Maternal health in New Mexico is a significant challenge, with substantial barriers to accessing best-practice, culturally responsivecare and large swaths of maternity care deserts and areas of decreased access. With a Pregnancy-Associated Mortality Ratio (PAMR) of 76.85 deaths per 100,000 live births—much higher than the national average—underserved and rural communities face unique vulnerabilities. However, Project ECHO’s  Improving Perinatal Health (IPH) ECHO program, which is funded in part by Con Alma Health Foundation, is transforming maternal care delivery across the state.

Through education, collaboration, and cultural responsiveness, the IPH ECHO program has made meaningful strides in addressing systemic inequities and empowering healthcare providers to improve maternal health outcomes.

The IPH ECHO Program: A Comprehensive Approach

The IPH ECHO program, supported by the pioneering ECHO Model, is a virtual, case-based, mentorship program that connects perinatal care specialists with healthcare providers in rural and underserved areas. The program offers biweekly training sessions and resources designed to equip providers with evidence-based practices for maternal and perinatal health.

In the first year alone, the program served 18 of New Mexico’s 33 counties, including 12 rural and hard-to-reach areas such as Guadalupe and Colfax. For these underserved communities, this outreach ensures that they have access to best practices that they may otherwise not have had.

To date, the program has trained 274 providers, including midwives, nurses, physicians, doulas, public health professionals, and community health workers. These efforts aim to build a network of skilled professionals capable of addressing maternal health challenges with cultural and clinical competence.

“The IPH ECHO program leverages Project ECHO’s vast network of experts to bring life-saving knowledge and practices to health care providers in the communities that need them most. By empowering local clinicians with the tools and confidence to deliver high-quality maternal care, this program has made a tangible difference in reducing disparities and improving outcomes for mothers and families across New Mexico.” said Dr. Sanjeev Arora, founder and director of Project ECHO.

Addressing Barriers in Underserved Communities

Reaching New Mexico’s rural populations is no small feat. Geographical isolation, systemic inequities, and language barriers often limit access to quality care. The IPH ECHO program has met these challenges with strategies, such as:

• Cultural competency trainings: Sessions on systemic racism and implicit bias in maternal care help providers address disparities and build trust with historically marginalized communities.
• Spanish-language presentations: The program’s Spanish-language sessions with interpretation services ensure inclusivity for southern New Mexico’s Spanish-speaking populations.
• Community engagement: By including local leaders and culturally aligned experts, including a Dine` co-director with unique expertise as a midwife and experience in hospital and community birth, the program fosters trust and ensures interventions align with community values.

These strategies have been instrumental in addressing the needs of communities that have long been underserved by traditional healthcare systems.

Nicolle Arthun and Dr. Trevor Quiner with the the IPH ECHO program.

Collaboration as a Cornerstone

Collaboration is central to the IPH ECHO program’s success. Through partnerships with other ECHO programs, such as the Reproductive Health ECHO Program and the Maternal Child Health Community Health Workers Program, participants gain access to complementary resources and expertise.

The program also introduced “grand rounds,” which are specialized sessions focused on improving the collaboration between providers who provide birth services within and outside of hospital settings. These sessions include topics such as “Decolonized Midwifery Care” and “Postpartum Hemorrhage Management”.

“Bringing together diverse providers has been incredibly impactful,” one participant noted. “It’s not just about sharing knowledge—it’s about creating a collaborative network that strengthens maternal care across the state.”

Real Impact on Providers and Patients

The IPH ECHO program’s training sessions have had a tangible impact on healthcare providers, equipping them with the knowledge to address both medical and social determinants of maternal health. Post-session surveys revealed that 63% of participants reported improved knowledge, 20% enhanced skills, and 12% better performance in implementing evidence-based practices.

One midwife described how the program gave her the confidence to improve her care in a rural setting: “Even though we’re kind of out in a really rural place, we were… doing the right things. The program reassured me that our practices align with evidence-based standards.”

Another participant, a doula, highlighted the value of a session on perinatal mood and anxiety disorders (PMADs). “The knowledge I gained has helped me better communicate care practices to my clients and recognize symptoms early,” she said.

The Road Ahead

Building on its successes, the IPH ECHO program is committed to increasing their work in statewide quality improvement, expanding its geographic and multidisciplinary reach, diversifying its pool of experts, and ensuring long-term sustainability in addressing maternal health in New Mexico. Plans include recruiting more culturally aligned presenters and fostering deeper partnerships with community organizations.

Dr. Trevor Quiner, Maternal-Fetal Medicine physician and co-director of the IPH ECHO shares a hopeful outlook. “There is still much work to be done to ensure that all pregnant individuals and families in New Mexico and the surrounding region have access to safe, respectful, and high-quality care. While these challenges are not unique to our state, the multi-disciplinary collaboration and strong sense of community that is apparent in the participants of IPH ECHO is what sets us apart. The collaboration and determination to care for our community will allow us to overcome these challenges together.”

The IPH ECHO program exemplifies how targeted education, collaboration, and cultural responsiveness can address systemic healthcare inequities. Backed by the Con Alma Health Foundation, the program is not only empowering providers but also transforming maternal health for New Mexico’s most vulnerable populations.

As one participant aptly summarized, “The IPH ECHO program gave me the tools to make a real difference in my community. That’s something I’ll carry with me forever.” For families across New Mexico, this program is more than a training initiative—it’s a lifeline to a healthier future.

To support the IPH ECHO program, Con Alma awarded a three-year grant in 2023. The Foundation partners with ECHO to advance our shared values of using innovative strategies to increase access to quality healthcare in rural and underserved areas of New Mexico and develop a culturally responsive workforce.

