North Carolina farmworker health program : 2013 program profile

* rv doparlimml of hreltii *r*f human «orvieoc North Carolina Farmworker Health Program 2013 Program Profile* Office of Rural Health and Community Care 2009 Mail Service Center Raleigh, NC 27699 P: 9 1 9.527 .6440 F: 9 1 9.73 3.298 1 Why focus on farmworkers? How our contract sites serve farmworkers Agricultural labor contributes $1.8 billion in sales to the North Carolina economy annually. Farmworkers in North Carolina earn an average of $11,000 per year, and in our 2012 population, 99% of farmworkers were uninsured. Farmworkers suffer from chronic illnesses such as diabetes, hypertension, and obesity as do other low- income populations. Farm work is consistently ranked among the most dangerous occupations in the United States, and farmworkers experience occupational health risks such as back pain, muscle strain, heat stress, green tobacco sickness, pesticide exposure, dermatitis, pterygium (sun and wind related eye condition), and poor quality housing. Our outreach workers FIND farmworkers at migrant camps and in communities and ASSESS farmworker health issues. Outreach workers REFER farmworkers to primary and specialty physicians, and PPOR farmworkers in getting the care they need by offering enabling services such as interpretation, transportation, and general case management. In some cases, outreach workers directly PROVIDE medical services. Resources Provided by Sites in 2012 Interpretation 2126 hours Transportation 1488 Trips Health Education 54,159 encounters Referrals 1635 appointments Farmworkers also experience behavioral health risks associated with geographic and social isolation, traumatic migration experiences, discrimination, and culture shock. 25000 20000 15000 10000 5000 att 2009 2010 2011 2012 :Total Patients Enabling Encounters ■ Medical Encounters Outreach teams also TEACH farmworkers about preventative care, health care resources, and broader community resources, LINK farmworkers with resources in the community, and cS POND to farmworker concerns by adapting programming to meet expressed needs. Medical encounters are face to face visits with medical professionals (doctors, nurses and other providers). Enabling encounters are with cose managers and health educators, and include health education, health assessment interviews, referrals, follow up care, and provision of support services such as transportation and interpretation. “The North Carolina Farmworker Health Program is a vital component to the state of North Carolina's safety net Without the support that the North Carolina Farmworker Health Program provides, our state's most vulnerable and underserved population would never gain access to healthcare services." Nathan Dollar, Outreach Coordinator, Vecinos Inc. Rocking ham Guilford combe Randolph Chatham Rowan Dowell :herford / \Mcnt \ Stanlyiomery) Moore Anson Robeson Pender Columbus Brunswick 2013-2014 Health Care Contracts Vecinos Inc. Good Samaritan Clinic Ashe Memorial Hospital Surry County Health & Nutrition 7. Rural Health Group 8. Wake County Human Services 9. NC Farmworkers Project 11. Robeson Health Care Corp. 12. Student Action with Farmworkers (alternative applicant in Durham) Bertie Nine Community and Migrant Health Centers also serve farmworkers across the state. We fund outreach contracts in areas not covered by these health centers, and collaborate with them to share research, tools, and best practices. *Data is from 2012 calendar year.