USMexico Border Healthy Gente Objectives

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US-Mexico Border Healthy Gente Objectives
The Challenge Collaboration Among Two Countries
and Ten States with Different Health, Operational
and Legal Systems

• Hugo Vilchis-Licon, MD, MPH
• Daniel M. Reyna, MPA

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Introduction

• More than 400 million border crossings northbound
  each year
• The border population has more in common with
  their binational neighbors than with the rest of
  their own country
• The border has different health systems and ways
  to collect and gather data this is true among
  states as well as among countries

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Topics of Discussion

• Population dynamics
• Health systems
• Level of development and availability of
  resources
• Coordinated systems for action

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Border Population

• Demographics
• Migration / In-migration
• North-South
• East-West
• Ethnic Populations, Farmworkers, Retirees,
  Non-English speakers, Native Americans
• Social and Economic Factors

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Health Systems

• Different systems
• National Centralized vs Decentralized
• States 4 different in US 6 in Mexico
• Local From independent to State to Federal
• Private (U.S.) vs. Public (Mexico)
• HMOs, PPOs

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Development

• Levels of infrastructure development
• Basic sanitation sewage, water, solid-waste,
  pollution
• Communications roads, phones, access to internet
• Health insurance and access to care
• Cross-border issues

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Resources

• Resources
• Human Health professionals, HPSAs/MUAs
• Infrastructure Clinics, Hospitals
• Economic Poverty, Income, Development

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Coordinated Systems for Action

• Bi-Local / Bi-State / Bi-National
• TB Projects
• Binational Councils
• Arizona-Sonora Commission
• Texas-New Mexico-Chihuahua MOU
• The U.S. State Border Health Offices (Los Burros)
• PAHO
• USMBHA

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The U.S. - Mexico Border Health Commission

• Long-term effort of implementation from many
  across the U.S. - Mexico border
• Re-introduced in 1993 passed in 1994
  implemented in 2000
• Primary goals
• To institutionalize a domestic focus on border
  health
• To create an effective venue for binational
  discussion and action

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Commission Actions

• Establish U.S. Section
• Encourage binational agreement for binational
  commission
• Encourage establishment of Mexico Section
• Act on national border-wide policy issues and
  support binational cooperation and action

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Dans Principals of Practice

• Respect for the Community
• Transparency of Decision-making
• Success will be based on your relationships, not
  your technology

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Summary

• Recognize the uniqueness of the border
• Understand the differing systems along the border
• Follow the Principles of Practice