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BiState PCA
Green Mountains of Vermont

State of Vermont Resources for Migrant Farmworkers


Bridges to Health


Bi-State Primary Care Association, in partnership with the University of Vermont Extension and the Open Door Clinic, established the Bridges to Health program to connect migrant farmworkers to health services through the use of care coordinators and promotores. Promotores work to decrease barriers to care facing migrant farm workers by offering transportation and translation services, helping to schedule medical appointments, educating farmers and farm workers on the local health services available in their communities, and providing feedback to rural healthcare providers on strategies to improve cultural competency and access.

Bi-State's Bridges to Health Partners


- University of Vermont Migrant Education Program


Open Door Clinic


Bridges to Health was featured in July 2015 by the Rural Assistance Center (RAC)  as a Model and Innovation. Bi-State Primary Care Association is also featured in RAC’s Care Coordination Toolkit Program Clearinghouse where you will find health outreach resources.


Vermont Migrant Farmworkers


Partners working in collaboration to ensure access to health care for farmworkers.


Vermont Cultural Competency Resources


Bridges to Health  has collaborated on several student projects of the Champlain Valley Area Health Education Center to develop a series of resources targeting the migrant farmworker population, including the following Quick Reference Guides:

Migrant Health Booklet in English and Spanish
English and Spanish Healthcare Access for Latino Migrant Farmworkers in Addison County  
English and Spanish Healthcare Access for Latino Migrant Famworkers in Franklin County
English and Spanish Healthcare Access for Latino Migrant Farmworkers in Lamoille County
English and Spanish Healthcare Access for Latino Migrant Farmworkers in Orleans, Essex, and Caledonia Counties   

Bi-State Primary Care Association Final Report: Migrant Farmworkers Needs Assessment


In the summer of 2010, the Bi-State Primary Care Association funded an assessment of migrant worker health conducted by researchers from the University of Vermont’s Community Development and Applied Economics Department. Seventy mixed-method interviews were conducted with migrant workers on 26 dairy farms in central and northeastern Vermont. 


Health Status and Needs of Latino Dairy Farmworkers in Vermont


A study of 120 Latino workers was conducted on 59 Vermont dairy farms to develop a demographic profile and evaluate their self-assessed health status and barriers to care.


Language Assistance with Limited English Proficient (LEP) Patients


A sample Policy for health center staff to use with Limited English Proficient (LEP) Patients. 


Lessons in Health Literacy


The 2014 Champlain Valley AHEC Summer Project was set up to develop culturally and linguistically suitable lesson plans for healthcare professionals and students to use to introduce important U.S. healthcare topics to Vermont’s Latino/a migrant farm workers. The inter-professional student team (Jian Xin Huang, MS2 and Jack Fitch, RN NPS) developed their lesson plans with support from Champlain Valley AHEC, assisted by UVM Extension Bridges to Health/Puentes a la Salud, and shaped by several of their conversations with Latino/a migrant farm workers. These lesson plans include an “Overview of the U.S. Healthcare System,” and information on “Medical Bills” and “Financial Assistance,” with teacher and student versions in both Spanish and English.

Lessons in Health Literacy_English version – Resources to Help Vermont Latino/a Migrant Farm Workers Navigate the Complex US Healthcare System (Lesson Plans)
Lessons in Health Literacy_Spanish version – Recursos de Apoyo para Trabajadores Agrícolas de Latinoamérica en Vermont para poder navegar el Complicado Sistema de Salud EEUU (Planes de Lección)

Migrant Farmworkers National Resources