Publications

Subcategory: Agricultural Worker/Border and Rural Health

Health Care for California’s Farmworkers: Consensus Report of Local Agriculture and Labor Representatives
Health Care for California’s Farmworkers is the product of 18 months of dialogues in three major agricultural areas in California on health care and coverage issues facing the agricultural workforce. The California Endowment teamed up with Joel Diringer, JD, MPH of Diringer & Associates and three local coalitions to comprehensively address the issue of farmworker health coverage in California.
Migration and Health: Latinos in the United States
Migration and health are closely linked. Migrants’ health forms part of their social, human, and productive capital and is an asset for the migrants themselves, their families and communities of origin and destination. The process of relocating to another country, with another culture, language, norms and customs different from one’s own often entails exposure to risks and changes in behavior that affect individuals’ psychological conditions and right to social protection. Migrants’ health is therefore the joint responsibility of the countries of origin and destination, in this case, the United States. Taking care of it requires strategies and programs with a binational perspective. This report is part of The California Endowment's Agricultural Worker Health Initiative. 
Evaluation of The Agricultural Worker Health and Housing Program: Volume I Program Summary and Analysis Findings, Lessons Learned and Promising Practices
Here are two additional reports that provide further background reading on The Endowment's Agricultural Worker Health and Housing.
Evaluation of The Agricultural Worker Health and Housing Program: Volume II Project Reports
Here are two additional reports that provide further background reading on The Endowment's Agricultural Worker Health and Housing.
People, Place and Health: A Socialspatial Perspective of Agricultural Workers and Their Environment
This project employs a mixed-method, place-based approach to study agricultural worker health issues related to pesticide use in rural California. The "sociospatial analysis" considers space, place and social indicators in a holistic and integrated fashion and also uses Geographic Information System (GIS) to effectively integrate environmental and social data related to farm worker health and pesticide use.
Binational Health Week 2005 Report
From seven California counties in 2001 to 27 U.S. states plus the District of Columbia and three Canadian provinces in 2005, Binational Health Week has grown tremendously over the past five years. The expansion was due in large part to partnerships between the Institute for Mexicans Abroad, Mexico’s Secretariats of Health and Foreign Affairs, the California-Mexico Health Initiative (a program of the University of California), the U.S.-Mexico Border Health Commission, the California HealthCare Foundation and The California Endowment.
Blurred Borders: Transboundary Issues and Solutions in the San Diego Tijuana Border Region
Co-funded by the Rockefeller Foundation, this report discusses the many issues affecting the border region, including environment and health and human services.  Specifically, one section identifies trans-border issues related to infectious diseases, disparities in health and the implications of Mexico serving as part of the safety net in the region.
Bounty of Food
This report summarizes recommendations of The California Endowment's Task Force on Agricultural Worker Health. The piece includes overarching themes and goals, program recommendations for The Endowment and policy recommendations.
California-Mexico Health Initiative: Developing Binational Health Solutions
A five-year report, California-Mexico Health Initiative: Developing And Delivering Innovative Binational Health Solutions, examines how the California-Mexico Health Initiative works to improve the health of California's estimated 5 million Latino immigrants, and in particular 3.8 million immigrants of Mexican origin, including more than 1 million agricultural workers.
Health in the Heartland: The Crisis Continues
Created by the Central Valley Health Policy Institute and California State University Fresno, this report provides a comprehensive update on health status and access to care within the San Joaquin Valley. Issues include demographic profiles, immigrant issues, environmental concerns and poverty.
Identified Promising Practices and Multicultural Health Models
In 2002, The California Endowment awarded $10.5 million to 30 organizations to meet the immediate health needs of California’s agricultural workers. This monograph offers a glimpse into The Endowment's Agricultural Worker Health Program and discusses promising practices and health models.
Increasing Access to Care: Promising Practices in Health Promotion Programs
In 2002, The California Endowment awarded $10.5 million to 30 organizations to meet the immediate health needs of California’s agricultural workers. This monograph summarizes the work of The Endowment's grantees involved in health promotion. In-depth case studies describe two grantee health promotion programs and promising practices. In addition, findings from interviews and focus groups with program beneficiaries illustrate the experiences of agricultural workers with grantee services.
Innovation, Entrepreneurship, Collaboration: An Economic Action Agenda for Rural California
This report summarizes recommendations of The California Endowment's Task Force on Agricultural Worker Health. The piece includes overarching themes and goals, program recommendations for The Endowment and policy recommendations.
Mexico-United States Migration- Health Issues
This milestone report, released during Bi-National Health Week and funded in part by The California Endowment, describes the volume, trends and characteristics of Mexican migration to the United States. Immigrants’ health concerns, such as the availability of medical insurance coverage and access to and use of medical services are analyzed. Differences between recent immigrants and those who have lived 10 or more years in the U.S., and Mexican-Americans and U.S. born whites are analyzed using U.S. and Mexican data sources.
Migration and Health Issues In Mexico And California - 2003-2005
A three-year study by academic researchers from both California and Mexico has yielded the report, "Migration and Health Issues in Mexico and California." Funded in part by The California Endowment, the evaluation shows that health priorities of the Latino population of Mexican origin residing in California are: mental health (domestic violence and substance abuse); nutrition (diabetes and obesity); occupational health; and infectious diseases (particularly TB and AIDS).
Models of Partnership for Improving Agricultural Worker Health and Housing
Prepared for The California Endowment by the Rural Community Assistance Corporation, the report examines different models, strategies and projects that address both the health and housing needs of California's agricultural worker population.
Paradox in Paradise
Paradox in Paradise examines the health of people living in the Central Coast region of California.
Paradox in Paradise - Executive Summary - English
Executive Summary - English
Paradox in Paradise - Executive Summary - Spanish
Executive Summary - Spanish
Promising Practices in Mental Health Care Programs: A Look at The California Endowment’s Agricultural Worker Health Program Request for Proposals Grantees
In 2002, The California Endowment awarded $10.5 million to 30 organizations to meet the immediate health needs of California’s agricultural workers. This monograph describes activities and promising practices among grantees with a mental health component and presents case studies on two grantees serving different agricultural worker populations.
Promising Practices in Oral Health Programs
In 2002, The California Endowment awarded $10.5 million to 30 organizations to meet the immediate health needs of California’s agricultural workers. This monograph describes activities and promising practices experienced among grantees funded to provide oral health care and promotion and presents case studies on three oral health grantees serving different farm worker populations.
Promising Practices in Primary Health Care Programs: A Look at The California Endowment’s Agricultural Worker Health Program Request For Proposals Grantees
In 2002, The California Endowment awarded $10.5 million to 30 organizations to meet the immediate health needs of California’s agricultural workers. This monograph describes activities and promising practices among grantees funded to provide primary care and health promotion activities and presents case studies on three grantees serving different agricultural worker populations.
Rural California Fact Sheet
The California State Rural Health Association, a grantee of The California Endowment, has developed a Rural California Fact Sheet to help illustrate specific health needs of rural populations.
Shared Destiny: A Binational Agenda for Health in the San Diego-Baja California Border Region
This report examines the health of California's border region.

