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2011ANNUAL REPORTANNUAL REPORT
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Profile of a Farmworker Family"Mamá, ya nos vamos! (Mom, we're leaving!)" Alejandra calls to her mother as she departs the camp for a few hours. Work on the farm for the day may be complete for the 17-year-old and most of her family (her father is working late, as usual), but her time as a Teen Health Aide will run into the evening. She heads off to her weekly training where she will learn about women's reproductive health and how to teach this newly acquired knowledge to her peers in the camp.
Alejandra lives in a two-bedroom apartment in a migrant camp with her mother, father, younger brother, uncle, aunt, and three young cousins during the harvest season in Northern Ohio. Her family has been migrating to this same farm her whole life. Alejandra, and cousin Maricarmen, were two Teen Health Aides from our first program in Ohio this summer.
We invite you to follow Migrant Health Promotion's banner year of 2011, in which many new projects were completed and partnerships made, and to learn a little bit about Alejandra and her family -- Alejandra's role models, her mother's dreams for her children, and her brother's future aspirations.
Maricarmen and Alejandra, cousins and 2011 Teen Health Aides
Migrant Health Promotion is pleased to have provided another year of service to migrants, farmworkers, border residents, other Latino populations, and Migrant Health Centers throughout the nation. As we enter our 29th year of service, we continue to utilize the Promotor(a) or Community Health Worker (CHW) model to improve health and decrease health disparities. This work includes increasing access to quality medical care, providing tools and support to communities determined to strengthen and empower themselves, providing connections between local services and underserved populations, and addressing the many barriers that prevent people who wish to live healthy lives in healthy communities from achieving their goals. This service is both an honor and a pleasure, and both our board and staff feel passionate about continuing to provide this service.
As you are no doubt aware, there are persistent barriers to completing this powerful and important mission. The national economy continues to suffer, decreasing funding opportunities in the form of both grants and donations. In addition, serving the populations we do, issues of immigration, human trafficking, labor abuses, and punitive state and Federal legislative changes have all negatively impacted our populations’ access to quality health care and the tools necessary to build healthy communities. Still, we have not allowed these barriers to stop, or even slow, our work. In another year in which tight funding resulted in smaller budgets and no staff raises, MHP provided pláticas (training and education sessions), direct service, and information and referrals to over 20,000 people and 80 Migrant and Community Health Centers. Overall, MHP provided health education and referrals in 32 states across the nation and Puerto Rico through door-to-door outreach, community centers, health fairs, and Community Health Centers.
We decided last year to open new offices for direct service in the states of Washington, Florida, and Ohio (in addition to our existing offices in Michigan and Texas). We are excited to say that we have already begun implementing programs in two of our three new office areas. In 2011, we provided health education and outreach to migrant farmworkers in Ohio and started a training and leadership program in Eastern Oregon. In addition, we established significant partnerships in our three new states; we are working with these partners to secure funding for new direct service programs.
On the national level, MHP has served on committees and workgroups concerning Community Health Workers (CHWs) and Latino populations. We strongly support CHWs as viable and important team members in decreasing health disparities while empowering underserved populations -- and we take every opportunity to advance this idea. We have also joined state coalitions exploring the issue of the certification and training of CHWs in Florida, Oregon, and Michigan.
Inside these pages, we highlight only four of the many programs we implemented this year. These programs demonstrate the dedication and passion of our Promotores(as), the strong spirit of our population, and the depth of our commitment to our mission. We would like to thank all of those agencies and partners that supported our work this year and, in addition, would like to invite those that have not yet joined the network to promote this important mission to do so this year.
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Penny Saucedo Burillo Gayle A. Lawn-DayGayle A. Lawn-Day, PhDChief Executive Officer
Profile of a Farmworker Family
Penny Saucedo BurilloBoard President
2011-2015Strategic Plan
Using the Promotor(a) model, Migrant Health Promotion provides culturally-appropriate health education and outreach and sustainable community development to farmworker, migrant, border, and/or other underserved or isolated communities throughout the nation. Through increased knowledge and skill building, individuals and families will be empowered to live healthy lives.
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Our Mission
Continue expanding services to populations served by our mission nationwide.
Establish integrated, comprehensive national trainings to support Promotor(a) Programs in all appropriate settings.
Ensure that all programs address individual and community health holistically.
Engage in policy discussions to support our mission.
