Family Planning

The health department’s family planning services are provided by Advanced Practice Registered Nurses (APRN) following medical protocols.  The program allows for women to plan for pregnancy and be offered a wide variety of contraceptive methods.  Women receive a physical examination, lab tests, educational materials, and health counseling.  Diagnostic and treatment services are provided by referral to preferred medical providers.

The cost of preventive health services are covered by a variety of sources including Medicaid, Medicare, private insurance, and self-pay.  For self-pay clients, the health department will charge for the services on a sliding fee scale based on the Federal Poverty Guidelines.


The health department provides immunizations to reduce the risk of diseases such as influenza, measles, rubella, and tetanus that is known to be preventable by vaccines.  There are many vaccines available at your local health department that can provide protection for you and children.

Services include:

  • Providing vaccines with the Vaccines for Children at no cost to eligible participants
  • Issuing immunization certificates for children for school entry
  • Ensuring that our population has a high rate of required immunizations to decrease the incidence and risk of disease in our community
  • Participating in an immunization registry that provides better coordination of sharing of information with your medical provider
  • Promoting vaccine safety
  • Supporting efforts to increase vaccinations for all Kentuckians

Preventive Cancer Screenings

The health department provides preventive breast and cervical cancer screening and follow-up as a participant of The Kentucky Women’s Cancer Screening Program.

Women receive clinical breast exams and mammogram referrals.  Preventive services also include counseling and education on cancer prevention.

Breast Cancer Risk Factors

  • Women over 40 years old
  • Family history (Mother, Sister, or Daughter) of breast cancer that occurs before the age of 50
  • No pregnancies
  • Obesity
  • Early age (< 12 years old) with onset of menstrual cycles

Early diagnosis of breast and cervical cancer offers women better treatment options and better chance of survival and becoming cancer-free.

Cervical cancer is considered to be a preventable disease. Pap smear tests are recommended to screen for cervical cancer.  Pap tests are recommended to begin at age 21 years or earlier based on the individuals need.   There is even a vaccine now available the health department for both young girls and boys that can help prevent certain types of cancer including cervical cancer.

Screening and follow-up services are provided from local health care providers (Advanced Practices Nurses and Registered Nurses) and referrals are provided to private physicians and medical providers through contracts with local health departments. The program is funded by both state and federal funds and is part of the National Breast and Cervical Cancer Early Detection Program.  

Surveillance & Epidemiology

Epidemiology is the study of the causes and occurrences of disease and disability in the community and the application of this study to the control of health problems.  This includes the investigation of outbreaks of communicable diseases, as well as the study of chronic illnesses.  Information gathered through epidemiological studies and surveillance, along with district, state, and national data is collected, analyzed, and disseminated through reports and newsletters.  The Cumberland Valley District Health Department and Cumberland Valley Region share a regional epidemiologist.

Volunteer Management

Are you interested in volunteering with Cumberland Valley District Health Department (CVDHD)?  People interested in volunteering can join the Cumberland Valley District Medical Reserve Corps (MRC). Volunteers with various backgrounds (medical and non-medical) may be needed to help during emergencies. CVDHD volunteers may be asked to respond to a natural disaster, a large-scale disease outbreak, or man-made disaster. Depending on the type of emergency, volunteers may be tasked to perform different jobs. Again, some job functions require a medical background and some job functions do not.

During an event when volunteers are required to support public health functions, MRC Volunteers will be notified by our Volunteer Mobilizer, which is an alerting system that can be used to notify pre-registered volunteers of an event. A call for volunteers also may be made through the media (TV, radio, and newspaper). Directions on where to report for work assignments will be provided via the Volunteer Mobilizer and/or media outlets.  Once volunteers reach their assignment, they will receive “Just-In-Time” training for a specific task.


Well Child Program

The health department’s Well Child Program provides physical examinations based on the EPSDT (Early Periodic Screening and Diagnostic Testing) schedule and guidelines. A comprehensive physical exam and history is provided by registered nurses by medical protocols.  A physical can help determine if a child is developing normally and achieving developmental milestones.  The screening not only assesses how the child is growing and developing but also assesses dental health needs, fluoride, lead poisoning risk, anemia, and more.  The health department maintains a close relationship with the child’s medical doctor and refers the child if there are any significant findings.


School Health

Cumberland Valley District Health Department has been providing services within the schools of Clay, Jackson and Rockcastle Counties for greater than 20 years. Within the schools, the local health department nurse is available to manage students with injuries, acute illness and long term management of students with special health care needs. These services include but are not limited to: preventive services which include well child screenings and immunizations, chronic health conditions, urgent/emergent care and transport, referral services, assessment and treatment, as well as physician collaboration and protocols. By providing these services, the local health department nurse assists the school/Board of Education in meeting and maintaining the requirements of KDE, decrease absenteeism and care of groups requiring specific health needs. These services are provided to all school age children regardless of income or payor source.



WIC is a federal nutrition program available to pregnant, postpartum, or breast feeding women, infants and children under age five.  This federal program began right here in Kentucky as a pilot program in 1974.  Kentucky continues to be a leader in WIC innovations.  Last year we implemented an e-system which enables clients to receive nutritious foods from WIC approved stores through the use of an EBT card.  Valuable nutrition and child development information is provided by a nutritionist or Registered Dietitian.  FIT WIC classes are available for children and local fitness opportunities are promoted. There are federal income guidelines for participation in the WIC program, but the guidelines are quite generous.  A family of 4 qualifies for WIC if their annual income is less than $43,568.