PA’RRIBA Blog & Briefs
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.
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.
- 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.
The Commonwealth Fund has released a new issue brief which focuses on the topic of Safety-Net providers and their inclusion in integrated delivery systems.
Recruiting and retaining health workers is an ongoing challenge that rural communities face. South Dakota is begining a new program to directly address this issue with a generous incentive.
As a follow up to my blog entry on February 18th, the full report from the community conversation on healthcare in Marana, Arizona has now been posted on our website. The report is organized by themes we heard during the forum and includes direct quotes from community members on their experiences with healthcare.
The concepts of safety and quality in healthcare have an interesting, and somewhat complex and controversial, relationship. What are the differences between safety and quality and how can they be improved in the rural health care setting?