U.S.-Mexico Border Tuberculosis Consortium
A
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
1. INITIATIVE NAME:
Tuberculosis Consortium
2. INITIATIVE DESCRIPTION:
Purpose:
To improve TB management and control in the U.S.-Mexico Border Region in areas of
surveillance, diagnosis, treatment, reporting, binational case management, and continuity of
care—ultimately leading to increased rates in the completion of treatment, especially those
patients with MDR strains.
Objectives:
 Facilitate implementation of the Plans of Action developed by the three thematic
workgroups during the 5th U.S.-Mexico Border TB Consortium Meeting held in El Paso, Texas
on June 9-10, 2014 (TB Legal Issues, Continuity of Care, and Binational MDR-TB Network of
Experts).
 Organize and deliver the 6th Border TB Consortium Meeting as a face-to-face workshop for
members of the three thematic workgroups to guide continued implementation of their
respective work plans.
BHC Priorities:
Strategic planning, Access to care, Tuberculosis
BHC Goals:
Create an effective venue for binational discussion to address public health issues and problems
affecting the United-States-México border population.
Activities:
 At least three quarterly meetings, through teleconference and/or Webinar, will be held
among members of each of the three thematic workgroups to guide and manage work
plan implementation
 Convene the 6th Border TB Consortium Meeting as a face-to-face workshop for members
of the three thematic workgroups
Intended Outcomes:



Active participation of members in each of the three TB Consortium Workgroups; a
measure of continuity of participation vs. attrition
Active participation of members in the Annual Meeting of the TB Consortium; a measure
of continuity of participation vs. attrition.
Effective and timely implementation of the operational work plans under each
workgroup.
3. IMPLEMENTATION TIMEFRAME:
The TB Consortium is intended to stand as a permanent body to coordinate binational efforts to
improve continuity of care on both sides of the border, increase treatment completion rates,
and reduce the incidence and prevalence of primary and drug-resistant TB.
4. EVALUATION METHODS:
 Lists of participants in each meeting.
 Lists of participants in the annual meeting (sign-in sheets).
 Minutes of quarterly meetings and proceedings of the Annual Meeting of the TB
Consortium.
5. POTENTIAL PARTNERS:
Local, state and federal authorities in areas of health, immigration, foreign relations, homeland
security, detention and prisons, and non-government advocacy organizations -- all located in
both the U.S. and Mexico.
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes __ No __)
Personnel Costs:
Fringe Benefits:
Travel:
Supplies:
Subcontracts:
Multimedia Development and Distribution:
Other:
TOTAL $ (U.S. dollars):
In-Kind Support (not included in total):
7. COMPLETED BY:
Brenda Alvarado
(575) 528-5146
[email protected]
$40,000.00
$14,000.00
$16,000.00
$12,000.00
$40,000.00
$122,000.00
$65,000.00
Community-Based Healthy Border (HB) Initiative
B
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
1. INITIATIVE NAME: Community-based Healthy Border Initiatives
2. INITIATIVE DESCRIPTION:
Purpose: Improve access and referral to health and human services to decrease disparities in targeted
communities in the U.S.-Mexico Border Region, leading to improved preventive and primary care and
health outcomes, with emphasis on low-income, indigent and migrant/immigrant populations, including
adults and children. Improve health systems among service providers and advocacy organizations through
enhanced capacity-building, networking, updated directories for referral of services, health education,
health screening & insurance enrollment. [This project combines activities previously known as BBHW &
Access to Vulnerable Populations]
Objectives:
1. Improved coordination of health literacy, screening and referral services among public and private
healthcare service providers, advocacy organizations and Ventanillas de Salud/Mexican Consulates, (e.g.,
expanded 211 service in Imperial County)
2. Certified training and expanded deployment of community health workers (CHWs) to serve residents
in vulnerable communities focusing on mental health, diabetes, obesity, heart health and immunization
efforts
3. Health screening, education/promotion and disease prevention events during Binational Health Week
and other strategic dates
BHC Priorities: Strategic Planning, Access to Care, Research, data collection, and academic alliances,
Tuberculosis, Obesity/diabetes
BHC Goals: Create an effective venue for binational discussion to address the public health issues and
problems affecting the U.S.-Mexico border populations and Institutionalize a domestic focus on border
health that can transcend political changes: The activity contributes toward meeting the BHC objective to
serve as a catalyst to encourage public and private and nonprofit organizations to work towards
preventing or resolving border health problems and to educate the population concerning such problems.
Activities: California will collaborate with key regional and binational partners on several activities within
the California- Baja California border region to include continued binational access to care and networking
meetings (min of 2) in Imperial County which brings together several Health and Human Service agencies
(previously V.P. activities). Host a Hunger Forum in Imperial County along with the Imperial Valley Food
Bank and other key stakeholders. Collaborate with COBBH on developing health briefs on HB 2020 related
topics. Collaborate with different partner agencies to support Community Health Worker Conferences/
Trainings in San Diego and Imperial Counties. Collaborate with key stakeholder agencies on community
events focusing on Diabetes/Obesity, Tuberculosis, Access to Care, Environmental Health, and
Immunizations.
Intended Outcomes: Increased capacity and information sharing for border and binational programs and
stakeholders. Enhanced health screenings, education/promotion and disease prevention activities within
the California – Baja California border region. Training and expanded deployment of community health
workers (CHWs) to serve residents in vulnerable communities focusing on topics such as mental health,
diabetes, obesity, heart health and immunization efforts as well as increased information sharing between
regional Community Health Worker groups.
3. IMPLEMENTATION TIMEFRAME:
FY 2014-2015, and each year thereafter.
4. EVALUATION METHODS: Each activity will be evaluated based on community impact,
increased networking, agency information sharing, collaborations, and in-kind contributions.
5. POTENTIAL PARTNERS:
Local, state and federal health authorities in U.S. and Mexico, FQHCs, Mexican Consulates/VdS,
non-profit advocacy organizations, Mexican Health Secretariat and National Institute of the
Migrant, schools, universities/community colleges, etc.
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes __ No X )
Personnel Costs: 60,000
Fringe Benefits: 25,000
Travel: 5,000
Supplies: 8,000
Subcontracts:
Multimedia Development and Distribution:
In-Kind Support:
Other: 22,000
TOTAL $ (U.S. dollars): $120,000
7. COMPLETED BY: Dr. Gil F. Chavez
B
B
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
1. INITIATIVE NAME: Community-based Healthy Border Initiatives/Border Binational Health
Week
2. INITIATIVE DESCRIPTION:
Purpose: Improve coordination, collaboration and networks of local public health services, county health
departments, community health centers, or other community organizations efforts towards addressing
health outcomes. Enhance border health activities such as health screening, education & promotion and
disease prevention that contribute to or address BHC priority areas throughout the year, as well as, during
Border Binational Health Week and other strategic dates. Promote and enhance sustainable partnerships
that address border and public health issues, engage community leaders and effectively serve border
populations.
Objectives: Engage partners that may include community health centers, Ventanillas de Salud/Consulates,
health councils/community organizations and other U.S. and Mexico organizations; Support planning and
implementation of local, regional and binational activities and events in targeted communities in the U.S.Mexico border region; enhancement of community-based priorities, strategies and networks to improve
health outcomes.
BHC Priorities: Strategic planning, Access to care & Obesity/diabetes
BHC Goals: Institutionalize a domestic focus on border health that can transcend political changes
Activities: Collaborate with local community organizations/agencies or health councils to plan,
coordinate, and execute local and regional activities and events; support year-round binational planning,
communication, and collaboration to implement BBHW 2015 and community-based projects.
Intended Outcomes: The overall intended outcome is to build sustainable partnerships that can address
border health problems, information sharing and educational opportunities and brining awareness about
BHC priorities, objectives and strategic priorities in the border region.
3. IMPLEMENTATION TIMEFRAME: One program year; each program year
4. EVALUATION METHODS: Event & Partnership Questionnaire
5. POTENTIAL PARTNERS: Local, state and federal health authorities in U.S. and Mexico,
Mexican Consulates/Ventanillas de Salud, non-governmental organizations,
universities/community colleges and health councils/community organizations.
