Resources for Farmworkers

National Resources


MHP Salud implements Community Health Worker (CHW) programs to empower underserved Latino communities and promotes the CHW model nationally as a culturally appropriate strategy to improve health. MHP provides technical assistance resources for CHW program development and implementation.


The Migrant Clinicians Network engages in research, develops appropriate resources, advocates for migrants and clinicians, engages outside partners, and runs programs that support clinical care on the frontline of migrant health. MCN offers resources on migrant health issues, cultural competency, consultation on clinic systems, protocols and procedures as well as program development and evaluation.


The National Center for Farmworker Health (NCFH) is a private, not-for-profit dedicated to improving the health status of farmworker families by providing information services, training and technical assistance, and a variety of products to community and migrant health centers nationwide, as well as organizations, universities, researchers and individuals involved in farmworker health. Farmworker Fact Sheets are available to learn more about farmworker demographics, indigenous farmworkers, animal production workers, and how health issues affect farmworkers.


Health Outreach Partners (HOP) offers health education recipes and tools to facilitate outreach centered health education, which focuses on delivered health education in an outreach context that responds to the health needs of farmworkers. HOP provides training, consultation, and information services to community-based organizations striving to improve the quality of life of hard-to-reach populations.


Environmental and Occupational Safety
Farmworker Health and Safety Programs
New York Center for Agricultural Medicine and Health
Worker Protection Pesticide Safety
National Pesticide Information Center


Outreach and Enrollment
CMS website in Spanish
CMS coverage for Immigrants
Farmworker Justice
Connecting Eligible Immigrant Families to Health Coverage and Care

Vermont Resources


Access to Health Care

The Open Door Clinic is a free health clinic for uninsured and under-insured adults in Addison County, please contact us for an appointment: (802) 388-0137

Bridges to Health

Bi-State Primary Care Association, in partnership with the University of Vermont Extension and the Open Door Clinic, established the Bridges to Health program to connect migrant farmworkers to health services through the use of care coordinators and promotores. Promotores work to decrease barriers to care facing migrant farm workers by offering transportation and translation services, helping to schedule medical appointments, educating farmers and farm workers on the local health services available in their communities, and providing feedback to rural healthcare providers on strategies to improve cultural competency and access. Executive Summary Assessing the Bridges to Health Project between 2015-2018


Educational Resources for Providers and Organizations

Bridges to Health was featured in July 2015 by the Rural Assistance Center (RAC)  as a Model and Innovation. Bi-State is also featured in RAC’s Care Coordination Toolkit Program Clearinghouse where you will find health outreach resources.


Health Status/Needs of Latino Dairy Farmworkers 

A study of 120 Latino workers was conducted on 59 Vermont dairy farms to develop a demographic profile and evaluate their self-assessed health status and barriers to care.


Health Literacy Quick Reference Guides:
– Migrant Health Booklet in English and Spanish
– English and Spanish Healthcare Access for Latino Migrant Farmworkers in Addison County
– English and Spanish Healthcare Access for Latino Migrant Farmworkers in Franklin County
– English and Spanish Healthcare Access for Latino Migrant Farmworkers in Lamoille County
– English and Spanish Healthcare Access for Latino Migrant Farmworkers in Orleans, Essex, and Caledonia Counties

Language Assistance with Limited English Proficient (LEP) Patients 

A sample Policy for health center staff to use with Limited English Proficient (LEP) Patients.


Migrant Farmworkers Needs Assessment 

In 2010, Bi-State funded an assessment of migrant worker health conducted by researchers from the UVM’s Community Development and Applied Economics Department. Seventy mixed-method interviews were conducted with migrant workers on 26 dairy farms in central and northeastern Vermont.