 Promotores(as) de saludare frontline community health workers who have a deep understanding of the communities they serve. They often live in the community themselves and are trusted liaisons in healthcare settings.
Promotores are experts on outreach and can provide crucial information to hard-to-reach communities, especially amongst the Latino population. They bridge the cultural gap with patients by providing services that are linguistically appropriate. Promotores address other social determinants of health aside from communication and language barriers such as improving health literacy, decreasing transportation challenges, referring patients to community resources, and advocating for policy change. They are key to breaking down barriers that keep many Latinos and other underserved populations from obtaining quality, accessible healthcare. Research shows that promotores de salud are particularly effective in addressing chronic illnesses like hypertension, heart disease, cancer, and diabetes. The Latino population is at greater at risk of prediabetes and often develop more serious conditionsincluding type 2 diabetes, kidney failure, diabetic eye disease, and stroke.Prediabetes is a blood glucose (sugar) level that is higher than normal but not high enough to be diagnosed as diabetes. Statistics show that about 32% of Latinos have prediabetes and 50% of Latinos eventually develop type 2 diabetes, a 10% higher rate for diabetes than the national average in the United States. Promotores de salud help prevent or delay diabetes by working with patients and their families. They use educational tools, like “Shopping at La Tiendita,” to inform patients about how to access and prepare healthy foods, change their eating habits, and increase their physical activity to lead a healthier lifestyle. Promotores also promote screenings for prediabetes and diabetes, connect and enroll patients in CDC-recognized Diabetes Prevention Programs, and educate health providers on factors that impact a patient’s continuity of care. Promotores de saludare in the best position to provide health education and support to patients in their own communities. For additional information and resources available to healthcare workers and patients on diabetes prevention and self-management, check out our Diabetes Resource Hub. You can also find more information about training programs for Promotores de saludwith one of our FHN partners, MHP Salud. Sources: Centers for Disease Control and Prevention. National Diabetes Statistics Report, 2017. Atlanta, GA: Centers for Disease Control and Prevention, US Department of Health and Human Services; 2017. National Center for Health Statistics, National Health Interview Survey, 2016. https://gis.cdc.gov/grasp/diabetes/DiabetesAtlas.html https://www.cdc.gov/diabetes/atlas/countydata/atlas.html CDC, 2017. Health, United States, 2016. Table 58. http://www.cdc.gov/nchs/data/ hus/hus16.pdf US Census Bureau, 2010 Harris, MI, et al., “Is the risk of diabetic retinopathy greater in non-Hispanic blacks and Mexican Americans than in non-Hispanic whites with type 2 diabetes? A U.S. population study.” Diabetes Care. 1998 Aug;21(8):1230-5. Brownstein J, Bone L, Dennison C, Hill M, Kim M, Levine D. Community health workers as interventionists in the prevention and control of heart disease and stroke. Am J Prev Med. 2005: 29 (5): 128-133. Brownstein J, Chowdhury F, Norris S, et al. Effectiveness of community health workers in the care of people with hypertension. Am J Prev Med. 2007; 32 (5): 435-447. Allen J, Dennison C, Himmelfarb D, Szanton S, Frick K. Cost-effectiveness of nurse practitioner/community health worker care to reduce cardiovascular health disparities. J Cardiovasc Nurs. 2013; 29 (4): 1-7. Gary TL, Bone LR, Hill MN, et al. Randomized controlled trial of the effects of nurse case manager and community health worker interventions on risk factors for diabetes-related complications in urban African American. Prev Med. 2003; 37 (1): 23-32. [GC1]Hyperlink CLAS somehow, but only found an archived webinar
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 Join us in commemorating Agricultural Worker Health Center Day on Tuesday, August 6th! A few suggestions for including the Campaign in your Ag Worker Health Center Day celebrations:
How are you planning to include the Ag Worker Access Campaign in your Ag Worker Health Center Day activities? Let us know! Be sure to use #AgWorkerAccess & tag us in your social media posts!! If you have any questions or need any additional Campaign information or resources, please contact us.  *Did you know? Campaign members receive quarterly email updates, member discounts on NCFH Commemorative artwork purchases, and are eligible to apply for NCFH scholarships!  For many families across the country, warm weather means time spent with family – whether it’s backyard cookouts, picnics at the park, family reunions, or family vacations. These events are a time for families to reconnect and reflect on traditions. Family functions are also a time to talk about family health.
