Focus Areas


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Like any community, whether large or small – urban or rural, they share several common themes to ensure cohesion. The Texas border is no different. While regions differ in population and geography, a healthy balance of public health structure is essential. That is why the focus areas listed below are vital to ensure long-lasting public health enhancements along the border region. Programs share similar goals and objectives to improve the health and well-being of Texans along the Texas/Mexico border.

Community-based Healthy Border Initiatives

  • Lead the development, implementation, and evaluation of work plans and scope of work for regional activities. 
  • Continue rural school obesity prevention, diabetes self-education, linking border residents to HHS services, and community-based health promotion and education.
  • Develop a certified DSHS Community Health Worker training center to build capacity of health professions workforce along the Texas-Mexico border.
  • Ensure coordination of community-based healthy border initiatives across DSHS programs and the HHS System.  

Border and Binational Coordination

  • Ensure intra-agency programmatic coordination of border public health services along the Texas-Mexico border.    
  • Enhance capacity to address binational coordination at the eight major sister-cities along the Texas-Mexico border in collaboration with the existing Binational Coordinator position. 
  • Provide administrative support to the eight sister-city Binational Health Councils and develop state-to-state partnerships with Tamaulipas, Nueva Leon, Coahuila, and Chihuahua.  

Border Health Data

  • Provide technical assistance and training to border program staff across all focus areas, prepare regular border health status reports, and provide inter- and intra-agency coordination on epidemiology and health data. 

Best Practices and Evaluation

  • Ensure programs/services consistency, conduct ongoing quality assurance to improve services along the Texas-Mexico border, eliminate duplication of services, leverage resources, and improve programmatic/service accountability.
  • Allow for increased accountability and compliance in expanded contract and grant management, coordinate grant and contract work plan development, establish reporting and communication processes, lead financial management and budgeting, and outcome performance-informed budgeting.



Last updated October 16, 2019