Seguridad en Las Lecherias: Immigrant Dairy Worker Health and Safety

Project Description

As the size and concentration of dairy production increases in Wisconsin, so too does the diversity of the workforce. With an increasing number of immigrant, Hispanic workers in the Wisconsin dairy industry with unaddressed language barriers and training needs, culturally and lingustically appropriate education in agricultural health and safety is necessary.

The Seguridad en las lecherias project will employ a popular education model that builds on experiential learning approaches relevant to the everyday lives of workers.  The goal of this project is to bridge the gap in worker health and safety training in dairy production, by testing a culturally appropriate, occupational safety and health intervention to reduce worksite hazards and to improve knowledge and practices among immigrant dairy workers in Wisconsin.

SPECIFIC AIMS:

  1. Translate and apply research to an occupational health and safety intervention for immigrant workers in dairy;
  2. Engage dairy producers, farm managers, workers and clinicians, health and safety professionals to raise awareness and increase understanding of strategies to improve the occupational health and safety of immigrant workers in the dairy industry; and
  3. Evaluate the intervention to determine reduction in hazards, changes in knowledge, attitude and practices among immigrant workers and the acceptability of the CAPE methods.
2015 Project Update

MRSA Colonization and Infection in Swine VeterinariansThe steady increase in consumer demand for dairy products has led to the increase in size and concentration of dairy operations. These large farms bring new occupational risk factors and changes in the diversity of the workforce. It is now estimated that 60% of the milk supply in the US is produced with assistance from immigrant labor, most of which are Hispanic and makes up half of the dairy workforce. These immigrant workers tend to have limited formal education, no training in handling large animals and speak only Spanish.

The Seguridad en las Lecherias (Safety in Dairies) project addresses the needs of this vulnerable workforce by designing and implementing a bilingual health and safety training curriculum that is culturally appropriate for Hispanic workers. The training consists of five 1-hour lessons in Spanish with a ‘train-the-trainer’ approach that prepares selected Hispanic workers to become promotores de salud (community health workers) to allow for ongoing support and reinforcement of safety messages after the training is completed. The Occupational Safety and Health Administration (OSHA) has approved the curriculum. This year, the project team along with colleagues from four other organizations was given the Stakeholder Collaboration in Occupational Injury Research Award by the National Safety Council for their work. The training curriculum materials have also been provided by request to over 30 other organizations across the US to train workers outside of this project.

As of September 2015, the Seguridad project has trained almost 800 workers on 67 farms providing over 2,300 worker training hours. Trainings will be completed this year. Workers who have been trained show a clear increase in health and safety knowledge. Farmers also benefitted in their relationships with their workforce through this training. As one producer wrote in a thank you note, “The information provided during these lessons have been very beneficial to our Spanish-speaking employees because the language barrier often prevents us from the getting the information to our employees accurately or in a timely manner. This has been a very positive experience for all of us.”

VIDEO: Immigrant Dairy Workers – A Training Model for Health and Safety on the Farm

UMASH, in partnership with the National Farm Medicine Center and Migrant Clinicians Network, has developed the following video overview of the Dairy Worker Safety Training program.

View the video directly on our site by clicking on them below, or download the video by right-clicking the “Download mp4” link below the video and saving the file.

Immigrant Dairy Workers – A Training Model for Health and Safety on the Farm
Release Date: January 9, 2017
Download mp4 (right click and save file)

Bilingual Dairy Worker Safety Training Curriculum and Resources

seguridadThe Seguridad project uses a popular education model that includes worker training and promotores de salud (or Community Health Workers) to reduce worksite hazards and to improve worker knowledge and practices. Through extensive input from workers, health and safety professionals and researchers, this project developed an OSHA-approved five-module, bilingual health and safety training curriculum. The curriculum includes background sections on each topic and a step by step facilitators guide with visuals either in the form a power point slide presentation or a flip chart.   Available in English and Spanish

Interactive Map of Resources for Spanish Speaking Residents in WI and MN

mapThrough the Occupational Health Internship Program (OHIP), the National Farm Medicine Center (NFMC) created an interactive Google map of organizations that provide services to Spanish-speaking residents in Wisconsin and Minnesota. This was a project developed to help the farm workers learn about other services that may be available to them.   Available in English and Spanish.

Migrant Clinicians Network

mcn-logoMigrant Clinicians Network is a national organization with over 30 years of experience addressing the health and safety needs of immigrant workers and their families, assisting workers on farms, at construction sites, and in hotels, nail salons, and restaurants. We bring the clinical perspective into the health and safety conversation, with culturally and linguistically appropriate resources, programs, and direct assistance to help clinicians and health centers address the diverse health needs of their communities’ immigrants and migrants. We also aim to improve the health of immigrant workers by bringing health and safety messages directly to them.

The Seguridad en las lecherías project is an award-winning collaboration between MCN, the National Farm Medicine Center and UMASH, which resulted in hundreds of immigrant dairy workers receiving safety trainings. MCN facilitated the promotor de salud or Community Health Worker model to help dairy workers and producers address health and safety on the farm. This model, now common in community health centers and other health settings, trains community members to promote health education. Through this train-the-trainer approach, select dairy workers were trained in key health and safety messages, which they disseminated to their fellow workers. These workers also acted as a liaison between workers and managers to communicate job safety concerns. The project proved effective in reaching an important and vulnerable immigrant community with critical education to keep them safe on the job.