In the United States, all too often a family’s health history includes prediabetes and type 2 diabetes. Prediabetes is a condition that affects 84 million American adults – or 1 in 3 – and means that a person’s blood sugar levels are higher than normal but not high enough yet for a type 2 diabetes diagnosis. Prediabetes affects some communities more than others. For example, 32% of Hispanics and Latinos have prediabetes, and only 1 in 14 are aware that they do. The good news is prediabetes can often be reversed with a healthy diet and more physical activity. When spending time with family this summer, think about ways you can get healthier together. Here are some ideas to help you get started:
Summer is a time to have fun with family, but it’s also a time to help take care of them. Encourage family members at risk for type 2 diabetes to understand their risk and learn that they can prevent or delay it if they take steps to change their lifestyle. Help them get started today! The Ag Worker Access 2020 Campaign Goal & Status Tracking Tool is a template poster for individual health center tracking of Ag Worker Access 2020 Campaign goals & status. It is a visual template for health centers to use to keep staff and board engaged in increasing access to care for Ag workers and their families.
Suggested Uses: Post in staff common areas, share in Board and staff meeting packets and presentations ProTip: Purchase self-adhesive lamination sheets to place over the table in the Progress section or Purchase an inexpensive poster frame …then use a dry erase marker to update progress without having to print the poster each time! 
NCFH is pleased to announce that Family HealthCare Network (FHCN) is this year’s Increase Access to Care for Ag Workers (IAC) Program Promising Practices Award recipient, for their promising practice highlighting partnership development and innovative outreach. FHCN’s partnerships with the Ventanillas de Salud Resource Center, and a Cuadrillas program with Radio Campesino, resulted in outstanding community outreach! Together they:
About the IAC Program: The Increase Access to Care for Ag Workers (IAC) Program is a learning collaborative that goes hand in hand with the Ag Worker Access 2020 Campaign, a national initiative launched in 2015 to increase access to quality healthcare for America’s Agricultural workers and their families. The IAC Program was designed to assist health centers in accurately identifying, registering and reporting their patients. Our Program members include Primary Care Associations (PCAs), Health Care Controlled Networks (HCCNs), and Health Centers (HCs). Our common goal for the Increase Access to Care Program is to continue to increase access to care for Agriculture workers in their service areas through sharing of knowledge, tools, and resources. For more inforamation about the IAC Program, contact us.   June is Men’s Health Month, a time when men are frequently reminded to make an appointment with their doctor for a yearly checkup. And while you’ve probably added it to your to-do list – you did, didn’t you? – there is something you can do now, today, to get a sense of how healthy you are. The best part is you don’t even need to leave your house to do it. All you have to do is take a 1-minute online test to learn if you might have prediabetes.
Prediabetes is a condition that affects 84 million Americans – or 1 in 3 people – and it means that a person’s blood sugar levels are higher than normal but not high enough yet for a type 2 diabetes diagnosis. Think of when you play ball with two buddies – chances are one of you has the condition. Men are more likely to have prediabetes than women. The good news is it can often be reversed with a healthier diet and more physical activity. To take the 1-minute test, visit doihaveprediabetes.org. You’ll be asked a few simple questions about your health, such as how active you are, whether you have a family history of diabetes, and how much you weigh. Then the website will tally your points and tell you whether you’re likely to have prediabetes and be at high risk for type 2 diabetes. Of course, if you find out you have a high-risk score, you’ll want to make that appointment with your doctor. But for now, just taking the test can let you know where you stand. If you do have prediabetes, your doctor can recommend resources and programs to help you reduce your type 2 diabetes risk, including the National Diabetes Prevention Program. At CDC-recognized lifestyle change programs, participants work with a trained lifestyle coach to learn how to make healthier choices when it comes to physical activity, healthy eating, and managing stress. Bruce Wheeler, 52, Program Participant When my glucose levels and blood pressure started to increase, I knew I had to do something to reduce my risk of developing type 2 diabetes. When I mentioned my concerns to a friend, she told me about CDC-recognized lifestyle change programs. I love the support and encouragement I get from the other program participants and the lifestyle coach. I enjoy making lifestyle changes such as cutting back on red meat and sugary drinks. I now keep my bike at work and take lunch-break rides around town to stay active! If you do one thing this June for Men’s Health Month, take the one-minute prediabetes risk test at doihaveprediabetes.org. And tell a buddy or two to do the same.  Date: Thursday, May 16th
Time: 1:30pm-2:30pm CDT Registration Link: https://attendee.gototraining.com/r/598125928138125569 Diabetes is an epidemic and a true problem across the United States. Participation in a Diabetes Prevention Program can be very beneficial in enhancing a patient's understanding of diabetes, while learning about the critical components of lifestyle changes that may prevent it. In this webinar, Su Clinica Familiar in South Texas will share a road map to the American Diabetes Association 1705 Program, based on the one implemented at their health center. This will serve as a Promising Practice Model for other community healthcare centers that may be interested in incorporating a similar Diabetes Prevention Program. In addition to highlighting the details of the program at Su Clinica, the presentation will include a discussion on the partnerships, barriers, challenges, and successes of implementing it. Presented by Lino Zamora and Marlen Chavarin-Andrews.  Women seem to do it all: they take care of their families, their pets, their homes, their finances, and their careers. With busy schedules and seemingly never-ending to-do lists, many women may be putting their own health last. But what if this year for Mother’s Day you put yourself and your health at the top of your to-do list? How? By talking to your doctor about prediabetes.
