This pilot project was a collaborative effort involving project partners Futures Without Violence, Alianza Nacional de Campesinas, Líderes Campesinas, RAND, and Migrant Clinicians Network and was made possible with the support of California's ACEs Aware initiative through the UCLA-UCSF ACEs Aware Family Resilience Network (UCAAN) pilot program. 

Education, screening, and response with evidence-based interventions are critical to addressing ACEs. However, ACEs education and screening that are culturally aware are not currently reaching farmworker communities in California. NACES aimed to increase opportunities for farmworkers to inform health care screening and responses to ACEs, increase ACEs education in farmworker communities, build partnerships between community health centers and community-based organizations, and ultimately improve access to care.

The project was divided into two parts, a community-based component presented in this report and a clinical component that examines how the results and recommendations of this community-based portion changed health center outreach, education, and response to ACEs. The community-based component was divided into two phases. Phase 1 involved the evaluation of farmworker leader training and Phase 2, the evaluation of the peer-led farmworker training.

The evaluation team employed a participatory action research (PAR) approach, developing instruments, presenting, and validating results with the partners to ensure active participation and collective action from all project partners and the farmworker leaders themselves.
 

Adults Get Vaccinated Too is an educational tool in the form of a comic book for health educators who work with the community and who need to provide information about vaccinations, when and where they are administered, and the symptoms that characterize the diseases they prevent.

Through a conversation between farmworkers in the field, this colorful and easy-to-understand comic book helps its readers to learn, in a simple and natural way, the importance of getting vaccinated and boosting their vaccines during their adulthood to prevent diseases such as hepatitis B, meningitis, chickenpox, influenza, tetanus, diphtheria, pertussis, measles, mumps, rubella and COVID-19.

¡Cuídate! is an educational resource on the prevention of musculoskeletal injuries at work. This comic is in Spanish, English and Haitian Creole.

Among the many obligations health care providers have to their patients, their families and life in general, they forget to put themselves on the priority list. This comic book dedicated to health care providers reminds them how important it is to take care of themselves to meet the needs of their patients and families. It also offers simple self-care steps to improve overall wellness.

MCN Spanish educational comic book that addresses pesticide exposure in women of reproductive age. LO QUE BIEN EMPIEZA...BIEN ACABA: Consejos para las mujeres para prevenir daños a la salud y a sus bebés causados por pesticidas.

This comic book tells us how Juan learned to protect himself from pesticides at work. This resource presents in a very simple and entertaining way what are the sources of exposure to pesticides, their short- and long-term effects on the body, and what can be done to protect oneself from them. It is a great resource for farmworkers and promotores de salud!

This publication was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $ 1,310,460 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

This publication was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $ 1,310,460 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

Diabetes is a common but complicated health condition facing agricultural workers within the United States. To help assist agricultural workers in learning about this diagnosis, Migrant Clinicians Network has partnered with professional artist and collaborator Salvador Sáenz to create “Mi salud es mi tesoro: Un guía para vivir bien con diabetes,” or, “My Health is My Treasure: A Guide to Living Well with Diabetes.” This low-literacy comic book explores the topic through the full-color story of an agricultural farmworker named Goyo, whose recent diagnosis of diabetes prompts him to engage in conversations with other agricultural workers on topics of diet, exercise, and illness prevention while facing the unique hurdles of living a life of migration. The comic book was originally produced in Spanish, and is now available in English below. Please click "Leer en español" above to access the Spanish-language version. 

In order to print the right number of comic books, we are asking organizations to pre-order in quantities up to 500. The comic book and shipping will be paid for by MCN. In exchange, we simply ask that you, or someone from your organization, complete an evaluation of the comic book several months after you first receive it. Information from the evaluation will help us improve our resources and will give us important insight into how the comic book is being used in the community.

Download a digital copy of the comic book below!