6. PROPOSED BUDGET:
B
(Is this budget based on actuals? Yes _X_ No __ )
Personnel Costs: 47,833
Fringe Benefits: 19,133
Travel: 28,970
Supplies: 2,800
Subcontracts: 30,000
Multimedia Development and Distribution:
In-Kind Support: .25FTE Chief, Office of Border Health; .10 FTE Administrative Assistant, Office of Border
Health
Other: 20,684
TOTAL $ (U.S. dollars): 149,420
7. COMPLETED BY: Christine Young, [email protected] (520) 770-3114 on behalf of Robert
Guerrero AZ Office of Border Health/Outreach Office, [email protected] (520) 770-3113.
B
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
1. INITIATIVE NAME:
Community-based Healthy Border Initiative
2. INITIATIVE DESCRIPTION:
Purpose:
Improve access and referral to health and human services to decrease disparities in targeted
communities in the U.S.-Mexico Border Region, leading to improved preventive and primary
care and health outcomes, with emphasis on low-income, indigent and migrant/immigrant
populations, including adults and children. Improve health systems among service providers
and advocacy organizations through enhanced capacity building and networking.
Objectives:
 To improve effective communication between vulnerable populations and public and
private healthcare services providers, advocacy organizations, & Ventanillas de
Salud/Mexican Consulates.
 To expand coverage of border residents under Medicaid and Seguro Popular.
 To promote health screenings, education/promotion and disease prevention events
during Binational Health Week and other strategic dates
 To enhance binational professional networks. Research and develop a strategic plan to
assess implementation of Leaders across Borders Program.
BHC Priorities:
Strategic Planning, Access to Care, Obesity/Diabetes, Infectious Diseases & Public Health
Emergencies, Research, Data Collection, and Academic Alliances
BHC Goals:
Institutionalize a domestic focus on border health that can transcend political changes.
Activities:
 Plan, coordinate, and execute local and regional activities and/or events during Program
Year 4 (including BBHW 2015), with outreach to a minimum of 3,000 border residents
with direct public health education/intervention encounters.
 Offer medical interpreter trainings to expand cultural competence by incorporating the
National Culturally and Linguistically Appropriate Services (CLAS) Standards in Health
and Health Care. Trainings include role-playing of health care scenarios designed to
address the needs of racial, ethnic and linguistic population groups that experience
unequal access to health services.
 Research and develop a strategic plan to assess implementation of Leaders across
Borders Program.
Intended Outcomes:
 Continued promotion of sustainable partnerships that address border health challenges,
increased community and inter-agency networking relationships, information sharing
and educational opportunities, and awareness of the BHC and other state and local
initiatives.

Enhanced awareness that will lead to improved health outcomes, improved access and
referral to healthcare services, increased immunization coverage, better nutrition and
reduced fat and sugar consumption, and increased physical activity, and substance
abuse prevention/demand reduction, among selected ages and special populations,
with emphasis on children and adolescents, in the border region of Southwest New
Mexico, Northwestern Chihuahua and West Texas.

Increased access to health care for minority populations by decreasing cultural and
linguistic barriers to care.
Development of strategic plan for Leaders across Borders to include identification of
partners, facilities, funding sources, resources, obstacles, and implementation timeline.

3. IMPLEMENTATION TIMEFRAME:
PY 2014-2015, and each year hereafter. Note that activities will be refined and targeted based
on regional strategic plans being developed between March-June 2014.
4. EVALUATION METHODS:
Through reports, minutes, number of participants attending, surveys, and pre and post tests
where applicable.
5. POTENTIAL PARTNERS:
Local, state and federal health authorities in U.S. and Mexico, FQHCs, Mexican Consulates/VdS,
non-profit advocacy orgs., Mexican Health Secretariat and National Institute of the Migrant,
schools, universities/community colleges, etc. COBINAS currently supported under the
cooperative agreement will be used as principal conduits for implementing activities, as well as
other entities.
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes __ No __ )
Personnel Costs:
Fringe Benefits:
Travel:
Supplies:
Subcontracts:
Multimedia Development and Distribution:
Other:
TOTAL $ (U.S. dollars):
In-Kind Support (not included in total):
7. COMPLETED BY:
Brenda Alvarado
(575) 528-5146
[email protected]
$41,400.00
$14,490.00
$10,000.00
$4,110.00
$80,000.00
$150,000.00
$175,000.00
B
B
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
1. INITIATIVE NAME: Community-based Healthy Border Initiatives (CBHBI)
2. INITIATIVE DESCRIPTION:
Purpose: To promote sustainable partnerships that can address border health challenges; to improve
access to health services; to decrease health disparities in targeted border communities (with emphasis
on low-income, indigent and migrant/immigrant populations); and, to improve public health systems
through enhanced capacity building, networking, and health education/promotion.
Objectives:
1. Improved coordination of health literacy, screening and referral services among public and private
healthcare services providers, advocacy organizations, and Ventanillas de Salud/Mexican Consulates.
2. Training and deployment of community health workers (CHWs) to serve residents in vulnerable
communities.
3. Provide health screening, education/promotion and disease prevention events during Binational
Health Week and other strategic dates
4. Production & wider dissemination of appropriate health education and promotional media on
infectious & chronic diseases
5. Develop a Community-based Healthy Border Initiatives solicitation document for binational border
health organizations to apply.
BHC Priorities: Strategic planning, Access to care and research, Obesity/diabetes, Infectious disease and
public health emergencies, Tuberculosis, and Data Collection & Academia Alliances
BHC Goals: (1) Institutionalize a domestic focus on border health that can transcend political changes and
(2) Create an effective venue for binational discussion to address the public health issues and problems
affecting in the U.S.-México border populations.
Activities:
September 1, 2014 - December 31, 2014 – Planning Stage
Establish the processes necessary to deliver the activity objectives in coordination with the expected
outputs/goals by completing the following activities: (1) Request updated bylaws, leadership lists,
roster/directory of member participants, calendar of yearly meetings for each of the Binational Health
Councils; (2) Update a solicitation document for funding the Binational Health Councils and community
organizations; and (3) Establish activity/project timelines.
September 1, 2014 - August 31, 2015 – Implementation Stage
Implement the plan and collect data for analysis and reporting by completing the following activities: (1)
Issue a solicitation document for funding to the Binational Health Councils and/or community
organizations; (2) Review received funding solicitations and execute contracts with the Binational Health
Councils and Community Based Organization(s); (3) Create a consolidated timeline of approved partner
activities that includes goal, objectives, activity, timeframe, deliverables and evaluation plans; (4)
Participate in U.S. - México Border Health Commission (BHC) sponsored teleconferences; (5) Provide
quarterly activity/event updates to the BHC; (6) Execute planned activities/events; and, (7) Measure and
collect data and/or evaluations of activities/events.
January 1, 2015 - August 31, 2015 – Analysis Stage
Analyze the actual results (measured and collected throughout the year) and compare against the
expected results (targets or goals from the work plan submitted) to ascertain any differences. Look for
deviation in implementation from the plan and also look for the appropriateness and completeness of the
plan to enable the execution. By charting data and/or evaluations, it will be easier to see trends over
several cycles and simplify the process of converting the collected data into information. This information
will assist in the evaluation stage.
September 1, 2015 - October 31, 2015 – Evaluation Stage
Research and develop corrective actions on significant differences between actual and planned
activity/project results. Analyze the differences to determine their root causes and determine where to apply
changes that will include improvement of the process. If the analysis does not result in the need to improve,
the scope may be refined to plan and improve with more detail in the next iteration of the funding cycle, or
attention may be placed in a different stage of the process. Complete a report to OGA/BHC on the
activities/projects/events implemented.
