Community Health Worker - Archived Newsletters
Message from the Chair and Chair Elect
Dear Colleagues: Welcome to the current issue of our newsletter!
From the Chair
I am very impressed that in so little time much progress has happened. But we need to continue working to pursue a better future for our communities and for the CHW field. We see that many community health workers have been affected by the budget cuts around the nation. Our work as community health workers has always been challenging, but today it is even more critical than ever before. Challenges can threaten our motivation and excitement in our profession and also in our programs. I would like to invite everyone to stand up. It is the time to see eye-to-eye and to go head-to-head in order to gain recognition for our work in different communities.
As the CHW/SPIG Executive Board, we continue working in many directions, but now we are focusing on the APHA Annual Meeting that is coming up in San Francisco. This year the SPIG received the largest number ever of abstracts for presentation on CHW issues. Due to the large number of abstracts we received this year, we feel very excited about the opportunity to reach more people. You will find more information about the program below. As result of all this planning, we want to take this opportunity to invite all of you to be a part of and participate in this meeting.
My plea to all of you in these difficult times is to stick together and support each other, reach out to your colleagues, allies and friends who are working in other fields, and ask for their help. Urge them to strengthen numbers in APHA, as well as at the state level in APHA affiliates.
From the Chair-elect
I wanted to second the welcome from the chair and bring you greetings from my home state of Massachusetts. As CHWs continue to organize and form national linkages, it is important that we represent our states and regions and work to develop strong CHW networks within them. My vision is that all CHWs across the country know that CHW networks/associations exist for them and that they should get information and get involved.
We must also connect and, in fact, unify the state and regional networks by continuing our work to develop a national association for and by CHWs. Many SPIG members are also members of the leadership group engaged in the national association development. We will work to have a progress report by early 2004 and hope to be able to share that at some of the state, regional and national CHW and public health conferences.
Policy and advocacy are continuing to be rallying cries unifying CHWs across the country. We need to continue to become more savvy regarding policies and legislation that impact our fellow CHWs. We also must be involved in, and in decision-making
positions behind, developing these policies and legislative initiatives. All of us CHWs, allies and partners need to find resources and ways to support CHWs in the many roles we must fulfill to further develop the field.
Teresa and I are both excited about the upcoming APHA Annual Meeting (a link to SPIG sponsored sessions is included in this newsletter). We have more CHWs presenting during this meeting than ever before and also getting involved in APHA. We recently successfully nominated two CHWs to serve on APHA’s Governing Council; they will advocate for policies that support CHWs and access to care. We will host 10 sessions encompassing all aspects of the field of community health work. I will host, for the 8th year, an energizing session about youth CHWs that will feature youth from San Francisco area programs. We will also host a business meeting open to all CHWs and their supporters. We really need your input and continued involvement so the SPIG can continue to progress and impact CHWs and public health on a national scale. Also, we’ll have some fun while hosting a reception, which will feature our first “passing the gavel”ceremony as a way to symbolize leadership transition.
Reciban un saludo muy fraternal/Sending a fraternal greeting.
Durrell J. Fox
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We Look Forward to Seeing You in San Francisco!
The Community Health Workers Special Interest Group (CHW SPIG) is planning an exciting and full program for APHA 2003! Come hear about Community Health Worker innovations nationally and internationally by attending some (or all!) of the 45 scheduled presentations. Highlights and learning opportunities include:
- improving communities through popular education;
- working with diverse populations such as the Amish, Bosnian refugees and Native Americans;
- experiencing the work of CHWs in Nepal, Indonesia and Guatemala;
- hearing from local CHWs in the Bay Area;
- dialoguing with CHWs in a town hall meeting;
- gaining new skills in program evaluation; and
- understanding the work of teen CHWs.
In addition to eight oral sessions and two poster sessions, look for us at our booth in the exhibition hall. There, you may sign up for our mailing list, pick up information on the sessions, meet SPIG representatives, share your ideas for the SPIG and learn about CHW programs all over the country.
Furthermore, you are invited to two special events. Our second annual CHW Reception will be held on Monday evening from 6:30 – 8:00 p.m. Please join us for refreshments, raffle prizes, and most importantly, an opportunity to meet colleagues and CHWs from all areas. The next morning, we’d love to welcome you to the general business meeting held bright and early from 6:30 – 8:00 a.m. Learn about activities the SPIG is involved in and sign up to join one of our committees. We are always excited to see new faces and to reconnect with old friends during this meeting.
