Hidalgo Medical Services – Family Support Program
- Need: To reduce health disparities in two rural/frontier counties in southwest New Mexico.
- Intervention: Community health workers worked 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.
LA VIDA (Lifestyle and Values Impacting
Diabetes Awareness) was a community-based chronic disease
intervention program using community health workers
(CHWs) to help those who have diabetes or are at risk of
developing diabetes. The program was offered by Hidalgo
Medical Services as part of its broader Family
Support Services, aimed at reducing health
disparities and improving the health status of residents
in Grant and Hidalgo counties in southwest New Mexico.
The development of LA VIDA was funded by a
REACH (Racial and Ethnic Approaches to Community
Health) grant from the Centers for Disease Control
Currently, LA VIDA is not being offered on a large,
community-wide scale. Its principles now are used by
Provider-Integrated Care Team Coordinators (community
To support people with chronic diseases and meet
community needs, LA VIDA and its CHWs offered:
- Enrollment services for free or low-cost insurance
- Assistance accessing health and social services
- Information and support for healthy eating
- One-on-one diabetes education
- Outreach to other organizations
about Family Support Services
The results below reflect the full-scale implementation
of LA VIDA:
- LA VIDA participants with diabetes increased the
number of days they checked their feet and took their
diabetes medications. They also lowered their glycated
hemoglobin levels (HbA1C).
- LA VIDA participants overcame cultural barriers to
diabetes control and showed empowerment and self-efficacy
related to managing their diabetes.
- LA VIDA's CHWs served approximately one-fourth of the
area's population each year. In 2010, CHWs provided
58,000 services to 5,700 clients.
- CHWs distributed food to more than 300 families in
- The program helped change policies to reduce the
number of vending machines in area schools, in
partnership with other community organizations.
- LA VIDA partnered with the Grant County Health
Council to create a local Food Policy Council.
- 34% of Grant and Hidalgo county
restaurants participated in the Viva New Mexico
Restaurant Program by offering healthy menu options to
For more information about program results:
McCloskey, J., Tollestrup, K., & Sanders, M. (2011). A
Community Integration Approach to Social Determinants of
Health in New Mexico. Family and Community Health,
34(Suppl 1), S79-91.
McCloskey, J. & Flenniken, D. (2010). Overcoming Cultural
Barriers to Diabetes Control: A Qualitative Study of
Southwestern New Mexico Hispanics. Journal of
Cultural Diversity, 17(3), 110-115.
McCloskey, J. (2009). Promotores as Partners in a
Community-Based Diabetes Intervention Program Targeting
Hispanics. Family and Community Health, 32(1),
Sustainable funding is a barrier to continuing any
large-scale initiative. In addition, insurance plans
might not reimburse services provided by CHWs.
The key to LA VIDA's initial success was strong community
collaborations and a steady funding stream.
Community health workers
Culture and cultural competency
Food security and nutrition
Hispanic or Latino
U.S.-Mexico Border Region
Wellness, health promotion, and disease prevention
November 25, 2013
Date updated or reviewed
April 21, 2022
Suggested citation: Rural Health Information Hub,
Hidalgo Medical Services – Family Support Program [online]. Rural Health Information Hub. Available at:
[Accessed 6 October 2022]
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about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The
programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural
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in mind that changes to the program design may impact results.