Intended Outcomes: (1) Increased community and inter-agency networking relationships, (2) Increased
information sharing and educational opportunities; and, (3) Increased awareness of the BHC and other
state and local initiatives
3. IMPLEMENTATION TIMEFRAME: One project year (September 2014 through August 2015) and
each year hereafter. Note that activities will be refined and targeted based on regional strategic plans
being developed between March-June 2014;
4. EVALUATION METHODS:
Outcome: Increased community and inter-agency networking relationships
 Number of partnerships established and/or sustained
Outcome: Increased information sharing and educational opportunities
 Number of activities implemented
 Number of participants
Outcome: Increased awareness of the BHC and other state and local initiatives

A report detailing each activity/event along with data and evaluations from each activity
5. POTENTIAL PARTNERS:
U.S. - México Border Health Commission (US and Mexico Sections); México Secretariat of Health, Health
Initiative of the Americas, Pan American Health Organization, the ten U.S.-México border states,
Binational Health Councils, Promotora Organizations/Associations, Local/County Health government and
community organizations.
B
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes _X_ No __ )
Personnel Costs: $13,650.00
Personnel costs are calculated at $22.75/hour per person for a total of 400 hours/ per person for
this project. 1.5 personnel will provide support.
Fringe Benefits: $4,196.00
Fringe is calculated at the current rate of 30.74%
Travel: $4,400
4 personnel @ $1,100 per person.
Supplies: $500
General office supplies (pens, paper, printer ink, etc.)
Subcontracts: $235,000
Binational Health Council sub-contracts: 6 contracts @ $15,000/council = $90,000
Trinational Health Council sub-contracts: 2 contracts @ $22,500/council = $45,000
Community-based sub-contracts: 4 contracts @ $10,000/each = $40,000
Regional Obesity Forum continuation contracts: 4 contracts @ $10,000/each = $40,000
Community Health Worker sub-contracts: 2 contracts @ $10,000/each = $20,000
Multimedia Development and Distribution: $4,000
Public Service Announcements: 8 @ $500/each
In-Kind Support (not included in total): $91,000
Personnel costs are calculated at $22.75/hour per person for a total of 400 hours/ per person for
this project. 10 personnel will provide in-kind support.
Other: $0.00
TOTAL $ (U.S. dollars): $261,746.00
7. COMPLETED BY:
Kathie Martinez
Email: [email protected]
Phone: (512) 776-7675
B
B
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
1. INITIATIVE NAME: Border Binational Health Week Inauguration and Activities
2. INITIATIVE DESCRIPTION:
Purpose: To promote sustainable partnerships that can address border health challenges.
Objectives:
1. Improved coordination of health literacy, screening and referral services among public and private
healthcare services providers, advocacy organizations, and Ventanillas de Salud/Mexican
Consulates.
2. Training and deployment of community health workers (CHWs) to serve residents in vulnerable
communities.
3. Provide health screening, education/promotion and disease prevention events during Binational
Health Week and other strategic dates
4. Production & wider dissemination of appropriate health education and promotional media on
infectious & chronic diseases
5. Develop a Border Binational Health Week solicitation document for binational border health
organizations to apply.
BHC Priorities: Strategic planning, Access to care and research, Obesity/diabetes, Infectious disease and
public health emergencies, Tuberculosis, and Data Collection & Academia Alliances
BHC Goals: (1) Institutionalize a domestic focus on border health that can transcend political changes
and (2) Create an effective venue for binational discussion to address the public health issues and
problems affecting in the U.S.-México border populations.
Activities:
May 1, 2014 - June 30, 2014 – Planning Stage
Establish the processes necessary to deliver the activity objectives in coordination with the expected
outputs/goals by completing the following activities: (1) Request updated bylaws, leadership lists,
roster/directory of member participants, calendar of yearly meetings for each of the Binational Health
Councils; (2) Update a solicitation document for funding the Binational Health Councils and community
organizations; and (3) Establish activity/project timelines.
July 1, 2014 – October 17, 2014 – Implementation Stage
Implement the plan and collect data for analysis and reporting by completing the following activities: (1)
Issue a solicitation document for funding to the Binational Health Councils and/or community
organizations; (2) Review received funding solicitations and execute contracts with the Binational Health
Councils and Community Based Organization(s); (3) Create a consolidated timeline of approved partner
activities that includes goal, objectives, activity, timeframe, deliverables and evaluation plans; (4)
Participate in US Mexico Border Health Commission (BHC) sponsored teleconferences; (5) Provide
quarterly activity/event updates to the BHC; (6) Execute planned activities/events; and, (7) Measure and
collect data and/or evaluations of activities/events.
October 20, 2014 – November 7, 2014 – Analysis Stage
Analyze the actual results (measured and collected throughout the year) and compare against the
expected results (targets or goals from the work plan submitted) to ascertain any differences. Look for
deviation in implementation from the plan and also look for the appropriateness and completeness of the
plan to enable the execution. By charting data and/or evaluations, it will be easier to see trends over
several cycles and simplify the process of converting the collected data into information. This information
will assist in the evaluation stage.
November 10, 2014 - November 28, 2014 – Evaluation Stage
Research and develop corrective actions on significant differences between actual and planned
activity/project results. Analyze the differences to determine their root causes and determine where to apply
changes that will include improvement of the process. If the analysis does not result in the need to improve,
the scope may be refined to plan and improve with more detail in the next iteration of the funding cycle, or
attention may be placed in a different stage of the process. Complete a report to OGA/BHC on the
activities/projects/events implemented.
Intended Outcomes: (1) Increased community and inter-agency networking relationships, (2) Increased
information sharing and educational opportunities; and, (3) Increased awareness of the BHC and other
state and local initiatives
3. IMPLEMENTATION TIMEFRAME: Two partial project years (Project Year 3 - May, 2014 through
August 31, 2014 and Project Year 4 - September 1, 2014 through November 30, 2014)
4. EVALUATION METHODS:
Outcome: Increased community and inter-agency networking relationships
 Number of partnerships established and/or sustained
Outcome: Increased information sharing and educational opportunities
 Number of activities implemented
 Number of participants
Outcome: Increased awareness of the BHC and other state and local initiatives
 A report detailing each activity/event along with data and evaluations from each activity
5. POTENTIAL PARTNERS:
U.S. - México Border Health Commission (US and Mexico Sections); México Secretariat of Health,
Health Initiative of the Americas, Pan American Health Organization, the ten U.S.-México border states,
Binational Health Councils, Promotora Organizations/Associations, Local/County Health government and
community organizations.
B
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes _X_ No __ )
Personnel Costs: $3,413
Personnel costs are calculated at $22.75/hour per person for a total of 100 hours/ per person for
this project. 1.5 personnel will provide support.
Fringe Benefits: $1,049
Fringe is calculated at the current rate of 30.74%
Travel: $2,200
2 personnel @ $1,100 per person.
Supplies: $250
General office supplies (pens, paper, printer ink, etc.)
Subcontracts: $145,000
Binational Health Council sub-contracts: 6 contracts @ $8,000/council = $48,000
Trinational Health Council sub-contracts: 2 contracts @ $12,000/council = $24,000
Community-based sub-contracts: 4 contracts @ $8,000/each = $32,000
Community Health Worker sub-contracts: 2 contracts @ $8,000/each = $16,000
Inauguration Sub-contract: 1 contract @ $25,000 = $25,000
Multimedia Development and Distribution: $4,000
Public Service Announcements: 8 @ $500/each
In-Kind Support (not included in total): $22,750
Personnel costs are calculated at $22.75/hour per person for a total of 100 hours/ per person for
this project. 10 personnel will provide in-kind support.
Other: $0.00
TOTAL $ (U.S. dollars): $155,912.00
7. COMPLETED BY:
Kathie Martinez
Email: [email protected]
Phone: (512) 776-7675
B
Border Obesity Prevention (BOP) Summit
C
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
1. INITIATIVE NAME: U.S. – México Border Obesity Prevention (BOP) Summit
2. INITIATIVE DESCRIPTION:
Purpose: To convene federal, state, and local partners from both sides of the U.S.-México border to review
the draft border binational obesity prevention (BOP) strategy, address critical overweight and obesity
issues impacting the region and to discuss potential implementation methods for the draft strategy and
solutions to overweight and obesity problems.
Objectives:
1. Revisit data and information gaps on the magnitude and distribution of obesity along the U.S.-Mexico
Border presented in BOP Summit 2013 and note any improvements;
2. Continue to promote partnerships so that a binational body of obesity prevention knowledge and
evidence-based practices can be built and evaluated;
3. Continue to foster progress to change fiscal, environmental and educational policies and practices, so
that healthy eating and physical activity become the easy choice; and,
4. Review the draft BOP Action Plan, including a border wide obesity prevention education campaign
and provide leadership and guidance in its implementation, with support from the BHC.
