Project Salud, a community nursing center in Chester County, PA, was established in 1985 to address the health needs of the migrant and settled out farm workers who are employed in the mushroom industry. Mexican migrant workers from the states of Michuacan and Guanajuato, have been the primary harvesters. Cultural and language competence and the community health nursing philosophy that has guided this center have been key to its success. Over time, Project Salud has adapted and changed services with the needs of the community. Community assessment was key in determining needs; collaboration and partnerships were key in meeting them. Though the first clients were single men, the focus was family centered, even thought this family remained in Mexico. When the immigration laws changed in 1986, families began to arrive in Chester County. The services, including primary care, outreach and health promotion, were modified to include women’s health issues and childhood immunization for school entrance. Current issues include diabetes and the empowerment of Hispanic women who feel isolated in the community. Clients who have chronic illnesses often regularly travel between their hometown in Mexico and the Kennett area. Phone calls to regional health centers locate the most appropriate service provider for the farm worker and his family; medical records are shared using the farm worker as courier. Collaborative treatment plans are accomplished with phone calls between the two providers. Knowledge of systems and practices in Mexico is key to achieving desired outcomes.
Learning Objectives: 1.Describe two characteristics of a community nursing center. 2.Identify two approaches to facilitation of health care for the client who crosses borders.
Keywords: Migrant Farm Workers, Nursing Center
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Project Salud
Disclosure not received
Relationship: Not Received.