National Center for Farmworker Health

23rd Annual Midwest Stream Farmworker Health Forum


The 23rd Annual Midwest stream Farmworker Health Forum held on South Padre Island, TX was an absolute success! Thank you to all of the 200 attendees who made their way down to South Texas to help make this conference a wonderful event. Participants were offered 23 individual 90-minute breakout sessions, three exciting and information packed plenary sessions, and three 4-hour intensive sessions, totaling over 50 hours of educational opportunities! More than 50 speakers from across the country presented on a wide array of topics including: the Affordable Care Act, technology, cancer screening, outreach and enrollment, Community Health Worker programs, HIV, emergency preparedness, arthritis, pesticide exposure reporting, mental health, PCMH, and civic engagement, among many others. The 2013 Midwest Stream Forum also allowed the attendees a rare opportunity; on Thursday evening we were thrilled to host “Una Charla con Dolores Huerta: “La Responsibilidad del Destino de Nuestras Raices” where Ms. Huerta reviewed the historical role of migrant health centers as agents for change and guides in shaping the future of our communities. Immediately following the charla, Dolores provided hands-on community engagement training for CHW’s and Promotoras. The three other plenary sessions included updates from our Federal Partners at HRSA and the CDC, a panel discussion on the Affordable Care Act featuring Israel Garcia, Jose Plaza, Joe Gallegos, and Dolores Huerta; a presentation on the Social Determinants of Health by Dr. Julian Perez; a review of the history and value of Community Health Workers by Ms. Emma Torres; an update on the status of immigration by Mr. Roger Rosenthal; and a presentation by dr. Seth Homes who spent  over a year living, working, and migrating with farmworkers on the west coast.

The learning did not stop with these valuable sessions, though. There were 15 exhibitors on-site sharing a wide variety of products on information on an array of migrant and seasonal farmworker specific topics. In addition to exercising their minds, the 2013 Forum offered participants the opportunity to exercise their bodies with a Zumba class on Friday morning and a sunrise beach yoga class on Saturday morning. While the schedule was replete with important material, participants did have the opportunity to network as well. The Thursday evening Welcome Reception offered attendees the opportunity to reconnect with old colleagues in the lovely foyer of the Isla Grand, while listening to a local trio band. On Friday, folks were encouraged to strengthen relationships with new colleagues by joining them on the dance floor after a banquet dinner.

We sincerely thank all of you who were in attendance for making this’s Midwest Stream Forum on to remember! We hope that you found it as exciting, rejuvenating, and educational as we did! Please join us next November 20-22 when we return to lovely San Antonio, Texas for the 24th Annual Midwest Stream Farmworker Health Forum.


Marisol Bravo trains participants on MHP’s “Promotores (as) Connect” project during an intensive session on technology.


NCFH COO, Sylvia Partida and NCFH Board Member Lucy Ramirez pose for a photo during the Thursday evening Welcome Reception.

Dolores Huerta answers questions from the audience on the impact of the Affordable Care Act on Migrant and Seasonal Farmworkers.



Stream Forum Presentations

01 Reaching Out with Technology 

01 Promotores(as) Connect


01 Exploring the mHealth-for Accessible, Affordable and Quality Primary Healthcare for Farmworkers

03 Health Insurance Outreach and Enrollment: Training-of-Trainers

04 Addressing Health Inequities

04 CDC Update

05 Migrant Health 101: An Introduction to Migrant Health

07 Promotores de Salud are HIP (High Impact Prevention) in FW Communities for HIV Prevention

08 Building Capacity to Serve People with Limited English Proficiency: Systems to Support Equality

10 HRSA Update

10 NACHC Update

10 ACA Outreach and Enrollment

11 What Farmworkers Tell Us about Their Health: Current Findings and Future Health Data Expansion at the National Agricultural Workers Survey

12 Outreach and Enrollment: A Vital part of a Thriving PCMH

13 Emergency Preparedness for Farmworkers: Practical Guidance for Outreach Workers

14 Making Connections and Supporting Change: The Teach-with-Stories Method

15 Motivational Interviewing

15 Utilizing the Chronic Care Model and Motivational Interviewing Training to Enhance CHW Success within the Patient Centered Medical Home

15 Understanding Our Patients’ Mistrust of Medications and How to Address It

16 The Value of Fotonovelas for Osteoarthritis Health Education Sharing Among FWs

16 Let’s Talk About Arthritis: An Arthritis Education Program for Lay Health Workers

17 Good Medicine: Stress Prevention and Reduction for Healthcare Workers

18 Texas Community Health Workers-Bridge to a Healthy Community

18 The Community Health Worker Toolkit: The Rural Assistance Center’s Resource for the Effective Development of CHW Programs

19 Shining the Light on Pesticide Exposures: Incident Reporting Makes a Difference

19 Pesticide Exposure Surveillance in Texas Program

19 Pesticide Exposures: What is Reported to Poison Centers

20 Legal Do’s and Don’ts of Migrant Health Center Civic Engagement

21 Integrating Community Health Workers into Patient-Centered Medical Homes

21 Promotoras(es): Once a Luxury, Now a Necessity

22 Overcoming Obstacles to Health Care: Transportation Models that Work

23 Playing in the Sandbox Together: Models for Collaboration that Benefit Migratory Agricultural Children and Out of School Youth

24 Farmworker Mental Health: Implications for Human Services Providers

25 Why Should Farmworkers Support Community Health Centers and How Can They Show Their Support?

26 REACH-Hays County

26 REACH Su Comunidad: Achieving Health Equity through Community Empowerment

26 Structural Challenges to Health Faced by Mexican-Origin Children and Families in Texas Border Colonias

26 Promotoras de Salud and Community Empowerment

27 Legal Solutions to Farmworker Health Needs

27 Primary Care Outreach to Migrant Farmworkers in Georgia

28 Healthy Plate to a Healthy Weight-Part One

28 Healthy Plate to a Healthy Weight Curriculum-Part Two

29 Needs Assessment: The What, the Why and the How

30 Fresh Fruit, Broken Bodies