BHC Priorities: Obesity/Diabetes and Data Collection & Academia Alliances
Healthy Border 2020: Chronic and Degenerative Disease – Diabetes and Obesity
BHC Goals: Create an effective venue for binational discussion to address the public health issues and
problems affecting the U.S.-México border populations.
Activities:
September 1, 2014 - December 31, 2014 – (1) Creation of summit timeline; (2) Creation of concept
paper; (3) Confirmation of summit date and location; (4) Identification of technical planning committee;
(5) Initial planning call
January 1, 2015 - March 31, 2015 – (1) Dissemination of Summit “Save the Date”; (2) Issuance of a call
for abstracts for track session and poster presentations; (3) Solicitation and execution of vendor
contracts; (4) Creation and launch of summit website and (5) Technical and Operational Planning
Committees teleconference calls.
April 1, 2015 – June 30, 2015 – (1) Continue of technical and operational planning committees
teleconference calls; (2) Launch of Summit registration; (3) Preparation of summit material; and (4)
Conducting border obesity prevention summit.
July 1, 2015 – August 31, 2015 – (1) Payments to vendors and (2) Completion of draft proceedings
report.
Intended Outcomes:
• Continue binational sharing of best practices, information and materials for obesity prevention
programs;
• Increase binational community and inter-agency relationships;
• Encourage a return to the healthful cultural roots of the border region by sharing information about
its rich culinary and physical activity traditions;
• Recommend key changes in national policy such as altering SNAP rules that allow the purchase of
junk food with SNAP funds (U.S.) or changing policies that allow students to purchase unhealthy
food at or near school (U.S. and Mexico); and,
• Promote work at the local level to bring about positive local changes in school lunches, health
messages, availability of exercise facilities, and other aspects of the health environment through
collaboration with local partners in government, schools, media, businesses, and non-profit or faithbased organizations.
3. IMPLEMENTATION TIMEFRAME:
One project and budget year (September 1, 2014 – August 31, 2015) alternating with the Border
Binational Infectious Disease Conference every other year.
4. EVALUATION METHODS:
Outcome: Continue binational sharing of best practices, information and materials for obesity
prevention programs
 Number of projects/activities presented during the summit general, track and poster sessions;
Outcome: Increase binational community and inter-agency relationships
 Number of partnerships created or maintained
 Number of agencies represented
Outcome: Encourage a return to the healthful cultural roots of the border region by sharing
information about its rich culinary and physical activity traditions
 Number of demonstrations provided
 General, track, and poster session participant evaluations
Outcome: Recommend key changes in national policy such as altering SNAP rules that allow the
purchase of junk food with SNAP funds (U.S.) or changing policies that allow students to purchase
unhealthy food at or near school (U.S. and Mexico)
 Draft proceedings report submitted to the BHC
Outcome: Promote work at the local level to bring about positive local changes in school lunches, health
messages, availability of exercise facilities, and other aspects of the health environment through
collaboration with local partners in government, schools, media, businesses, and non-profit or faithbased organizations.
 Number of partnerships created or maintained
 Creation and submission of articles to BHC featuring local initiatives
5. POTENTIAL PARTNERS:
U.S.-México Border Health Commission (BHC) U.S. and Mexico Sections and their OBH and/or Outreach
Offices; Federal, State and Local government public health officials; community-based organizations;
faith based organizations; promotora groups, consulates; and U.S. – México border communities.
C
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes _X_ No __ )
C
Personnel Costs: $22,249.50
Personnel costs are calculated at $22.75/hour @ 978 hours for this project.
Fringe Benefits: $6,839.50
Fringe is calculated at the current rate of 30.74%
Travel: $71,913.01
Mexican Participants = $65,966.76 (31 participants @ $2,127.96 each)
U.S. Participants = $5,946.25 (5 participants @ $1,189.25 each)
Supplies: $8,056.00
General office supplies for summit such as pens, name badges and badge inserts, lanyards, highlighters,
paper, ink for printers, shipping labels, portfolios, foam boards, tent cards, and incentives.
Subcontracts: $48,100.00
Venue = $30,000
Simultaneous Interpretation = $10,000
Consultant for Draft Proceedings = $8,100
Audio / Visual = $6,789.80
Multimedia Development and Distribution: $4,063
Summit website, includes registration component = $4,063
In-Kind Support (not included in total): $54,653
State Funded Personnel - $40,153
3.33%
10%
12.5%
4%
4%
4%
4%
4%
4%
4%
Project Director - $2,636
Project Administrator – $5,350
Project Epidemiologist
$7,965
Regional Project Coordination - $4,280
Regional Project Coordination - $3,052
Regional Project Coordination - $4,280
Regional Project Coordination - $4,435
Regional Project Coordination - $2,495
Regional Project Coordination - $3,328
Regional Project Coordination - $2,332
State Funded Personnel Travel - $12,000
Travel for 4 central office staff and 6 regional office staff - 10 staff x 1 trip x $1200 per trip = $12,000
State Funded Supplies - $2,500
Other: $0.00
TOTAL $ (U.S. dollars): $161,221.01
7. COMPLETED BY:
Kathie Martinez
Email: [email protected]
Phone: (512) 776-7675
Border Obesity Prevention (BOP)
Technical Work Group
D
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
1. INITIATIVE NAME: Border Obesity Prevention Technical Work Group – Nutrition Education
Campaign
2. INITIATIVE DESCRIPTION:
Purpose: Develop a broad discussion in local public health organizations and interested parties along
the U.S.-México border on how to move a step forward towards achieving a more aware and better
educated public (especially parents and their children) regarding the healthy benefits of limiting or
eliminating the consumption of sugary beverages and increasing consumption of fruits and vegetables.
Objectives: To provide local and regional public health entities and their health educators (Border
Community Public Health Initiators, Binational Health Councils, Community Health Worker (Promotora)
groups, etc.) with a cultural, linguistic and methodological appropriate educational instrument on how
to better educate their own community on the benefits of eliminating sugary food and beverages from
their diet, how to substitute for fruit and vegetables, and how to prepare inexpensive portions with
locally available ingredients.
BHC Priorities: Obesity/Diabetes
BHC Goals: Both; 1: Institutionalize a domestic focus on border health that can transcend political
changes, and 2. Create an effective venue for binational discussion to address the public health issues and
problem’s affecting the U.S.-México border populations.
Activities:
With the participation of all the interested parties (see potential partners below) and in dialog with
community members through Binational Health Council focus groups:
a) Discuss which would be the best approach (method) to reach out the community at large, especially
parents, in a most participatory way possible;
b) With the assistance of nutrition experts, health educators, and parents from the binational
community; develop tasty, healthy, inexpensive (=$1.00 maximum per portion), and easy to prepare
recipes with locally easily available ingredients, as well as relevant educational materials especially
crafted to reach parents and community at large. Different side of the border in each border area
will most probably produce different recipes and educational materials if local population needs,
economic situation, and availability of healthy ingredients are taken into consideration;
c) Media (radio & TV) could use the result of a) and b) to develop a consistent, well-framed and clear
message on the health benefits of the suggested healthier behavior, food preparation, food
consumption.
Intended Outcomes:
Using CDC’s Strategies for Obesity Prevention:
 Increase awareness and educational level of the border population on the importance of avoiding
consumption of sugary beverages.
 Increasing consumption of fruits and vegetables.

Increase knowledge in preparing inexpensive and tasty food portions as a strategy for preventing
obesity and diabetes and staying healthy.
3. IMPLEMENTATION TIMEFRAME: September 2014 – August 2015
September 1, 2014 – February 27, 2015 – Planning
March 1, 2015 - May 31, 2015 – Implementation
June 1, 2015 - July 31, 2015 – Analysis
August 1, 2015 – August 31, 2015 – Evaluation
4. EVALUATION METHODS:





Number of participants
Number of partnerships
Number of public services announcements
Pre- and post- test
Feedback commentaries from the community and partners on the reception of this initiative by
parents and children.
