Agricultural Workers 

Agricultural workers face unique challenges including dangerous occupations and exposure to environmental hazards. They are uninsured at a higher than average rate and also have high rates of poverty and mobility, making accessing services a particular challenge. Migrant health centers are critical to the health care of agricultural workers and their families. To help this population overcome some of these barriers, health centers make special efforts which might include:
  • Outreach to agricultural workers in the community and places they work, including collaboration with employers and other organizations that serve the same populations.
  • Education about the hazards of their work and how to protect their families
  • Culturally appropriate enrollment assistance
  • Linkages to other community resources
It’s important that centers receiving this funding demonstrate how they are increasing access to care for this population. It’s critical for FQHC staff to clearly understand the definitions HRSA uses for “Agricultural Workers,” “Agriculture,” and how to capture this data in a culturally appropriate manner.
FACHC can provide training and technical assistance around these issues and identify national resources to help health centers in these efforts. 

Agricultural Workers Training and Technical Assistance

History of America’s Agricultural Workers and the Migrant Health Movement with historic photos of agricultural work from the early 1900s through the 1990s, NCFH

Agricultural Workers Resources

H-2A Program: Current Dynamics and Future Changes University of Florida, February 2018
The H-2A Program and Immigration Reform in the United States University of Florida Agricultural Extension, March, 2018
Effective Partnership Guide: Improving Oral Health for Migrant and Seasonal Head Start Children and their Families National Migrant and Seasonal Head Start Collaboration Office, Revised 2018
Chronic kidney disease epidemic may be result of high heat, toxins American Association for the Advancement of Science, May 8th 2019

A Guide to Farmworker Programs and Services in Florida 
Coalition of Florida Farmworker Organizations
Dangerous Heat Puts Florida Workers at Risk
Public Citizen, October 2019
Barriers Encountered by Agricultural Workers Seeking Specialty Care and Potential Solutions
Farmworker Justice December 2018
New Study: Oral Health is One of Mobile Agricultural Workers’ “Greatest Unmet Health Needs” Migrant Clinicians Network
Unworkable: Dangerous Heat Puts Florida Workers at Risk
 Public Citizen, October 2018
Medical-Legal Partnership: Helping Pregnant Agricultural Workers Avoid Pesticide Exposure Migrant Clinicians Network August 7, 2018
Migrant and Seasonal Agricultural Workers
HRSA’s Definition
Directory of Migrant Health Center Grantees
National Advisory Council on Migrant Health
Advises the HHS migrant health
Migrant Clinicians Toolbox
Forms, policies, tools and protocols from FQHCs nationwide, MCN
Agricultural Worker Status Verification Introduction and Points to Remember
Agricultural Worker Status Verification FAQ
Agricultural Worker Status Verification Questions for Patients
Agricultural Worker Status Verification Questions for Patients (Spanish)
Florida Farm Labor Housing Developments

Clinicians Guide to OSHA’s Field Sanitation Standard
, MCN 2011
Migrant Health Newsline Archives National Center for Farmworker Health (Via Highbean)
Migrant Health Streamline Archives  Migrant Clinicians Network
The Impact of Invisibility on the Health of Migrant Farmworkers in the Southeastern United States: A Case Study from Georgia
Social Isolation and Health Among Latino Farmworkers in the Southeast United States
Injustice on our Plates: Immigrant Women in the U.S. Food Industry
List of Major Changes to the Agricultural Worker Protection Standard, Southeast Farm Press, January 2017
Farmworker Justice Health Initiatives

Agricultural Worker Data 

Findings from the National Agricultural Workers Survey (NAWS) 2015-2016: A Demographic and Employment Profile of United States Farmworkers U.S. Department of Labor, 2018
Agricultural Worker Population Estimate Update Legal Services Corporation 2016
Diabetes and U.S. Agricultural Workers
 National Center for Farmworker Health
Vulnerable populations data
Findings from the National Agricultural Workers Survey (NAWS) 2013-2014: A Demographic and Employment Profile of United States Agricultural Workers
Changes in Crop Agriculture and Crop Workers: Findings from the Census of Agriculture and the 
National Agricultural Workers Survey PPT
Agricultural Workers in the Southeast Describes the working conditions, demographics, health conditions, barriers to care and challenges faced by Agricultural Workers, FACHC
Migrant and Seasonal Agricultural Worker Protection Act Registered Farm Labor Contractor Listing, July 2016
Florida County-Level Data U.S. Census of Agriculture, 2012
Florida Migrant Labor Camps Florida Department of Health Database
The Need for Farmworker Housing in Florida Includes county-level estimates of farmworkers, University of Florida, 2013
Interactive Map of Animal Production Workers by County, National Center for Farmworker Health
Interactive Map of Crop Production Workers by County National Center for Farmworker Health
Interactive Map of current H-2A Agricultural Worker Certifications National Center for Farmworker Health
Interactive Map of Migrant Health Center Locations National Center for Farmworker Health
National Agricultural Worker Survey Data Tables
Immigration in the Rural Workforce United States Department of Agriculture
Overview of Farm Labor United States Department of Agriculture
U.S. Census of Agriculture County Level Data United States Department of Agriculture

 Agricultural Workers Organizations

A Guide to Agricultural Workers Programs and Services in Florida, Coalition of Florida Farmworkers Organizations (COFFO)

Coalition of Immokalee Workers Immokalee
Rural Women’s Health Project Gainesville
Farmworker Self Help Dade City
Florida Agricultural Extension Offices Can help estimate the number of farmworkers in your area
National Cooperative Agreement Partners Funded by HRSA to provide technical assistance to health centers and communities. Several focus exclusively on farmworkers, homeless or other special populations.


Visit our Vulnerable Populations News page 

For more information, contact Erin Sologaistoa at [email protected]