Rural Migrant Health Models and Innovations
These stories feature model programs and successful rural projects that can serve as a source of ideas and provide lessons others have learned. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.
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.
Updated/reviewed September 2017
- Need: To reduce barriers to accessing healthcare for migrant farmworkers in the rural areas of Vermont.
- Intervention: Bridges to Health uses care coordination and health promoters to reduce the barriers to accessing healthcare and provides services and education.
- Results: Some barriers to accessing healthcare have been reduced or removed for migrant farmworkers in certain counties in Vermont.
Other Project Examples
Updated/reviewed July 2017
- Need: Migrant workers in need of healthcare in Okanogan County, Washington
- Intervention: A promotora program which educates and helps the migrant and Latino communities access culturally- and linguistically-appropriate healthcare
- Results: Provided health education so migrant workers were better educated about their health and accessing healthcare resources
Updated/reviewed January 2017
- Need: Diabetes is the most common health problem in the African American, Latino, and Native American populations of rural Lake County, California.
- Intervention: A Promotores/Community Health Workers model is used to teach positive lifestyle habits to people of all ages in order to live healthier lives, specifically to manage or prevent Type 2 diabetes.
- Results: Participants in the Reach Out Program have improved their habits relating to nutrition and physical activity, leading to healthier lives.
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.
Last Updated: 10/20/2017