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“Dr. Anjali Taneja and Sophia Weatherly are shining examples of what it means to truly care for their communities,” said Executive Director Linda Candelaria. “Dr. Taneja has devoted herself to creating accessible, holistic healthcare for those who need it most, and Sophia’s leadership shows us the incredible potential of young people to drive meaningful change. Their passion and dedication to improving the lives of others are exactly why they were chosen as our Heroes of Health this year.”

Dr. Anjali Taneja: A Champion for Integrative and Community-Based Healthcare

For more than nine years, Dr. Anjali Taneja has dedicated her career to advancing integrative, culturally attuned healthcare at Casa de Salud in Albuquerque’s South Valley. Her work goes beyond treating illnesses; she empowers communities through education, advocacy, and holistic care. Dr. Taneja has been a transformative force in delivering equitable health services to underserved populations, ensuring that every individual—regardless of background—receives compassionate, comprehensive care.

Dr. Taneja’s approach integrates Western medicine with traditional healing practices, meeting patients where they are and addressing the broader social determinants of health. Her unwavering commitment to health justice has inspired many to rethink what healthcare can and should be.

“I believe strongly that healthcare has a responsibility to not only provide service to community, but to build power with community and transform the structural conditions under which we all live. I also believe it is imperative that we build systems from the ground up – systems that are rooted in community and in values of anti-racism and health rights for all.” she said.

Dr. Taneja plans to donate her $1,000 award to Casa de Salud, supporting their mission of providing integrative healthcare services to those who need them most. The funds will help sustain critical programs that address physical, emotional, and social well-being.

Sophia Weatherly: A Youth Leader with Vision and Heart

At just 18 years old, Sophia Weatherly is already making waves as a health advocate and community leader. Through her work with the Rocky Mountain Youth Corps, Sophia exemplifies resilience and dedication to environmental and community health. Her leadership fosters a deep connection between youth and the land, recognizing that a healthy environment is foundational to human well-being.

Sophia’s journey as a Hero of Health began with her personal commitment to overcoming adversity and channeling her experiences into empowering others. As a Public Health AmeriCorps member with Rocky Mountain Youth Corps, she supports students and provides substance abuse prevention services at Taos High School. She has been instrumental in initiatives that educate and inspire young people, proving that youth leadership is vital to shaping a healthier, more sustainable future for New Mexico.

“Student and youth voice is vital for communities to grow, they are the future generation, and they know what they are talking about. Our youth is extremely smart and intuitive and that should no longer go ignored and dismissed. Our youth should know that they capable of making change if they simply just make action possible.” she said.

Sophia plans to direct her $1,000 award to Rocky Mountain Youth Corps, helping to fund youth leadership and environmental stewardship programs that connect young people to meaningful work and their community.

A Shared Commitment to Community Health

Both Dr. Taneja and Sophia Weatherly embody the spirit of Con Alma’s mission: to improve health equity and build a healthier future for everyone in New Mexico. Whether through integrative care or youth empowerment, their efforts demonstrate the power of community, resilience, and innovation in addressing New Mexico’s unique health challenges.

We are honored to celebrate these incredible Heroes of Health and their ongoing contributions to our communities. Their stories inspire all of us to take action and imagine a world where health equity is not just a goal but a reality.

About the Heroes of Health Initiative

The Heroes of Health initiative, launched by Con Alma Health Foundation, recognizes individuals and youth who are making extraordinary contributions to health and well-being in New Mexico. Each year, the program celebrates those who go above and beyond to address the unique challenges faced by their communities, emphasizing health equity, advocacy, and resilience. Honorees are awarded $1,000 to support their chosen causes, further amplifying the impact of their work and inspiring others to create positive change.

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One example of this impact can be seen in Northern New Mexico’s Mora County, where Steve Smaby of the Collins Lake Autism Center shared how the funding will make a difference: “This support will help us bring much-needed non-primary care services, like physical therapy and behavioral health, to our rural community, where these services are nearly nonexistent. By recruiting and subsidizing part-time providers, we can make care more accessible and reduce the travel barriers that often prevent people from seeking help.” This initiative exemplifies how Con Alma’s commitment to equity is creating lasting, positive change for New Mexicans.

2024 Statewide Grant Recipients are:

100% Taos County ($30,000): Supporting a Coordinator to develop the 100% Family Center in Taos, Questa, and Peñasco, while expanding the initiative to include a comprehensive medical and dental team. This capacity building effort provides programmatic support to Action Teams focused on reducing Adverse Childhood Experiences (ACEs) and improving community health throughout Taos County, including broad community outreach.

Albuquerque Sign Language Academy ($25,000): Supporting a capacity-building initiative to address the unique needs of Albuquerque Sign Language Academy students and their families, empowering students to thrive and advocate for themselves in a world that can be challenging for individuals with disabilities.

American Lung Association of New Mexico ($20,000): To help build the capacity of the American Lung Association’s Free Lung Screening initiative in New Mexico, expanding lung health awareness and promoting well-being across the state. 

Brighter Bites ($15,000): Enhancing capacity building in health promotion programs that offer nutrition education, produce distributions, and engaging food experiences in partnership with Las Cruces Community Schools in Doña Ana County.

Cancer Services of New Mexico ($15,000): To support the legal, insurance, and paperwork assistance for cancer patients program in building its capacity to provide statewide support for navigating the financial challenges and complexities associated with a cancer diagnosis.

