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Resources for migrant specific technical assistance.

The recent enactment of the Affordable Care Act and the dedicated funding for the expansion of the nations's primary health care system provides an unprecedented opportunity for Federally- Qualified Health Centers (FQHC) to expand their capacity to provide comprehensive primary health care services to an increasing number of people in need, including migratory and seasonal agricultural farmworkers. In early August, the Health Resources and Service Administration (HRSA) announced its first funding opportunity for Fiscal Budget 2011. The funding will support New Access Points (NAP) in approximately 350 communities. New announcements for Expanding Medical Capacity (EMC) and Service Expansion (SE) are also expected.

It is estimated that more than 3 million migratory and seasonal farmworkers live and work in mostly rural and underserved communities across the country. The living and working conditions of the farmworker population require that organizations planning to compete for those funds have a general understanding of socio-demographic barriers to access care, be knowledgeable of requirements for the migrant health program, and be ready to design culturally and linguistically competent service delivery programs to meet those needs. To successfully compete for those funds, applicant organizations need, among other things:

* Good documentation of the target population, their number and the need for services;

* An understanding of the farmworker population and their barriers to access care;

* Careful designing of the service delivery model;

* To understand best practices for delivering culturally and linguistically competent clinical and enabling services;

* To determine the best clinical protocols for the selected population;

* To establish collaboration with existing health care, education, and social services * organizations;

* To build the administrative and governance infrastructure;

* To plan for financial stability and technological infrastructure and sustainability; and

* To plan for staff and provider recruitment, training and retention.

Although establishing and maintaining a migrant health program is an overwhelming task, interested organizations and health centers are not alone. The Farmworker Health Network (FHN) is an excellent resource. It is a well established network of national and state organizations partially funded though cooperative agreements by the U.S. Department of Health and Human Services (HHS) Health Resources and Services Administration (HRSA) to support current and future migrant health grantees.

The Farmworker Health Network is committed to support current and potential Migrant Health Center Programs with leadership development, capacity building and enhancement of service delivery. The FHN is formed by the following six organizations. Each of these have different expertise to support organizations in their effort to expand migrant health programs.

Farmworker Justice (FJ): Based in Washington D.C., FJ provides capacity building assistance and training to migrant health programs on occupational/environmental health, HIV/AIDS, and other health-related issues. To access these services, please contact Virginia Ruiz at vruiz@farmworkerjustice.org.

Health Outreach Partners (HOP): Based in Oakland, California, HOP provides technical assistance and training to plan, implement, expand, and evaluate health centers' outreach activities. For information about these services, contact Oscar Gomez at oscar@outreachpartners.org.

Migrant Clinicians Network (MCN): Based in Austin, Texas, MCN provides technical assistance to health centers in a variety of clinical issues, clinical systems, and orientation and training for health care providers. To seek these services, please contact Karen Mountain at kmountain@migrantclinician.org.

Migrant Health Promotion (MHP): Based in Weslaco, Texas, MHP provides technical assistance and training to health centers to plan, implement, expand, and evaluate Camp Health Aide (Promotores de Salud) programs. To access these services, please contact Gayle A. Lawn-Day at glawnday@migranthealth.org.

National Association of Community Health Centers (NACHC): Based in Washington, D.C., NACHC provides health centers with technical assistance and training on issues related to funding, governance, workforce, finance, and Information Technology. To inquire about these services, please contact John Ruiz at jruiz@nachc.org.

National Center for Farmworker Health (NCFH): Located in Buda, TX, NCFH provides health centers with information about the farmworker population, training and technical assistance in the areas of program manage ment and governance. To access these services, please contact Sylvia Partida at partida@ncfh.org.

The eight Regional Migrant Health Coordinators (RMHC) are also invaluable resources for existing migrant health programs, health centers, and other farmworker providers. To learn more about the coordinators, please visit the article titled Regional Migrant Health Coordinators in this issue.

Observed Days

September 1-30, 2010 National Cholesterol Education Month National Heart, Lung, and Blood Institute Health Information Center P.O. Box 30105 Bethesda, MD 20824 hp2010.nhlbihin.net/cholmonth/

September 19-25, 2010 National Farm Safety and Health Week National Education Center for Agricultural Safety 10250 Sundown Rd. Peosta, IA 52068 www.nsc.org/necas

October 1-31, 2010 National Eye Injury Prevention Month American Academy of Ophthalmology PO Box 7424 San Francisco, CA 94120 www.geteyesmart.org

October 15, 2010 National Latino AIDS Awareness Day Latino Commission on AIDS 24 West 25th St., 9th Floor New York, NY 10010 www.nlaad.org

By Hilda Ochoa Bogue, Resource Development/ Policy Analysis Manager, NCFH
COPYRIGHT 2010 National Center for Farmworker Health, Inc.
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2010 Gale, Cengage Learning. All rights reserved.

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Author:Bogue, Hilda Ochoa
Publication:Migrant Health Newsline
Geographic Code:1USA
Date:Sep 1, 2010
Words:812
Previous Article:Regional migrant health coordinators.
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