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@cjterry0428-blog
This past week TEAM FARMWORKER wrapped up everything for our presentation for this coming up week. We were able to reflect how our practicum this semester has impacted us and also how we are grateful to contribute with educating the Farmworkers at events on their health.
Team Farmworkers this past Thursday morning started the day early at 6:30am and joined the migrant Farmworkers in picking sweet potatoes from the fields! Awesome experience!
Conducting surveys this past Wednesday night on the migrant Farmworkers health insurance. We were asking questions to find out information to determine if the Farmworkers having insurance was beneficial for them or not.
This past week Team Farmworker had a very productive week. On Wednesday night we were able to travel with Ana who is one of the NC Migrant Farmworker Project workers to one of the farmworker camps to do surveys on the farmworkers health insurance. On Thursday morning we were able to go out into the fields with the migrant farmworkers to see for ourselves what it is like for them to work for a day.
On Wednesday night we met at the NC migrant Farmworker Project house to meet Ana and leave from their and go out to a farmworker campsite. We ended up having to wait a little while due to the farmworkers still not being back from working in the fields before we headed over. At this time the sun had gone down and nighttime had come with it being dark outside. The farmworkers start very early in the morning before the sun rises and finish after the sun sets. There work hours can be as long as 14 hours a day, and 70 plus hours per week. We traveled out to a farmworker camp that we had not visited yet so it was another new sighting for us. When we showed up a few of the farmworkers were inside the small block building and making dinner. Other farmworkers must of still been getting cleaned up or changing since there was only a few around at the time. Slowly as time passed by more and more farmworkers started to show up to the kitchen and they continued cooking for their dinner. The smell of the food they were making was great but standing in the kitchen looking around the environment was not clean and which falls back onto hurting their health. These kitchens and living conditions do not look as if they are only getting cleaned once a year. This actually makes me wonder if they do clean their living areas and if they do how often it is done. Without the farmworkers staying in good health they will not be able to work intense hours if they become sick and could possibly even be sent back home. In my opinion they should regulate the living conditions and make them keep where they sleep and eat, clean.
Thursday morning we got the chance we had been waiting for all semester and that was to go out into the fields with the migrant farmworkers to get a feel for how their work days were. Team Farmworker met at 6:30am to start our way to the fields the migrant farmworkers were working in that day. This day the farmworkers were working in the sweet potato fields and when we arrived the farmworkers were already in the fields and working. As we got out and walked through the field over to where the farmworkers were at I could see the buses they used as long trucks to hold the sweet potatoes in wooden crates. The farmworkers were all in a big group working on the rows of sweet potatoes. It was very organized with how they worked and on top of it they worked extremely fast. To me it seemed like a race for everyone, but I know how vital money is so the more sweet potatoes they could pick up the more they would make. We were all given a bucket and were able to pick up the sweet potatoes. The first bucket we filled and I took it to the truck and went to hand it to the worker who was taking the buckets to empty them into the crates and he looked at my bucket and said “no good”. I looked at him confused and asked why it was no good and he said not the correct size and he reached to his belt and pulled up a square piece of plastic that was a certain length long, a certain length in width and had two different size holes drilled through the plastic. He said we only pick up anything that can fit through the two holes and if it fits through the big hole it has to be the length of the length on the plastic piece and if it fits in the small hole it could only be the length of the width on the square plastic piece. He then said that’s why the ones you picked up were left behind, and then it all made sense to me because I wondered why the areas they had gone over still had sweet potatoes left behind. So I went back and told the rest of Team Farmworker exactly what sizes we needed to be picking up and we began to work. As we would take full buckets to the truck to be emptied they would put a small ticket into our bucket which counted for $0.50 cents. We started working at a good pace but definitely not at the pace the farmworkers were. We started off at about 30-40 feet away in front of them and within less than 5 minutes they were right where we were. Watching them work was amazing at how fast they could get the potatoes up from the dirt and pick off which ones they needed to collect and how they would run to the truck and run back to where they left off. This showed me how vital it was for them to collect as many small tickets as possible which in return would be exchanged out for money. We were also told that any potatoes that had holes or big nicks in the potatoes were no good because it was a sign that bugs had starting eating into the potato. As I continued to work, I could notice that the farmworkers would take all of the potatoes that they uncovered from the dirt and would take the ones they were collected but would place the other sizes on top of the dirt mounds so that they other workers could come by fast and pick up the ones they needed. So, even though this is all about making money and getting the most buckets filled and emptied the farmworkers worked as a team to help each other also. In place of just looking out for themselves only, they still looked out for each other and which this also showed me that yes they want to make as much money as possible but that they would also help each other to go faster and get the job done and which could possibly make everyone more money in the end. In my own phrase, time is money and money is time, they sure utilized there time spent on picking the sweet potatoes. Every so often when the farmworkers would finish picking a row they would holler for excitement and possibly motivation for the next row.
