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The Ag Worker Access Campaign

Friday, February 14, 2020   (0 Comments)
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The Ag Worker Access Campaign:  Ensuring Access to Quality Healthcare for America’s Agricultural Workers


Written by: Gladys Carrillo, Manager of Health Center Engagement Services, National Center for Farmworker Health


Gladys Carrillo will be presenting at the Western Forum for Migrant and Community Health in Sacramento on February 20th.


How often do we take time to think about where the delicious fruits and veggies we serve in our homes come from?  Do we ever think about the agricultural workers that toil in the fields to ensure these great bounties for our families?


There are an estimated 4.5 million Agricultural (Ag) workers and their families living in the U.S.*  The majority of this special population reports not having health insurance and has not accessed health care services in the last 2 years.**  Uniform Data System (UDS) data*** shows that only approximately 20% of Ag workers are being served in health centers.  Health centers have a great opportunity to improve their service delivery and develop goals to reach more Ag workers. 


About the Ag Worker Access Campaign


The Ag Worker Access Campaign (formerly known as the Ag Worker Access 2020 Campaign) was launched almost 5 years ago, in May of 2015, as a joint initiative by the National Center for Farmworker Health (NCFH) and the National Association of Community Health Centers (NACHC).  During that time, health centers were seeing a decline in the number of Ag worker patients being served, not keeping pace with increases in Migrant Health (330g) funding.  Health center staff and advocates knew that by working together, the trend could be reversed, and the number of Ag workers and their families seen could increase. 


The Campaign initially set a lofty goal of 2 million migratory and seasonal agricultural workers served by the year 2020.  Although 2018 Uniform UDS reports indicate we have not yet reached that goal, health centers have seen increases in Ag workers served every year since this initiative began. We have almost reached our halfway milestone of 1 million, the highest number of Ag workers ever reported in the UDS to date.    


As champions for Ag worker health, we acknowledge these increases as wins but will not stop until we reach our goal of 2 million Agricultural workers and their families served in America’s health centers.  As we enter the next stage of the Campaign, we know that we need to identify and recruit key partners in order to achieve our goal.  Building collaborations with like-minded organizations is critical to keep our momentum going. 


Campaign-Related Activities at Upcoming Western Stream Forum


Wednesday, February 19th at 8:00am - Opening Plenary Campaign Activity:


During the upcoming NWRPCA Western Forum for Migrant and Community Health, NCFH will be presenting an update on the Ag Worker Access Campaign through an interactive session entitled, “Creating Community Partnerships to Continue the Ag Worker Access Initiative.” This session will take place on February 19th at 8:00am.  In addition to learning the latest about the Campaign, participants will build upon this year’s conference theme, “Raices & Resilience: A Healthy Environment, A Healthy Community” and relate it to Campaign efforts to increase access to care for Agricultural workers & their families.  Participants will share with each other about challenges faced in engaging community partners, as well as successful strategies to increase access, and identify potential resources that could help further our efforts in this initiative.  By sharing our experiences with our colleagues, we become valuable resources for each other. Be sure to attend this session and leave inspired to continue the fight for access to quality healthcare for America’s farmworkers. 


Thursday, February 20th at 10:30am - Ag Worker Identification Educational Session:


Accurate identification and classification of your Ag worker population is a critical element in ensuring Ag worker access to quality healthcare.  This session, entitled, “Ag Worker Identification to Drive Access to Care,” will cover the definition of agriculture, address qualifying industries and tasks, and provide guidance on how to distinguish between migratory and seasonal agricultural workers.  Participants will learn about the relationship between patient verification, Uniform Data System reports, and health center funding.  They will also be introduced to the tools and resources available to assist health centers in improving the registration process, and promising practices that have been successful in increasing access to care for Ag workers and their families.  





About the Trainer:  Gladys Carrillo is NCFH’s Manager of Health Center Engagement Services.  Gladys graduated Summa Cum Laude with a Liberal Arts degree from St. Edward's University and a Master's Degree in Social work from the University of Texas at Austin.  Her experience includes direct patient care, clinical service coordination, community education, outreach, program development and management.  Prior to joining NCFH, Gladys worked in providing direct therapeutic services to children and families, and clinical consultation to providers in the non-profit and private sectors.  



*NCFH & National Legal Defense Association (NLDA) Respectively

**National Agricultural Workers Survey (NAWS) 2013 - 2014

***HRSA UDS 2018






NWRPCA welcomes and regularly publishes white papers and articles submitted by members, partners and associates with subject matter expertise. The appearance of any guest publication in our Health Center News database represents the views of the author and does not constitute endorsement by NWRPCA of the stated opinions or perspectives, nor does it suggest endorsement of the contributor's products or services.


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