Broaden and diversify the funding streams for programs that fulfill our mission.
Catholic Consortium forMigrant Health (CCMH)
A student from University of Michigan, Hispanic Dental Association screens a farmworker in a camp in Southeast Michigan during the Camp Health Aide Program
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Catholic Consortium forMigrant Health (CCMH)
Comprised of these partners: The CCMH has supported MHP and its mission throughout our history.
Profile of a Farmworker FamilyName: Maria Esther Age: 38Relationship to family: Alejandra's motherHometown: San Juan, Texas What I Want for my Kids: I want [my kids] to be more than I am. I want them to study and go to school, and learn more and succeed. I studied six years in primary school and three years in high school. I stopped studying at a very young age (15) because it was too expensive to study in Mexico. Since I couldn’t finish school, I want them to continue to study. What I Thought about the Entre Amigas Program: [Alejandra] is 17, and I can only guide her with the things I know, but with what she learned in Entre Amigas, hopefully she will make better decisions now. I would have liked her to have learned about what you taught her when she was younger so that she could have learned about the good and bad consequences of the choices she makes.
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2011 ProgramsMHP implemented a total of 14 programs in 2011:•Amor de Madre (A Mother’s Love)•Camp Health Aide Program (CHAP)•Colonia Promotor(a) Project•De Hombre a Hombre (From Man to Man) •El Arte de Sobrevivir (The Art of Surviving)•Entre Amigas (Between Girlfriends) Teen Health Program•Futuros Saludables (Healthy Futures)•March of Dimes•Migrant and Latino Leadership Training Project•National Capacity-Building Assistance Program•Promotora Community Project (PCP) •Public Transportation Training Project•Salud y Sabiduría (Health and Wisdom)•Un Nuevo Mañana (A New Tomorrow)
Our Programs
NATIONAL CAPACITY-BUILDING ASSISTANCE
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This year, Migrant Health Promotion completed the development and pilot phase of the Pasaporte de Promotor(a) de Salud national training recognition program. A total of 37 Promotores(as) successfully completed the seven core modules and an additional 96 Promotores(as) have begun the training program in Texas, Colorado, and Oregon.
The Pasaporte de Promotor(a) de Salud is a series of skill-building and health education modules that are used to help prepare and develop health outreach skills. The modules may be completed one at a time or all at once. The seven modules require a total of 48 training hours. After each module, the Promotor(a) receives a stamp in his/her “passport” booklet. This booklet includes a description of the training and a stamp validating completion of each module. The “Pasaporte” training is not a formal certification. Instead, it is a recognition of training, which is recorded in the passport booklet for Promotores(as) to share with their employers and peers.
Silvia Uresti, 2011 Camp Health Aide,
Southeast Michigan
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As the Pasaporte de Promotor(a) de Salud program continues to be disseminated across the nation, MHP has worked with various states to address their unique needs. For example, in November 2011, the Texas Department of State Health Services (DSHS): Community Health Worker Training & Certification Program approved the Pasaporte de Promotor(a) de Salud training curriculum as Continuing Education Units (CEUs) for state certification for Community Health Workers and Promotores(as). Migrant Health Promotion looks forward to organizing regional conferences to continue to build the skills of Promotores(as).
The training module topics include: •Module 1: Promotor(a) Scope of Work •Module 2: Teaching, Capacity Building & Popular Education •Module 3: Cultural Competence •Module 4: Communication •Module 5: Service Coordination Skills •Module 6: Confidentiality and Ethical Responsibilities •Module 7: Evaluation Tools for Promotores(as)
“Your Pasaporte de Promotor(a) de Salud training was just what our Promotores(as) needed. It brought in new ideas and informa-tion, and underscored many things that we have been telling them. Also, your style as a presenter/facilitator showed them that there are many ways of running a workshop. Seeing that, hopefully, will build their confidence in developing their own individual styles.”