The project’s five-lesson curriculum and bilingual comic books are available to download on MCN’s site. The Seguridad project is one of many that MCN has championed in the fight for health justice. Visit our Environmental and Occupational Health page to hear more about our projects, and subscribe to MCN’s blog to hear updates in the world of migrant health. One way is to offer the materials for free: the project’s five-lesson curriculum and bilingual comic books are available to download on MCN’s site The Seguridad project is one of many that MCN has championed in the fight for health justice for the mobile poor.  Visit our Environmental and Occupational Health page to hear more about our projects, and subscribe to MCN’s blog to hear updates in the world of migrant health.

The UMASH project, Promoting Safety and Worker Health for Immigrant Dairy Workers is working on the project’s next phase which includes farms in Minnesota and examining ways to to sustain the project.

In it’s initial phase, the project has reached
3,453 training hours to 850 workers on 68 farms.

Project Personnel

PROJECT DIRECTORS
Photo of Amy K. Liebman MPA, MA

Amy K. Liebman MPA, MA

Director Environmental and Occupational HealthMigrant Clinicians Network
Phone: 512-579-4535 Website: Bibliography

SENIOR ADVISOR

PROJECT PERSONNEL

CO-INVESTIGATOR:
Photo of Patricia Juarez-Carrillo MPH, PhD

Patricia Juarez-Carrillo MPH, PhD

Migrant Clinicians Network
Phone: 915-842-0270

Publications and Presentations

  • Juárez-Carrillo, P.M., Liebman, A.K., Reyes, I.A., Sánchez, Y.V.N., & Keifer, M. (2018). Applying Learning Theory to Safety and Health Training for Hispanic Immigrant Dairy Workers, Health Promotion Practice. 18(4):505-515. https://doi.org/10.1177/1524839916683668 
  • Juárez-Carrillo, P.M., Liebman, A.K., Reyes, I.A., Sánchez, Y.V.N., & Keifer, M. (2018). Aplicación de la teoría de aprendizaje en el entrenamiento acerca de seguridad y salud para trabajadores inmigrantes en las lecherías, Health Promotion Practice. https://doi.org/10.1177/1524839918812419
  • Keifer, M., Reyes, I.A., Liebman, A.K., & Juarez-Carrillo, P. (2014). The Use of Audience Response Systems Technology with Limited English Proficient, Low Literate and Vulnerable Populations, Journal of Agromedicine. 19(2):219-220. https://doi.org/10.1080/1059924X.2014.892045
  • Liebman, A.K. (2018). An overview and impact assessment of OSHA large dairy local emphasis programs in New York and Wisconsin, American Journal of Industrial Medicine. 61(8):658-666. https://doi.org/10.1002/ajim.22868
  • Liebman, A.K., Juárez-Carrillo, P., Reyes, I.A., & Keifer, M. (2014). A Model Health and Safety Intervention for Hispanic Immigrants Working in the Dairy Industry, Journal of Agromedicine. 19(2):78-82. https://doi.org/10.1080/1059924X.2014.888025
  • Liebman, A.K., Juárez-Carillo, P., Sáenz, S., & Guerrero, F. (2014). COMIC: Safety and Health on the Farm- It’s your Right and it’s the Law, Migrant Clinicians Network, National Farm Medicine Center, and Upper Midwest Agricultural Safety and Health Center. https://www.migrantclinician.org/toolsource/resource/comic-safety-and-health-farm-its-your-right-and-its-law.html
  • Arnold, T., & Pereyra, I. (2014, Aug. 4). Seguridad en las lecherias and workers health and safety on US dairy farms. OHIP NIOSH National Teleconference, Los Angeles, CA, United States.
  • Bender, J., & Liebman, A. (2018, Sept. 25). How safe is your dairy farm? [Webinar]. Minnesota Milk Producers Association Dairy Webinar.
  • Ellis, T., Guerrero-Silva, F., Keifer, M., & Magurany-Brotsk, C. (2013, Apr. 17). Development and implementation of an agricultural safety consultation program to protect dairy farm workers. UMASH Annual Forum, Saint Paul, MN, United States.
  • Juarez-Carrillo, P., Keifer, M., Liebman, A. K., & Reyes, I. A. (2014, May 1). A model health and safety intervention for Hispanic immigrants working in the dairy industry. National Occupational Research Agenda, Minneapolis, MN, United States.
  • Juarez-Carrillo, P., Keifer, M., Liebman, A. K., & Reyes, I. A. (2014, May 1). The use of audience response systems technology with limited English proficient, low literate and vulnerable populations. National Occupational Research Agenda, Minneapolis, MN, United States.
  • Juarez-Carrillo, P., Keifer, M., Liebman, A.K., Reyes, I.A., & Waring, S. (2014, Nov. 15-19). All that we herd: Using qualitative methods to understand language, barriers, and challenges in a changing dairy industry. American Public Health Association 142nd Annual Meeting and Exposition. New Orleans, LA, United States.
