PA’RRIBA Blog & Briefs

Health Coverage and Access to Care in the United States-Mexico Border Region: Implications of the Affordable Care Act (ACA)




A multifactorial approach is necessary to improve health outcomes and reduce health disparities for populations living in the US-Mexico border region. Key factors include building on health insurance coverage gains, enhancing the rural health workforce and infrastructure, and assuring accessible, cost effective, culturally and linguistically appropriate health services for a growing border population.


University of Arizona Teams up with Produce Growers in Northern Mexico to Help Migrant Farmworkers

Oct 4, 2016 Comments: 0 Topics: Public Health , Migrant Farm Workers , Mexico



  • The Los Angeles Times released a large expose on the conditions of farm workers on large corporate farms in Northern Mexico. The travesties named included: inadequate living conditions, company stores that create indentured servitude to pay off debts and accusations of child labor. Overall, the article calls on changes made by the corporate farms exposed but also, the American corporations that contract with those growers.
  • Recent strikes during spring harvest amongst produce farms in Baja California has drawn even more attention on the alleged abuses of agribusiness farm workers.
  • These workers are only marginally protected by national labor and housing laws; this collaboration creates a unique opportunity for mixed scientific methods to improve the health of this population.


Arizona Trauma Program Managers’ Efforts Underway



Photo Credit: Matt Eckhoff, Program Director of Community Integrated Paramedicine for the Rio Rico Medical & Fire District

The Arizona Trauma Program Managers Workgroup continues to meet face-to-face quarterly focused on enhancing performance improvement strategies. Scheduled for August 19, 2016 is the next scheduled workshop being hosted by Flagstaff Medical Center. Also, a statewide Trauma Program Manager Listserve continues to be very active with over 100 members.


AZ Center for Rural Health, Preparing for Round 3 ACA Open Enrollment




“Of those eligible for a tax credit to help individuals buy a health plan on Arizona’s Marketplace in the last cycle, 38% participated – and lower in Arizona’s rural, Latino, American Indian, disabled and special populations,” said Dr. Daniel Derksen, the Director of the Center for Rural Health at the University of Arizona, and the project’s principal investigator.


Lean Forward: Easing the ICD-10 October Implementation for Rural Arizona Health Providers

Mar 24, 2015 Comments: 0 Topics: International Classification of Diseases , ICD-10 , WHO , HIPPA , Training


Photo Credit: Jill Bullock

By Jill Bullock, Alyssa Padilla and Dan Derksen

What is ICD-10? In October of 2015, all physicians, hospitals, and health plans will begin using ICD-10 (International Classification of Diseases), an upgrade from ICD-9 used in the U.S. for 30 years. The World Health Organization (WHO) adopted ICD-10 in 1990, used by other countries for many years.  ICD-10 will be used to classify disease, report illnesses, monitor morbidity and mortality, and importantly - to provide better individual and population health data to continuously improve and inform clinical treatment.  


Community Success Stories: Clear information helps rural communities understand the benefits of the Affordable Care Act


This Rural Community Success Story is not about one rural community, but about a network of rural and urban organizations, that are each working on a variety of social issues which affect the people and communities of the rural Southwest. The Southwest Rural Policy Network (SWRPN) is comprised of 13 organizations in Arizona and New Mexico.  Its goal is to improve the lives of citizens living in the rural southwest.


Community Success Stories: Page Hospital - a place of physical, mental and spiritual healing


Page Hospital, now a Banner Health facility, was one of Arizona's first hospitals to receive CAH designation in 2002. Page has been able to expand its campus and services in response to growing community needs and continues to demonstrate innovation through participation in diverse initiatives, recently receiving national recognition for the quality care.


Community Success Stories: Our Neighbor’s Farm and Pantry bring home-grown produce to Safford, AZ

Sep 24, 2013 Comments: 0 Topics: NRHD Blog Series , food bank , Graham County , Safford , Lynda Bergsma

In just over a year, Max Crain and Sherri Clixby have helped prepare and orchestrate a real working farm from a once vacant lot of stubble and rock behind the First United Methodist Church in the rural community of Safford, Arizona.  The considerable fruits (and vegetables) of this labor are used to supply its sister operation — Our Neighbor's Pantry food bank — with fresh produce.


The Health Insurance Marketplace Begins Enrollment October 1!


Enrollment begins in the new Health Insurance Marketplace created by the Affordable Care Act (ACA) in less than a month, and coverage starts January 1, 2014.  This is especially important for the uninsured living in rural areas.


Studying the Nutrition Environment with Community Volunteers

Aug 13, 2013 Comments: 0 Topics: Nutrition , Research , AHEC , Elizabeth Kizer , Survey

In an earlier blog, I talked about training six community volunteers to become Nutrition Environment Measurement Surveys (NEMS) raters in Florence, AZ.  In this blog, I will to share some strategies and lessons-learned related to collaborating with community volunteers.


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