All events will be held at the Argent Hotel. For more details, search for the CHW SPIG program at http://apha.confex.com/apha/131am/techprogram/meeting.htm.
--Tori Booker, Program Chair
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Should CHWs Join an APHA Affiliate?
Yes. It is crucial for CHWs to join our local or state APHA affiliate. An APHA affiliate is a state or local public health association that has joined the APHA structure. Most affiliates are statewide public health associations, but they can also be regional associations. By their nature, affiliates are concerned with public health issues on a state or local level. The affiliates’ membership and activities should be reflective of the locale’s needs. So the obvious question, whom better than CHWs to reflect the community and articulate the community’s needs? No one. We are so often members of the communities we serve and are the bridge to other community members to receive public health information.
Many CHWs and our supporters are members of the national organization, but what about membership in our own state affiliates? APHA acknowledges that the affiliates strengthen and supplement the national organization. Each state has an affiliate, but are you a member? If not, you should be. By increasing the numbers of CHW members at a state level we are strengthening our voices on both a state and national level. Increased affiliation membership can only strengthen the CHW SPIG.
Each year we come together at the annual national meeting, but have you ever been to your state public health association’s annual meeting? As state and local budgets are tightened, many of us may not be able to attend APHA’s Annual Meeting. Our voices can be just as powerful at our state association’s meeting. As a vital public health profession, CHWs need to make our voices heard on not just a national level, but also on a local level.
In my home state, the Massachusetts Public Health Association (MPHA) is actively recruiting CHWs for membership. The membership dues are reduced for CHWs by more than one half. MPHA has embraced CHWs and our integration into the human service and health care delivery system. We are seen as valuable public health professionals, and MPHA is vested in the CHW movement in Massachusetts. As the fiscal agent for our statewide CHW organization, the Massachusetts Community Health Worker (MACHW) Network, MPHA also offers technical assistance as we work towards continued sustainability for MACHW. Massachusetts is not the only public health association to embrace CHWs; others across the nation, including Oregon, are embracing us as well.
If your local affiliate is not aware of the important role we have in public health, take it upon yourself to educate them. Let them know that APHA acknowledges CHWs as public health professionals and that we are members. Affiliate membership dues are less expensive if their members are also members of APHA; remind them of the benefits of our membership.
Information on your local or state affiliate can be found at
--Lisa Renee Siciliano, CHW
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CHW Network Corner
In this Fall ’03 issue of the CHW SPIG Newsletter, we are starting a new regular feature in response to the growing interest across the country in organizing CHWs. There are a number of state and regional CHW networks, which fulfill a variety of roles. They often serve as a place for CHWs to meet each other, share resources and strategies, build skills and receive training. Networks often create a forum for CHWs to identify job issues such as recognition within the larger public health and health care communities, public understanding of CHWs, and professional development and career ladders. A network can serve as a voice for CHWs in advocating for policies that promote and sustain CHWs and improve the health of our communities.
Here is list of some of the CHW networks, with contact information. Some of them are brand new; others have blazed the path for a while. The SPIG would like to feature information about each of the networks in our upcoming issues, so we are encouraging you to submit articles about your network, or tell us about ones we have not listed here. Please submit any CHW network information to the newsletter editor, Gail Ballester, at
Arizona Community Health Outreach Workers Network (AzCHOW), Of, By, and For Community Health Outreach Workers; www.publichealth.arizona.edu/azchow/ Lours Fernandez, Co-Chair; Flor Redondo, Co-Chair; Belen Feather, Secretary
The Community Health Worker/Promotoras Network, Maria Lemus, Executive Director, Vision Y Compromiso, 2536 Edwards Ave., El Cerrito, CA 94530; 510-232-7869; 510-231-9954 fax; e-mail: firstname.lastname@example.org, or Maria at: email@example.com Hawaii
Community Health Worker Training Program, Hawai'i Primary Care Association, Napualani Spock, Coordinator, P.O. Box 264, Pu'unene, HI 96784, Ph: (808) 280-0984;
Fax: (808) 573-0734; firstname.lastname@example.org Maryland
Community Outreach Workers Association of Maryland, INC. (COWAM), 259 North Lanvale Street, Baltimore, Md. 21217, 410-664-6949 or 410-669-7960, Dwyan Monroe, President
Massachusetts Community Health Worker Network (MACHW), Durrell Fox, Chair, email@example.com, 617-262-5657, c/o Massachusetts Public Health Association, 434 Jamaicaway, Jamaica Plain, MA 02130.