After working for about two hours we had to leave working in the field due to class that we had to attend. As we left and said bye to all the workers I could only think about how lucky we were to pick the day we did to work. It was not hot or cold. It was a perfect temperature that felt great. With this on my mind riding back to school, I could only imagine having to work the long hours and the speed they were working in the extreme summer heat. With that it really put into perspective of how vital there health is with easily having a heat stroke and knowing that at the previous health fair we did, that informing them on how to be cautious and not overheat was very important knowledge that we informed them of. Being able to educate the farmworkers on these different health problems that could arise in any of them at anytime is a great feeling, and I hope that they are all able to learn from it and that none become victims of heat stroke.
Team FARMWORKER was able to spend a few hours Thursday morning starting at 6:30am out in the field with the migrant Farmworkers to get more of an understanding of what kind of day it's like for them while picking sweet potatoes.
Previously this past week Team Farmworker had started a new phase and did some transitioning from doing health fairs to prepping for focus groups. On Thursday Team Farmworker attended training at the North Carolina Farmworkers Project house for a few hours to go over and learn about health insurance. This training was for us to learn more about health insurance and how it works and is available to the NC Migrant Farmworkers. We will all participate in conducting surveys on the farmworkers experience with enrollment of the Affordable Care Act and the ability to use it and the overall quality they received from having the health insurance.
Within the U.S. there is a law now that states every current living citizen must have health insurance or is subjected to pay a fine at the end of the year. This law came into effect when the creation of the Affordable Care Act passed. This law includes all migrant farmworkers as well and which if they do not enroll in health insurance there fine is ~$58 per month that they do not have active health insurance or a total of $695 for the entire year or 2.5% of their income; whichever is greater. These are the rates for 2016 which have risen tremendously from last year’s 2015 amounts. The amounts for 2015 were $325 per person for the year or 2% of the annual household income, whichever was the greater value. With this fee and in my experience they should be able to get a cheaper health insurance rate and receive health insurance and on top of that SAVE money each year rather than not enrolling. With that being said, the farmworkers do not understand how health insurance works, more less understand that they can receive health insurance and still save more money than they would be charged for not having health insurance.
With this process for migrant farmworkers it is very vital for them to understand the best they can about health insurance and what exactly they are receiving when they sign up. Data will be collected on this type of information from each Farmworker at the end of the year to understand what they know about health insurance better and in what way it affected them by having the health insurance. This survey has been created through the North Carolina Farmworkers Project as an education initiative to learn what actually is helping the migrant farmworkers to enroll yearly, for them to understand the process and how to utilize their health insurance to be best possible use. With health insurance, being able to understand and comprehend the enrollment process, the charges, and the options of health plans from under just the ACA itself is a difficult process. For the average American citizen it takes some time to sit down and look over options, and to decide what’s the most affordable and convenient health insurance to have. Majority of Americans grow up having health insurance and once graduating high school or starting college is when most citizens enroll in their own health insurance and in which they are already educated on the process. With the migrant farmworkers they do not have these type of polices back home in Mexico and are very uneducated on the health insurances here so for them to understand how health insurance works is a very difficult and sometimes frustrating part. They might feel as if they come here to work legally to make more money for their family back home but then they have all these guidelines to follow and which makes them spend money that they really would rather keep. The extent the farmworkers will go before seeing a doctor to receive any type of health care is unbelievable. As U.S. citizens might say that we push our limits on what we do and try to hold off as long as possible but the migrant farmworkers hold off to an tremendous extent that sometimes even leads to death because of heat stroke.
Once the migrant farmworkers come to the U.S. there are specific periods when they can enroll into health insurances. If they come outside of this specific time they have a term of sixty days to enroll or they will receive a fine of every month they are not enrolled. The migrant farmworkers only need to enroll in health insurance if they will be staying longer than three months. This is a time when the farmworkers have to figure out how to enroll and what exactly they want to choose to enroll in. Once time comes and they leave to go back home they have to un-enroll themselves as well or they will continue to be billed for months they are not here and which will create problems for them once they come back. After this process comes tax filing season where every farmworker who enrolled in health insurance must file taxes and which also is another brick wall they face because a lot of tax agencies do not know how to do this properly and so finding an agency who does know can be frustrating if they are at a different camp and a new area and can’t remember where they filed the previous year. With tax agencies not sure of how to file these taxes properly can end in tax fraud which is another negative aspect. As you can see there are a lot of things that can create multiple problems and which they sure would not enjoy to deal with.
