A new project supported by the Pathfinder Fund to serve migrant farm workers has been developed in Adana Province, a populous region in southern Turkey. The economy their is primarily agricultural, with some heavy industry. As estimated 100,000 migrant workers are needed to planting and harvesting in this region. They make between $55-$60 a month, which is about 1/3 of the minimum age. Most migrant workers travel long distances to Adana where they live in tents. Living conditions are poor, with no running water or toilets. Malaria, gastroenteritis and intestinal parasites are endemic. Unofficial figures show that over 75% of school children have intestinal parasites. UNICEF has helped with vaccinations, maternal and health care, and powdered milk distribution. Most Turkish workers are covered by social security laws that provide health care for them. Almost non of the migrant workers are covered by social security. Surveys show that 80% of migrant workers desire 4 or more children, usually due to economic conditions, (i.e. labor for increased family income). The rates of miscarriage, morbidity and mortality are very high in August and September because pregnant women try to work until the very last day of the term. The pilot program in Adana increased the number of health centers per workers, as well as offering extended evening hours. Health clinic trailers were rotated as needed within the region. The program provided general health care, vaccinations, pre natal and post natal maternity care and a sharp focus on family planning. The year long pilot program was considered wildly successful. This was attributed, in large part, to the extended evening hours of the clinics as well as mobility of the trailers. Also, finances provided by the Fund were also crucial for implementation.

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