, PhD, director of Innovate Carolina’s Design and Innovation for the Public Good (DIPG) team.


Fleming is an assistant professor at the Gillings School of Global Public Health and an expert in evidence-based decision making, applied implementation, and family and community engagement. Within the MCH Workforce Center, he leads our efforts to help Title V teams explore and understand MCH evidence, identify what works, and use implementation processes to help ensure that MCH interventions can produce their intended outcomes and improve health.

Read the Full Innovate Carolina Article

Filed Under: News

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Department of Maternal and Child Health
Gillings School of Global Public Health
The University of North Carolina at Chapel Hill
Campus Box 7445
Chapel Hill, North Carolina 27599-7445
Phone: 919-966-6290
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About this Project

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number 5-UE7-MC26282-10 – National MCH Workforce Development Center Cooperative Agreement ($1,720,000). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government.

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