U.S.-Mexico Border Health Commission Texas Outreach Office (TORO)

U.S.-Mexico Border Health Commission Texas Outreach Office (TORO) Progress Report for Reporting Period: January 1, 2005—March 31, 2005 Introduction. ...
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U.S.-Mexico Border Health Commission Texas Outreach Office (TORO) Progress Report for Reporting Period: January 1, 2005—March 31, 2005

Introduction. The United States-Mexico Border Health Commission (USMBHC) has established the Texas Outreach Office (TORO) within the Texas Department of State Health Services (DSHS) Office of Border Health (OBH). TORO and OBH have field offices in El Paso, Presidio, Eagle Pass, Uvalde, Laredo, McAllen, and Harlingen. The overarching TORO goal is to implement the Texas Healthy Border 2010 program, and to develop community-based and bi-national solutions for health promotion and disease prevention. TORO will also provide administrative and technical support for specific projects approved by the Texas Members of the United States-Mexico Border Health Commission. The USMBHC approved a TORO FY05 work plan of $500,000 for the period October 1, 2004 to September 30, 2005. A financial report of encumbered funds and actual expenditures for the current reporting period of January 1, 2005 to March 31, 2005 is attached. This report is divided into the five FY05 work plan categories prescribed by the USMBHC, as follows: (A) Outreach and Health Promotion Activities; (B) Evaluation and Assessments; (C) Health Data and Surveillance; (D) Administrative Support to Texas Commission Members; and (E) Healthy Border 2010 Project Activities. A more detailed Healthy Border 2010 Projects Outcome Report will be sent under separate cover.

A. Outreach activities to establish or strengthen public health systems in border communities: 1. Objectives: • To establish and strengthen functions of public health in Texas-Mexico Border Communities. 2. Expected Outcomes: • Increased border-wide capacity to perform essential functions of public health, both unilaterally and binationally at the local, state and federal levels. • Continued expansion of the Healthy Border 2010 program. • Viable Binational Health Councils, whose roles are a vital link for local binational border health relations. • Successful implementation of the October, 2004 - Border Binational Health Week.

TORO Progress Report—Second Quarter FY05 Page 2 3. Activities Report—January 1, 2005---March 31, 2005 A. Two Public Health Techs continue to be employed in Presidio and McAllen, working full time on Healthy Border 2010 projects. They are supported with BHC funds. Two Public Health Techs are located in Eagle Pass and Laredo, supported from Texas state funds. We plan to hire one for El Paso, also to be supported from state funds. These Public Health Techs all have at least half their duties working on Healthy Border 2010 projects. B. Binational Health Councils 1. El Paso/Juarez/Las Cruces— 2. Presidio/Ojinaga 3. Amistad (Del Rio/Ciudad Acuña)-4. HOPE-K (Eagle Pass/Piedras Negras/Kickapoo Nation)-5. Los Dos Laredos 6. Texas Tamaulipas Binational Health Committee TORO is providing limited financial support for El Paso/Juarez/Las Cruces, Presido/Ojinaga, Amistad, HOPE-K, Los Dos Laredos Councils and the Texas Tamaulipas Binational Health Committee as part of the HB2010 program. The Texas Tamaulipas Committee formed during this quarter and the contract has been executed. C. This year, we are also supporting Local Health Advisory Councils in the following Border Counties and City of El Cenizo, Webb County(not binational, but constitute the Health Advisory Forum recommended in the MAP-IT process): 1. 2. 3. 4.

Duval County Health Advisory Council Jim Hogg County Health Advisory Council City of El Cenizo Health Advisory Council Starr County Health Advisory Panel

D. Border Binational Health Week—October 11-17th, 2004 1. Outcome reported last quarter: TORO assisted with the planning, coordination and implementation of BBHW activities in six (6) different Texas sites (El Paso, Presidio, Del Rio, Eagle Pass, Laredo, McAllen areas and the corresponding Mexican counterparts) through eight (8) different BHC awards (El Paso area had three separate awards) totaling approximately $180,000. During this quarter, we have reviewed the results, reports, videos, photos, etc. from last years BBHW and begun to plan for next year

