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.
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.
Partners working in collaboration to ensure access to health care for farmworkers.
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:
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.
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.
A sample Policy for health center staff to use with Limited English Proficient (LEP) Patients.
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.