Mexico and Health Trends

Housing insecurity:

Residents are often afraid of being displaced from their homes. Some areas may not have electricity or water. Area was meant to be industrial, not residential, which creates pollution concerns that the government has ignored.

Healthcare Availability

Residents struggle to visit health clinics because they re only open during work hours
Appointment scheduling is difficult
Seguro popular provides very basic examinations but no specialists
Disabled individuals experience even further lack of access

Relevance to Fish

Relevance to FISH

Communication with Maclovio residents is key, FISH should increase advertisement through flyers distributed and posted at public venues such as schools.

Patient Education

Important Factors
- Quality
- Research/evidence based on efficacy of these self-management/education strategies
- individually oriented
- Mode: i.e active/passive; as well as continued dialogue/follow up/technology
Relevance to FISH
- consultation
- information handed out in line
- personal logs=motivation and track progress
- control of individual health
- personalized

Healthcare

Background info
- Seguro Popular implemented universal health coverage in 2003
- National Health Service transition to Insurance-Based system
- 50% of population received subsidized healthcare
Results
- Public health insurance increased 98% in 2011
- Hospital infrastructure grew
- prescription coverage improved dramatically
- less mortality in mothers and children
- less catastrophic out-of-pocket expenses

Fruit & Vegetable Consumption

Fruit and Vegetable Consumption

Introduction
- promote health, support growth, and prevent risk of disease
- strong decrease in risk for cancers, cardiovascular disease, diabetes, obesity, and stroke
- Purpose: To assess fruit, vegetable, soft drink, and high-fat-containing snack consumption amount 5th and 9th grade children attending public schools on the Mexico-US border
Results
- Average daily intake of fruits:1.5 for both grades
- Average daily intake of vegetables : 2.5 for 5th grade students
- % of children with intakes LOWER than the standard
  - Fruits: 77% (5th) 80% (9th)
  - Vegetables: 62% (5th) 53% (9th)
- At least 92% of 5th graders reported consuming one soft drink and 85% consumed one portion of high-fat-containing snacks DAILY
Conclusions
- Low intake of fruit and vegetables. Excessive consumption of soft drinks and high-fat-containing snacks
  - Costly health complications later in life
- Risk for lack of important nutrients
- Focus of nutrition education programs
- FISH dental stations and nutrition stations for children