  • Juarez-Carrillo, P., Keifer, M., Liebman, A.K., Sanchez, Y. N., & Reyes, I.A. (2014, Oct, 19-22). Migrant workers in agriculture and rural areas – global perspectives and local responses. 7th International SHARP Symposium, Saskatoon, SK, Canada.
  • Juarez-Carrillo, P., Keifer, M., Liebman, A.K., Sanchez, Y. N., & Reyes, I.A. (2014, Oct. 21). Promotor de salud (community health worker) model in agriculture: A local response to a global challenge. 7th International SHARP Symposium, Saskatoon, SK, Canada.
  • Juarez-Carrillo, P., Keifer, M., Liebman, A.K., Sanchez, Y. N., & Reyes, I.A. (2014, Nov. 15-19). Beyond worker training – the role of the community health workers in sustaining safe practices in an occupational setting. American Public Health Association 142nd Annual Meeting and Exposition, New Orleans, LA, United States.
  • Juarez-Carrillo, P., Keifer, M., Liebman, A.K., Sanchez, Y. N., & Reyes, I.A. (2014, Nov. 19-21). Seguridad en las lecherias and workers health and safety on US dairy farms. Midwest Migrant Stream Forum, San Antonio, TX, United States.
  • Keifer, M., & Liebman, A.K. (2014, Apr. 22). Workers and health: How frontline providers make a difference in the protection of migrant workers and their families. EOH Onsite Clinical Trainings for Partner Health Centers, Moorhead, MN, United States.
  • Keifer, M., Liebman, A.K., & Nonnemann, M. (2014, June 24). Dairy industry panel: Health and safety challenges and solutions for a changing industry and new workforce. International Society for Agricultural Safety and Health Annual Conference, Omaha, NE, United States.
  • Keifer, M., & Sanchez, Y. N. (2015, Jan. 8). English as a second language. Agricultural Safety Connection Complimentary Education Seminar, Stevens Point, WI, United States.
  • Liebman, A.K. (2013, March 19-20). Keynote panel speaker on dairy worker health and safety. Pennsylvania Migrant and Immigrant Health Conference, Grantville, PA, United States.
  • Liebman, A.K. (2013, Sept. 25). A model health and safety intervention for Hispanic immigrants working in the dairy industry. North American Agricultural Safety Summit, Minneapolis, MN, United States.
  • Liebman, A.K. (2013, Nov. 2-5). A local perspective on a global challenge: Health and safety perceptions and practices of immigrant in workers’ in Wisconsin’s dairy industry. American Public Health Association Annual Conference, Boston, MA, United States.
  • Liebman, A.K. (2013, Nov. 19-20). Designing a safe practices intervention for immigrant dairy workers using a needs assessment and the community health worker model. Midwest Rural Agricultural Safety and Health (MRASH) Conference, Ames, IA, United States.
  • Liebman, A. (2016, Sept. 29). Seguridad en las lecherías. UMASH Annual Forum, Saint Paul, MN, United States.
  • Liebman, A. (2016, Oct. 29-Nov. 2). A health and safety intervention for immigrant farm workers that employs the community health worker model. American Public Health Association Annual Meeting and Exposition, Denver, CO, United States.
  • Liebman, A. (2016, Oct. 29-Nov. 2). A one health approach to incorporating safety on the farm for immigrant dairy workers. American Public Health Association Annual Meeting and Exposition, Denver, CO, United States.
  • Liebman, A., Reyes, I., Juarez-Carrillo, P., Sanchez, Y. N., & Keifer, M. (2017, May 5). Culturally appropriate health and safety intervention for immigrant dairy workers. NORA Symposium, Minneapolis, MN, United States.
  • Reyes, I. (2013, Sept. 25). Facilitating return to work for injured and ill animal agriculture workers. North American Agricultural Safety Summit, Minneapolis, MN, United States.
  • Reyes, I. (2013, Nov 2-5). Farm mapping to assist, protect and prepare emergency responders: Farm MAPPER. American Public Health Association Annual Conference, Boston, MA, United States.
  • Reyes, I., Sanchez, Y. N., Juarez-Carrillo, P., Liebman, A., & Keifer, M. (2016, Apr. 27-28). A culturally appropriate health and safety training curriculum for Hispanic immigrant workers in dairy. 2016 Extension Risk Management Education National Conference, Fort Worth, TX, United States.
  • Sanchez, Y. N. (2016, Nov. 16-17). Embracing on-farm safety programs. GPS Dairy Forum, Prior Lake, MN, United States.
  • Sanchez, Y. N., Liebman, A. K., Juárez-Carrillo, P., Reyes, I., & Keifer, M. (2016, May 4). Culturally appropriate health and safety intervention for immigrant workers in dairy. 2016 NORA Symposium, Minneapolis, MN, United States.
  • Vázquez, C. (2018, Aug. 15). Working across language and cultural barriers in agriculture. 2018 North American Manure Expo, Brookings, SD, United States.

Project News