-Carl Wilmsen, Executive Director, Alliance of Forest Workers and Harvesters
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Our Programs
PROGRAM HIGHLIGHTS:● Develop curriculum in cooperation with Valley Transit ● Train-the-trainers: Promotores(as) and community volunteers● Provide training to community members on the use of the transit system ● Increase passenger knowledge and awareness of transit services● Increase use of the transit system, thereby improving access to . employment and services
Lack of transportation is a key barrier to employment, training, child care, educational and vocational programs, social services and health care in rural areas of Hidalgo County. Job Access and Reverse Commute (JARC) funds Migrant Health Promotion, in collaboration with the Lower Rio Grande Valley Development Council (Valley Metro), to train community members on the use of public transportation, including how to read timetables and decipher route maps; the program also provides free travel to low-income individuals. JARC programs in other regions have had a dramatic impact on the lives of low-income families, helping individuals
PUBLIC TRANSPORTATION TRAINING PROJECT
Our Programs
successfully transition from welfare to work and reach needed employment support services such as childcare and job training. Trainings teach program participants how to plan trips and use the bus system effectively. The program will elicit participant feedback in order to continually improve the transportation system. This project is the first of its kind in Hidalgo County.
Profile of a Farmworker FamilyName: Juan Manuel Age: 37Relationship to family: Alejandra's uncleHometown: Weslaco, Texas What My Experience Has Been Migrating: When I was 16 years old, I started traveling from Weslaco, Texas to Ohio. I first started cutting escarole, endive, and romaine, and now I pack and ice cilantro and other vegetables.What I Want For My Kids: I am always telling my kids to study and to go to school, and to make something out of their life and be respected. Life will be very difficult if they don’t study.What People Would Be Surprised to Know About Me: My favorite hobby is riding horses. I have two horses in Texas (Pinto and Red) and one in Ohio.
Leticia, Promotora, preparing for training in South Texas
Awards & RecognitionCBD ACCREDITATION COMMITTEE
Lizette Pacheco, Senior Managing Director for Migrant Health Promotion, was chosen by HealthConnect One to serve on the Community-Based Doula (CBD) Accreditation Committee. This committee was formed to establish, maintain, and sustain standards for the CBD model through an accreditation process, similar to one carried out by the Maternal Infant Health Outreach Worker (MIHOW) Project at Vanderbilt University. It is anticipated that doula accreditation will help to sustain the quality of community-based doula programs in urban and
rural settings by using standards and measures of success developed by HealthConnect One over 14 years of partnership and dialogue with community-based doulas, program supervisors, and community stakeholders.
Lizette has been involved with doula programs for seven years and is thrilled at the opportunity to participate in this doula accreditation process.
MASTER TRAINEE WORKSHOP Staff members Colleen Reinert, Senior Managing Director, and Anne Lee, Program Coordinator (pictured left to right), were selected by the Women's Health Leadership Institute (WHLI) to participate in the Master Trainee Workshop in Phoenix, Arizona in January 2012. WHLI reviewed many applications and selected Colleen and Anne as strong candidates from Public Health Service Regions IV (Florida) and V (Michigan), respectively.
MHP is excited that Colleen and Anne are being recognized and given the opportunity to further develop their leadership skills.
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Midwest Affiliate of the
National Council of La Raza
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Migrant Health Promotion was a proud first-time affiliate of the National Council of La Raza (NLCR) for 2011. This affiliation has opened many doors for potential partnerships and awareness of how the populations we serve are being helped throughout the country by organizations with missions that are in alignment with NCLR and MHP.
NCLR holds several affiliate events during the year. Migrant Health Promotion staff were selected to participate in NCLR's Peer-to-Peer training with 2010 Affiliate of the Year Mujeres Latinas en Acción. Various MHP staff members attended the Leadership Summit, Annual Conference, and Midwest Fall Affiliate Meeting and interacted in diverse panel discussions with government agencies, NCLR staff, and other affiliates. Funding was awarded to MHP in a competitive process to attend each meeting.
Of NCLR's nearly 300 affiliates, MHP was chosen as a top ten finalist in the 2011 NCLR Affiliate Photo Contest (see photo above in background). "The NCLR Affiliate Photo Contest provides us with an opportunity to highlight the work of our Affiliates across the country, and their ongoing effort to improve the opportunities and abilities of Latinos," stated NCLR.
Midwest Affiliate of the
National Council of La Raza
Staff member Carrie Durbin (center) pictured with fellow NCLR affiliates: Joe Medrano, START Center, San Benito, Texas and Melissa Russoniello, El Barrio, Cleveland, Ohio
DE HOMBRE A HOMBRE
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Our Programs
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“Most young men thought that it was not violence/abuse
unless there was visible physical violence toward someone. After
the workshops you could see the change in the participants. The
curriculum is very well written and the activities are very useful
and helpful. It fulfills the objective to show these men a different
way of seeing things." -Luis, Promotor
Community members in Hidalgo County taking the pledge (see next page)
Migrant Health Promotion’s De Hombre a Hombre (From Man to Man) Program engages men and boys in the prevention of sexual
assault, domestic violence, dating violence, and stalking. De Hombre a Hombre is MHP’s first all-male program, and is among the first programs of its kind in South Texas.
