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Overview of the U.S.-México Border Health Commission: Objectives and Strategic Priorities

The U.S.-México Border Health Commission (BHC) aims to address health disparities and promote health optimization along the border. Established in 2000 through a binational agreement, the BHC provides leadership in health issues, facilitates collaboration amongst partners, and enhances access to healthcare. Key priorities include addressing chronic diseases, improving public health emergencies, and engaging with community organizations and health departments. The BHC focuses on fostering partnerships, research, and training for a healthier border region.

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Overview of the U.S.-México Border Health Commission: Objectives and Strategic Priorities

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  1. United States-México Border Health Commission (BHC) Overview Meeting Title City, State Date

  2. Objectives • To identify health issues and health disparities in the U.S.-México border region • To provide an overview of the U.S.-México Border Health Commission (BHC)

  3. Enabling Legislation/Governance • 1994: P.L. 103-400 passed by U.S. Congress • 1997: Initial funding provided through HHS/Office of International and Refugee Health • 2000: Binational Agreement signed establishing the BHC • 2003: Approval of BHC Bylaws • 2004: Designated a Public International Organization by President Bush • 2010: Signed Joint Declaration reaffirming Binational Agreement; Approval of revised Bylaws

  4. Mission and Goals Mission To provide international leadership to optimize health and quality of life along the United States – México border Goals • Institutionalize a domestic focuson border health that can transcend political changes • Create an effective venuefor binational discussion to address key public health issues at the border

  5. Strategic Principles and Roles Principles Leadership Focus Venue Roles • Facilitate identification, study and research • Be a catalyst to raise awareness • Promote sustainable partnerships for action • Serve as an information portal for community partners

  6. Strategic Priorities • Strategic Planning • Access to Care • Research, Data Collection, and Academic Alliances • Tuberculosis • Obesity/Diabetes • Infectious Disease and Public Health Emergencies

  7. BHC Partners • U.S. and México Federal Government • Mexican Consulates • 10 State Health Departments • 4 Offices of Border Health • 10 BHC Outreach Offices • 90 Local Health Departments • Binational Health Councils • Clinics, Hospitals, and Health Service Providers • Community-based Organizations • Promotores Organizations • Academic Institutions • Pan American Health Organization • Border Governors Conference • National Rural Health Association • Texas Medical Association • U.S. and Mexico Media Outlets

  8. ProposedWork Plan Activities 2013-2014

  9. Health Insurance Marketplace (HIM) Activities • BHC role: promote, educate, and train border populations on the health insurance marketplace (HIM) in partnership with CMS and HRSA • Target Groups • Media • Promotores / Community Health Workers • Community-based Organizations • Ventanillas de Salud • State Health Departments • Federally-Qualified Health Clinics • Health Providers • Academic Institutions

  10. BHC HIM Activities • Identify training needs for the border region • Develop an electronic calendar of trainings • Engage border and national media • Establish collaborations to refer unqualified populations for health services

  11. BHC Promotores de Salud Activities • The BHC plans to establish a work group of border region promotores/community health workers to: • Conduct HIM education and outreach along the border • Integrate promotores into the healthcare system including prevention and access to care efforts • Identify core competencies for promotores

  12. BHC Challenges • Operates along the busiest and most complex binational borders in the world in support of diverse national, state, and local public health systems. • Has limited resources to address the whole host of border health issues • Identify unified priorities from each government • Focus health system to address chronic diseases as well as infectious disease • Utilize comprehensive approaches that includes health care systems, policy makers, academia, and public health • Focus resources to the border region • Expand focus to include preventive and health promotion strategies • Promote sustainable partnerships among various sectors

  13. BHC Opportunities • Serves as a unique binational and horizontal framework that brings together two federal governments,10 states and a multitude of other public and private partners to address border and binational health issues. • Serves as a catalyst to identify, convene, and encourage action on key strategic binational issues that also brings focus to diverse populations. • Serves as a focal point to assist federal and state agencies in both countries in addressing specific border health related issues.

  14. THANK YOU U.S.-México Border Health Commission Phone: (915) 532-1006 Email:bhc@borderhealth.org Register today to receive the E-Border Health Bulletin at www.borderhealth.org.

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