5. POTENTIAL PARTNERS:
Parent Teacher Associations and Boys and Girls Clubs of Local School Districts
Local and Regional Public Health Agencies
Community Health Workers (Promotoras)
Border Community Public Health Initiators, Binational Health Councils
Ventanillas de Salud
Spanish Language media (TV, Radio stations, local newspapers)
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes __ No _X_ )
Personnel Costs: $10,919
Personnel costs are calculated at 25% of annual salary for the 50% BHC funded position. Employee will
spend 1/2 of their time working on this project and other half working on Community-based Healthy
Border Initiatives
Fringe Benefits: $3,356
Fringe is calculated at the current rate of 30.74%
Travel: $1,100
Travel for 1 central office staff to monitor the project
1 staff x 4 trips x $1100 per trip = $1,100
Supplies: $500
$500 for general office supplies (pens, paper, printer ink, etc.)
Subcontracts: $80,000
Focus group meetings - 8 focus groups x $10,000 per group = $80,000
D
Multimedia Development and Distribution: $44,968
D
Media Relations (planning, execution, and reporting) - $109/hour X 192 hours = $20,928
Media Production (planning, execution and production, and reporting) - $240/hour X 46 hours = $11,040
Media Distribution - $13,000
In-Kind Support (not included in total): $41,253
Personnel
3.33% Project Director - $2,636
10%
Project Administrator – $5,350
12.5% Project Epidemiologist $7,965
4%
Regional Project Coordination - $4,280
4%
Regional Project Coordination - $3,052
4%
Regional Project Coordination - $4,280
4%
Regional Project Coordination - $4,435
4%
Regional Project Coordination - $2,495
4%
Regional Project Coordination - $3,328
4%
Regional Project Coordination - $2,332
Travel 1 staff x 4 trips x $1100 per trip = $1,100
Other: $0.00
TOTAL $ (U.S. dollars): $140,843
7. COMPLETED BY:
Kathie Martinez
Email: [email protected]
Phone: (512) 776-7675
Leaders across Borders (LAB)
E
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
1. INITIATIVE NAME: Leaders across Borders Healthy Communities in the U.S.-Mexico Border
Region
2. INITIATIVE DESCRIPTION:
Purpose: Better understanding of personal leadership strengths and opportunities for improvement;
Enhance collaborative leadership and health diplomacy skills and effectiveness; improve understanding
of U.S.-Mexico border region populations, health systems, government and non-government institutions;
improved cultural competency, enhance transborder professional networks, earn a Certificate/Diplomado
from an academic institution.
Objectives: Conduct an advanced leadership development program aimed at building binational
leadership capacity for public health, health care and other community sector leaders working to improve
the health of communities on the U.S.-Mexico border region.
BHC Priorities: Research, Data Collection and Academic Alliance
BHC Goals: To institutionalize a domestic focus that transcends political changes
Activities: Enroll a minimum of twelve (12) and maximum of eighteen (18) participants; Plan, implement
and coordinate three (3) in-person learning events that includes an Orientation, Retreat and Graduation
on location in the U.S.-Mexico border region; Form binational teams that include academic,
governmental, non-governmental and promotor groups; identify team projects that address complex
border health concerns; conduct coursework in border region epidemiology, health diplomacy,
management and leadership, analysis and improvement of health care processes in the border region.
Intended Outcomes: The overall intended outcome is to build binational leadership capacity of public
health, health care and other community sector leaders working on the U.S.-Mexico border through
improved understanding of binational public health systems in a culturally competent setting and
enhancing transborder professional networks. Participants will also have a better understanding and
adoption in their professional work of leadership principals and binational collaboration. Participants will
earn a Certificate/Diplomado through an academic institution. Currently fifty-eight (58) health
professionals from the U.S.-Mexico border region have completed the program in the 3 years that the
program has been held.
3. IMPLEMENTATION TIMEFRAME: One program year is required for each cohort. Participants
spend eight months completing the program.
4. EVALUATION METHODS: # of applications submitted; participant feedback; # of participants
completing program; % of participant expectations met
5. POTENTIAL PARTNERS: Academic, non-governmental organizations, private sector,
federal/state governments in U.S. and Mexico.
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes and projected _X_ No __ )
Personnel Costs: 24,000
Fringe Benefits:
Travel: 76,000
Supplies: 2,000
Subcontracts:
Multimedia Development and Distribution:
In-Kind Support: .25FTE Chief Office of Border Health; .10 FTE Administrative Assistant, Office of Border
Health
Other: 80,000
TOTAL $ (U.S. dollars): 182,000
7. COMPLETED BY: Christine Young, [email protected] (520) 770-3114 on behalf of Robert
Guerrero AZ Office of Border Health/Outreach Office, [email protected] (520) 770-3113.
E
Border Health Reproductive Summit (BRHS)
Work Group
F
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
1. INITIATIVE NAME: Border Reproductive Health Summit (BRHS) Work Group
2. INITIATIVE DESCRIPTION:
Purpose: To convene a representative workgroup of key border stakeholders to review and discuss
reproductive health inequities along the U.S.-Mexico Border, present solutions to pressing issues
impacting the U.S.-Mexico Border region, addressing reproductive health issues, such as teen pregnancy
rates, reproductive health policy, and structural inequalities to access to care. Enhance capacity-building
and information-sharing.
Objectives: To review the short term action plan and long term strategic plan drafted in April 2014 and
discuss implementation strategies. Assist in the development of an evaluation plan to measure impact of
local resolutions on reproductive health issues. Assist in identification and follow-up on publication of
presented research at the 2014 Border Reproductive Health Summit.
BHC Priorities: Strategic Planning, Access to Care, Research, data collection, and academic alliances
BHC Goals: Create an effective venue for binational discussion to address the public health issues and
problems affecting the U.S.-Mexico border populations.
Healthy Border 2020 Focus Areas: Chronic and Degenerative Disease, Maternal and Child Health, and
Injuries.
Activities: Convene 1 brief meeting during 2014 BRHS with pre-identified stakeholders. Convene a
minimum of 1 quarterly conference call with technical work group members. CA and COAH ORO’s to
provide all technical assistance in required edits to strategic and action plans. CA and COAH ORO’s to draft
evaluation plan in conjunction with Work Group Members.
Intended Outcomes: CA and COAH ORO”s will monitor and evaluate Teen Pregnancy Prevention Initiative
adaptation along the border. CA and COAH ORO’s will monitor progress toward actionable presentations
on Reproductive Health to the border mayor’s council, border counties coalition, and legislative
representatives and federal budget decision-makers to prioritize reproductive health along the U.S.Mexico Border and mobilize the community. CA and COAH ORO’s Draft Evaluation Plan.
3. IMPLEMENTATION TIMEFRAME:
12 months- Continue work on PY 2013-2014 Strategic Plan and Short Term Action Plan. Work
Group to alternate years with Border Reproductive Health Summit.
4. EVALUATION METHODS: Evaluation of work group will be based on held conference calls,
identification and participation of work group members. Completion of items identified during
BRHS in March of 2014.
5. POTENTIAL PARTNERS:
Academia, non-profits, federal/state/local government institutions, representatives, CDC- MCH
Epidemiology Program U.S.-Mexico Border assignee, and U.S.-Mexico Border Philanthropic
Partnership.
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes __ No X )
Personnel Costs: $20,000
Fringe Benefits: $10,000
Travel:
Supplies: $5,000
Subcontracts:
Multimedia Development and Distribution:
In-Kind Support:
Other: $25,000
TOTAL $ (U.S. dollars): $60,000
7. COMPLETED BY: Dr. Gil F. Chavez
F
Borderwide Healthy Border (HB) 2020
Community Grants
G
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
1. INITIATIVE NAME: Borderwide Healthy Border (HB) 2020 Community Grants
2. INITIATIVE DESCRIPTION:
Purpose: Improve the quality of life, increase the number of years of healthy life, and eliminate health
disparities in the U.S.-Mexico border region.