PROGRAM HIGHLIGHTS:•A total of nine ten-hour workshops have been completed in the first three months of the program•109 men and boys have participated in these workshops•Outreach to men has increased tremendously
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De Hombre a Hombre Pledge"I Promise Not to Commit, Condone, or Remain Silent
About Domestic & Sexual Violence.""Yo Prometo No Cometer Ni Justificar, Ni Mantenerme Callado
Acerca de la Violencia Doméstica y La Violencia Sexual."
Boys at the Boys and Girls Club in Starr, Texas take the pledge with Luis, Promotor
De Hombre a Hombre began in September 2011, with an immediate impact on the participants. The workshop sessions, which follow Migrant Clinician Network's “Hombres Unidos Contra la Violencia Familiar” ("Men United Against Family Violence") curriculum, empower the participants to see that their decision-making is critical in preventing violence against women. They realize the influence they have to stop domestic violence, and other forms of violence. The workshops make it easy for participants to communicate honestly with each other. The curriculum is well-received and respected by the men participating in the program. Through the De Hombre a Hombre Program, Migrant Health Promotion’s Promotores reach out to men in the community and give them the opportunity to participate in community organizing and leadership.
At the completion of the ten-hour workshop, participants are invited to make the following pledge:
“One of the most important goals accomplished through thisprogram is that it gives each participant knowledge and awareness on domestic violence and gives them the tools for stopping and preventing it in their homes. We are looking to meet and exceed our goal for participants to increase their knowledge of how to prevent and stop domestic violence.” -Tony, Promotor
Entre Amigas (Between Girlfriends) became Migrant Health Promotion's first Promotora program in Ohio in the summer of 2011. The program sought to prevent early and unplanned pregnancies and expand the horizon of life options for young farmworker women. Three female adolescents in a farmworker community in Plymouth, Ohio were trained and mentored to work as Teen Health Aides (THAs). The THAs offered their peers education on reproductive health, HIV and STI prevention, healthy relationships, communication, and leadership. Entre Amigas’ approach to reproductive health went beyond education and aimed to empower youth and build leaders.
PROGRAM HIGHLIGHTS•115 farmworker girls and young women reached•Meeting with the Ohio Migrant Monitor Advocate/Ombudsman to discuss farmworker youth issues•“College Night” with Michigan State University’s College Assistance Migrant Program and High School Equivalency Program•Campus tour of Bowling Green State University (BGSU)•“Girls Day Out” – The Teen Health Aides led a day-long health education group session led by the Teen Health Aides combined with outdoor recreation
ENTRE AMIGAS
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Our Programs
“Being a Teen Health Aide has affected me very positively. No one can take away this experience from me, and I will be able to reflect on it my whole life and remember the leadership and communication skills it taught me.” -Alejandra
“My family sees a change in me, and they think I have grown during my experiences in this program. They are all proud of me and grateful I have had the opportunity to be a Teen Health Aide.” -Samantha
“I have learned so much about reproductive health, sex and consequences, STDs, leadership, and thinking about my future plans. Being a THA has made me confident in speaking to people about their problems.” -Maricarmen
Our Programs
REFLECTIONS FROM THE THAs
Left: The Teen Heath Aides tour BGSU's campusRight: The girls conduct health encounters at a camp in Willard, OhioAbove: Maricarmen involves the group in an activity during "Girls Day Out"
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2011 MAJOR FUNDING SOURCES
Catholic Consortium for Migrant HealthClannad FoundationConAgra Foods FoundationFirst Choice PowerLalor FoundationLance Armstrong FoundationLower Rio Grande Valley Development Council March of DimesOregon Community FoundationPresbyterian Hunger ProgramRio Grande Regional Hospital, Women’s ClinicTexas Health and Human Services CommissionTexas Department of State Health ServicesTJX FoundationTMF Health Quality InstituteUniversity of Texas, BrownsvilleUS Department of Health and Human Services (DHHS), Health Resources and Services Administration (HRSA), Maternal and Child Health BureauUS DHHS, HRSA, Bureau of Primary Health CareUS DHHS, HRSA, Office of Rural Health PolicyUS Department of Justice, Office on Violence Against Women
Visit migranthealth.org and click on the “Donate Now Through Network for Good” button on the right to make your tax deductible donation.