Cavern City Child Advocacy Center ($30,000): In support of the Lethality Assessment Program (LAP), which is working to build its capacity to improve domestic violence victim response and services across Eddy County. Integrating LAP plays a vital role in homicide prevention efforts by enhancing police training, coordinating community response, improving emergency services, and increasing victims’ awareness of protective strategies.

Chaves County Casa Program ($30,000): To help build the capacity of the Healthy Habits program to provide daily meals with cooking instruction, supporting the short and long-term health of abused and neglected youth in Chaves County. 

Chronic Disease Prevention Council ($30,000): To help build the capacity of the New Mexico Peer Support Network to increase the number of Certified Peer Support Workers across the state and improve behavioral health services.

Collins Lake Autism Center ($30,000): To support the Collins Lake Autism Center’s Integrated Therapy Center in strengthening its capacity to deliver mental health services to Supported Living residents and others in the Mora County area, addressing the gap in accessible services for individuals in rural communities.

Esperanza Shelter, Inc. ($30,000): To provide emergency shelter support for domestic violence victims, offering counseling and housing to women and families in Santa Fe and surrounding areas. This capacity building assistance will help Esperanza Shelter transition from pandemic related restrictions to a communal model, while expanding its ability to meet the growing demand, as the shelter has been operating at full capacity since reopening earlier this year.

The Family YMCA ($20,000): Supporting the Española YMCA Teen Center in building capacity to expand its daily prevention and intervention activities, addressing the evolving needs of local youth while fostering creativity, resilience, and essential life skills.

Food Bank of Eastern New Mexico ($30,000): Capacity building for three New Mexico’s Regional Food Banks in San Juan, Sandoval, Roosevelt, Rio Arriba, Quay, McKinley, Guadalupe, DeBaca, Curry, and Cibola Counties to engage in creating a strategic plan.

Food Depot ($30,000): Supporting upstream solutions to chronic food insecurity in Northeastern New Mexico by building capacity for regional coalitions of community members to advocate for systemic changes in food equity, driving sustainable, long-term improvements in public health.

Fundamental Needs Inc ($30,000): Supporting Shiprock area’s Oasis Project to build capacity by training and hiring local high school students through an after-school work program to assist with off-grid water system installations. These systems include water tanks, pumps, heaters, sinks for water access, and greywater gardens to leverage every drop of liquid.

Healthy Native Communities Partnership, Inc. ($30,000): To build rural community capacity in sharing Navajo cultural and traditional teachings in the Shiprock Service area or Northern Navajo Agency. This project will establish social and cultural activities that promote health and well-being, and celebrate traditional wisdom, cultivating a healthy mind, body, and spirit.

Jardin de los Niños ($30,000): Building capacity to enhance infant mental health in the Las Cruces and Hatch Valley communities through a holistic, preventive, and trauma-informed framework. This approach addresses challenges such as generational poverty, homelessness, immigration stressors, and trauma, promoting the well-being of children and families with responsive support.

La Plaza De Encuentro Gathering Place ($30,000): Empowering frontline workers in Albuquerque to drive efforts in advancing health equity for aging Spanish-speaking Hispanics and immigrants, focusing on improving access to culturally relevant services, promoting wellness, and influencing health policy.

Lions Club of Taos Inc ($15,000): Supporting the Lions Community Health and Technical Education program, which prepares high school students in the UNM-Taos Health Science pathway for local workforce development in healthcare. This capacity-building effort provides financial support to reduce mandatory expenses, including entry and certification tests, travel for clinical training, and continuing education requirements, fostering a culturally and linguistically diverse workforce.

Mandys Special Farm ($30,000): Capacity building for a therapeutic adaptive horseback riding program in Albuquerque’s South Valley, offering children with intellectual and developmental disabilities the opportunity to experience the joy of horseback riding. This program provides physical, emotional, social, and cognitive benefits with the goal of empowering children to thrive and grow.

National Latino Behavioral Health Association ($30,000): Building the capacity of a coalition of stakeholders to address chronic homeless encampments in the Española Valley. This effort will identify gaps, needs, and strategies to create a multijurisdictional approach to addressing these challenges.

New Mexico Environmental Law Center ($20,000): Building community capacity to address the toxic legacy of uranium by providing free legal services, policy advocacy, and public education to frontline communities in Northwestern New Mexico.

New Mexico Immigrant Law Center ($30,000): Building workforce development capacity for immigrant youth in healthcare through the Special Immigrant Juvenile Status (SIJS) Act. This includes training judges in rural areas to ensure consistent application of the Act and advocating in court to prevent the denial of eligibility for individuals aged 18-21.

New Mexico Ramp Project ($30,000): Building capacity for ramp construction in selected rural/frontier and tribal communities in San Juan, McKinley, and Cibola counties.

New Mexico State University College of Health and Social Services ($30,000): Supporting a peer mentorship and career development initiative that builds capacity for enhanced academic and career support for students identifying as racial or ethnic minorities. This initiative aims to improve graduation rates, diversify the state’s health workforce to better reflect the communities served, and address systemic gaps in care.

New Mexico Voices for Children ($30,000): Supporting innovative collaboration with partners in rural communities to build capacity among families advocating for policies that advance child well-being and public health in light of environmental health concerns.

Northern New Mexico College ($30,000): Supporting a Collaborative Food Security Initiative to enhance Sostenga Farm’s capacity to grow fresh produce, provide healthy meals at the campus Café and Pantry, and offer free community cooking classes featuring traditional Hispanic and Native American recipes. All produce and meals are provided at no cost to students and their families.

Solace Crisis Treatment Center ($30,000): Supporting workforce development for the Solace clinical team to build capacity and expand access to services for Hispanic-Latinx clients. This effort aims to reduce waitlists for culturally specific programs addressing the unique experiences of migrants and subsequent generations of Hispanic-Latinx individuals in Northern New Mexico.

