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

Ventanilla de Salud A Program Overview

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.

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

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.

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)

Ventanilla de Salud Program Services

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

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.

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

Ventanilla de Salud Program Impact

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).

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

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

Ventanilla de Salud Program Partnerships

SUCCESSFUL PROGRAM PARTNERSHIPS HHS – CDC 2009: VDS network played a critical role during the H1N1 outbreak by collaborating with HHS. 2010-2011 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 2011-2012 – 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 2012-2014 – 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 www.cdc.gov/niosh

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 www.hrsa.gov American Heart Association Providing VDS visitors with cardiovascular health information, collaborative events and referrals for screenings. www.heart.org 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. www.text4baby.org

SUCCESSFUL PROGRAM PARTNERSHIPS NEHEP Collaboration to promote eye health education though the VDs Training to VDs staff on diabetes and healthy eyes https://www.nei.nih.gov/nehep/ SUSAN G. KOMEN Collaboration with the VDS to address key breast health barriers. Collaboration to develop the Susan G. Komen breast health toolkit www.komen.org

Ventanilla de Salud VDS Second Phase

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.

Ventanilla de Salud HHS - ASPR Collaboration

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.

THANK YOU GRACIAS