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Lenawee County Health Department
THERESA ENRIQUEZ – WISEWOMAN COMMUNITY NAVIGATOR
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HISPANIC/MIGRANT POPULATION
Michigan has about 100,000 undocumented immigrants according to the Detroit Free Press with 45% coming from Mexico
Number of Lenawee County residents born outside U.S is 1,655
36% originate from Latin America 46% foreign-born residents are now U.S. citizens
Information gathered from the U.S. Census Bureau
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WHAT ARE THE BARRIERS?
Language barrier
Immigration status
Affordable/Attainable Healthcare
Transportation
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LANGUAGE BARRIERS
Approximately only 30 percent of the Migrant Farm Workers can speak English well
Paperwork is not available in Spanish
No translator available
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What have we done:
Have a full-time translator at our Health Department
Translated forms into Spanish which cuts down 15-20 minutes on clinic time per woman who needed questions translated
Send reminder letters in Spanish Make reminder calls for appointments
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Immigration Status
Misconception that immigration officials coordinate with health centers
We let them know that a Social Security number is not necessary to receive services
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Affordable/Attainable Healthcare
Undocumented Immigrants are only able to receive Emergency Medicaid
Cannot purchase healthcare with their own money in Marketplace
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Transportation
Most migrant workers rely on others for transportation
We offer free Dial-A-Ride tickets
There are Community Volunteers who will transport
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SOCIAL, ECONOMIC AND ENVIRONMENTAL CONDITIONS
Migrant workers make up 1/3 of the agricultural industry’s labor force
Pesticides can cause rashes, headaches, vomiting, neurological damage, birth defects, and cancer
Receive low wages
Close living quarters makes it easier to acquire/spread communicable disease
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Migrant Worker Housing at Camps
THEN NOW
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Outreach
Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3rd Monday
each month and network with other agencies Market Fresh Coupon distribution on June 13, 2015 at
Downtown Farmers Market Market Fresh Coupon distribution on July 11, 2015 at
Downtown Farmers Market Migrant/Seasonal Farmworkers Health Fair on July 16, 2015 at
Blissfield School
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Outreach continued…
Focus Groups held on August 11, 2015 held at the Lenawee Christian School
Preservation Class on September 02, 2015 held in Demo Kitchen at DHHS building
Stress Less With Mindfulness (Begin with the Breath)on September 28, 2015 at the Adrian Public Library
Stress Less With Mindfulness (Mindful Eating) on October 26, 2015 at the Adrian Public Library
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Continued…
Attended Hunger Free Lenawee Breakfast on January 13, 2016 at DHHS and networked with food pantries
Project Connect at the Lenawee County Fairgrounds on January 27, 2016
Conference for Growers and Service Providers on April 6, 2016
WISEWOMAN Community Group Workshop in Demo Kitchen at DHHS on April 21, 2016
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Fiscal year numbers
FY15 we had 60 Hispanic women come through the clinic which accounted for 28.3% of our caseload
FY16 we have had 30 Hispanic women come through the clinic which accounts for 30% of our caseload
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