FY 23-24 Program Report

Agency Name: Acupuncturists without Borders Program Name: AWB CARE Project Equity Dimension: Immigration Status

Condition: Health & Wellness Tier: Small Budget: $24,374.00

Annual Goal FY 23-24	Annual Goal FY 23-24
Unduplicated Participants     Total Unduplicated Participants 700 845	How Many Activities/Services Will Be Provided?     1000 integrative health services (ranging from acupuncture, massage therapy, chiropractic care, to auriculotherapy). 1000 2032 500 annual blood pressure screenings provided by our mobile clinics.  500 565
Annual Goal FY 23-24 Age     0-5 0% 0% 6-18 5% 4% 19-59 85% 44% 60+ 10% 52% Unknown 0% 0%	Annual Goal FY 23-24 Language     English 0% 10% Spanish 60% 60% Other 40% 30% Unknown 0% 0%
Ethnicity     African American 0% 0% Asian 0% 0% Latino 100% 100% Multi-racial 0% 0% Native American/Alaskan 0% 0% Native Hawaiian/Pacific Islander 0% 0% White 0% 0% Other 0% 0% Unknown 0% 0%	Gender     Female 63% 59% Male 35% 38% Transgender- Female 1% 1% Transgender- Male 1% 1% Other 0% 0% Unknown 0% 0% Nonbinary 0% 1%
Location     Capitola 0% 0% Santa Cruz 0% 0% Scotts Valley 0% 0% Watsonville 100% 98% Unincorporated Mid-County (e.g., Live Oak, Soquel, Aptos ) 0% 0% Unincorporated North County (e.g. , Davenport )  0% 0% Unincorporated San Lorenzo Valley (e.g., Ben Lomond ) 0% 0% Unincorporated South County (e.g., Freedom ) 0% 2% Unknown 0% 0% Out of County 0% 0%

Annual Goal FY 23-24   Annual Goal FY 23-24 How Well Did We Provide Service?     How many participiants did you survey? 700 1019 80% of program participants will report being either “satisfied” or “very satisfied” with program services as measured by a one-question participant survey that will be completed by June 30th of each FY.   80% 95%

Annual Goal FY 23-24   Annual Goal FY 23-24 Is Anyone Better Off?     70% of participants will have improved mental health, specifically a decrease in stress, as measured by a program developed survey that will be administered at the end of each acupuncture, massage, chiropractic treatment. Survey data will be reviewed on a semiannual basis. 70% 91% 60% of participants will have improved physical health, specifically participants will report a decrease in pain after receiving acupuncture, massage, or chiropractic treatment, as measured by program developed survey that will be administered at the end of treatment session. Survey data will be reviewed semiannually. 60% 93%

Additional CORE Questions  (The maximum length is limited to 1200 characters in the below boxes)
1. Briefly describe any progress and/or successes your CORE program achieved implementing its activities during FY 2023-2024. (Recommended 2-4 sentences)	The CARE program grew exponentially this year, in part due to deeper partnerships with community organizations, including the Center for Farmworker Families, Salud Para la Gente clinic, Raices y Carino, and Second Harvest food distribution. CARE also now has a stable mobile clinic venue at the United Presbyterian Church in Watsonville next to Salud Para la Gente clinic. We have been able to serve many more people, particularly in the elder community, who return to the clinics regularly for care that they cannot access elsewhere. This field is required
2. (Optional, Success Stories) Please share a short story about the experience of a participant or family that received services funded through this contract during FY 2023-2024. Please state the specific activity that was provided and the impact or positive change that occurred as a result of the service(s) provided. *Please make sure to change any identifying information, such as names.*	Testimonial from Maria, age 63, retired farmworker who lives in an intergenerational home and is one of the primary caretakers of her daughter's two children when she is at work (translated from Spanish): "I have alot of pain and stress in my life, even though I am blessed with a beautiful family. My back and knees hurt most of the time from so many years of work. Also, now I have to take care of my grandchildren and this isn't so easy, even though I love them so much. My friend told me about the doctors here at the church on the days when the food is distributed so I came. I was afraid of the needle treatment so I tried the massage first and that really helped my back. So I came back and the next time the chiropractor gave me a treatment, my first time, and it was really good. I had no pain for almost a week. Now I come back every time there is a clinic and I even get the needles in my ears. This really helps me feel calm and my stress goes down. I could not have these treatments without the clinic here. I am so grateful because they really help me and I can take care of my grandchildren better. I feel like angels are helping."
3. Please describe any challenges your agency experienced in implementing its CORE funded program.	We have streamlined our delivery of care system this year and have not encountered any major challenges, except for bad weather that forces us to reschedule some clinics at the last minute (CARE clinics are held outdoors). This field is required
4.Have you encountered challenges in collecting CORE program or participant data?	Yes No This field is required
5. If you answered yes, what challenges did you experience? (Recommended 2-4 sentences)
6. What technical assistance can HSD or the CORE Institute provide to support your data collection activities?	None at this time. We are grateful for the option! This field is required
7. During FY 2023-2024, did your CORE program staff participate in a CORE Institute event (e.g., Coffee Chats or Conversations)?	Yes No This field is required
8. During FY 2023-2024, how did your CORE program engage its staff on issues of equity?	The CARE project requires all staff, health practitioners as well as administrators, to undergo trauma-informed care and cultural humility training before working with patients/clients. This includes training in understanding the primary inequity issues facing the community that we serve: Lack of legal status, poverty, inaccessability to health care services, language and cultural barriers to accessing care, etc. Two-thirds of the CARE team is bilingual (Spanish-English) and many are from the local community. Our clinic administrators are from farmworker families, and we offer Mixtec translation for all who need it. This field is required
9. In the CORE RFP, your program indicated an equity issue your program would address. How has your program impacted this equity issue in FY 2023-2024?	Immigration: Lack of legal status is at the root of many obstacles facing farmworkers in accessing and receiving trauma-informed, integrative health care. CARE services are free and readily accessible to all farmworkers and their familiy members regardless of legal or economic status, which neutralizes this equity issue for our patients. This field is required