St. Luke’s Health Care Clinic dba Amador Health Center ($25,000): Supporting health equity for dairy workers in Doña Ana County through expanded outreach, a mobile healthcare van, health promotion, and case management by Community Health Workers. This capacity building effort enhances access to care by providing information, referrals, and education, benefiting both migrant workers and dairy owners.

Valencia Shelter for Victims of Domestic Violence ($30,000): Building capacity to increase access and equity, decrease service barriers and disparities, and cease systemic racism and generational cycles of abuse for historically marginalized community members affected by domestic violence, sexual assault, and child abuse in underserved rural and tribal areas, including Valencia, Socorro, Torrance, Catron Counties, and Laguna and Isleta Pueblos.

Zuni Youth Enrichment Project ($25,000): Supporting cross-sector collaboration for holistic wellness among Zuni community members by building the capacity of working groups to leverage shared expertise and resources. These efforts focus on promoting well-being while addressing chronic health disparities and inequities.

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“At Con Alma, we are passionate about supporting local organizations that take innovative and culturally sensitive approaches to improving health outcomes,” said Executive Director Linda Candelaria. “These grants provide vital resources to help build a healthier, more equitable future for the diverse populations of Northern New Mexico.”

One powerful example of an organization benefiting from the Northern New Mexico Health Grants, is the Santuario del Corazón (SDC) program by Las Cumbres Community Services (LCCS). With previous grant funding, SDC built trusted relationships with immigrant families, addressing social determinants of health like access to care and education. This work empowered families to connect with critical resources, such as primary care and mental health services, fostering trust, confidence, and self-advocacy. Building on this foundation, the İQue Cute! Healthy Baby Program is now set to provide even more targeted support for expectant mothers in Rio Arriba and Los Alamos counties. By connecting mothers to transportation, doulas, breastfeeding support, and nutrition resources, the program is poised to improve pregnancy outcomes and ensure healthier futures for both mothers and babies.

Con Alma’s unwavering support makes these efforts possible, reaching even the most rural areas and helping to transform lives one family at a time.

2024 Grant Awardees are:

Food Depot ($10,000): Supporting Food is Medicine initiatives at the Food Depot by strengthening partnerships with healthcare providers and creating pathways for Medicaid reimbursement to fund food security services.

Las Cumbres Community Services ($20,000): Supporting the ¡Que Cute! Healthy Baby Program in expanding partnerships to strengthen community connections, assess service gaps, and provide critical specialized care. This includes coordinating transportation to prenatal appointments and birthing classes, connecting with doulas, offering breastfeeding and nutrition support, and providing safety and child development resources.

Mesa to Mesa ($20,000): Supporting increased services for low-income homeowners in need of small home repairs, with the goal of helping individuals with disabilities remain in their homes longer, reducing the risk of injury or illness in substandard housing, and utilizing volunteers when appropriate.

New Mexico Center on Law and Poverty ($20,000): Supporting efforts to improve access to safe and affordable housing in Northern New Mexico by educating residents, representing tenants facing wrongful eviction, and raising awareness of housing needs prioritized by those most impacted by the housing crisis.

Northern New Mexico College ($20,000): Supporting the El Rito Greenhouse and Community Garden Project to create a public space for growing fresh produce and improving nutrition for local residents. The project focuses on indigenous plants used in Native American and Hispanic cuisine and teaches participants how to plant, grow, and harvest their own food, all free of charge and open to everyone.

Presbyterian Healthcare Foundation ($20,000): Northern Roots is a community health worker-supported program that provides access to services, health prevention programs, social needs referrals, and innovative clinical-community partnerships. The program offers 16 weeks of local produce, pantry staples, and wrap-around services to perinatal individuals and parents or caregivers.

Santa Fe Recovery Center ($20,000): Supporting the Santa Fe Recovery Center’s Women & Children’s Program – Therapeutic Child Care, which assesses children’s needs and helps women develop parenting skills to establish healthy bonds. The program promotes early childhood development and mental health while working to break the cycle of generational trauma.

Scotts House ($20,000): Supporting the expansion of a free community hospice and respite program that addresses a healthcare gap for medically underserved seniors and terminally ill individuals at the end of life, promoting health equity in economically disadvantaged communities of the tri-county area.

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A Healthcare Crisis in Numbers

According to the report, New Mexico ranks among the worst states in terms of access to healthcare professionals. Currently, more than 1 million New Mexicans live in areas classified as healthcare professional shortage areas by the U.S. Department of Health and Human Services. The shortage is particularly severe for primary care physicians, nurses, and behavioral health professionals, leading to delayed care, longer travel times for patients, and added stress on the healthcare system as a whole.

“It is a situation that requires urgent attention,” said Fred Nathan, Executive Director of Think New Mexico. “We are seeing entire communities struggle with basic access to healthcare, and the consequences are life-threatening.”

The numbers are stark. The state is short approximately 330 primary care physicians, 240 behavioral health providers, and over 1,000 nurses. Without intervention, the problem is expected to worsen as many of the state’s current healthcare workers approach retirement age, exacerbating the already fragile situation.

The Human Impact

Behind the statistics are real stories of New Mexicans struggling to get the care they need. The report includes testimonials from healthcare professionals and patients who describe long waits for appointments, difficulty accessing specialists, and the personal toll of working in an under-resourced system.

