MIGRANT CLINICIANS NETWORK
Una fuerza de justicia en cuidados de salud para el migrante de bajos recursos
à Educación Médica Continua Enseñanza a distancia y en su localidad
à Recursos y publicaciones clínicas revisadas exhaustivamente
à Materiales educativos para los pacientes
à Consultorías en su localidad
à Consejo de revisión institucional de MCN
à Investigación y elaboración de soluciones basadas en la evidencia
à Asistencia técnica y entrenamiento clínico en el Centro de Salud
Volume 20, Issue 1 • Winter 2014
streamlineBACKGROUNDAccess to Health Care for Unaccompanied
Migrant Farmworker MinorsThis research study seeks to provide primary
care providers with policy recommendations
for increasing access to health services for
migrant farmworkers who are unaccompa-
nied minors, while ensuring the protection
of providers from legal liabilities. It was initi-
ated after several Health Centers in the Mid-
Atlantic region of the United States reported
instances of unaccompanied minors (defined
as those under age 18) seeking treatment
without a legal guardian who could give
consent. Some primary care providers
expressed concerns regarding the possible
liabilities of serving unaccompanied minors.1
Primary care providers also face ethical issues
of whether these minors should be working
at all or should be referred to social services
and enrolled in school and foster care.
Health Centers do not wish to adopt policies
that would discourage patients from seeking
the medical help they need, or policies that
will prohibit them from effectively serving
this vulnerable population. Minors in Agricultural Labor
The number of minors employed in agricul-
tural labor has increased in recent years as
more teens immigrate alone to the United
States in order to work in the agricultural
industry and send earnings back home to
their families.2 The US Department of Labor
reported in 2000 that 80 percent of migrant,
minor farmworkers do not live with any
member of their family, and 91 percent are
foreign born.3 According to the Centers for
Disease Control and Prevention, an estimat-
ed 230,000 youth were hired to work on US
farms in 2009.4Unaccompanied migrant minors face
many challenges as a result of their work
conditions, poverty, low levels of education
and lack of parental support. Half of all
teenage farmworkers live in households with
annual incomes of less than $10,000, yet
only 2 percent of all farmworkers live in
households that receive Temporary
Assistance for Needy Families, and only 7
percent of farmworkers aged between 14
and 17 receive food stamps.5 Teenage farm-
workers are half as likely to receive food
stamp benefits as adult farmworkers. The
low levels of federal assistance may be due
to the fact that many minor migrant workers
are foreign-born. Minors working in agriculture are also
paid less on average than adult farmworkers.
Approximately 23 percent of adult agricul-
tural workers earned minimum wage or less
while 30 percent of child farmworkers
earned at or below minimum wage.6 Teens
who work and live away from their families
have also been shown to struggle academi-
cally. Almost half of unaccompanied teens
indicated that they had worked for more
than 13 weeks out of the year, which indi-
cates that they performed some work during
the school year.7Health of Minor Farmworkers
Although data on unaccompanied minor
farmworkers is limited, the US Department
of Labor reported that, “it is unlikely that
many of these minors have employer provid-
ed health insurance.”8 In fact, only 8 percent
of all farmworkers report having health
insurance. This is especially troubling consid-
ering the often hazardous nature of farm
work. According to the National Safety
Council, agriculture is the most dangerouscontinued on page 2
Increasing Access to Health Care for Farmworkers
Who Are Unaccompanied Minors
Magdalena Fernández, MPP
The Migrant Health News Source
© e
arld
otte
r.com
Alianzas y Convenios de ColaboraciónContamos con una fuerza superior a nuestras cifras. Nuestros clínicos incluyen: trabajadores comunitarios de salud, enfermeras, dentistas, médicos, trabajadoras sociales, especialistas y muchas otras profesiones relacionadas con la salud. Nos asociamos para poner fin a las disparidades de salud. Nuestro poder yace en nuestro alcance.
Experiencia conforme a sus necesidades.
Las iniciativas de MCN apoyan a los clínicos de salud primaria que trabajan con migrantes. Trabajando juntos en comunidad podemos mejorar la salud de una de las poblaciones más vulnerables y marginadas.
Soluciones prácticas en la intersección de Pobreza, migración, Y salud
Esta publicación ha sido posible gracias al financiamiento U30CS909742 del Buro Primario de Cuidado de la Salud de los Servicios Administrativos y Recursos para la Salud (HRSA), y su contenido es responsabilidad única del autor y no necesariamente representa el punto de vista oficial de HRSA.
Prevención de la violencia sexual e íntima en la parejaMCN trabaja exhaustivamente para terminar con la violencia interpersonal y familiar en los migrantes latinos y las comunidades de indocumentados a través de intervenciones clínicas, entrenamientos mediante promotores y trabajadores comunitarios de salud y programas comunitarios para las mujeres, las familias y los hombres.
Cuidados para los trabajadores lesionados y sus familiasMCN mejora la calidad de la atención para los pacientes con enfermedades laborales o de salud ambiental. Hacemos énfasis en los cambios prácticos clínicos, la detección y el manejo de las lesiones por exposición a las diversas condiciones laborales.