When the ACA was passed the NC Farmworker Project started working with and helping all of the migrant farmworkers to enroll, un-enroll, and pay monthly health insurance bills. This is why Team Farmworker is stepping in to help with the surveys and helping to administer them. When we were at the training we went over the survey as a group and then we split and paired up with one of the native Spanish workers to do a test run and get a feel for what it will be like. Once we all finished we contemplated and decided for the farmworkers sake and ours that we should work as a pair with each other when we actually administer these surveys. All of us have some Spanish speaking background from previous classes we have taken but we are really rusty from not using it for so long. It is vital we are able to understand everything that the farmworkers respond to us saying, so having two of the team farmworkers doing this together will help from not hearing any information. Whether we have good or bad results it will be fascinating to listen and see how the ACA has affected them. Also, for the North Carolina Farmworkers project, this will be the first time that surveys are given, and that Team Farmworker will be the first group to conduct using the surveys. I am very excited to go out to the camps and meet and speak with more of the farmworkers and fill out these surveys and actually learn what their thoughts of the health insurance are.
Rubella eliminated from the Americas?
This week team Farmworker met to discuss and select dates for upcoming events. Events added to our upcoming schedule are another health fair event, possibly spend a day in the field with the Farmworkers, and focus groups which will be to discuss and educate the Farmworkers on healthcare insurances through the Affordable Care Act.
#HopeForHaitiHumpDay fundraiser next week. Everybody X $10 = FeedTheKids
Team Farmworkers had an eventful day with all College of Pharmacy and Health Sciences at the career fair. Following this we had a brief discussion of when our meeting next week would be held; which will be planning for our upcoming focus groups. We were also informed that the labor laws for Farmworkers had been lifted due to the state of emergency of the upcoming hurricane this weekend. So we are continuing to hope they stay safe while working even longer hours than they already do.
Team FARMWORKER working on finalizing a couple of grants that we are applying for and getting ready for upcoming focus groups
This past week Team Farmworker had some exciting activities take place. Two major overall things that took place were attending the 26th Annual Farmworkers Festival on Sunday from the morning time and running into the afternoon. The second major activity we worked on as a group was writing our first grant for Wal-Mart. Some of us did not know what writing a grant would consist of while a couple of us have either helped apply for a grant before or have been part of a group that applied for a grant as well. We also called to check in with Food Lion to get an update with where we stand with receiving possible donations as well.
With the farmworkers festival it was located in Benson, NC. We arrived mid morning, and first decided to take a quick look around at everything that was going on so far. We decided since this was a very important event for the farmworkers that we would wear our Campbell University shirts to represent not just what university we are but exactly what program we are from. Interesting enough thinking that these farmworkers have seen us recently or in the past that while we were walking around how we all felt that we were being noticed by everyone and sometimes even awkwardly stared at. As we were walking around we would talk to each other about the situation asking each other if we felt this way and how interesting to feel that way was. As a group we asked ourselves if this is possibly how the farmworkers feel themselves while working here in the United States.
In my opinion I feel that these farmworkers are severely overworked and underpaid. I know that the farmworkers come to work here because they can make in one day what they make back home in two weeks for salary income. So to sacrifice leaving there families for six to nine months at a time is heart breaking but also is very heart touching to know that they do whatever it takes for their family back home to live the best as possible, Even though I am not a farmer who runs a farm with farmworkers but I feel that these farmers should provide a better living situation for these farmworkers. Back at the beginning of the semester we visited two camps and the first camp was built decently but just needed to be cleaned up and taken care of a little more. When we visited the second camp it was a total different scenario. When we pulled up the first thing we saw were all run down trailers from the outside. We were able to experience part of where they interact and eat by walking through the trailer that was used as a kitchen. It was very dirty and run down which was not sanitary, and very bad for the farmworkers health.
While at the farmworkers festival we noticed a few different things taking place such as a soccer tournament, a lot food tents and multiple vendors who were setting up to sell things from jewelry, clothes, to some games. Also, the Benson Area Medical Clinic was set up with their own tent and was giving out vital information for anyone and the farmworkers. We being fortunate were able to set up a table beside the Benson Area Medical Clinic and put up one of our own visual aid poster boards. We did have a group of farmworkers come over and which we were able to display and go over the information we had for them on heat stroke. Majority of the farmworkers only speak Spanish and very little English, if any at all. Because of this barrier, Taylor did all of the talking since he is very fluent with the Spanish language. By using the poster board we were able to provide the farmworkers with vital information for them to constantly remind each other about, and to keep an eye out for each other while working. Since heat stroke is one of the most important factors they have to deal with we asked if they knew any other workers that suffered from this, and they all said yes. The more these farmworkers are educated on this particular health factor the less they will suffer from it.