The wait to see a specialist can be months, according the report, and patients drive hours just for a routine check-up because there is no one available closer to them. Patients in rural areas face the brunt of the shortage. Those living in communities like Hobbs, Gallup, and Deming have reported delays in receiving critical services like cancer screenings, mental health counseling, and even emergency care.

The healthcare professionals shortage also disproportionately affects Native American communities in New Mexico. Many tribal areas already face significant barriers to accessing healthcare, and the shortage of healthcare workers exacerbates these challenges. Native American populations, particularly those living on reservations, often must travel long distances to receive medical care, which can lead to delays in treatment and worsened health outcomes. The report highlights that addressing this shortage is crucial for improving healthcare equity, especially in these underserved and often isolated communities, where healthcare professionals are critically needed.

The 10-Point Plan for Change

The report doesn’t just highlight the problem—it offers solutions. Think New Mexico’s ten-point plan is a comprehensive roadmap for addressing the state’s healthcare professional shortage through a mix of immediate reforms and long-term investments.

The key points of the plan are:

• Reform the Medical Malpractice Act: Amending the act to reduce financial risks for providers, making New Mexico more attractive for private practice.
• Join Interstate Healthcare Worker Compacts: Simplifying the process for out-of-state healthcare workers to obtain licenses and practice in New Mexico.
• Expand Student Loan Repayment Programs: Increasing financial incentives for healthcare workers serving in underserved areas.
• Increase Medicaid Reimbursement Rates: Raising these rates could make it more viable for healthcare providers to serve Medicaid patients.
• Expand Medical and Nursing School Capacity: Increasing faculty salaries in higher education programs for health care workers and providing tax credits for preceptors training students in the community.
• Import More International Medical Graduates: Creating a pathway for doctors trained in other countries to practice in New Mexico.
• Make New Mexico’s Tax Policy More Friendly to Health Care Workers: Repealing the gross receipts tax on medical services and expanding the Rural Health Care Practitioner Tax Credit.
• Increase Access to Healthcare Training in High Schools: Providing liability protections to employers who provide hands-on training experiences for high school students and making it easier for students to earn health care credentials while still in school.
• Streamline Credentialing Processes: Creating a centralized credentialing process to reduce administrative burdens on healthcare workers.
• Create a $2 Billion Healthcare Workforce Fund: Investing in a permanent fund to support long-term workforce development, funded by state revenues.

“We need to make New Mexico a more attractive place to work for healthcare professionals,” said Nathan. “The permanent fund Think New Mexico has proposed would ensure that we can consistently invest in building and maintaining a robust healthcare workforce.”

The reforms outlined in this report are projected to offer significant economic benefits. According to a 2018 study by the American Medical Association, each physician in New Mexico adds about $1.9 million to the state’s economy annually and helps create 11 jobs. This activity generates approximately $930,000 in wages and benefits, along with over $75,000 in state and local tax revenue per doctor. By addressing the healthcare workforce shortage, these reforms would not only improve access to care but also provide a major boost to the state’s economic growth.

Educational Initiatives and Workforce Development

One of the key aspects of the report is its focus on education and workforce development. The plan emphasizes the need to expand the capacity of the state’s medical and nursing schools by increasing faculty salaries.

The report also suggests new initiatives to attract young people in New Mexico to healthcare careers. This includes increasing outreach and expanding access to career and technical education in health-related fields by providing liability protections to health employers who provide learning experiences to students, which would provide early exposure to healthcare professions and help build a pipeline of future workers.

“It starts with education,” said Sarah McGowan, a nursing student at the University of New Mexico. “If we can make healthcare more accessible as a career path, we can start to fill the gap.”

Political and Economic Challenges

While the healthcare worker shortage report is comprehensive, the political and economic challenges of implementing its recommendations are significant. Funding a $2 billion permanent healthcare workforce fund would require strong bipartisan support in the state legislature, as well as identifying a sustainable source of revenue. Furthermore, reforms like raising Medicaid reimbursement rates could face pushback due to their impact on the state budget.

However, Think New Mexico’s report argues that the costs of inaction far outweigh the price of these reforms. The current shortage is already costing the state in terms of both health outcomes and economic productivity, and the problem will only worsen if steps are not taken now.

A Call for Immediate Action

The report concludes with a call to action for state lawmakers, healthcare providers, and community leaders to come together and address the healthcare professionals shortage. It stresses the importance of a long-term commitment to solving the crisis, noting that while many of the proposed solutions will take time to bear fruit, immediate steps can and should be taken to alleviate the strain on the system.

“This is a critical moment for New Mexico,” said Nathan. “If we act now, we can reverse this trend and ensure that all New Mexicans have access to the healthcare they deserve.”

Con Alma Health Foundation’s Role

The report was made possible through the support of the Con Alma Health Foundation, which funded the research and development. Con Alma, a major advocate for improving health equity and access in New Mexico, played a crucial role in ensuring that the findings and recommendations could be brought to light. Their mission to support underserved communities aligns closely with the goals of the report, and their funding enabled the in-depth analysis of the healthcare workforce crisis.

“At Con Alma, we believe that investing in critical research like the Healthcare Worker Shortage report is essential for understanding and addressing the healthcare challenges our state faces,” said Con Alma CEO Linda Candelaria. “We wanted to provide New Mexico’s policymakers, healthcare leaders, and communities with the data they need to make informed decisions. The insights gained will guide reforms that can improve access to care, especially in rural and underserved areas, and ensure that everyone living in New Mexico can receive the healthcare they deserve.”

