Expansion into Clinical CHW Work (Late 1980s–1990s)

La Clínica’s perinatal program was launched in 1988 in response to high birth rates within farmworker communities. Promotoras provided essential clinical services, including screenings and health education. One of the foundational community health workers, Vicky Valle—who remains a vital part of the perinatal team to this day—became a trusted clinical figure in the community. La Clínica also collaborated with community health worker programs in Alaska, the Navajo Nation, Michigan, and North Carolina. Its model of care has influenced the development of numerous similar programs across the country.