One in three Americans has prediabetes, a condition where blood sugar levels are higher than normal but not high enough yet for a type 2 diabetes diagnosis. You can have prediabetes for years but have no clear symptoms, so it often goes undetected until serious health problems such as type 2 diabetes show up. It’s important to talk to your doctor about getting your blood sugar tested if you have any of the risk factors for prediabetes. Some of these risk factors include being overweight, being 45 years or older, having a parent or sibling with type 2 diabetes, and ever having had gestational diabetes (diabetes during pregnancy) or giving birth to a baby who weighed more than 9 pounds. Prediabetes can often be reversed, and your doctor can recommend resources and programs to help you reduce your type 2 diabetes risk, including the National Diabetes Prevention Program. At CDC-recognized lifestyle change program, participants work with a trained lifestyle coach to learn how to make healthier choices when it comes to physical activity, healthy eating, and managing stress. The program is based on research that found that people with prediabetes who lost 5% to 7% of their body weight cut their risk of developing type 2 diabetes in half. For those over age 60, they reduced their risk by 71%. Jan Booker, 60, Program Participant “I’ve worked in medical research my entire adult life, but always had a difficult time managing my weight. This program has taught me how to eat healthy and find an exercise routine that works for my schedule.” As a medical librarian in a hospital, I knew I needed to make changes to my lifestyle to stay out of the hospital as a patient—but I had a hard time actually doing it. Then I found a CDC-recognized lifestyle change program. I was motivated to join the program to make sure I could play with my grandchildren for many years to come. I enjoy the program because I have met many people who also struggle with diet and exercise. We share healthy recipes and motivate each other to exercise. I now read food labels and ride a stationary bike for an hour a day. I am looking forward to a long, healthy life with my children and grandchildren. This Mother’s Day, do something for yourself and talk to your doctor about prediabetes. If you find out you have it, you can take steps now to reverse it! Learn more about diabetes and prediabetes prevention programs at www.cdc.gov/diabetes/prevention/program-providers.htm.. Midwest Stream Forum for Agricultural Worker Health Mark your calendar and join us for our
29th Annual Midwest Stream Forum for Agricultural Worker Health September 25 - 27 at the Hilton Denver City Center Hotel, Denver, CO! The hotel reservation link is now available! For reservations and additional details, click here. Stay tuned for registration and training stipend information.....coming soon! Thank you to everyone who submitted an abstract for presentation at this year's Midwest Stream Forum! Notification of selections will be sent mid-May.  Through a cooperative agreement with the CDC, the American Association of Diabetes Educators (AADE) is working with a network of partners, including the National Center for Farmworker Health (NCFH), to scale the National Diabetes Prevention Program (DPP) to rural communities across the country while engaging priority populations such as Latinos at increased risk for type 2 diabetes melleitus (T2DM). During the NACHC Conference for Agricultural Worker Health, AADE, NCFH, and the Sea Mar Community Health Center will be conducting a session where participants will receive practical guidance in clinical and community-based strategies that activate the National DPP and address the complex issues of prediabetes, and the T2DM prevention, through a proven social determinants-informed intervention. Be sure to register for this session to better understand this initiative and learn ways to apply the discussed strategies: Health Equity in Diabetes Prevention: Improving Access for Migratory and Seasonal Agricultural Workers.
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The National Center for Farmworker HealthImproving health care access for one of America's most vulnerable populations Archives
August 2019
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