About Think New Mexico
Think New Mexico is a nonpartisan, results-oriented think tank dedicated to improving the quality of life for all New Mexicans. Focused on practical, data-driven solutions, the organization tackles some of the state’s most pressing challenges, from healthcare and education to economic development and government reform. By researching critical issues and proposing legislative reforms, Think New Mexico aims to create positive change that benefits both individuals and communities across the state. The organization operates with a commitment to independence, transparency, and improving New Mexico’s future.

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Santa Fe, NM – The Con Alma Health Foundation has awarded 16 Rural Community Grants to nonprofits in Southern and Northeastern New Mexico, focusing on addressing health disparities in underserved areas. These grants support organizations enhancing access, culturally appropriate services, workforce development, health promotion, and policy advocacy. Organizations in Catron, Chaves, Colfax, Curry, De Baca, Dona Ana, Eddy, Grant, Guadalupe, Harding, Hidalgo, Lea, Lincoln, Luna, Mescalero, Navajo Nation, Otero, Quay, Roosevelt, San Juan, Sierra, Socorro, Torrance, Union, and McKinley counties will receive funding to support programs.

Grant Priorities and Focus Areas

The Foundation prioritized organizations committed to improving access to health services, ensuring that care is culturally appropriate and responsive to the needs of local communities. Key areas of focus also included health promotion initiatives that encourage preventive care, as well as policy and advocacy efforts aimed at driving systemic change for long-term impact. Additionally, workforce development was a priority, supporting programs that train and retain health workers in underserved areas to strengthen community health infrastructure.

2024 Grant Recipients

• CARC, Inc. (Region 4) – Capacity building for services for individuals with disabilities in Eddy County.
• Chaves County Health Council (Region 4) – Expansion of 2-1-1 service in Chaves County.
• Children’s Reading Alliance (Region 5) – Early childhood literacy support in Doña Ana County.
• Community Drug Coalition of Lea County (Region 4) – Enhancing substance abuse prevention programs.
• El Calvario United Methodist Church (Region 5) – Support for migrant community resiliency in Doña Ana County.
• El Corazon de Columbus (Region 5) – Community development initiatives in Luna County.
• Fort Sumner Public Library (Region 4) – Health resource improvements in De Baca County.
• Lincoln County Community Health Council (Region 5) – Expanding food security programs in Lincoln County.
• Ogallala Commons, Inc. (Region 4) – Expanding local food access to fresh nutrient rich food in multiple counties.
• Silver City Gospel Mission (Region 5) – Capacity support for operational needs in Grant County.
• The LAB (Region 5) – Youth programs in Silver City.
• United Way of Eddy County (Region 4) – Enhanced 2-1-1 services for Spanish-speaking residents.
• United Way of Eastern NM (Region 4) – Expanding 2-1-1 across nine counties.
• Ben Initiative (Region 1) – Promoting Indigenous food access in Navajo Nation.
• 100% San Juan (Region 1) – Connecting underserved populations to essential services in San Juan County.
• My Power, Inc. (Region 4) – Expanding youth empowerment programs in Eddy County.

A Lasting Impact

These Rural Community Grants mark Con Alma’s continued dedication to building a healthier New Mexico by empowering local nonprofits to address critical health needs in rural communities. “Having been born and raised in rural New Mexico, I’m well aware of the health equity challenges these communities face. My primary goal in my first year was to ensure that Con Alma’s focus on rural and tribal areas was strongly emphasized.  These grants reflect that commitment.” said Executive Director Linda Candelaria.

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The Story Behind Scott’s House

Founded by Glenys Carl, Scott’s House was born out of personal tragedy. Glenys lost her son, Scott, in 1989 after a devastating accident. Through her experience caring for him after the accident, Glenys realized the importance of creating a space for others to receive end-of-life care with the same compassion and dignity. In 2022, following Glenys’ passing, the leadership at Scott’s House took on the mission of carrying forward her vision of providing free, compassionate care. Today, Scott’s House continues to serve residents who have a prognosis of two months or less, while also offering respite care for caregivers.

“Scott’s House is more than a hospice—it’s a place where families can focus on love, not the logistics of care,” says the Executive Director John Bishop.

Changing Misconceptions About Hospice Care

Many people misunderstand hospice care, associating it solely with the final moments of life. Scott’s House works to change that perception by focusing on the quality of life for both residents and their families. The care offered is not just about hospice care, but about creating a space for love, connection, and peace during a time that can be filled with fear and uncertainty.

Operating as a Free Hospice

Scott’s House operates on a modest annual budget, much of which is directed toward night-duty staff and operational expenses. The home relies heavily on donations and grants, with volunteers providing essential care and support to the residents. The facility accommodates up to five residents at a time, though it typically operates with four due to the high-maintenance care required by each guest. In some cases, residents are able to stay for extended periods, or even “graduate” if their condition improves, after which Scott’s House helps them transition to other facilities or return home.

“Scott’s House is more than a hospice—it’s a place where families can focus on love,
not the logistics of care.”

John Bishop, Executive Director

Impact on the Northern New Mexico Community

Scott’s House serves not only the city of Santa Fe but also surrounding regions, with approximately one-third of residents coming from northern New Mexico such as Rio Arriba, Los Alamos and San Miguel counties. Many families who face the economic and emotional strain of end-of-life care find refuge in Scott’s House. “End-of-life care is more than just medical—it’s about relieving families of the overwhelming financial and emotional burdens they face,” explains Bishop. Scott’s House offers 24/7 care, which is a critical service for families who cannot afford private care or who lack the physical ability to care for their loved ones at home.

