PA’RRIBA Blog & Briefs
Arizona faces critical shortages of health care workers needed to meet the needs of an ever growing and aging population. However, in rural Arizona, shortages are more pronounced and immediate. The University of Arizona Center for Rural Health (AzCRH) works with multiple stakeholders across the state to clearly identify the shortages and propose potential solutions to address them.
Photo Credit: Robert Guerrero
The Border Health Service-Learning Institute (BHSLI) is one of the most popular service learning courses at the Mel and Enid Zuckerman College of Public Health (MEZCOPH). BHSLI was founded in 2008 by Dr. Cecilia Rosales and Jill Guernsey de Zapien, and is offered as part of MEZCOPH’s Rural Health Professions Program. The week-long course employs an intensive, field-based model which immerses both students and faculty directly in border communities and allows them the opportunity to work with local organizations, stakeholders, and experts (BHSLI’s “community partners”). Each service activity is structured around reflection questions which provide the framework for understanding the role of public health in the elimination of health disparities.
2018 marks the ten year anniversary of the MEZCOPH Border Health Service Learning Institute (BHSLI). Founded by Dr. Cecilia Rosales and Jill de Zapien, the week-long course employs an intensive, field-based model which immerses students, faculty and community partners directly in border communities which are facing huge health disparity issues. Together we implement programs that directly support community efforts to address these disparities. Each service activity is structured around reflection questions which provide the framework for understanding the role of public health in the elimination of health disparities.
BHSLI has been taught in Yuma / San Luis Rio Colorado; Nogales, Arizona / Nogales, Sonora; and Douglas / Agua Prieta. This year we conducted the course in Douglas / Agua Prieta. We partnered with the following organizations:
- Consulado de Mexico, Tucson
- Frontera de Cristo
- DouglaPrieta Works
- Cochise County Health Department
- Chiricahua Community Health Center
- Secretaria de Salud, Agua Prieta
- Cafe Justo and Cafe Justo y Mas
- CREDA (a substance abuse treatment center in Agua Prieta)
- Southeast Arizona Health Education Center (SEAHEC).
Thank you to all our community partners for collaborating with us! Luis Valdez, Libby Valdez, Abby Lohr, Robert Guerrero, Kate Ellingson, and Jill de Zapien taught the course.
We asked students to reflect on their border service learning experience. In a five part blog series, we will give you a glimpse of the BHSLI experience.
- Blog series Edited by Abby Lohr, MPH, Health Behavior Health Promotion PhD Student
A guest blog from the Arizona Telemedicine Blog, by Jane Erikson.
The University of Arizona Center for Rural Health is partnering with the Arizona Department of Health Services and other state agencies to train first responders to recognize opioid overdoses and to administer the drug naloxone to prevent fatalities.
The effort is funded with a four-year, $3.1 million grant from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) to the Arizona Department of Health Services (ADHS). Of the $3.1 million, $2.2 million has been awarded to the UA Center for Rural Health, at the University of Arizona’s Mel and Enid Zuckerman College of Public Health.
The Perfect Storm: Putting America’s Health Care in Peril The American Health Care Act & the President’s Proposed Budget
The AHCA cuts $1.5 trillion dollars in federal funding over 10 years by slashing state Medicaid (-$830B), eliminating Marketplace subsidies (-$665B) to individuals and families, and causing 23 million Americans to become uninsured over 10 years. The President’s budget cuts $2 trillion dollars in health spending over 10 years, disproportionately affecting low-income, elderly and rural Americans.
The Supremes vs. Obamacare Round II: Will 8 million Americans, and 150,000 Arizonans lose health insurance coverage?
The Supreme Court of the United States (SCOTUS) refereed round II (King vs. Burwell) of legal challenges to the Affordable Care Act (ACA) on March 4, this time on the issue of subsidies for federally facilitated marketplaces (FFMs). The challengers (plaintiffs) argue subsidies in the form of tax credits apply only to exchanges “established by the state” as per ACA Sec. 1311. If the plaintiffs prevail when the decision is announced in June, 8 million Americans and 150,000 Arizonans could lose health insurance coverage.
Being able to view a background ‘Patient Story’ - comprised of clinical data, psycho-social data and lifestyle data - has enabled Family Care Coordinators to contribute to improving the care plan and the health outcomes of their patients at the Regional Center for Border Health in the small rural community of Somerton, Arizona, only a few miles from the U.S./Mexico border.
I completed a rural health research internship at the Center for Rural Health, Mel & Enid Zuckerman College of Public Health as part of my post-graduate PharmD degree in April 2013 as a visiting scholar. Upon completion of my studies, I planned on practicing in an urban setting in Canada. Instead, I am On the Rural Road Again. I have been volunteering as a clinical pharmacist in rural Ghana since August 2013 & would like to share some of my experiences.
For rural residents living in food deserts, increasing the availability of fresh fruits and vegetables takes initiative and creative thinking. In Florence, AZ, local residents and a variety of groups and non-profits have formed a community coalition to improve the food environment. They recently completed an assessment of their community’s food environment with the help of a doctoral student from the University of Arizona Mel and Enid Zuckerman College of Public Health. While they found that stores and restaurants were lacking in their offering of healthy foods, their assessment revealed many grass-roots efforts that were providing healthy foods to Florence residents.
Graduate students always remember the first conference that they participate in. For me, this conference was The Arizona Rural Health Conference (AZRHC) held in Prescott, AZ on August 20-21, 2013.