Asegurar la continuidad de cuidados de salud para los pacientes que emigran.La Red de Salud de MCN enlaza a pacientes con diferentes condiciones de salud con proveedores de salud sin importar la ciudad, condado, estado o pais. El personal de la Red de Salud encontrara una fuente de cuidado, coordinara seguimiento antes que el paciente se mude, y hara la transferencia de registros medicos confidencial asi asegurando continuidad y documentacion del progreso clinico de el paciente migrante.
Y más…
Comunidad de Clínicos Expertos y Recursos para el Apoyo del Cuidado Primario de la Salud
• Sistema de Herramientas Clínicas• Bitácora de Clínico a Clínico • Base de datos de recursos para el
cuidado primario de la salud• Seminarios por Internet
Volume 20, Issue 1 • Winter 2014
streamlineBACKGROUNDAccess to Health Care for Unaccompanied
Migrant Farmworker MinorsThis research study seeks to provide primary
care providers with policy recommendations
for increasing access to health services for
migrant farmworkers who are unaccompa-
nied minors, while ensuring the protection
of providers from legal liabilities. It was initi-
ated after several Health Centers in the Mid-
Atlantic region of the United States reported
instances of unaccompanied minors (defined
as those under age 18) seeking treatment
without a legal guardian who could give
consent. Some primary care providers
expressed concerns regarding the possible
liabilities of serving unaccompanied minors.1
Primary care providers also face ethical issues
of whether these minors should be working
at all or should be referred to social services
and enrolled in school and foster care.
Health Centers do not wish to adopt policies
that would discourage patients from seeking
the medical help they need, or policies that
will prohibit them from effectively serving
this vulnerable population. Minors in Agricultural Labor
The number of minors employed in agricul-
tural labor has increased in recent years as
more teens immigrate alone to the United
States in order to work in the agricultural
industry and send earnings back home to
their families.2 The US Department of Labor
reported in 2000 that 80 percent of migrant,
minor farmworkers do not live with any
member of their family, and 91 percent are
foreign born.3 According to the Centers for
Disease Control and Prevention, an estimat-
ed 230,000 youth were hired to work on US
farms in 2009.4Unaccompanied migrant minors face
many challenges as a result of their work
conditions, poverty, low levels of education
and lack of parental support. Half of all
teenage farmworkers live in households with
annual incomes of less than $10,000, yet
only 2 percent of all farmworkers live in
households that receive Temporary
Assistance for Needy Families, and only 7
percent of farmworkers aged between 14
and 17 receive food stamps.5 Teenage farm-
workers are half as likely to receive food
stamp benefits as adult farmworkers. The
low levels of federal assistance may be due
to the fact that many minor migrant workers
are foreign-born. Minors working in agriculture are also
paid less on average than adult farmworkers.
Approximately 23 percent of adult agricul-
tural workers earned minimum wage or less
while 30 percent of child farmworkers
earned at or below minimum wage.6 Teens
who work and live away from their families
have also been shown to struggle academi-
cally. Almost half of unaccompanied teens
indicated that they had worked for more
than 13 weeks out of the year, which indi-
cates that they performed some work during
the school year.7Health of Minor Farmworkers
Although data on unaccompanied minor
farmworkers is limited, the US Department
of Labor reported that, “it is unlikely that
many of these minors have employer provid-
ed health insurance.”8 In fact, only 8 percent
of all farmworkers report having health
insurance. This is especially troubling consid-
ering the often hazardous nature of farm
work. According to the National Safety
Council, agriculture is the most dangerouscontinued on page 2
Increasing Access to Health Care for Farmworkers
Who Are Unaccompanied Minors
Magdalena Fernández, MPP
The Migrant Health News Source
© e
arld
otte
r.com
4,691 Recursos y herramientas disponibles
8,482 Número total de pacientes a los que a apoyado la Red de Salud
unirse a nosotros?www.migrantclinician.org
foto
© E
arl D
otte
r -M
CN20
13
Soluciones prácticas en la intersección de Pobreza, migración, Y salud
MCN empezó con solo tres clínicos que compartían una pasión y compromiso profundo por la población migrante, aislados en medio de la nada, y entregados a la atención medica de primera línea. Y desde 1984, MCN ha crecido para incrementar la fuerza de más de 10,000 clínicos y proveyendo apoyo, recursos, programas innovadores, junto a educación de calidad para así por medio de ellos apoyar a la población migrantes de bajos recursos. Guiados por una mesa directiva compuesta por clínicos y operando con un personal bilingüe, con experiencia clínica, cultural y técnica. MCN es una plataforma profesional para los clínicos que trabajan con poblaciones migrantes, así convirtiéndose en una fuerza de justicia en salud en los Estados Unidos, México y alrededor del mundo.
Acerca de nosotros
Hemos trascendido
Migrant Clinicians Network Apartado Postal Box 164285 Austin, Texas 78716
512.327.2017
www.migrantclinician.org
Ferndale, WA • Chico, CA • Austin, TX • Salisbury, MD • Clinton, NY
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Oficinas de MCN
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