The BCHC strives to provide primary and preventative health care that is responsive to the needs of the migrant and seasonal farmworker community. To qualify as a farmworker at the BCHC, at least half of an individual or family's income must come from work in the agricultural production of the land. This includes work in tobacco, fruits and vegetables, grapes, hay, and nursery plant production.

As many of Kentucky's migrant and seasonal workers are Spanish speakers, the BCHC employees bilingual staff who speak English and Spanish and utilizes language line interpretation to ensure that all patients have access to clinic services. Additional services that embrace the farmworker community include extended clinic hours, outreach services, and culturally responsive programming.

Target Population: The majority of the BCHC's patients (95%) come from Mexico, speaking Spanish as their primary language. Most have moved to Kentucky to look for work and taken seasonal jobs in tobacco, fruits and vegetables, and other agriculture industries.

Student Involvement: Each year, numerous students rotate through the BCHC, learning valuable skills that will enable them to advocate for vulnerable populations in their future careers. In 2005, over 70 students from various local institutions worked with the BCHC.

Community Needs Assessments: In an effort to understand the cultural factors that influence patient need and access to health care, the BCHC conducts on-going needs assessments of its target population. The center has also undertaken a Bi-national Community Assessment to gain a better understanding of the Mexican states that send the most migrants to Kentucky.

Awards and Recognitions: The Bluegrass Farmworker Health Center has been recognized by the following organizations for its outstanding work with Kentucky's farmworker and Hispanic communities:

• Asociación de Hispanos Unidos (2005): Hispanic Association Service Award
• Farmworker Health Services, Inc (2005): Cecilia B. Abhold Award for Excellence in Farmworker Health Outreach
• North Central Area Health Education Center and Promotores de Salud (2006)