Objectives: Implement the Healthy Border 2020 Initiative as a model of strategic planning for improved
health outcomes in the U.S.-Mexico border region aimed at effectively promoting and improving health
outcomes.
BHC Priorities: Strategic Planning
BHC Goals: Institutionalize a domestic focus on border health that can transcend political changes.
Activities: Disseminate support borderwide to sister cities and key partners in sister regions to develop
and support local priorities and interventions that implement and address the HB 2020 initiative. Conduct
activities at the local, regional, community and binational level and enhance existing community and
binational health improvement processes that address the HB 2020 Initiative and BHC priority areas.
Intended Outcomes: The overall intended outcome is to provide border region public health, health care
and community stakeholders with a framework for motivating and engaging coordinated public health
action at the binational, state and local levels.
3. IMPLEMENTATION TIMEFRAME: Each program year through 2020.
4. EVALUATION METHODS: Assessment of the number of organizations that adopt the HB
2020 Initiative or one or more of the topic areas, indicators or associated strategies into their
agency’s planning, programming or funding processes.
5. POTENTIAL PARTNERS: Borderwide local, state and federal authorities, academic and nongovernmental organizations in the U.S. and Mexico
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes __ No _X_ )
Personnel Costs:
Fringe Benefits:
Travel:
Supplies:
Subcontracts:
Multimedia Development and Distribution:
In-Kind Support:TBD
Other: 300,000
TOTAL $ (U.S. dollars):300,000
7. COMPLETED BY: Christine Young, [email protected] (520) 770-3114 on behalf of Robert
Guerrero AZ Office of Border Health/Outreach Office, [email protected] (520) 770-3113.
G
Border Health Symposiums
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
H
1. INITIATIVE NAME: Border Health Symposiums – The Power of Collaboration- previously
Border Resource Coordination Symposium
2. INITIATIVE DESCRIPTION:
Purpose: To generate better knowledge sharing, collaboration, and greater leveraging of available assets
to improve health outcomes and access to care for border residents by providing binational capacitybuilding and information-sharing seminars to local stakeholders and agencies.
Objectives: To provide capacity-building and information-sharing seminars to local and binational
stakeholders and agencies focusing on program leveraging and other identified needs from the 2014
DRAFT Proceedings Report.
BHC Priorities: Strategic Planning
BHC Goals: Create an effective venue for binational discussion to address the public health issues and
problems affecting the U.S.-Mexico border populations and Institutionalize a domestic focus on border
health that can transcend political changes.
Activities: Each U.S. border state to convene a minimum of 2 binational capacity –building or information
sharing seminars or trainings in the border region to include participants from broad array of community
governmental and private sector members focusing on program resource leveraging or community
empowerment to address pressing border health needs.
Intended Outcomes: Increase capacity for program resource leveraging of traditional and non-traditional
local border and binational organizations.
3. IMPLEMENTATION TIMEFRAME:
12 months- 1 Program Year
4. EVALUATION METHODS: Evaluation of binational capacity building or information sharing
sessions will be based on participate evaluations and self-reported data on increased agency
connections and community impact.
5. POTENTIAL PARTNERS:
Academia, non-profits, federal/state/local government, public, private sector.
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes __ No X )
Personnel Costs:
Fringe Benefits:
Travel:
Supplies:
Subcontracts:
Multimedia Development and Distribution:
In-Kind Support:
Other:
TOTAL $ (U.S. dollars): $160,000 to be divided into $40,000 to each U.S. border state.
7. COMPLETED BY: Dr. Gil F. Chavez
H
Affordable Care Act (ACA) Border Rollout Evaluation
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
I
1. INITIATIVE NAME: ACA Border Roll-out Evaluation
2. INITIATIVE DESCRIPTION:
Purpose: To evaluate the ACA outreach and education as well as enrollment of border communities.
Objectives:
Each state will Draft a report focusing on outreach and education activities within their border
communities, gather ACA enrollment data, and identify gaps in education, outreach and enrollment in
marginalize border communities. The report should include an action plan to address any issues identified.
BHC Priorities: Strategic Planning, Access to Care and Research, data collection, and academic alliances.
BHC Goals: Institutionalize a domestic focus on border health that can transcend political changes.
Activities: Participant surveys, stakeholder interviews, community forums, data collection, and drafting a
report.
Intended Outcomes: Final Report with actionable steps.
3. IMPLEMENTATION TIMEFRAME: 3 Program Years
Year 1 (12 mo)- Individual State data collection and draft report.
Year2 (12 mo)- California to compile all 4 border state reports and draft outcome report and
recommendations. Outcomes and recommendations to be presented to BHC, Border State, and
HHS Leadership. Border Strategic Plan developed.
Year 3- State implementations of recommendations at local level
4. EVALUATION METHODS: Completion of Report
5. POTENTIAL PARTNERS:
Local, state and federal health authorities in U.S. and Mexico, FQHCs, Mexican Consulates/VdS,
non-profit advocacy organizations, Mexican Health Secretariat and National Institute of the
Migrant, schools, universities/community colleges, etc.
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes __ No X )
Personnel Costs:
Fringe Benefits:
Travel:
Supplies:
Subcontracts:
Multimedia Development and Distribution:
In-Kind Support:
Other:
TOTAL $ (U.S. dollars): $320,000- to be divided equally to each U.S. Border State- (i.e. $80,000 per
state).
7. COMPLETED BY: Dr. Gil F. Chavez
I
Healthy Border (HB) 2010/2020 Strategic Plan
State Implementation
J
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
1. INITIATIVE NAME: Healthy Border (HB) 2010/2020 Strategic Plan – State Implementation
2. INITIATIVE DESCRIPTION:
As HB 2010/2020 begins its Phase V - final stage, an HB 2020 implementation phase shall begin with 2
projects.
1. Border Behavioral Risk Factor Surveillance System (TXBRFSS) Initiative; and,
2. Border Health Community Engagement (TXBHCE) Initiative
Both projects complement each other and will strengthen the HB 2020 strategic plan. The projects are
defined below:
Purpose:
Border Behavioral Risk Factor Surveillance System (TXBRFSS) Initiative
To obtain, analyze and disseminate state data on health status indicators related to Healthy Border 2020
priority areas, to allow for mid-course evaluation of health status along the border.
Border Health Community Engagement (TXBHCE) Initiative
To help Health Care and Policy Planners establish new and proactive relationships with the various
organizations in border communities, primarily the existing Binational Health Councils and the
Promotora organizations active along the border. This improved relationship can assist those
organizations and planners better focus their efforts in maintaining the health of border residents while
helping prevent future conditions or situations that tend to threaten the overall health within those
border communities.
Objectives:
Border Behavioral Risk Factor Surveillance System (BRFSS) Initiative
 Enhance the 2015 administration of the BRFSSS by adding four questions of special relevance to the
border and by increasing the sample size along the border.
 In collaboration with the BHCE Initiative, hold community workshops to present data from earlier
BRFSS administrations.
 Analyze the 2015 BRFSS data, especially with regard to indicators related to Healthy Border 2020
priority areas.
 Prepare and distribute a brochure with 2015 BRFSS results.
 Hold community workshops to present data from the enhanced 2015 BRFSS administration.
Border Health Community Engagement (BHCE) Initiative
 Gather and analyze current health indicators of the sources related to Healthy Border 2020
priorities. BRFSS and other data sources will be used.
 Summarize relevant literature that informs about ongoing projects undertaken by the various
organizations working in Healthy Border projects, and identify areas where additional resources
should be used to sustain health-improvement projects, or refocus efforts of on-going activities.
 Produce and publish a concise reference document that summarizes the findings.

Strengthen existing Citizen Action Groups, or assist in their formation. Potential participants should
include elected officials representing border communities; members of public and private health
organizations serving border residents, including but not limited to Binational Health councils and
Promotora groups; representatives of K-12 schools as well as universities; and leaders of business
entities in the border.
BHC Priorities:
Border Behavioral Risk Factor Surveillance System (BRFSS) Initiative
BHC priorities: Strategic Planning; Access to Care & Research; Data Collection & Academic Alliances;
Obesity/Diabetes; and Infectious Disease and Public Health Emergencies.
