Community Health Interventions with Yakima Ag Workers "El Proyecto Bienestar"

El Proyecto Bienestar (EPB) or, Well Being Project, is a long-standing community health intervention effort guided by a Yakima Valley community advisory board and a partnership of: The University of Washington; Northwest Communities Education Center/Radio KDNA; Heritage University; Yakima Valley Farm Workers Clinic

Current El Proyecto Bienestar projects

el proyecto bienstar logo

Home Air in Agriculture — Pediatric Intervention (HAPI) Trial

(NIEHS 2014-2019) This study is addressing three highly underdeveloped components of asthma and environmental research: the health of children with asthma living in communities with industrial-scale agricultural operations, asthma in a particularly vulnerable subpopulation (Latino farmworker children), and evidence-based intervention strategies within these populations. HAPI aims to reduce child exposure to inflammatory agents and allergens in the home through the use of high-efficiency particulate air cleaners and a home-based education program. 

Health & Safety of Women Ag Workers 

(PNASH Pilot Project 2015-2016) The overall objective of this project, being conducted through El Proyecto Bienestar, is to examine and address sexual harassment as an occupational health hazard in the Washington agricultural workforce. This project aims to assess the extent and interrelationship between sexual harassment and worker health. This project was proposed in response to the concern voiced by farmworker health and social service providers about the occupational health risks of women agricultural workers, as well as increased media and legal attention regarding sexual harassment in the agricultural workplace. The hidden nature of it profoundly impacts women’s ability to work safely in agriculture. The agricultural industry has also shared their concern with us about the lack of educational resources available to address this problem. The short-term goals of this project are to 1) develop educational and informational products that address sexual harassment in the agricultural workplace, and 2) effectively disseminate these products through key stakeholders and throughout the Yakima Valley using a variety of methods. The long-term goal is to share this educational and informational strategy with other agricultural communities throughout Washington. The project will produce a sexual harassment prevention training video and curriculum specifically for agricultural growers and workers. This project was backed by strong commitments from key players at the WA State Human Rights Commission, Northwest Justice Project, WA Growers League, WA State Department of Labor & Industries, and WA State Department of Agriculture.

View detailed information about this project's activities, goals, and impacts here!


Kim NJ, Vásquez VB, Torres E, Nicola RM, Karr C. Breaking the Silence: Sexual Harassment of Mexican Women Farmworkers. J Agromedicine. 2016;21(2):154-62.

Past El Proyecto Bienestar projects

Health & Safety of Women Ag Workers

(MAAF 2013-2014) This project is addressing the sexual harassment of women working in agriculture. EPB, along with a community advisory board, is assessing the extent and interrelationship between sexual harassment and worker health. This project aims to develop, disseminate, and evaluate educational materials intended to prevent sexual harassment in the agricultural workplace.

ConneX Program and UW Summer Extension Course

(HRSA/Yakima Valley Farm Workers Clinic 2011-2013) Since 2003, PNASH has led a summer environmental education course in Yakima, WA with university credit for ConneX program students. ConneX is an education outreach program at the Yakima Valley Farm Workers Clinic with the aim to create a competitive pool of young people from disadvantaged backgrounds to enter health professions. PNASH faculty, partners, and graduate students lead the curricula and organize a field survey or sampling activity. The community surveys from 2004 through 2010 helped our partners understand the environmental and occupational health concerns, and evaluate the effectiveness of our educational interventions.

Aggravating Factors of Asthma in a Rural Environment (AFARE)

(NIEHS 2009-2013) This community-based project characterized ambient triggers of asthma in the rural setting by following 50 (children and adults) asthmatic community participants, mapping their exacerbations, and comparing these with known agricultural exposures. Subsequently, ambient sampling with an innovative and adaptable sampler confirmed the nature of the exposures. A multifaceted evaluation assessed the process, outcomes, and impact of the program on the partnership, the participants, the clinical providers, and the community.


Perla ME, Iman E, Campos L, Perkins A, Liebman AK, Miller ME, Beaudet NJ, Karr CJ. Agricultural occupational health and safety perspectives among Latino-American youth. J Agromedicine. 2015;20(2):167-77.