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Rural Project Examples: Farmers and farmworkers

Effective Examples

HEAR on the Farm
Updated/reviewed November 2020
  • Need: To increase use of hearing protection among farmers and farmworkers.
  • Intervention: Researchers mailed an assortment of hearing protection devices to farmers and provided web-based information about hearing conservation to see which method or combination of methods was most effective.
  • Results: All participants increased their use of hearing protection. The largest increase occurred in those who received hearing protection devices in the mail.
Salud es Vida Cervical Cancer Education
Updated/reviewed January 2020
  • Need: Hispanic women have the highest incidence rates of cervical cancer among any ethnicity in the United States.
  • Intervention: The development of a lay health worker (promotora) curriculum that provides information on cervical cancer, HPV, and the HPV vaccine to Hispanic farmworker women living in rural southern Georgia and South Carolina.
  • Results: Significant increases in post-test scores relating to cervical cancer knowledge and increases in positive self-efficacy among promotoras.
funded by the Federal Office of Rural Health Policy One Community Health's Wellness Programs
Updated/reviewed October 2017
  • Need: Difficulties obtaining healthcare access to treat diabetes and obesity for low-income and Spanish-speaking residents of Oregon and Washington's Columbia River Gorge area.
  • Intervention: A local healthcare facility developed wellness programs using bilingual community health workers to provide education and support that improves diets, physical activity, and teaches stress management.
  • Results: Many participants in the wellness programs have maintained or lost weight and have seen reductions in their cholesterol levels, blood pressure, and blood sugar levels. Vegetable vouchers, cooking classes, and budgeting education has also helped patients afford healthy food.

Promising Examples

Tomah Hearing Loss Prevention Outreach
Updated/reviewed November 2020
  • Need: Farmers are highly susceptible to permanent hearing loss due to prolonged exposure to loud machinery and livestock.
  • Intervention: Faculty and students from the audiology department at the University of Wisconsin-Madison supplied earplugs, free hearing testing, and hearing loss prevention education to attendees and participants at a local tractor pull.
  • Results: More than 16,000 pairs of earplugs have been distributed, and attendees have been receptive to the hearing loss prevention education provided by the audiology team.
funded by the Federal Office of Rural Health Policy Bridges to Health
Updated/reviewed October 2020
  • Need: To reduce barriers to accessing healthcare for immigrant farmworkers in the rural areas of Vermont.
  • Intervention: Bridges to Health uses care coordination and health promoters to reduce barriers to accessing healthcare on an individual level. The program offers targeted technical assistance to address systemic barriers at health access points in areas with high numbers of immigrant farmworkers.
  • Results: Some barriers to accessing healthcare have been reduced or removed for immigrant farmworkers in certain counties.

Other Project Examples

Rural Health Initiative: Kitchen Wellness Program
Updated/reviewed November 2020
  • Need: Preventive and chronic medical condition care for farm families/agribusiness owners/employees with time and monetary constraints.
  • Intervention: Through a "Kitchen Wellness" program, a trained healthcare professional provides in-home or on-site complimentary preventive health screening, educational materials, and community referral information.
  • Results: Completion of hundreds of health screenings, tailored health education sessions along with referral information.
funded by the Federal Office of Rural Health Policy Sowing the Seeds of Hope
Updated/reviewed November 2020
  • Need: Agriculture workers and their families have high rates of psychological distress and suicide, but limited access to mental health services.
  • Intervention: The "Sowing the Seeds of Hope" (SSoH) program was created to provide affordable and culturally appropriate mental health services to individuals working in agriculture and their families in Iowa, Kansas, Minnesota, Nebraska, North Dakota, South Dakota and Wisconsin.
  • Results: The regional program ran from 1999-2014 and successfully established a variety of interventions to help individuals in rural communities' access behavioral health services.
AGRIMEDIC
Updated/reviewed September 2020
  • Need: To reduce farm injuries and improve EMS and fire/rescue's response to these injuries in rural Louisiana.
  • Intervention: AGRIMEDIC is a two-day training for first responders.
  • Results: 732 first responders have received training.
Minnesota Farm & Rural Helpline
Updated/reviewed June 2020
  • Need: To connect farmers in stress with needed resources.
  • Intervention: The Minnesota Farm & Rural Helpline and website connect callers with counselors, help with daily living (like childcare or food assistance), and financial/legal advice.
  • Results: In 2019, the helpline received 95 calls, and the website had nearly 4,600 visits.
Pennsylvania Rural Health Farm Worker Protection Safety Program
Updated/reviewed May 2020
  • Need: Agricultural producers and Pennsylvania's diverse farmworker population needed guidance on complying with Environmental Protection Agency regulations on the safe use of pesticides used in agricultural production.
  • Intervention: An outreach education program providing compliance and technical assistance for growers was developed which included culturally appropriate training materials targeted to workers.
  • Results: Pesticide use training and other farm safety information is now readily available to Pennsylvania's farmers and farmworkers.