Lay Health Worker Model and CHW Program Launch (1984–1986)

La Clínica was established in 1986 as a migrant health center, staffed by a small team of providers and an outreach worker who visited local orchards. As the outreach worker engaged with people in the camps, many began asking for information about chronic diseases and nutrition. Inspired by Dr. Ana Salver and modeled after rural Mississippi programs that utilized lay leaders such as barbers and pastors, La Clínica staff developed a training program and invited natural leaders from the community to participate, enabling them to educate their peers. This effort led to the launch of a three-year, grant-funded program called El Niño Sano, which trained promotoras—female community health workers—in pediatric care, dental health, and nutrition.