Expanding an integrated system of health care in the Texas border region

Colonias are clusters of poor neighborhoods in unincorporated areas along the U.S.-Mexico border. Almost all colonia residents (98 percent) are Latino. They are among the United States' most vulnerable populations--poor, isolated from health and human services, and lacking basic services such as police and fire. In 2001, the Foundation funded a four-year project to increase access to care by applying a public health model of health promotion and disease prevention in two colonias in McAllen, Texas. The Foundation funded this project in partnership with the Health Resources & Services Administration (HRSA). The partnership created an unusual rallying point for community organization building two clinics and training the necessary staff, including lay health workers (promotores). Over the next four years, the promotores' work focused on health care outreach to a number of colonia families. The project forged a collaboration for service provision among local providers, hospitals, the School of Rural Public Health, the Texas Department of Health, and other organizations. In March 2005, the Foundation concluded that the broader aims of sustainability and community capacity still needed to reach fruition.

Grant Details

Amount Awarded $2,898,969.00

Awarded on: 10/27/2005

Time frame: 12/1/2005 - 8/31/2007

Grant Number: 53651


Texas A&M University System Health Science Center Research Foundation

400 Harvey Mitchelle Parkway South, Suite 100
College Station, 77845-7896


James N. Burdine
Project Director