The roles of State Refugee Health Coordinators (RHCs) vary widely depending on numerous factors including state structure and the size of the program/number of refugee arrivals. Variations also exist due to differing screening requirements/guidelines in different jurisdictions and with different clients. Specific data collection and refugee-specific epidemiology is also not necessarily regulated. Some RHCs have full budgetary responsibility, others are providers in clinics, and some have data surveillance responsibility. Moreover, some RHCs have other programmatic duties and the time they spend working on refugee health is limited. RHCs are typically funded by state and/or federal funds and depending on the funding stream, may have other responsibilities outside of Refugee Health.
Besides managing the refugee medical screening program, a major responsibility for RHCs may be data collection as required by a funding entity Again, each state handles this task differently, depending on state laws and regulations, resources, and human and economic capacity. Some states have highly-developed and streamlined databases that accept electronic records directly from providers, and some rely on mailed paper records with subsequent data entry and reporting at the local or state level. Some states collect very limited data while others collect extensive data.