You can also support Migrant Health Promotion while shopping online: Go to iGive (igive.com)
Funding
How to Donateand select Migrant Health Promotion as your cause. Registration is quick and easy. Once registered, you can shop through many online stores and a percentage of the amount you spend will be donated to Migrant Health Promotion.
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Profile of a Farmworker FamilyName: Juan Nickname: Juanito Age: 7
Relationship to family: Alejandra's brotherHometown: San Juan, Texas
Have You Ever Been Sick? Yes, I had a headache.The Best Gift I Ever Received: Paintball gun.What I Want to Be When I Grow Up: A soccer player.My Favorite Soccer Player: Chicharito (Javier Hernández Balcázar), he plays for Mexico.My Best Friend: Ricardo. He hangs with me
a lot, and we play the Wii. My favorite game is Super Mario Bros.
Profile of a Farmworker FamilyName: Alejandra Age: 17Hometown: San Juan, Texas What I Like About Migrating: In Texas, we are scattered everywhere, but here in Ohio, we live together in one place. It bonds the family. Health Issues My Family Has Faced: My grandfather had a heart attack while working in the field in Ohio, and he died. We had to leave early that year to go back to Texas. My grandmother used to go to dialysis a few times a week, and she had other problems too. She also passed away here at the camp two years ago. Why My Family Is Important to Me: In the Mexican culture, we are really bonded with our family. That's why it is hard for us to separate.What I Want to Be When I Grow Up: In college I want to major in Criminal Justice and become a Police Officer or a Corrections Officer. Who I Admire: My dad and my mom. My dad doesn't talk much, but if anyone comes to him for help, he always knows what to say and do.
Board of Directors
Penny Saucedo BurilloBoard President; Finance Committee Retired Migrant Services Worker, State of Michigan Farmworker Advocate
Fabio Arcila, Jr., JDBoard Treasurer; Finance Committee ChairProfessor of LawTouro Law Center
John A. Gallagher, PhDBoard Affairs CommitteeCorporate Director, EthicsCatholic Healthcare Partners
Gayle Lawn-Day, PhDBoard SecretaryChief Executive OfficerMigrant Health Promotion
Dora MejiaBoard Affairs CommitteePromotora and former farmworker
Judith Mouch, RSMBoard Affairs CommitteeAssociate Professor of Nursing University of Detroit Mercy
Michele Rosales, MBAAt-Large, Finance CommitteeRegional DirectorMalheur County CenterEastern Oregon University
Laura TreviñoBoard Vice PresidentAssociate Regional DirectorTexas A&M University CHUD Colonias Program
Melissa A. Valerio, PhDFinance CommitteeAssistant Professor of Health Behavior and Health Education University of Michigan School of Public Health
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Farmworkers, Promotores(as), or representatives of service provider organizations, and/or advocacy groups who have experience working with and understanding the strengths and needs of the populations served by the organization’s mission govern Migrant Health Promotion.
Michigan2111 Golfside Dr.Suite 2BYpsilanti, MI 48197new address!
Texas536 S. Texas Blvd.Suite 117Weslaco, TX 78596
Florida7067 Strand CircleBradenton, FL 34203
OhioP.O. Box 62Defiance, OH 43512
WashingtonP.O. Box 3446Pasco, WA 99302
OurOffices
Profile of a Farmworker FamilyName: Maricarmen Nickname: Mary Kay Age: 13Relationship to family: Alejandra's cousinHometown: Elsa, Texas What I Have Learned From My Parents: They have taught me to be honest. Who I Admire: My mom. She's always helping me any way she can, and always talking to me. She is always there when I need her. What I Want to Be When I Grow Up: I want to be a medical assistant because I really like to be involved and help others.My Best Friend: My cousin Alejandra because we are always together here in Ohio.My Favorite Part of Entre Amigas/Being a Teen Health Aide: My favorite thing was doing health encounters with different girls and teaching the group health sessions.
For all locations, dial: 800-461-8394
All Photos by: Carrie Durbin, Robert De Leon, Juan Antonio Martinez and Jessica Torres
