AZ-Flex Program supports five Critical Access Hospitals and five Rural Health Clinics that operate in the Arizona (U.S.-Mexico) border counties of Cochise and Santa Cruz. These hospitals and clinics serve the communities of Nogales, Douglas, Bisbee, Palominos, Benson, Willcox, and Sunsites. AZ-Flex resources assist rural hospitals and clinics improve their operational and financial performance, improve their quality of clinical care, and strengthen their local systems of care.
Dr. Burris "Duke" Duncan has brought together multiple partners to form ARSOBO, a nonprofit that builds low-cost wheelchairs, hearing aids and prosthetics. The central philosophy of ARSOBO, short for Arizona, Sonora and border – is to hire people who need or use a medical device. Those people then build them and are charged only the cost, or what they can afford. Families who need the devices but have limited means are aided by subsidies from private donations or grants.
The Arizona Prevention Research Center provides the coordination and leadership for a statewide effort to ensure the sustainability of community health workers within our health and health care systems. This is a critical issue for our border communities in both the United States and Mexico as the heart of so many community interventions is the work of community health workers. The Coalition is working to develop appropriate tools including a definition of community health workers, competencies for training, and a scope of practice of community health workers.
Through the work of our Arizona Prevention Center, our College has developed curriculum for training community health workers in the areas of chronic disease prevention, including a family curriculum and a community curriculum, a mental health curriculum, and a leadership/advocacy curriculum. Our staff provides training to community health workers throughout Arizona as well as in Northern Mexico.
Leaders Across Borders: Our College has developed and implemented a unique public health workforce program that collaborates with public health leaders from the border states in the U.S. and Mexico to develop a set of skills for collaborate on binational public health issues. The Leadership program accepts 20 public health workers who participate in a yearlong program with three face to face workshops and develop a team project around an important binational public health issue.
A non-credit-bearing two-day summer border experience for students from all four health sciences schools in Nogales, Arizona and Nogales Sonora. The theme of the activity is Building Healthy Communities: Alternatives to Migration. Students and faculty will visit several programs on both sides of the border that provide models for remaining in home communities including sustainable development projects and micro credit programs.
This two credit course provides the opportunity for our students to plan and implement a 10 day trip to the Mexico-Guatemala border to contrast and compare their knowledge, experience and understanding of the issues of migration, health, and economic development from the Southern border perspective. Upon return the students provide a college wide presentation as well as posters and presentations to other Health Sciences events and community events.
Our teaching includes our Border Health Service Learning Institute which is a one graduate credit week long intensive border immersion experience which focuses on connecting the dots between migration, health and economic development. Students and faculty spend the week at the border collaborating with local community organizations to support the daily activities of public health outreach in the community. Small teams of students and faculty provide daily reflections with a culminating presentation to the community partners at the end of the week.
Our College provides the leadership and coordination for the collaborative effort of the Commission to establish, collect data, and monitor the Healthy Border 20/20 goals. The College is also collaborating on the final report of the Healthy Border 20/10 goals.
The Puentes Consortium is intended to provide a distinctive voice for the binational community of scholars who carry out multi-disciplinary research on issues of importance to the relations between Mexico and the U.S. and to the well-being of their inhabitants. Participating universities include Monterrey Tec (ITESM), the University of Monterrey (UDEM) and the University of the Americas in Puebla (UDLAP) in Mexico, and the University of Arizona and Rice University in the United States.
The College is collaborating closely with partners in the state of Sonora to understand and prevent dengue. In 2012 we received a four-year grant from the National Institute of Health to study dengue in this region. Evidence suggests that there is a gradient of transmission across the Arizona-Sonora border region. Even though most of the urban areas have the mosquito that transmits disease some urban areas have not had dengue and some neighborhoods in cities with dengue are less affected.
Research on the primary transport pathways of pesticides into farmworker homes in Yuma, Arizona, demonstrating that there are pesticides used in large amounts in Yuma, which have not been studied in humans, and may be associated with chronic health.
This project is a collaboration with the Center for Health Promotion in Northern Mexico at the Colegio de Sonora in Hermosillo, Sonora. The project has been adapting, piloting and evaluating Meta→Salud, a community intervention for the primary prevention of NCD.
This study is focused on identifying the essential characteristics of a model of health promoters to strengthen the health of migrant agricultural workers who are migrating from Southern Mexico to Northern Mexico to work in the large fruit and vegetable farms in Sonora.
This NIH research is a collaborative effort of the Speech, Hearing and Language Department at the University of Arizona , the Arizona Prevention Research Center and Mariposa Community Health Center. This 5 year research project focuses on the development of an innovative community health worker model for eliminating the health disparities of people with hearing loss in the U.S.-Mexico border region.
The Arizona Prevention Research Center, the Rand Institute and Sunset Community Health Center were awarded a grant from the Patient Centered Outcome Research Institute (PCORI). The research study is being conducted at Sunset Community Health Center in Yuma, Arizona. The research includes the development/documentation and evaluation of three models of care: 1) The current model for providing behavioral health services. 2) A second model of care based on a participatory process of collecting input through patient focus groups and provider interviews.
The core research project focuses on the role of the community health worker, or promotora de salud, in health promotion and the control and prevention of chronic disease. In the last four years, the AzPRC has collaborated with border partners to explore the role of promotores in engaging community members to address policy and environmental change related to the social determinants of health.
One-third of the world’s population is infected with latent TB (LTBI). Along the Mexico-Arizona border, LTBI is diagnosed using the tuberculin skin test (TST). Cross reactive responses due to BCG vaccination or environmental mycobacteria can lead to false positive results, leading to unnecessary follow-up. New methods of detection more specific than TST have been developed, such as Quantiferon TB gold In-Tube (QFT-GIT). Our objective is to demonstrate utility and feasibility of the QFT-GIT test to detect LTBI among border populations.
Beginning with our Arizona Prevention Research Center, we have partnered with communities since 1995 to improve the health and well-being of people living in U.S.-Mexico Border communities through research, training, advocacy and policy change. With leadership provided by Scott Carvajal and Maia Ingram, the Center houses diverse programs and activities that use community-based participatory action research to focus on the prevention of chronic disease in the border region.
The forum aimed to share global, bi-cultural, border region, and indigenous health models in response to non-communicable diseases through health systems strengthening and quality improvement. The four day program featured presentations by global experts and case studies of global and local models for NCD prevention and health systems strengthening; including quality assurance, health work force development, integration and health information systems & referral.