Fremont City Council Meeting: 10/14/25 07:00 PM
3300 Capitol Avenue Div/Dept: Aging and Family Services Fremont, CA 94538 Category: Agreements and Contracts
SCHEDULED
Sponsors:
COUNCIL STAFF REPORT (ID # 5536) DOC ID: 5536
Updated: 10/8/2025 11:37 AM by Dina Lewis Page 1
HEALTH PROMOTION CONTRACT - Authorization to Contract with Alameda County Health Care Services Agency for City to Provide Health Promotion Services
Contact Persons:
Name: Levon Gibson Arquimides Caldera
Title: Family Services Administrator Human Services Director Div/Dept: Aging and Family Services Human Services Department Phone: (510) 574-2062 510-574-2056
E-Mail: [email protected] [email protected]
Executive Summary: Since 2006, the Alameda County Health Care Services Agency has provided funding to the City to carry out the Health Promoter Project in partnership with the Afghan Elderly Association (AEA) to improve the health and mental health of Afghan seniors.
Alameda County Health Care Services Agency has renewed the City’s funding for the Health Promoter Project in FY 2025/26, and Staff recommend the City Council authorize the City Manager to execute a contract in the amount of $216,528 with the Alameda County Health Care Services Agency for Fiscal Year 2025/26 to continue the Health Promoter Project.
BACKGROUND: Since FY 2006/07, the Human Services Department has partnered with the Afghan Elderly Association (AEA), a nonprofit organization, to carry out the Health Promoter Project (Project) to help improve the health and mental health of Afghan seniors. Many of the community’s Afghan refugees are now aging. Demographic estimates show that the San Francisco Bay Area, and specifically Fremont, is home to one of the largest concentrations of Afghans outside of their own country. It is well documented that older immigrants have challenges accessing necessary health and social services and therefore may experience poor physical health status. Immigrants also suffer from increased mental health issues, often from the effects of post-traumatic stress, depression and anxiety due to difficult life experiences. This Project is unique in that it offers a continuum of supportive services embedded in a community program that focuses on the needs of older adults. In this way, the program has had a positive impact on an often-underserved group of people.
DISCUSSION/ANALYSIS: The primary component of the Project is the use of AEA-provided Health Promoters who are individuals from the Afghan community with substantial community health training. The Health Promoters meet regularly with Afghan seniors, and based on client need, provide emotional support, health education, and coordinate referrals for health and social services. They also educate and support clients in both healthy living behaviors and chronic disease management. Meetings with the Health Promoters may be held on telephone or video. Additionally, as appropriate, the Health Promoters will offer services in a group setting, including exercise instruction, blood pressure screenings, and translation services. Health promoters also collaborate with other Alameda County programs to assure Afghan elders access appropriate services.
The Human Services Department provides oversight for the Project, and a public health nurse/case manager supports the Health Promoters as needed and provides medication management. A Human Services Senior Program Coordinator works directly with the Health Council Staff Report (ID # 5536) Meeting of October 14, 2025 Updated: 10/8/2025 11:37 AM by Dina Lewis Page 2
Promoters to develop an individual plan of care for clients and oversees the implementation of the care plan. Each care plan is unique, but will generally be comprised of the following components: 1) Health education and screenings to help seniors identify and achieve health goals; 2) Coordination of access to community mental health, health and social services; 3) Translation services for medical, mental health, and social services appointments; 4) Linkages to affordable housing and transportation; and 5) Assistance in completing documents related to citizenship, immigration, taxes, Medi-Cal and other community resources. The AEA staffs the Health Promoters for the Project and provides operational management for the Project through a Project Director and Project Assistant.
FISCAL IMPACT: Alameda County Health Services Agency is providing $216,528 in FY 2025/26 funding to the City for the continuation of the Health Promoter Project. As part of the FY 2025/26 Adopted budget, the City Council appropriated sufficient funds for this Project. The contract with the Afghan Elderly Association totals $86,000. The remaining funds of $130,528 will support the City’s administrative oversight and Human Services staff, including the Senior Program Coordinator.
ENVIRONMENTAL REVIEW: The proposed action is exempt from and not subject to review under the California Environmental Quality Act (CEQA) because, without limitation, it is not a “project” as defined in CEQA Guidelines Sections 15378(b)(2), 15378(b)(4), and/or 15378(b)(5), and because it has no possibility of a significant effect on the environment, as specified in CEQA Guidelines Section 15061(b)(3), each as a separate and independent basis for CEQA compliance.
ATTACHMENTS: None.
RECOMMENDATION: Authorize the City Manager, or designee, to execute a contract with the Alameda County Health Services Agency for the City to receive funding in the amount of $216,528 for the period of July 1, 2025, through June 30, 2026, to continue the Health Promoter Project in partnership with the Afghan Elderly Association.