Overcoming Challenges in Hospice Care

Despite its impact, Scott’s House faces significant challenges. Operating with only two full-time employees and part-time night staff, the home must constantly balance the need for care with limited resources. Volunteers form the backbone of the organization, but managing a high-needs population with a small team can be difficult. Bishop reflects on the emotional challenges as well: “Working with families during such a sensitive time requires compassion and strength. We not only care for the residents but support their families and our volunteers as well.”

The Role of Con Alma Health Foundation

A crucial partner in sustaining the operations of Scott’s House has been the Con Alma Health Foundation, which has provided essential financial support over the years. “Con Alma’s ongoing commitment to health equity in New Mexico aligns perfectly with our mission,” notes Bishop. “Their support ensures we can continue offering free, compassionate care to those who need it most.” Con Alma’s funding has been vital in covering operational costs and enabling Scott’s House to continue its mission without placing financial burdens on families during a difficult time.

Looking to the Future

Scott’s House’s future goals include expanding its services, pay off its mortgage, and eventually add more beds to accommodate the increasing demand for end-of-life care. “We dream of being able to serve even more families and provide a community of care for those at the end of life,” says Bishop. Scott’s House also envisions becoming part of a larger network of care homes, offering a model that others across the state and country can follow.

For more information about Scott’s House and how you can support its mission, visit their website here.

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Understanding the Need: Senior Poverty and Food Insecurity

New Mexico ranks third in the nation for senior poverty, with many older adults in Albuquerque and Bernalillo County struggling to access nutritious food. Food insecurity among seniors is linked to chronic health conditions like depression, diabetes, heart disease, and asthma. The H2H program recognizes that addressing senior hunger requires more than providing food—it demands education, hands-on training, and community support.

By equipping HHAs with the skills to prepare healthy meals and manage chronic diseases, H2H tackles senior hunger at its source. “This program celebrates the expertise that home care providers bring and supports their interest in exploring the role of food in their work,” says Three Sisters Executive Director Anzia Bennet.

A Community-Driven Solution to Senior Care

Harvest to Health was born from the needs of Spanish-speaking graduates of Encuentro’s Home Health Aid training program, many of whom provide care for low-income seniors facing chronic illnesses worsened by poor nutrition. In response, Three Sisters Kitchen created a 10-week training course that combines senior nutrition education with hands-on cooking instruction.

Participants learn to prepare meals tailored to clients’ specific needs, including those with diabetes and dementia. The program also delivers fresh, locally sourced food bi-weekly, allowing caregivers to practice their new skills at home, benefiting their own families’ nutrition as well.

Certified Nursing Assistant Maluisa shared her experience: “I learned how to control carbohydrates for a client with diabetes, adjust sodium intake for a client with high blood pressure, and prepare food with the right consistency for a client with Parkinson’s. These changes improved their health and quality of life.”

Another HHA, Alma, noted the personal impact: “Learning about nutrition has allowed me to offer a better quality of life to my clients. I can prepare meals that meet their dietary needs, prevent choking, and improve digestion.” She also learned to read food labels and understand how nutrition impacts medication effectiveness.

These testimonials highlight how H2H empowers HHAs with skills that improve not only their clients’ health but also their caregiving capabilities, allowing them to offer better care and promote healthier lifestyles.

Overcoming Challenges: Recruitment and Adaptation

Though successful, the program faced challenges in 2023, including recruitment difficulties that resulted in smaller cohorts than expected. Nevertheless, the program adapted by planning to expand its reach to Community Health Workers (CHWs), family caregivers, and other care providers interested in senior nutrition.

Despite these hurdles, H2H thrived through strong collaboration with partners like Presbyterian Healthcare Services, Meals on Wheels New Mexico, and Encuentro. These organizations co-lead program planning, facilitation, and evaluation, ensuring the program remains responsive to community needs.

Measuring Success: Outcomes and Long-Term Impact

In 2023, H2H delivered 40 hours of senior nutrition training to 11 HHAs, distributing 651 pounds of fresh, locally sourced food. All participants reported an improvement in their nutrition knowledge, with increased healthy eating behaviors, cooking confidence, and familiarity with local produce.

Since 2018, 125 community members have graduated from the program, the majority being Spanish-speaking, Latina immigrants. These participants often provide in-home care for seniors, as well as care for their own children or elders. The program’s long-term impact is clear: it equips HHAs with concrete strategies for managing chronic diseases and improving senior nutrition, leading to better quality of life for seniors and a stronger home healthcare workforce.

Building a Thriving Community: The Power of Mutual Support

One of the most significant long-term effects of the Three Sisters H2H program is the creation of a supportive community among HHAs. In a profession that can be isolating, the program offers opportunities for mutual learning and support. This sense of community helps combat feelings of isolation, fostering resilience and empowerment among participants.

The validation of their expertise and the support of their peers lead to a thriving workforce, better prepared to care for seniors and advocate for their own health and well-being. The mental and physical benefits of participating in a learning community cannot be overstated.

The Future of Harvest to Health: Continuing the Journey

As Harvest to Health looks to the future, the program remains committed to continuous improvement and community engagement. The insights gained from the challenges and successes of 2023 will guide its evolution, ensuring it continues to meet the needs of HHAs, seniors, and the broader community.

The support from the Con Alma Health Foundation has been instrumental in the program’s success. This funding allowed Three Sisters Kitchen and Encuentro to refine the curriculum, rethink recruitment strategies, and center the experiences of HHAs and their clients. As Bennet notes, “The grant allowed us to identify challenges, learn from peers, and build a network of support.”

Conclusion: A Model for Community-Driven Health Initiatives

The Harvest to Health program serves as a model for how community-driven initiatives can address complex health challenges and create lasting change. By empowering HHAs with the knowledge and skills to improve senior nutrition and manage chronic diseases, H2H enhances the quality of care for seniors while building a more confident, capable home healthcare workforce.

