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.
Working in collaboration with the Central Appalachian Regional Network, (CARN), and the National Alliance for Rural Policy, (NARP), the Southwest Rural Policy Network, (SWRPN)--to which the Center for Rural Health is a member--, received funding from the W. K Kellogg Foundation through the Rural Supporting Organization to produce radio Public Service Announcements, (PSA’s). The scripts for the PSA’s, 13 produced in English and 12 produced in Spanish, were taken from the SWRPN’s “Know Your Healthcare Rights” and describe certain provisions of the Affordable Care Act in simple terms.
We often hear that “healthy diet and exercise” are the solutions to reducing the increasing rates of obesity in the United States and many other countries around the world. But many things can make healthy eating and active lifestyles difficult choices, including the community environment in which we live. This is especially true in rural areas.
Guest Blog: Researching community health needs assessments at rural hospitals - turning personal inquiry into academic credit and professional experience
On March 23, 2012, the Federal Government began requiring rural and critical access hospitals to complete community health needs assessments (CHNAs). As a condition of their not-for-profit status, the Affordable Care Act mandates that these hospitals assess the health status of the communities they serve. By conducting regular CHNAs, it is believed that these hospitals can better align their healthcare services with identified community needs.