Extensions - Connecting Outreach Workers Throughout New Jersey and Beyond
Purpose: Extensions is proud to be the formalized, voluntary, statewide educational association for New Jersey outreach workers. Extensions' purpose is to connect outreach workers located throughout the state and to provide opportunities for current information exchange. Extensions is the creation of the Gateway Maternal and Child Health Consortium, one of the New Jersey Maternal and Child Health Consortium. Goals: 1. To provide linkage to other Outreach Workers throughout the state and nationally. 2. To support regional efforts. 3. To promote awareness and recognition of the occupation of outreach work. For membership application and more information, call Gateway MCH Consortium at 973-268-2280 or Pat Wrazz at: firstname.lastname@example.org.
NJ Community Health Workers’ Institute, For additional information, contact Robin Eubanks (UMDNJ-SHRP) at 973-972-4136, email@example.com or Linda Boclair (NJ AHEC) at 856-963-2432.
Healthy Mothers/Healthy Babies of Essex, Nichele J. Wilson,
303-309 Washington Street, Newark, NJ 07102, 973-621-7758, firstname.lastname@example.org New Mexico
New Mexico Community Health Workers Association (NMCHWA), P.O. Box 81433
Albuquerque, New Mexico 87198, email@example.com or BJ Ciesielski, firstname.lastname@example.org, (505) 272-4741
Executive Board Contact info:
President--Sylvia Ornelas (505) 982-5460
Vice President--Terri Smith (505 894-0543
Secretary--Margarita Jaquez (505) 882-7370
Treasurer-- Teresa Saiz (505) 262-2480 X232
New York City -Community Health Worker Network of NYC; 425 E. 25 Street; New York, NY 10010; 212-481-7667 phone; Sergio Matos, Elena Schwolsky, Rita Taylor, and Romy Rodriguez; http://chwnetwork.org/ Rochester - Rochester Outreach Workers Association (ROWA), Latisha Williams, Chair, 585-274-8490.
Oregon Community Health Workers Association, 9000 N. Lombard Street--2nd Floor, Portland, OR 97203, 503-988-3366x28686, Teresa Ríos, email@example.com, or Veronica Lopez Ericksen, firstname.lastname@example.org.
Texas Tech University Health Sciences, El Paso, Dr. D. Williams, office line: 915/545-6552, Lorenza Zuniga - 915/545-6902.
Virginia Statewide CHW Network. All contact information can be found at: www.vcho.cisat.jmu.edu/contact.html
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An APHA Annual Meeting Workshop to Help CHW Programs Link Planning and Evaluation
This year at the Annual Meeting the CHW SPIG will co-sponsor a intensive training Continuing Education Institute (Institute) entitled “The Logic of Evaluation: A Skill Building Workshop on Community Health, Program Planning, and Evaluation.” Other sponsors include the Southwest Center for Community Health Promotion, at the University of Arizona, and Mesa Public Health Associates. The Institute builds on the work of the Annie E. Casey-funded “The National Community Health Advisor Study (1998)” and the Community Health Worker Evaluation Tool Kit (2000). The Institute will be held on Saturday November 15, 2003 from 9:00-5:00; APHA registration fees of $150.00 are required to participate; 6 hours of continuing education contact hours are available.
The purpose of this Institute is to provide tools for program planning and evaluation that are proven effective, relevant, and easy-to-use at the community level to those engaged in improving the health of their communities. The Institute will emphasize the value of bringing together interdisciplinary teams, consisting of Community Health Workers (CHWs) and other front-line health workers, program administrators, policy makers and researchers.
The agenda for the Institute is centered on understanding and using a logic model for program planning and evaluation. The logic model is a simple, yet powerful, tool for planning and evaluating community health programs. It is a visual representation of a program from beginning to end that allows one to check the underlying assumptions of a program and to determine the logical flow among components of the program. In particular, the logic model helps program staff in their efforts to identify the resources and activities needed to reach the long-term goals of their program. Further, it aids program staff in identifying the outputs of their activities and related outcomes. Building on that, staff can then select evaluation indicators that help them to demonstrate their program’s effectiveness to varied program stakeholders.
