The power of promotoras in the fight against COVID-19

During the pandemic, indigenous communities received massive federal funding through the 2020 Coronavirus Aid, the 2021 American Rescue Plan Act, and the Relief and Economic Security Act for a number of needs, like infrastructure and tribal housing improvements. Many indigenous entities received smaller funds too. But COVID exacerbated several long-pending and neglected issues, local officials and tribal members say, and the funding does not sufficiently address them in the longterm.

Several companies are beginning to lean into the four-day workweek. It is also being seen as a new recruiting tool that resonates with a younger generation that prioritizes work-life balance. There are even nonprofits like 4 Day Week Global, that are coordinating pilot programs across the globe to encourage more companies to adopt a 32-hour workweek with no cut in pay.

With an influx of COVID relief money, the Russellville school district began hiring and certifying more local, Spanish-speaking staff to help teach English language learners. Districtwide, the percentage of students who met their language proficiency goals increased from 46% in 2019 to 61% in 2022.

The solar-powered freezer donated by Green Life Energy allows vaccines to be stored at the appropriate temperature, providing more access to necessary immunizations, specifically for those in rural communities. Nurses say the freezer box has the capacity to hold up to 500 doses of different vaccines, including polio, measles, tuberculosis, and the COVID-19 vaccine.

Teams of Community Direct Distributors (CDD) are leading drug distribution campaigns to prevent and eliminate neglected tropical diseases in hard-to-reach, rural areas. These CDDs are members of the community they serve and are trained to educate the locals on disease prevention and administer the drugs themselves. With the CDDs’ help, several states have already eliminated some diseases and greatly reduced the spread of others.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.

A pair of doctors are working to make healthcare more accessible and affordable by training area hospitals to use new technology, like ultrasound devices, to detect non-communicable diseases. Through their newly established non-communicable disease clinic staffed with personnel trained to provide more precise medical care, about 1,100 patients have been cared for.

Doulas are becoming a more widely used resource among pregnant people, particularly Black women who historically face racial inequities during pregnancy and childbirth. Groups like The Doula Network and the Southern Birth Justice Network are working to expand doula services by training and connecting pregnant women with certified doulas. Doula care is more holistic and studies show that women using doulas have about a 65% reduction in their odds of developing postpartum depression or anxiety when a doula is present during labor and delivery.

To increase awareness of cervical cancer and the cancer-preventing HPV vaccine, Al-Ansar radio shares information about the disease, the vaccine and works to dispel speculation and misinformation about vaccines in general to those in underserved and hard-to-reach areas, as they’re often hardest to get vaccinated.

To enhance rural access to healthcare in Nigeria, the Parkers Mobile Clinic partners with local volunteers, healthcare professionals, educators, and community development advocates to identify and remedy unique healthcare gaps. Outreach programs are then designed to provide localized mental health support, nutritional counseling, and other reproductive health services.