TORO Progress Report—Second Quarter FY05 Page 3 D1. National Infant Immunization Week/Vaccination Week of the Americas—April 2430th 2005—Not proposed for the FY05 Workplan, but we have been working to promote this week. Activities during this quarter are as follows: 1. Staff participated in planning conference calls 2. A Binational Vaccine Equivalency Sheet was developed to be used by vaccine providers 3. TORO assisted the Texas Health Foundation in the preparation of a $3,000 proposal which was funded through the BHC for the purchase of crayons to be distributed in conjunction with the distribution of coloring books 4. BHC/PAHO will ship 3,500 coloring books to the TORO to be distributed to children to promote NIIW/VWA D2. World TB Day and World Health Day—TORO participated in these events in Presidio, El Paso and the Valley areas.

B. Evaluation and assessments of health services, health research, health care technologies and delivery systems: (Not Applicable to FY05 Work Plan) C. Health data analysis and surveillance: 1. Objectives: • •

Evaluate and assess nine Texas border counties’ overall health status. Continue to create and update yearly “Community Health Profiles” for the nine Texas counties, with emphasis on their local priorities and Healthy Border 2010 objectives. When possible, locally selected priorities and interventions should be data driven and science based.

2. Expected Outcomes: • •

Nine Texas border health profiles and BRFSS reports available for dissemination and posted on the TORO and USMBHC web pages. Healthy Border 2010 target values measured on an annual basis. • Completion of Border Behavioral Risk Factor Survey. • Completion of US Border Health Status Report.

3. Activities Report— January 1, 2005---March 31, 2005 •

Staff person holding Research Specialist position headquartered in Austin resigned—currently duties are being performed by

Epidemiologist Robert Garcia (OBH El Paso Office) TORO Progress Report—Second Quarter FY05 Page 4 3.

Activities Report— January 1, 2005---March 31, 2005(continued) •

Data for the community health profiles for the nine proposed Healthy Border 2010 county sites: El Paso, Presidio, Val Verde, Maverick, Webb, Starr, Cameron, Hidalgo, and Willacy has been gathered and is now in the process of being analyzed and formatted for distribution (Target date, spring 2005) • Robert Garcia and Kassie Rogers participate in the meetings and activities of the of the USMBHC’s Technical Workgroup to coordinate data sets with the other Border States and Mexico • We are participating in the Border Behavioral Risk Factor Survey (Border BRFS)project • TORO staff is currently participating with the National Center for Health Statistics to complete the US Border Health Status Report. We are in the early stages of designing our own TX Border Health Status Report which is planned to be an annual report/update on health of TX border residents.

D. Administrative support to the members/staff of the commission: 1. Objectives • Provide funding for an Administrative Assistant position headquartered in El Paso. • Provide administrative assistance, technical support, and outreach support for the Texas members of the USMBHC. • OBH Director represents Texas Commissioner, Dr. Sanchez as requested for USMBHC; • OBH Director represents Texas Commissioner on Budget Committee. • Promote awareness of TORO activities and good communication among the Texas members of the Commission. 2. Expected Outcomes • •

Enhanced promotion and communication of all TORO activities with USMBHC’s Texas members. Feedback from Texas Commissioner Members

3. Activities Report— January 1, 2005---March 31, 2005 •

Administrative Assistant position in El Paso is currently being performed by a temporary person. Steps are being taken to post and fill the position as a Public Health Tech to expand the duties of this position (See narrative A.3. above)

TORO Progress Report—Second Quarter FY05 Page 5 3. Activities Report— January 1, 2005---March 31, 2005 (continued): • Plans are in place for a Spring Meeting of the Texas Commissioners, the DSHS Regional Medical Directors, the Executive Director and HB 2010 Coordinator of the USMBHC. This meeting is scheduled to be held April 8, 2005 in Austin. During this meeting, the leadership group will discuss the future direction of TORO and the Workplan and Budget for FY06.

