Problem: Migrant workers working at the back stretch of Philadelphia Park Racetrack are faced with healthcare challenges. This vulnerable population experiences health disparities as a result of lack of resources and increased exposure to risk. Method: A needs assessment of backstretch workers was conducted to identify the healthcare needs of this unique population. Findings: The analysis revealed several areas of need for this vulnerable population primarily, effective bilingual communication, increasing access to healthcare services, implementing measures to address women's health issues, and improving nutritional status of workers. Conclusion: Through multi-agency collaboration, continued development, and revision of strategies, health enhancement and disease prevention are accessible to vulnerable migrant workers. Faculty, students, and staff work with clients to provide quality health education programs, screenings, and referrals to improve their health. © 2013 Wiley Periodicals, Inc.

Cultural diversity Education Public health

Needs Assessment education health promotion nursing practice human Occupational Health Services occupational health service Animals procedures animal United States Humans Philadelphia Community Health Nursing Public Health Nursing organization and management Horses horse sport Sports migration nursing research Transients and Migrants Nurse's Practice Patterns Health Services Accessibility health care delivery