La Clínica de La Raza

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La Clínica de La Raza exists to improve the quality of life and health status of Alameda County’s medically indigent and ethnic communities. La Clínica governs three neighborhood health clinics: La Clínica de La Raza, San Antonio Neighborhood Health Center, and Clínica Alta Vista. La Clínica provides affordable health services to all persons regardless of their ability to pay in a manner sensitive to the cultural patterns of the Latino community and of all other ethnic groups.

La Clínica recognizes the total well-being of the patient population by considering the social, economic, mental, and physical health needs of patients. La Clínica advocates for a more humane and effective health care system which considers the short-term, as well as the long-term, needs of their patients. La Clínica surveys the changing social, health, and economic status of the community, and recognizes the responsibility to adapt services accordingly.

Manzana Project

The Manzana Project seeks to enhance HIV prevention education to adolescents by including parents. The Manzana Project addresses adults’ lack of knowledge around the facts and how to talk to their adolescent children. The goal is to help adolescents delay initiation of sexual intercourse; increase use of condoms for teens who do engage in intercourse; and increase communication with parents or other adult family members about sex, contraception and HIV.

La Clínica has provided various forms of family life and HIV prevention education to young people in East Oakland schools for the past ten years. However, these education efforts can be lost if they are not reinforced at home. With the Center for AIDS Prevention Studies, University of California, San Francisco, La Clínica will evaluate whether Latino teens who receive peer education and whose parents also receive peer education are more likely to delay initiation of sexual activity or increase safe sex practices that their Latino classmates whose parents do not receive peer education.

A recent survey by La Clínica showed that among Latino youth in East Oakland, almost one-quarter of 150 high school students reported engaging in sexual intercourse by the age of 15. Out of 47 junior high school students in the survey, 34% reported that their mothers do not talk to them about sex at all, and 45% reported that their fathers do not talk to them about sex. The Manzana Project takes HIV peer education a step further by facilitating intergenerational discussion of difficult topics through a series of joint activities for teens and their parents, helping all put into practice what they have learned.

The Manzana Project is based at Casa CHE, La Clínica’s Community Health Education unit. Participants include seventh, eighth and ninth graders from two public schools in East Oakland, and their parents. Students in these schools whose parents are Spanish-speaking and who are willing to participate receive six weeks of one-hour health education sessions, both in English and Spanish, led by trained peer educators. Sessions cover topics such as reproduction, HIV and sex; self-esteem; self-efficacy skills; and safe sex methods.

Parents will participate in six peer-led education sessions separate from their children. Sessions cover similar topics to what their children are learning, plus communication skills to discuss difficult topics with their children.

After the peer education sessions are completed for both teens and parents, The Manzana Project will organize three intergeneration sessions. During these two-hour sessions, teens and adults will engage in intergenerational debates and break into mixed groups to discuss what they’ve learned. In intergenerational debates that La Clínica has previously conducted, discussions have been heated and very informative for both parents and youth.

Last modified: February 24, 2011