Encrucijada: Sin Salud, No Hay Nada (Crossroads: Without Health, There Is Nothing)
Funding: The Colorado Health Foundation
The Encrucijada project began in 2007 with a conversation. Anne Smith, Evolve Communications, Joanne Lindsay, Colorado Department of Health Care Policy and Financing, and Christine Dauchot, Maximus/CHP+ Marketing were interested in replicating an idea they’d heard about on NPR. The Baltimore Child Health Plan had used an 8-minute telenovela – a Spanish language soap opera – to educate Spanish speakers about navigating the public health care system. The novela was never aired publicly. The group wanted to expand on the idea and create a full series focused on enrollment in public health insurance and health promotion and disease prevention.
Estimates show that 72 percent of Colorado’s children who are eligible for Medicaid and CHP+ are Hispanic. The novela was an ideal means for communicating the value of public health insurance to Spanish speaking parents, including information about how to apply for CHP+ and Medicaid, and about a variety of chronic disease issues that disproportionately affect the Hispanic community.
Entravision Communications Colorado (operator of Univision Colorado, the state’s number one Spanish language television station) eagerly signed on and offered the most valuable support they could: Creative Services Director, Jesus Fuentes.
Fuentes immediately set about arranging the complicated production process, estimating costs and meeting with vendors. Thanks to his vision and contacts, top-notch Latino businesses here and abroad provided all of the production support to the project. Fuentes wrote the 12-chapter script, penned the theme song, and tested his ideas against members of the target audience.
The idea for Encrucijada was embraced warmly by The Colorado Health Foundation, whose goal is to make Colorado the healthiest state in the nation. The Foundation initially provided a planning grant so that budgets could be determined, an advisory group put in place, and plans could be made for production and evaluation. Using the planning grant other key players were called in, including the Center for Research Strategies as evaluator, Cristina Bejarano, MPH as health content coordinator, and CREA Results as phone line facilitator. The planning grant was followed up with a full grant which covers all aspects of the project.
The subject matter for Encrucijada: Sin Salud No Hay Nada was determined by a passionate and vocal group of project advisors from all walks of the community. The group included representatives from rural health clinics, promotoras (lay community health workers) local community-based organizations, public health officials, and representatives from Hispanic-serving organizations.
Throughout the development of the series, advisors infused the project with their wisdom and kept the producers honest, for example, one debate centered on the assurance that the actors would “look like us” and would represent a variety of Hispanic