As the program grows, its journey will inspire other communities to explore similar approaches to improving health outcomes and addressing food insecurity. The success of Harvest to Health is a testament to the power of collaboration, community engagement, and the belief that everyone deserves access to nutritious food and quality care.

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New Mexico, it’s time to celebrate our health heroes! The 2024 Con Alma Heroes of Health nominations are open, and we’re calling on you to help us recognize the incredible individuals who are working tirelessly to improve the health and well-being of our communities. Don’t let their efforts go unnoticed— let’s give them the recognition they deserve!

• Two Award Tracks – Traditional & Youth Heroes
  This year, we’re honoring health champions in two categories:
  • Traditional Hero (Age 26+): For those dedicated individuals making waves in health and wellness across New Mexico.
  • Youth Hero (Age 25 and under): Celebrating the next generation of health advocates already transforming their communities.
    
• Statewide Nominations – Every Community Matters!
  From New Mexico’s vibrant cities to its close-knit rural communities, we want to hear about the everyday heroes who are making a difference. Whether they’re volunteers, clinicians, teachers, or advocates, this is your opportunity to celebrate those who are helping to make New Mexico a healthier, happier place for all.
  
• A $1,000 Donation – For a Cause Close to Their Heart!
  Each selected Hero of Health will get to choose a non-profit to receive a $1,000 donation in their name. This is a chance for them to further their impact by giving back to an organization that matters to them and their community.

For more information
Linda Candelaria-Dodd
Executive Director | Con Alma Health Foundation
505-438-0776 ext 3
Linda@conalma.mgldevs.com | www.conalma.org

About Con Alma Health Foundation
Con Alma Health Foundation serves as a catalyst for positive, systemic change by partnering with nonprofit organizations from around the state to provide equitable access to health resources for New Mexico’s diverse communities.

2023 Heroes of Health Winners

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In Northern New Mexico, where diverse communities span vast landscapes, The Food Depot serves as a lifeline for families in need of nutritious food. This Santa Fe-based food bank operates in nine counties, collaborating with over 80 partner agencies to combat hunger. The Food Depot provides millions of pounds of food annually, with a special focus on rural and underserved areas where access to fresh, nutritious food is limited.

Addressing Food Insecurity

Hunger remains a critical issue in Northern New Mexico, where 1 in 7 people and 1 in 5 children face food insecurity. The Food Depot tackles this issue by not only providing immediate food assistance but also working toward long-term solutions to end hunger. Through partnerships with local pantries, meal programs, and shelters, The Food Depot reaches communities that otherwise lack access to healthy food options.

The organization’s commitment extends beyond typical food bank services. Recognizing the unique needs of the indigenous populations they serve, The Food Depot offers culturally appropriate food items, such as traditional indigenous ingredients, to promote healthier diets. “Building strong community relationships is vital. By fostering trust and ensuring culturally appropriate solutions, we’re committed to bringing fresh, healthy foods to every corner of the community,” says Program Coordinator Mary Ocampo.

Expanding Services to Tribal Communities

A key focus of The Food Depot’s recent efforts has been expanding services to tribal communities in Northern New Mexico, including five of the eight northern Pueblos and the Jicarilla Apache Nation. The pandemic highlighted the urgent need for better food access in these areas, many of which are classified as food deserts. According to Communications Manager Amanda Bregel, “Addressing food insecurity in native communities requires systematic change and a focus on long-term health.”

The Food Depot has expanded its services by incorporating community feedback and adapting to each community’s unique preferences. “Culturally appropriate service starts with respect and listening,” adds Bregel. By focusing on community engagement and health challenges like higher diabetes rates, The Food Depot ensures that its food distributions support the continued well-being of these communities.

The Role of Con Alma Health Foundation

A grant from the Con Alma Health Foundation has been pivotal in supporting The Food Depot’s expansion to Norhern New Mexico’s tribal communities. This funding allowed the organization to increase the availability of culturally relevant foods and improve community engagement. Through collaboration with tribal leaders and local organizations, The Food Depot tailored its services to meet each community’s needs and traditions.

This effort resulted in the distribution of approximately 100,000 pounds of food, equating to 81,870 meals. Additionally, the grant helped foster leadership initiatives within tribal communities, empowering local members to take an active role in service delivery and food distribution. As Bregel notes, “Partnering with Con Alma aligns with our values at The Food Depot. Together, we’re fostering long-term health and creating lasting change.”

A Holistic Approach to Food Security

The Food Depot’s mission goes beyond food distribution, addressing the root causes of hunger through education, advocacy, and collaboration. Their strategic plan focuses on expanding direct services, coordinating resources, and advocating for systemic changes to break the cycle of food insecurity. This holistic approach ensures that people are not only fed but also empowered with tools for long-term stability.

The Food Depot is also a key participant in the CONNECT network, which offers essential services like SNAP enrollment, food distribution, and diaper assistance, while partnering with other organizations to address a wide range of needs.

Ongoing Commitment

As The Food Depot continues its work in Northern New Mexico, it remains committed to expanding its services and partnerships to better serve vulnerable communities. The challenges ahead are significant, but with support from the Con Alma Health Foundation and a growing network of local organizations, The Food Depot is poised to make a lasting impact.

This effort demonstrates how community-driven solutions, strategic partnerships, and culturally sensitive approaches can create meaningful and lasting change in the fight against hunger. The Food Depot’s work is a vital resource for improving the health and well-being of Northern New Mexico’s most vulnerable residents.

For more on The Food Depot please click here

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