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Health champions are always looking for innovative ways to better serve the migratory and seasonal agricultural worker (MSAW) population. One of the many great things we have seen in our work over the past 5 years has been the willingness of health center staff to share their promising practices with colleagues to ensure we reach our mutual goal of increased access.

Increase Access To Care for Agricultural Workers Program Promising Practices Award
2024

Since the inception of the Increase Access to Care for Ag Workers Program in 2015, we have seen a variety of great promising practices implemented at health centers that have contributed to the increase of MSAWs and their families served nationwide. The IAC Network Promising Practices Award was established in 2018 to showcase promising practices and acknowledge health centers’ efforts to continuously identify ways to increase access to quality health care for the MSAW population.   
   
Central Florida Health Care (CFHC)  is being recognized for their innovative adaptation of outreach practices and strategic partnership and collaboration development, resulting in systems change to meet the everchanging needs of MSAW families in their service area. Their efforts are a testament to their health center team’s passion and commitment to serve this underserved population and ensure they remain a priority.  We are pleased to acknowledge CFHC’s great work!

CFHC was recognized at this year’s inaugural Fall 2024 Agricultural Worker Health Symposium in Tampa, FL, on Tuesday, December 3rd.

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Past recipients include: 

 
Questions? Contact miller@ncfh.org   

Promising Practices & Strategies

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Since the inception of the Ag Worker Access Campaign, we have seen a variety of great promising practices (unique, out-of-the-box ideas) implemented at health centers that have contributed to the increase in the number of MSAWs and their families served nationwide. The following are strategies were shared by Health Champions from throughout the U.S. as one of their many contributions to the Ag Worker Access Campaign initiative. We hope these strategies will assist your increase access efforts, and would greatly appreciate you sharing your successful strategies with us, to include here as well.

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OUTREACH & MARKETING

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  • We build strong relationships w/our MSAW families 
  • Focus groups w/farmers to get ideas that help create strategies to increase access to care 
  • Outreach 
    • Outreach staff based at all health center sites
    • Clinical outreach to Camps 
    • Use of Promotores to outreach to MSAWs
    • Enhanced outreach and follow up 
    • Reach out to H2A employers 
    • Delegating activities to coordinators so director can outreach to other partners, crew leaders, providers
    • Using a Mobile unit to provide health education 
    • Host annual health fairs to attract farmworker families
    • Providing outreach with transportation
    • Increased participation in community events (Mexican Consulate, Department of Health and Environmental Control & churches)
  • Marketing
  • Use of pre-season door hangers w/outreach worker & clinic hours/contacts
  • Development of an outreach video to showcase the potential impact of outreach to farmworkers
  • Personally & individually promote services. Don’t count on a flyer
    • Networking 

COMMUNITY PARTNERSHIPS & COLLABORATIONS

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  • Dental & optometry partnerships
  • Create partnerships with health care providers to offer continuity of care
  • Formed a new relationship w/the Education Commission that offers FREE summer camp to MSAW children
  • Collaboration w/other agencies & programs: university students 
  • Working in collaboration with local departments of health
  • Outreach events with partner organizations to provide HIV testing & health screenings in the MSAW camps
  • Attend health fairs
  • Partnership with Mexican and Guatemalan consulate 
  • Partnership with NC Growers Association!
  • Formed partnerships with local MSAW outreach organizations to expand our clinical capacity and scope
  • Attended Farm Bureau meetings
  • Partner w/medical school to have local clinics
  • We host mobile clinics at our farms in collaboration with University of Connecticut medical students
  • Health fairs with legal services 
  • Recruit & train summer interns for sponsor organization in order to increase their capacity and conduct more outreach 
  • Mobile clinics & telehealth services w/El Futuro (Latino mental health provider organization)
  • Collaborate with health centers to offer trainings to their patients 
  • Creating local partnerships to increase healthy food access
  • Outreach with local farms
  • Medical-legal partnerships/referrals
  • Partnership with PCA voucher Program 
  • Provide referrals & resources for other social services agencies
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HEALTH CENTER OPERATIONS, DATA COLLECTION & UTILIZATION

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  • Case management 
  • Have an employee assistance program to pay for specialty, medical equipment, transportation and other incidentals
  • Making “ID” cards for workers to facilitate the registration process whenever they seek care
  • Implement/improve sliding fee scale 
  • Applied for grants for new vehicles for transports

WORKFORCE DEVELOPMENT

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  • Staffing
    • New staffing 
    • Increased staff to facilitate more service
    • Hiring health coaches to provide mental health services
    • Hire more field CHWs & increased wages for department
  • Training
    • Increase staff training on health education & the importance of being responsive to community needs
    • Recruit & train summer interns for sponsor organization in order to increase their capacity and conduct more outreach 
    • Learn how to negotiate Medicaid rate on different specialties
  • Other
    • Increasing exposure to agricultural worker health for medical students, pre-meds, residents, and other aspiring health professionals
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National Center for Farmworker Health
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