HB 2020 Focus areas: Chronic and degenerative diseases; Communicable diseases; Maternal and child
health; Mental health disorders; and Accidents and injuries.
Border Health Community Engagement (BHCE) Initiative
BHC priorities: Strategic Planning; Access to Care & Research; Data Collection and Academic Alliances;
Tuberculosis; Obesity/Diabetes; and, Infectious Disease and Public Health Emergencies.
HB 2020 Focus areas: Chronic and degenerative diseases; Communicable diseases; Maternal and child
health; Mental health disorders; and Accidents and injuries.
BHC Goals:
Border Behavioral Risk Factor Surveillance System (BRFSS) Initiative
Both; (1) institutionalize a domestic focus on border health that can transcend political changes and (2)
create an effective venue for binational discussion to address the public health issues and problems
affecting the U.S.-México border populations.
Border Health Community Engagement (BHCE) Initiative
Both; (1) institutionalize a domestic focus on border health that can transcend political changes and (2)
create an effective venue for binational discussion to address the public health issues and problems
affecting the U.S.-México border populations.
Activities:
Border Behavioral Risk Factor Surveillance System (BRFSS) Initiative
Early in 2014, before the official project start, it will be necessary to prepare the proposal to add
questions to the 2015 BRFSS and to increase sample size. Three questions related to accessing health
care across the border will be added, to compare with the same questions which were asked in 2012.
These questions will help to assess whether changes from the Affordable Care Act are associated with
changes in the prevalence of residents accessing health care services in Mexico. Another question will
be asked to assess occupational physical activity. Occupational physical activity is thought to be an
especially important contribution to overall physical activity of Hispanics. BRFSS measures currently
available do not include occupational physical activity and may underestimate the true level of physical
activity for border residents.
Around mid-year 2014, a request will need to be made to increase the sample size along the border in
the 2015 survey administration. Without increased sample size, there is little ability to report data from
specific areas along the border.
J
J
Year 1 (BHC Project Year 4, Sep 2014 – 31 Aug 2015)
 Pay invoices for survey data collection
 Start survey data collection Jan 1, 2015
 Interface with Border Health Community Engagement Initiative – Present data from earlier BRFSS
administrations at four community meetings along the border. Data related to Healthy Border 2020
priority areas will be presented in the context of using data to help identify priorities for educational
campaigns or other interventions. Participants will be asked to identify which activities should be
sustained or initiated or refocused. These meetings will be held between January and April, 2015.
Year 2 (BHC Project Year 5, Sep 2015 – 31 Aug 2016)
 Continue survey data collection during remainder of 2015.
 Interface with Border Health Community Engagement Initiative – Prepare reports on community
recommendations to sustain or refocus activities based on available data.
 Begin data analysis once cleaned data set is provided by Center for Health Statistics. The data are
typically provided in late spring of the year following data collection, so data analysis will probably
not start until around May or June 2016. Data analysis will be done using SAS and Sudaan software.
Year 3 (BHCY New Project Year 1, Sep 2016 – Aug 2017)
 Continue data analysis.
 Prepare data report for dissemination. The report will be available on the website and will be
printed for distribution.
 Present 2015 BRFSS data at series of community meetings along the border. These meetings will be
held between January and April, 2017.
Border Health Community Engagement (BHCE) Initiative
 This BHCE Initiative will be structured in four major phases: Definition, Organization,
Implementation, and Evaluation. An initial meeting will be conducted to provide the overall
supervision and guidance, as well as evaluation-related tasks.
 Organize a series of four community meetings/workshops, each one to be held in a selected city
along the border. Invited participants will discuss and validate the need to sustain, or refocus ongoing projects aimed to address specific health conditions or situations affecting border
communities.
 Document and prioritize the two major health challenges affecting each of the four border regions.
Project(s) will be proposed, evaluated, and approved by the Office of Border Health (OBH).
 OBH personnel will work to find and redirect resources to work on the two projects deemed most
important to specific border communities. In this respect, OBH personnel will work with the various
stakeholders in order to identify potential sources of funding and pass it along to the respective
border communities. The funds can only be used to work on the projects identified in this section.
 Establish measurable and realistic objectives under SMART methodology that will be applied to help
achieve goals identified in this section.
 Conduct on-going evaluations throughout the life of the BHCE Initiative.
 Briefings and project status reports will be made via Quarterly Reports.
Intended Outcomes:
Border Behavioral Risk Factor Surveillance System (BRFSS) Initiative
 Increased information through enhanced BRFSS data collection in 2015.
 Increased knowledge of 2015 and 2017 community workshop participants regarding the value of
BRFSS data in helping to create educational activities/events related to Healthy Border 2020
priorities.
 A data report will describe results from the 2015 BRFSS that are related to Healthy Border 2020
priorities.
J
Border Health Community Engagement (BHCE) Initiative
 Increased sharing of information through the creation and dissemination of necessary information,
tools, and guidance to facilitate the sharing of objective and up-to-date health information to public
health organizations working along the border. The format will be in the form of document titled
“Guiding Document”.
 Increased knowledge by meeting specific health objectives that contribute to address the public
health needs of border residents.
3. IMPLEMENTATION TIMEFRAME:
A three (3) year timeframe is proposed for both projects:
Border Behavioral Risk Factor Surveillance System (BRFSS) Initiative
Year 1 (Program Year 4, 1 Sep 2014 – 31 Aug 2015)
 Pay invoices to Center for Health Statistics
 Start data collection 1 Jan 2015
 Interface with Border Health Community Engagement Initiative – Present data from earlier BRFSS
administrations at four community meetings along the border
Year 2 (Program Year 5, 1 Sep 2015 – 31 Aug 2016)
 Continue data collection during remainder of 2015
 Interface with Border Health Community Engagement Initiative – Prepare reports on community
recommendations to sustain or refocus activities based on available data
 Begin data analysis once cleaned data set is provided by Center for Health Statistics (typically
provided in late spring of the year following data collection)
Year 3 (New Program Year 1, 1 Sep 2016 – 31 Aug 2017)
 Continue data analysis
 Prepare data report for dissemination
 Present 2015 BRFSS data at series of community meetings along the border
Border Health Community Engagement (BHCE) Initiative
Year 1 (Program year 4, 1 Sep 2014 to 31 Aug 2015)
 Organize Projects, conduct OBH planning meetings
 Start data collection and analysis
 Generate Quarterly Reports
 Interface with Border Behavioral Risk Factor Surveillance System (BRFSS) Initiative.
 Share BRFSS administrations at the four meetings along the border.
J
Year 2 (Program Year 5, 1 Sep 2015 to 31 Aug 2016)
 Continue data collection and analysis
 Interface with Border Behavioral Risk Factor Surveillance System (BRFSS) Initiative for the purpose of
sharing and validating information
 Generate Quarterly Reports
Year 3 (New Program Year, 1 Sep 2016 to 31 Aug 2017)
 Continue data collection and analysis
 Interface with Border Behavioral Risk Factor Surveillance System (BRFSS) Initiative for the purpose of
sharing and validating information.
 Generate Quarterly Reports
 Prepare end-of-project cycle
 Prepare and disseminate reports.
4. EVALUATION METHODS:
Border Behavioral Risk Factor Surveillance System (TXBRFSS) Initiative
 Outcome: Enhanced BRFSS data will be collected in 2015.
o Invoices paid for extra questions and extra sample size along the border.
o A cleaned data set will be obtained from Center for Health Statistics.
o The sample size along the border will be 1000 respondents more than would have been possible
without supplementation through this initiative.

Outcome: Participants in community workshops (2015 and 2017) will learn about the value of
BRFSS data in helping to schedule activities related to Healthy Border 2020 priorities.
o The number of participants in workshops will be recorded, along with the types of organizations
they represent.
o A pre-test and post-test evaluation of workshop participants will test knowledge about the value
of data for setting priorities for activities, as well as knowledge about specific characteristics of
the border as revealed by the data.

Outcome: A data report will describe results from the 2015 BRFSS that are related to Healthy
Border 2020 priorities.
o A data report will be prepared.
o The distribution of the electronic data report will be monitored by keeping track of how many
times it is downloaded and to how many email addresses it is sent. This measure can only be
done if the IT infrastructure in place at the time will allow it.
o The distribution of the printed data report will be monitored by keeping records of where it is
sent.
