1. VENTANILLA de SALUD: A Binational Program United States  México
June 2015

2. Ventanilla de Salud
A Program Overview

3. VENTANILLAS DE SALUD
VDS is a program developed by the Ministry of Health and the Ministry of Foreign Affairs of the Mexican Government. It is managed and operated through the Mexican Consular Network in the United States and in collaboration with several local organizations.
This program was designed to improve the physical and mental well-being of Mexicans who live in the US and to increase their access to primary, promote preventive health care and to ultimately reduce emergency healthcare utilization.

4. 50 VDS WINDOWS ACROSS THE UNITED STATES
Seattle
Boise
St. Paul
Boston
Portland
Sacramento
New York
Omaha
Detroit SF
Philadelphia
Salt Lake City
Chicago
Denver
D.C. SJ
Las Vegas
Indianapolis
Fresno
Oxnard
Kansas City
Raleigh LA SB
Phoenix
Albuquerque
Little Rock SD
Santa Ana
Austin
Calexico
Nogales
Yuma
Atlanta
Tucson
Douglas
Houston
El Paso
Presidio
Orlando
Del Rio
Dallas
New Orleans
Eagle Pass
Laredo
Brownsville
Miami
San Antonio
McAllen
Anchorage

5. VDS • MISSION
The mission of the VDS is to improve access to primary and preventive health services, increase public insurance coverage and promote a culture of prevention in the health of Mexicans living in the United States and their families; through information, education, counseling and referrals to quality heath care in a safe and friendly environment by creating local and binational collaborations between the United States and Mexico.

6. PROGRAM STRUCTURE
This program is administered by Mexico´s Ministry of Foreign Affairs and Ministry of Health
Government of Mexico
Ministry of Health (SSA)
Bi-National Strategy for Immigrant Health
VDS Program
Institute of Mexicans Abroad (IME)-Consular Network, National Coordination
Ministry of Foreign Affairs (SRE)
Annual Funding by the Ministry of Health of Mexico
$2,400,000.00
(USD)

7. Ventanilla de Salud
Program Services

8. Prevention and health promotion primarily oriented to provide guidance on priority issues such as nutrition, obesity, diabetes, women's health, child health, mental health, addictions, HIV/AIDS, access to services, among others.
Screenings include HIV, BMI (Body Mass Index), cholesterol and glucose.
Referrals to community clinics, follow-up to care and referrals to specialized care if needed.
Pre- enrollment to Seguro Popular.
Main Services

9. VDS VISITOR FLOW CHART Welcome Kiosk
Initial Introduction & personalized information • Intake Form
Screening, Medical History review, screening results.
Referral & Follow-up Care
Individual Counseling, Health concerns, Medical History, Health Insurance Screenings
Affordable Care Act, Low Cost Medical Care
Seguro Popular
Introduction, General Information session only
Visitor is given information, directory of services in the area, local resources and upcoming events.

10. A UNIQUE HEALTH ACCESS PROGRAM
Program Activities include: health fairs, group workshops and presentations, local community events and collaborative activities with local health institutions, community organizations and schools.
Create and establish a trusting environment where participants feel safe to obtain information about their health issues
Specialized materials, culturally and linguistically appropriate to provide adequate information in your language
Provide resources and options for accessing health services in collaboration with institutions and health centers

11. Ventanilla de Salud
Program Impact

12. VDS VISITORS 2014 1,534,402 individuals
Total Visitors in all 50 VDS kiosks
3,872,747 services*
Number of services provided
Source: Department of Health analysis of VDS reports for time period January – December 2014
* People are reported only once as having received multiple services (for example, information, screenings, imunizations).