E. Healthy Border 2010 Project Activities: 1. Objectives •



Healthy Border 2010 mini-grant program for applicants from border communities that meet criteria for (a) setting targets, (b) setting and verifying milestones and (c) verification of results according to specified Healthy Border 2010 objectives. Priority will be given to funding HB 2010 proposals that address the following HB 2010 FY05 topic areas: (a) Access to Health Care; (b) Physical Fitness, Nutrition, and Obesity; (c) Environmental Health; (d) Immunization and Infectious Disease; (e) and Bioterrorism Preparedness. Sustained funding for the El Paso City/County Health and Environmental Department to do HB 2010 projects. In FY 04, projects included immunization promotion. Due to the fact that the El Paso City and County have split up, we do not foresee doing a project with them for FY05 except to support the activities of the El Paso/ Juarez/ Las Cruces Binational Health Council. We did a contract in 05 for the amount of $7,500.00 to extended the 04 contract to 12/04 to complete that project.



Sustained funding for the Laredo City/County Health Department to address various HB 2010 public health activities and issues. In FY04, projects included obesity/fitness/diabetes, HIV/AIDS, Environmental Contaminants, and tuberculosis.



Continued support for technical assistance in the development and implementation of a local community self-help partnership for improving community health water/wastewater infra-structure projects in colonias of Texas-Mexico border counties.

2. Expected Outcomes •

Completion of 20-25 Healthy Border 2010 projects through outreach efforts of OBH/TORO staff working along the Texas-Mexico border.



Completion of HB 2010 project(s) with El Paso City/County Health and Environmental Department

TORO Progress Report—First Quarter FY05 Page 6 2. Expected Outcomes (continued) • • •

Completion of HB2010 projects with Laredo City/County Health Department Progress toward completion of water and wastewater self-help projects in Texas Border Colonias Improvement of the health and quality of life of targeted individuals and communities.

TORO Progress Report—Second Quarter FY05 Page 7

E. Healthy Border Projects/ Activities (continued): Project Phases

1. 2. 3. 4. 5. 6. 7. 8.

Contract Negotiation Scope of Work (SOW) review and approval SOW approval done and Purchase Order number assigned Invoicing and Reporting Meeting Held with contractor Work ongoing/TORO evaluations in progress Work completed Final reports/invoices submitted Payment made to contractor by DSHS

Contractor

Project Description

Funding Amount

Status

El Paso City/County HETCAT El Paso Community Foundation Paso Del Norte Fort Stockton City of Presidio Cactus Clinic Family Crisis Center City of Eagle Pass

Finalize Immunization Contract of FY04 EMT training classes for Chihuahua Support for EP/J/LC Council and activities of the Council HIV research Fort Stockton ISD Worksite Wellness

$ 7,500 4,100 4,305

6 2 2

6,000 4,500 14,500 4,000 3,500 12,000

1 5 5 5 5 5

4,900 4,000

8 3

4,800 $30,000

1 3

Quad Counties Amistad Maverick County City of Laredo Health District-Buena Vida City of Laredo H Dist. El Cenizo Healthy Communities Hidalgo County

HB2010

Support P/O Council; HB2010 activities of the council

Adult Fitness and Wellness Program Domestic Violence/Sexual Assault Support Support for HOPE-K Council, HB2010 activities of the Council; and separateTire Disposal Project Youth Rally for Substance Abuse Prevention Support for Amistad Council;HB2010 activities of the Council

Tire Disposal Community Fitness and Wellness Program and support for the Los Dos Laredos Council Los Dos Laredos/USMBHA Conference Support for activities of Local Health Advisory Council and HB2010 activities of Council Teen Pregnancy Prevention Support for Tamps/TX Binational Health Committee and HB2010 activities of the Committee

20,000 6,000

3 2

3,500 8,000

4 4

Dentists Who Care La Union Del Pueblo Entero Starr County

Oral Health Services to Colonias Children Support for Community Trash Cleanup Projects in three Valley Colonias

2,000 2,100

4 4

Support for activities of Local Health Advisory Panel and HB2010 activities of Panel

6,000

4

City of McAllen Health Department Duval County

Support for 20 Classes for Restaurant Employees in Safe Food Handling

2,000

4

Support for activities of Local Health Advisory Council and HB2010 activities of Council Support for activities of Local Health Advisory Council and HB2010 activities of Council

5,000

4

5,000

4

Water and wastewater projects in Valley Colonias

50,000

5

Jim Hogg County The Rensselaerville Institute

Total

205,705