Suffering in Silence: A Report on the Health of California's Agricultural Workers
Through extensive personal interviews and comprehensive health examinations, this survey provides a startling look at the health of California agricultural workers. Demographic and other statistical charts help to detail the serious health care inequities faced by this population.
The Agricultural Worker Health and Housing Program: Informing the Community - English
This report details recent efforts by several California communities' efforts to improve agricultural worker health and housing. The information presented here can be used as a beginning step to put other communities on the path of using local resources in the best possible ways to improve the health and living condition of this population.
The Agricultural Worker Health and Housing Program: Informing the Community - Spanish
Spanish Version
The Border that Divides and Unites: Addressing Border Health in California
This research report by the National Latino Research Center (NLRC) examines California's border region and finds that its residents experience higher rates of communicable diseases, such as drug-resistant tuberculosis, Hepatitis A, and HIV; have higher asthma hospitalization rates due to poor air quality; and in addition, research indicates that the region is ill prepared for a potential bio-terrorism disaster. The report details these urgent health issues and presents recommendations on how to build the capacity and capability of public and private sector agencies to address them.
Exploring California's Rural Health System: From the Redwood Forests to the Baja Border
This report by the National Health Policy Forum summarizes the impressions of federal health policymakers who participated in a three-day site visit to California to explore the state's rural health system with a particular focus on the financial health of inpatient and outpatient providers and how that affects access to care. The role of telemedicine as a tool for expanding access was explored as well as the special needs of vulnerable populations such as farm workers. Participants learned how state and federal regulation and payment policies and state budget deficits impact the viability of rural health systems.

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