Border Health Community Engagement (BHCE) Initiative
 Outcome: Increased sharing of information through the creation and dissemination of necessary
information, tools, and guidance to facilitate the sharing of objective and up-to-date health
information to public health organizations working along the border. The format will be in the form
of document titled “Guiding Document”.
 Each border region organizes working groups and conducts a minimum of one BHCE Initiative
Regional Meeting.
 Number of working groups created
 Number of regional meetings
 One guidance document created
 Number of participants

 Pre-test and post-test evaluation of participants
Increased knowledge by meeting specific health objectives that contribute to address the public
health needs of border residents.
o Each border region identifies and prioritizes two major public health projects.
o Each border region establishes viable and achievable projects to meet the public health needs.
o Each project achieves a minimum of 90% in solving the public health needs.
5. POTENTIAL PARTNERS:
Border Behavioral Risk Factor Surveillance System (BRFSS) Initiative
 Center for Health Statistics, BRFSS office
 U.S. – México Border Health Commission, Mexico Section Outreach Offices (Chihuahua, Coahuila,
Nuevo León, and Tamaulipas)
 Local health departments along the border
 Other governmental agencies (environmental, etc.)
 Non-governmental organizations
 Academic institutions
 Border Tribal Nations
 Elected officials
Border Health Community Engagement (BHCE) Initiative
 U.S.-Mexico Border Health Commission
 Offices of Border Health
 Binational Health Councils
 Border Tribal Nations
 Local health departments
 Local and Regional Universities
 Elected Officials (Federal, State, Local)
 Centers for Disease Control
 Promotora Organizations
 Non-Governmental Organizations
6. PROPOSED BUDGET:
Border Behavioral Risk Factor Surveillance System (BRFSS) Initiative
Border Health Community Engagement (BHCE) Initiative
(Is this budget based on actuals? Yes __ No _x_ )
Personnel Costs: Project Year 1 - $21,837; Project Year 2 - $21,837; Project Year 3 - $21,837
Per year of proposal
Personnel costs are calculated at 50% of annual salary for the 100% BHC funded position. Employee will
spend 1/2 of their time working on this project and other half working on Border Obesity Prevention
Summit project.
Fringe Benefits: Project Year 1 - $6,713; Project Year 2 - $6,713; Project Year 3 - $6,713
Per year of proposal
Fringe is calculated at the current rate of 30.74%
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Travel: Project Year 1 - $13,200; Project Year 2 - $0.00; Project Year 3 - $13,200
Project years 1 and 3 only
Travel for 3 staff to each of four forums along the border
3 staff x 4 trips x $1100 per trip = $13,200/year
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Supplies: Project Year 1 - $1,000; Project Year 2 - $1,000; Project Year 3 - $1,000
Per year of proposal
$1000 each year for general office supplies (pens, paper, printer ink, forum supplies, etc.)
Subcontracts: Project Year 1 - $235,000; Project Year 2 - $0.00; Project Year 3 - $120,000
Border Behavioral Risk Factor Surveillance System (BRFSS) Initiative - Project Year 1
Payment to cover cost of four added questions to BRFSS: $4500 x 4 = $18,000
Payment to cover cost of increasing sample size in border region:
500 extra landline surveys x $64 per survey = $32,000
500 extra cell phone surveys x $130 per survey = $65,000
Total estimated payment (all payable in Year 1 of 3): $115,000
Border Health Community Engagement (BHCE) Initiative – Project Year 1
Initial regional forums along the border - 4 forums x $30,000 per forum = $120,000
Border Health Community Engagement (BHCE) Initiative – Project Year 3
Follow up regional forums along the border - 4 forums x $30,000 per forum = $120,000
Multimedia Development and Distribution: Project Year 1 - $1,000; Project Year 2 - $1,000; Project
Year 3 - $81,000
Per year of proposal
$1000 each year for statistical software license renewals
Project Year 3:
$80,000 for printing and distribution of brochure with results from 2015 data
In-Kind Support (not included in Total): Project Year 1 - $55,848; Project Year 2 - $42,648; Project Year
3 - $55,848
Personnel: (each project year)
3.33% Project Director - $2,636
10%
Project Administrator – $5,350
12.5% Project Epidemiologist $7,965
4%
Regional Project Coordination - $4,280
4%
Regional Project Coordination - $3,052
4%
Regional Project Coordination - $4,280
4%
Regional Project Coordination - $4,435
4%
Regional Project Coordination - $2,495
4%
Regional Project Coordination - $3,328
4%
Regional Project Coordination - $2,332
Travel: Project Year 1 - $13,200; Project Year 2 - $0.00; Project Year 3 - $13,200
Project years 1 and 3 only
Travel for 3 staff to each of four forums along the border
3 staff x 4 trips x $1100 per trip = $13,200/year
Other: $0.00
TOTAL $ (U.S. dollars): Project Year 1 - $278,750; Project Year 2 - $30,550; Project Year 3 - $243,750
Project Year 1
Personnel: $21,837
Fringe: $6,713
Travel: $13,200
Supplies: $1,000
Sub-contracts: $235,000
Multimedia Development and Distribution: $1,000
Other: $0.00
Total: $278,750
Project Year 2
Personnel: $21,837
Fringe: $6,713
Travel: $0.00
Supplies: $1,000
Sub-contracts: $0.00
Multimedia Development and Distribution: $1,000
Other: $0.00
Total: $30,550
Project Year 3
Personnel: $21,837
Fringe: $6,713
Travel: $13,200
Supplies: $1,000
Sub-contracts: $120,000
Multimedia Development and Distribution: $81,000
Other: $0.00
Total: $243,750
7. COMPLETED BY:
Kathie Martinez
Email: [email protected]
Phone: (512) 776-7675
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Outreach Office Technical Support Allocation
U.S.-México Border Health Commission
Initiative Proposal for PY 2014-2015
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1. INITIATIVE NAME: Outreach Office Technical Support Allocation
2. INITIATIVE DESCRIPTION:
Purpose: Improve and support state participation and technical representation of Border States for BHC
initiatives and meetings as per Cooperative Agreement requirements.
Objectives:
Support participation and reporting requirements stipulated in pg5 #2-3 of the OFFICE OF GLOBAL
AFFAIRS NON-COMPETING CONTINUATION APPLICATION GUIDANCE FOR THE UNITED STATES-MEXICO
BORDER HEALTH COMMISSION BORDER HEALTH IMPROVEMENT INITIATIVE SINGLE ELIGIBILITY
COOPERATIVE AGREEMENT.
BHC Priorities: Strategic Planning, Access to Care, Research, data collection, and academic alliances,
Tuberculosis, Obesity/diabetes, Infectious disease and public health emergencies
BHC Goals: Create an effective venue for binational discussion to address the public health issues and
problems affecting the U.S.-Mexico border populations and Institutionalize a domestic focus on border
health that can transcend political changes.
Activities: Participation in BHC committee, section, and annual meetings to include initiatives hosted by
the other border states (i.e. TB Consortium, BOPS), and coordination of state technical representation for
BHC initiatives as well as support administrative duties to ensure participation and follow-up with all BHC
required and optional activities.
Intended Outcomes: Increased support and participation of State Border Health Representatives.
3. IMPLEMENTATION TIMEFRAME:
FY 2014-2015, and each year thereafter.
4. EVALUATION METHODS: Participation and timely compliance with COAG requirements.
5. POTENTIAL PARTNERS:
State Department’s of Health and State Outreach Offices of the BHC
6. PROPOSED BUDGET:
(Is this budget based on actuals? Yes __ No X )
Personnel Costs: 20,000
Fringe Benefits: 10,000
Travel: 10,000
Supplies: 10,000
Subcontracts:
Multimedia Development and Distribution:
In-Kind Support:
Other: 10,000
TOTAL $ (U.S. dollars): $240,000- to be divided equally to each U.S. Border State- (i.e. $60,000 per
state- above budget is an example to support a $60,000 allocation).
7. COMPLETED BY: Dr. Gil F. Chavez
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