13. NUMBER OF VISITORS AND TYPE OF SERVICES PROVIDED
72.5% of services offered were information and counseling on specific health topics: diabetes, obesity, hypertension, mental health, substance abuse, reproductive health, domestic violence, and health insurance enrollment.
23.4 % of visitors receive a health screenings in: obesity, diabetes, hypertension, cholesterol, HIV/AIDS, STDs.
Fuente: Reporte de Indicadores del Programa Ventanillas de Salud
* Periodo de Enero del 2014 a Diciembre del 2014

14. 49% of visitors were administered the influenza vaccine.
20,599 vaccines (other than influenza) were administered to children
102,500 visitors were referred to community clinics for follow up care
6% of visitors received mental health information and referrals to secondary care.
HIGHLIGHTS OF RESULTS

15. Ventanilla de Salud
Program Partnerships

16. SUCCESSFUL PROGRAM PARTNERSHIPS
HHS – CDC
2009: VDS network played a critical role during the H1N1 outbreak by collaborating with HHS.
Influenza vaccination campaign coordinated through the Embassy of Mexico and consular network/VDS (webinar for all VDS, informational fact sheet, videos, coupons for free vaccinations) – Fact sheet HHS-CDC/HMA
– Reinforcing the message of getting the flu vaccine and timing of vaccination- Same promotional materials and early distribution of pharmacy coupons for free vaccination through the VDS network thourgh NVPO/HHS/HMA /Wallgreens
– Flu clinics at VDs sites and Mobile VDs Programs; collaborations with local DOH – HMA and Wallgreens
NIOSH
Development of health education materials on occupational and safety health (2008 – 2012) – Strength work between VDS and department of protection at the Consulate/Trainings on OSH to the VDS networks /publication NIOSH - VDS

17. SUCCESSFUL PROGRAM PARTNERSHIPS
HRSA
Strengthening collaboration between VDS and Community Health Centers to ensure each VDS identifies CHC in the region and reinforces communication for affordable healthcare/ Look for training opportunities for VDS staff by HRSA partners
American Heart Association
Providing VDS visitors with cardiovascular health information, collaborative events and referrals for screenings.
Text for Baby
Enrollment of visitors to first mobile information service to promote maternal and child health through text messaging, in both English and Spanish languages.

18. SUCCESSFUL PROGRAM PARTNERSHIPS
NEHEP
Collaboration to promote eye health education though the VDs
Training to VDs staff on diabetes and healthy eyes
SUSAN G. KOMEN
Collaboration with the VDS to address key breast health barriers.
Collaboration to develop the Susan G. Komen breast health toolkit

19. Ventanilla de Salud
VDS Second Phase

20. VDS A VALUABLE NETWORK A TRUSTED RESOURCE
Achievements
Standardized Intake Form
UnityWeb Database: Strengthening data collection, reporting and analysis
Training and Staff development for visitor service flow and tracking
Research initiatives in specific areas of health: HPV Vaccine, Pediatric Services, Obesity and Cancer
Collaborative protocol with educational, medial and governmental institutions
Archiving of success stories
Creation of Advisory Board
Assessment and recommendations on current program activities
Forthcoming publications
Identify funding opportunities
The VDS program has evolved since its inception in 2002 to create a second phase of the program that specializes in analyzing, strengthening and expanding the program for greater efficiency and impact.
The pilot program began in 2012 with 5 geographic sites representative of the diversity of populations and communities: Fresno, CA; Kansas, KA; New York, NY; Portland, OR and Washington DC.
In 2014, second phase was expanded to include: Los Angles, CA; San Diego, CA; Dallas, TX; El Paso, TX; and Chicago, IL.

21. Ventanilla de Salud
HHS - ASPR Collaboration

22. JOINING EFFORTS DURING EMERGENCY RESPONSE SITUATIONS
Suggested collaborative efforts :
Dissemination of core messages at all the VDS sites regarding Emergency response protocol, services and resources
Informational webinars to all the VDS staff (hosted by HHS/ASPR) on Emergency response programs and services in geographic areas of VDS sites
Development and distribution of standardized information: fact sheet, directories, etc. from HHS/ASPR in Spanish
Development of collaborative network of communication for dissemination of information and assistance during emergencies
Possible funding opportunities for VDS sites to implement work at the 50 geographic locations across the U.S.

23. THANK YOU
GRACIAS