The Institute will be interactive in nature. Participants will learn how to develop a logic model for a community health program. In addition to learning this in a large group, each participant will have the opportunity to work in a small group and gain hands-on experience with logic model development. Learning will also occur through games, a feedback panel on work completed, and other interactive learning activities.
Interdisciplinary staff teams are encouraged to attend!
Contact APHA at or 202-777-2742 to register for the Institute; ask for CEI # 1015. Registration is limited. Contact E. Lee Rosenthal at
with questions about the agenda and related learning opportunities.
Documentation of training content will be available for CHWs seeking to obtain CEUs, however, APHA does not offer CHW CEUs at this time. Training facilitators will work with State of Texas in an effort to obtain appropriate CEUs for Texas CHWs. Please see: to see which other CEUs will be available.
- E. Lee Rosenthal and June Grube Robinson
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131st Annual Meeting of the American Public Health Association-Program Highlights
There are many exciting general sessions at this year’s Annual Meeting, but we would like to call your attention to the following three:
Each session will include presentations on issues of great importance to the fulfillment of the public health mission in the 21st century by panels of outstanding experts. The panels are designed to provoke participants to view the future of their profession and to develop strategies for assuring public health effectiveness in the future.
- President’s Session (3256.1) Monday, Nov. 17, 2:30 P.M.-4:00 P.M.
- Critical Issues in Public Health (4088.1) Tuesday, Nov. 18, 10:30 A.M.-12:00 P.M.
- APHA Closing Session (5190.0) Wednesday, Nov. 19, 4:30 P.M.-6:00 P.M.
Brief descriptions of these Sessions are provided below. For further information on the Sessions, go to
This session will focus on the challenges and opportunities facing public health in the 21st century. Topics to be discussed are: the Institute of Medicine’s recommendations on the future of public health practice and education; strategies to eliminate health disparities; mobilizing public support for universal health care; and a summary of the present state of public health as a “starting point” for the future.
Critical Issues in Public Health
This Session will further amplify the discussion of issues of central concern in the 21st century. The topics to be covered in this session are: new strategies to reduce the prevalence of substance abuse; approaches towards controlling the epidemic of obesity; strategies to reduce the high incidence of traffic accidents; and dealing with the threat of emerging zoonotic infections.
Closing General Session
For the first time, the Closing General Session will feature a panel discussion. Three areas of central concern to public health in the 21st century will be discussed. The topics to be covered are: the impact of the rapidly advancing science of genomics on public health; the threat of new and emerging infectious diseases; and the promise of technology in helping disabled people to overcome their physical limitations.
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Community Health Worker Appreciation Day Celebration in Oregon a Big Hit!
Community health workers from all over Northwestern Oregon came together on July 10th, 2003, in Portland to celebrate the 3rd annual CHW Appreciation Day. Approximately 60 CHWs from at least seven different organizations came together for a catered luncheon in a local church on a warm summer day. Participants enjoyed a multicultural feast with food from local restaurants that specialize in African American soul food, Mexican cuisine, and Chinese and Vietnamese specialties. A local non-profit music education program, Ethos, provided the event’s entertainment which consisted of a D.J. and a local hip-hop artist who gave an insightful, creative, and entertaining show for the crowd. Not your typical luncheon speaker!
The event was sponsored by the Oregon Public Health Association’s Section on Health Promotion and Health Education. This Section is made up primarily of community health workers who meet once a month to strategize and share resources. Participants in the July 10th event were also greeted by the president of the Oregon Public Health Association, Amalia Alarcon-Gaddie, who shared some stories of her own experiences with community health workers and relayed her sincere appreciation for the work that we do. The president-elect of the OPHA, Yolanda Russell, also treated the group to a brief address via videotape. It was clear from their short speeches that both of these women value and appreciate the vital role that CHWs play in the community of Public Health workers in Oregon. This event was a wonderful opportunity for CHWs from around the region to come together, recharge our batteries and remember the importance of our work.
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APHA Needs Your E-mail Address
APHA e-mails members when their Section or SPIG newsletter is online. If you have not been receiving any notification, we may have an incorrect e-mail address for you. If you are receiving copies of Section or SPIG newsletters in the mail or by fax, APHA does not have your e-mail address.