Team Farmworker is looking forward to scheduling and hosting focus groups in the future this semester. This coming up week the group will meet with our preceptor Anna to discuss the grant that we have almost completed for Wal-Mart to tighten up a few ends with some questions we have, and to make sure we are on track with our upcoming weekly events. We will also be scheduling a day to be able to go out and work with the farmworkers in the fields to see how they live their daily lives while here working. There is no better way to learn about something than to experience it firsthand.
This previous Thursday Team Farmworker visited the Benson Area Medical Clinic to present topics on health to the migrant farmworkers. Previously during the week Team Farmworker worked together to design a poster on heat stroke to be able to present to the migrant farmworkers, who would be present at the Benson Area Medical Clinic. Previously last week we met with our practicum leader, Anna Jensen, and we discussed future events we would be taking part in, and while doing so we decided that using picture diagrams for heat stroke to show the differences in safe verses non-safe conditions for heat stroke would be best. Once we arrived at Benson Area Medical Center and were setting up and getting ready to present one of the staff nurses at Benson Area Medical Center came out and was speaking with us and told us that 3 of farmworkers had suffered from heat stroke that day. One of the farmworkers was in critical condition while the other two farmworkers were being maintained.
So with the information being brought to our attention we chose to do heat stroke first as the main presentation for the migrant farmworkers because they are out in the heat daily and it is one of the most important health factors they deal with. This decision to use diagrams was also agreed upon due to the farmworkers having a high percentage chance of having less than 6 years of education, and also with some of the farmworkers not having the ability to read. So with this outlook, having majority of the poster covered with pictures allowed all of the farmworkers to participate and understand the information covered. Also, with the poster on heat stroke that we created, we decided to come with a few games the farmworkers could play as well besides having them only listening to us lecture. Having them be involved as much as possible is one of the most important factors for us because we want to make sure they are not bored and are actually retaining the vital information we provide them with. The first game we played with the farmworkers was hot potato. We came up with a list of 10 questions that were related to the heat stroke poster we created. The game worked by playing a song and while playing the song they would pass the object back and forth to each other and once the music was randomly stopped whoever ended with the object had to answer one of the questions we came up with that we randomly selected to ask them. The game was completed and the farmworkers did a great job at answering the questions with good explanations.
We also had brought previous made posters that covered other useful topics for health and wellness that were created by previous year’s practicum groups. Being able to utilize previous made posters is great by allowing us more time to spend with the migrant farmworkers when we attend the Benson Area Medical Clinic. Once we were finished with the first poster and playing the game we decided to educate the farmworkers on another poster that covered oral hygiene. We previously during the week when creating the first game also created another game for the oral hygiene poster and which was the cabbage game. It is called the cabbage game because we wrote questions that we thought of onto paper from the oral hygiene poster and balled up the piece of paper. As we created more questions on each sheet of paper we would ball it up around the previous made balled up question. This then turned the paper ball into a size of cabbage and is where the name comes from. The game was played by throwing the ball to each individual farm worker and when they caught the cabbage ball they were to unravel a piece of paper from the ball and read the question and answer it. This game was also a success because the farmworkers did a great job at answering the questions and in which showed us that they had comprehended the information from the oral hygiene poster that we presented to them. The one thing we noticed and which reminded us how vital it is to be aware of their education level was when they would take off a piece of paper with the question they would take the paper and hand it to Taylor for him to read the question to them.
Along with the poster presentations and games we created Team Farmworker also made some handouts covering the topics we covered at the Benson Area Medical Clinic with the farmworkers. The handouts had an overview outline of all the information that was covered on the posters, such as the symptoms and treatments. We made the handouts hoping that the farmworkers would take them back with them and pass the information along to the other farmworkers they lived with at their camps.
Along the night we were only able to educate a total of 4 farmworkers when we imagined having at least a total number of 15-20. I think a good way to reach our max potential with speaking and educating the farm workers would be to go directly to their camps and have group talks with them for 30 minutes to an hour. We will still continue attending the Benson Area Medical Center in the future as well, and hope to reach higher numbers in attendance.
Team FARMWORKER meeting to discuss options for upcoming events that we will take part in.
We as Team Farmworkers went around to different locations to ask for donations that will be used as incentives in focus groups that will be held with the farm workers. These incentives will be given to the focus groups and promoter farmworkers to show appreciation for their impact on promoting health and wellness to their other farm worker coworkers.
Met the individuals at the second camp we visited in Angier NC
First group practicum meeting 🤓
