The 130th Annual Meeting of APHA

4144.0: Tuesday, November 12, 2002 - Board 2

Abstract #43181

A model for building capacity for HIV prevention within migrant farmworker communities

Gerlinda Gallegos Somerville, MPH, CHES, Division of HIV /AIDS Prevention/Capacity Building Branch, Centers for Disease Control and Prevention/NCHSTP, 1600 Clifton Road, Mail Stop E-40, Atlanta, GA 30333, (404) 639-3807, gns9@cdc.gov, Samuel Taveras, MEd, Division of HIV/AIDS Prevention/Capacity Building Branch, Centers for Disease Control and Prevention/NCHSTP, 1600 Clifton Road NE, Mail Stop E-40, Atlanta, GA 30333, and Ted Duncan, PhD, Division of HIV/ AIDS Prevention/Capacity Building Branch, Centers for Disease Control and Prevention/NCHSTP, 1600 Clifton Road, Mail Stop E-40, Atlanta, GA 30333.

The HIV/AIDS epidemic is having a severe impact in migrant farmworker communities. Of the estimated 4.17 million farmworkers and their dependents living in the US (USDHHS, Migrant Health Program, March 1990) evidence shows that the rate of HIV/AIDS infection among farmworkers is 10 times the US national average (National Commission to Prevent Infant Mortality, 1993). CDC-funded national minority organizations are successfully applying a Capacity Building Assistance Model by working with community based organizations from the US and Mexico on community mobilization for HIV prevention and intervention, development, implementation and evaluation. Community members are best positioned to deliver effective, culturally and linguistically appropriate HIV prevention messages in community and work settings. Promotores de salud (community health workers) incorporate HIV health education and risk reduction messages into plays, fotonovelas, and specifically targeted interventions like mother/daughter workshops. These messages are delivered directly to farmworkers in the fields and their homes, schools and churches. The recommendation for effective HIV prevention is to mobilize indigenous leaders to effectively influence societal/community norms in support of HIV prevention, adopt strategies that involve community members in developing and delivering culturally and linguistically appropriate HIV prevention interventions and to increase awareness and knowledge of HIV prevention among migrant farmworkers to reduce discrimination and promote safer behaviors.

Learning Objectives: Learning Objectives