If we have your correct e-mail address, we are able to send you newsletter notification that provides faster, more current information. The mailed versions of the newsletters face a delay of several weeks for the newsletters to be photocopied, folded, stuffed in envelopes, labeled and processed through the U.S. Postal System.
You can keep your contact information current by visiting the Members Only portion of the APHA Web site. Click here to Update Your Member Record.
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Outreach NYC 2003-2nd Annual Conference of Community Health Workers in New York City
After weeks of rain and uncertain weather, the sun finally came out in full force on June 17th, 2003---to herald the first ever Community Health Worker Day in New York City. More thana 150 community health workers and their supporters gathered at Hunter College’s Brookdale Campus to celebrate, share experiences and resources, participate in dynamic workshops, and network with colleagues from organizations and programs around the city. Participants traveled from as far away as Tampa, Florida, Jackson, Mississippi, Washington, D.C., and Rochester, New York to attend Outreach NYC 2003, the second annual conference of community health workers in New York City. The theme of this year’s conference, which was co-sponsored and supported by the Community Health Worker Network of NYC and the Brooklyn-Queens-Long Island Area Health Education Center, was “CHWs Expanding our Horizons: Educational Opportunities in the Health Professions.”
“The positive response to this Conference is so exciting and the numbers of new community health workers participating shows just how far the Community Health Worker Network of NYC has come in one year. We’ve gone from a small group of committed activists to an independent association. We’ve more than doubled our active membership and have actually incorporated as a 501©3 not for profit organization.” With those inspiring words, CHW Network President Bakary Tandia opened the conference plenary session.
But what brought the audience to its feet in a standing ovation was Elena Schwolsky’s reading of the Proclamation of the City Council of New York for “Community Health Worker Day in New York City.” “Community health workers are a vital force in the struggle to eliminate racial and ethnic disparities in health by improving access to preventive and primary health care for culturally diverse communities in New York City,” the proclamation states. The proclamation, sponsored by the Honorable Council Member Christine Quinn, goes on ”Despite a long and rich history of participation in the health and human services system in New York City, community health workers lack visibility and recognition…Therefore be it known that the Council of the City of New York recognizes June 17th, 2003 as Community Health Worker Day in New York City.”
“That proclamation was so special to me,” reflected a CHW from a maternal child health program in the Bronx. “They have Secretary’s Day and Nurse’s Day every year but this is the first time we have had a day for us.”
Following the plenary, participants fanned out to a series of dynamic morning workshops. Adam Gurvitch from the New York Immigration Coalition presented crucial up-to-date information about immigration issues to a receptive audience. “The workshop on Changing Immigration Issues was very valuable to me,” one workshop participant reflected, “ because I am an undocumented immigrant myself. I am familiar with these issues and the workshop was very good. I only wish we had more time.”
Professor Lynn Roberts of the Hunter College Urban Public Health Program presented a workshop on Educational Opportunities in the Health Professions and led a lively discussion on the kind of support that needs to be in place to facilitate educational success for community health workers---including child care, counseling, peer support and financial aid. As one participant in this workshop commented “I got a lot of support and ideas from talking to the educators and health professionals that will help me to prepare to continue my undergraduate education. There are a lot of barriers for outreach workers who want to pursue an educational goal. I got some ideas about how to break some of them down.”
A workshop on Career Development was facilitated by Bill Ebenstein, Director of the John F. Kennedy Jr. Institute for Worker Education and Ariel Leonarduzzi of the Ralph Lauren Center for Cancer Care and Prevention in Harlem. This workshop identified opportunities for promotion and recognition based on life and work experience (rather than just academic credentials) as an important factor in developing a career ladder for CHWs. Maureen Ahern of the University of South Florida reported on efforts to create a credit-bearing program for CHWs as part of career development in her community.
Jacqueline Scott of the Georgetown University Law Center raised provocative issues in her workshop on Credentialing, Certification and Third Party Reimbursement. “Many people are interested in creating a credential for CHW, but who will be at the table when they decide how to do that?” questioned a CHW who attended this workshop. “I can see the importance of CHWs themselves having a voice in the process.”
