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Rural Project Examples: U.S.-Mexico Border Region

Effective Examples

Hidalgo Medical Services – Family Support Program
Updated/reviewed June 2017
  • Need: To reduce health disparities in two rural/frontier counties in southwest New Mexico.
  • Intervention: Community health workers work with clients to help them better manage their health and promote awareness of healthy lifestyle options in the community.
  • Results: Better health outcomes for patients.
funded by the Federal Office of Rural Health Policy Vivir Mejor! (Live Better!) System of Diabetes Prevention and Care
Updated/reviewed June 2017
  • Need: To address high rates of diabetes in rural Hispanic/Latino populations near the U.S.-Mexico border.
  • Intervention: A comprehensive, culturally competent diabetes education program was implemented in Santa Cruz County, Arizona.
  • Results: Since 2012, this program has helped participants better manage their diabetes and increase healthy living behaviors.

Promising Examples

funded by the Federal Office of Rural Health Policy Health without Borders
Updated/reviewed June 2017
  • Need: To improve the health of communities in the south central region of New Mexico.
  • Intervention: A program was developed to specifically address diabetes prevention and control, behavioral healthcare, and immunization in Luna County.
  • Results: During the program, 1,500 immunizations were distributed, baseline measurements of participants improved, and 935 new patients were seen for behavioral health issues.

Other Project Examples

funded by the Federal Office of Rural Health Policy Santa Cruz County Adolescent Wellness Network
Updated/reviewed September 2017
  • Need: To integrate and enhance adolescent services in a rural Arizona county that borders Mexico.
  • Intervention: The Santa Cruz County Adolescent Wellness Network (AWN) was developed to maximize local assets to improve adolescent health and wellness in Santa Cruz County. Their efforts enhance health services in schools, develop youth leaders, and equip adolescent-serving organizations.
  • Results: Successfully improved adolescent wellness understanding and involvement, training a total of 783 participants in adolescent development topics. A school-linked healthcare system resulted in 217 referrals to primary care or behavioral health in 1 semester.
funded by the Federal Office of Rural Health Policy FORWARD NM Pathways to Health Careers
Updated/reviewed May 2017
  • Need: New Mexico's southwestern counties of Hidalgo, Catron, Luna, and Grant have experienced chronic shortages of primary care providers. New Mexico has the oldest physician population in the country.
  • Intervention: A comprehensive workforce pipeline program, including programming for middle and high school students, undergraduate and graduate students, primary care program students, and medical and dental residents.
  • Results: The program reaches over 2,000 school-aged students throughout the service areas and hosts 70+ rural rotation experiences annually. It has also gained partnership with the HMS-Family Medicine Residency Program since 2013 and designation as an Area Health Education Center (AHEC) since 2012.
Futuro Claro - Yuma County, Arizona
Updated/reviewed February 2016
  • Need: The Hispanic population in south Yuma County is at high risk for the negative effects of tobacco use.
  • Intervention: Campesinos Sin Fronteras implemented Futuro Claro (“Clear Future” in English), which was a two-year, culturally-tailored tobacco use prevention and cessation project that uses Promotores de Salud, also known as lay health educators.
  • Results: Thousands of young farmworkers living near the U.S.-Mexico border were educated on their way to or at their worksites about the negative effects of tobacco use and were provided with information about cessation techniques. Many agriculture companies also began to enforce existing smoking laws or adopt new ones in their workplaces. An anti-tobacco youth coalition was formed to create smoke-free regulations in local parks.
funded by the Federal Office of Rural Health Policy Community Connections Program at Hidalgo Medical Services
Added December 2015
  • Need: To provide prevention and self-management healthcare education to rural Grant and Hidalgo counties in New Mexico.
  • Intervention: A community program was created to improve knowledge and skills related to chronic disease prevention and management.
  • Results: Increased chronic condition knowledge and self-care management.