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Lenawee County Health Department THERESA ENRIQUEZ – WISEWOMAN COMMUNITY NAVIGATOR All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

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Page 1: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

Lenawee County Health Department

THERESA ENRIQUEZ – WISEWOMAN COMMUNITY NAVIGATOR

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 2: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

HISPANIC/MIGRANT POPULATION

Michigan has about 100,000 undocumented immigrants according to the Detroit Free Press with 45% coming from Mexico

Number of Lenawee County residents born outside U.S is 1,655

36% originate from Latin America 46% foreign-born residents are now U.S. citizens

Information gathered from the U.S. Census Bureau

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 3: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

WHAT ARE THE BARRIERS?

Language barrier

Immigration status

Affordable/Attainable Healthcare

Transportation

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 4: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

LANGUAGE BARRIERS

Approximately only 30 percent of the Migrant Farm Workers can speak English well

Paperwork is not available in Spanish

No translator available

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 5: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

What have we done:

Have a full-time translator at our Health Department

Translated forms into Spanish which cuts down 15-20 minutes on clinic time per woman who needed questions translated

Send reminder letters in Spanish Make reminder calls for appointments

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 6: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

Immigration Status

Misconception that immigration officials coordinate with health centers

We let them know that a Social Security number is not necessary to receive services

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 7: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

Affordable/Attainable Healthcare

Undocumented Immigrants are only able to receive Emergency Medicaid

Cannot purchase healthcare with their own money in Marketplace

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 8: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

Transportation

Most migrant workers rely on others for transportation

We offer free Dial-A-Ride tickets

There are Community Volunteers who will transport

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 9: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

SOCIAL, ECONOMIC AND ENVIRONMENTAL CONDITIONS

Migrant workers make up 1/3 of the agricultural industry’s labor force

Pesticides can cause rashes, headaches, vomiting, neurological damage, birth defects, and cancer

Receive low wages

Close living quarters makes it easier to acquire/spread communicable disease

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 10: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

Migrant Worker Housing at Camps

THEN NOW

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 11: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

Outreach

Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3rd Monday

each month and network with other agencies Market Fresh Coupon distribution on June 13, 2015 at

Downtown Farmers Market Market Fresh Coupon distribution on July 11, 2015 at

Downtown Farmers Market Migrant/Seasonal Farmworkers Health Fair on July 16, 2015 at

Blissfield School

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 12: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

Outreach continued…

Focus Groups held on August 11, 2015 held at the Lenawee Christian School

Preservation Class on September 02, 2015 held in Demo Kitchen at DHHS building

Stress Less With Mindfulness (Begin with the Breath)on September 28, 2015 at the Adrian Public Library

Stress Less With Mindfulness (Mindful Eating) on October 26, 2015 at the Adrian Public Library

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 13: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

Continued…

Attended Hunger Free Lenawee Breakfast on January 13, 2016 at DHHS and networked with food pantries

Project Connect at the Lenawee County Fairgrounds on January 27, 2016

Conference for Growers and Service Providers on April 6, 2016

WISEWOMAN Community Group Workshop in Demo Kitchen at DHHS on April 21, 2016

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 14: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.

Page 15: Lenawee County Health Department - Michigan CancerOutreach Set up at Community Events: Cinco de Mayo Festival in Adrian on May 3, 2015 Attend Migrant Resource Council (MRC) every 3

Fiscal year numbers

FY15 we had 60 Hispanic women come through the clinic which accounted for 28.3% of our caseload

FY16 we have had 30 Hispanic women come through the clinic which accounts for 30% of our caseload

All slides in this presentation are the property of the presenter. Please do not duplicate slides without the written permission of the presenter.