Community health workers shared powerful stories from the field in Susan Mayfield-Johnson’s session on “Telling our Stories.” Susan, from the Center for Sustainable Health Outreach in Mississippi, shared new perspectives on the importance of using our own stories to evaluate our work and to help others understand the role of CHWs.
“I learned a lot in the workshop on self-healing---that when I feel stressed out, I need to take a few minutes and meditate. I need to take care of myself and pay attention to my body and my spirit in order to do a good job as a community outreach worker.” was one comment about the “Heal the Healer Playshop”, a lively session led by
Kira Laura Ferrand of Go To Health, Inc. and Jill Strauss of CAMBA in which participants practiced skills in self-care, such as healthy eating on the go, that were tailored to their needs as outreach workers.
The conference theme was also reflected in an “Educational Expo” during which conference participants had an opportunity to speak directly with representatives of local academic programs including Long Island University, Bronx Community College, the Family Development Credential Program (FDC) and the Hunter College School of the Health Professions.
Following a networking lunch where CHWs from different programs had an opportunity to meet and communicate informally with each other, Sergio Matos of the Community Health Worker Project at Hunter College facilitated a conference summary discussion---and then an afternoon of relaxation and fun activities ended the day. CHWs had the opportunity to sample from a menu of interactive workshops ranging from “NIA—Fitness and Healing through Movement” led by Carolyn Kohles and Lori-Lynn Meader to “Theater of the Oppressed—Empowerment through Theater” facilitated by Kira-Laura Ferrand and Jill Strauss. Tania Ramirez of Casa Atabex Ache led a meditation and yoga workshop and Diana Rodriguez and Christine Green of Mary Kay conducted skin care consultations. Some CHWs chose to round out the afternoon with Mambo dance lessons provided by the Hunter College Latino(a) Club or learning self-defense and martial arts techniques as demonstrated by Sensei Rachel Rivera.
“With the troubling times faced by members of our communities, this organization is more important than ever and Outreach NYC 2003 will help the Community Health Worker Network of NYC launch important new initiatives in the year to come,” said Bakary Tandia, President of the Network. But the words of a community health worker, attending the conference for the first time, perhaps sum up the day most effectively.
“What was valuable to me was all the information that I did not know,” she said. “And all of the people who are working to help community health workers. Being able to network and communicate with each other was great. The conference addressed very REAL issues of my community. It was empowering and a relief to learn that there is an organization actually working to address them. I enjoyed very single last minute of this conference and hope to be here again next year.”
-- Elena Schowlsky
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APHA 2003 Community Health Worker SPIG Executive Board
Phone: (503) 988-3366 Ext. 28686
Fax: (503) 988-6923
Cc e-mail to: Noel Wiggins:
New England HIV Education Consortium
23 Miner Street
Boston, MA 02215
Immediate Past Chair
Berkeley Health Department
1767 Alcatraz Avenue
Berkeley, CA 94703
Center for Sustainable Health Outreach
University of Southern Mississippi
Southern Station Box 10015
Hattiesburg, MS 39406-0015
Policy Committee Co-Chairs
Lisa Renee Siciliano, LSWA
Massachusetts Public Health Association and
Massachusetts Community Health Worker Network
4 Lancaster Terrace
Worcester, MA 01609
Phone: (508) 791-5893
500 East 171 Street # 5A
Bronx, New York 10457
Immediate Past Governing Council
June Grube Robinson
724 Hoyt Ave.
Everett, WA 98201
2250 East 8th Street
Tucson, AZ 85719
(520) 882 2105 x2
Program Planner 2003
Migrant Health Promotion
224 W. Michigan Ave.
Saline, MI 48176
Tel: (734) 944-0244
Fax: (734) 944-1405
Centers for Disease Control and Prevention (CDC)
4770 Buford Hwy NE MS K47
Atlanta, GA 30341-3717
Phone: (770) 488-2570
Fax: (770) 488-8151
Massachusetts Department of Public Health
250 Washington Street, 5th floor
Boston, MA 02108
Phone: (617) 624-6016
Fax: (617) 624-6062
Liaison to Other APHA Sections, SPIGs and Caucuses
Hunter College of CUNY
425 E. 25th St.
New York, NY 10010
Member Recruitment and Retention
Community Health Outreach
Health Plus PHSP, Inc.
195 Montague Street
Brooklyn, NY 11201
Watch for the next CHW SPIG Newsletter in Winter 2004!
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