Silvia Raymundo is a Community Health Worker (CHW) based at the Pediatric Asthma and Allergy Clinic at Zuckerberg San Francisco General Hospital. Her work is part of a pilot program championed by PHI's Regional Asthma Management and Prevention program (RAMP).

Silvia and her colleagues provide basic asthma education to reinforce the clinical directions provided by doctors and nurses; they visit families in their homes to identify triggers that may be worsening kids’ asthma, and they help families navigate an often-complicated health care system. Since many are bilingual and may be from the same communities as the patients they serve, CHWs can develop highly effective rapport and trust that facilitate a better care experience—an experience that keeps kids feeling better, breathing easier and out of the emergency room.

Their work is having a real impact of children like Mariasmin Mejia's eight-year-old son, Angel (pictured below with his parents).“Silvia is such a blessing," said Meija. "Besides the wealth of knowledge she has helped me with, it was a pleasure to have someone on my son’s health team who is kind, speaks Spanish, and most importantly makes me feel respected and valued.”

Make a donation on Facebook and help us continue fighting to reduce the burden of asthma. Spread the word by sharing our post, or start your own Facebook fundraiser for PHI by clicking the "Raise Money" button. Not on Facebook? You can still donate directly here. [Be sure to write in "RAMP" in the donation designation field.]

That includes kids like Mariasmin Mejia's eight-year-old son, Angel (pictured above with his parents).“Silvia is such a blessing," said Meija. "Besides the wealth of knowledge she has helped me with, it was a pleasure to have someone on my son’s health team who is kind, speaks Spanish, and most importantly makes me feel respected and valued.”

PHI's Regional Asthma Management and Prevention program (RAMP) was part of a statewide coalition in 2017 fighting to make sure that CHWs like Silvia are available across the state so that kids like Angel can access the care they need to stay healthy.

Their fight will continue in 2018. Can you help? Support RAMP's work by donating on Facebook. Your gift will help ensure that more families can safely manage asthma with CHWs. You can also donate directly here. [Reminder: please write in "RAMP" in the donation designation field.]

RAMP not only works to improve access to prevention-oriented clinical care, they're also fighting to change the social and environmental factors that can lead to asthma, while bolstering capacity in the field.

Here's how RAMP is making a difference:

  • Improving air quality throughout California. Cleaner air means healthier communities. That's why RAMP helped pass California diesel emissions regulations that are projected to prevent 150,000 cases of asthma, 12,000 cases of acute bronchitis and 9,400 premature deaths over 15 years.
  • Supporting healthy housing policies. In 2015, RAMP supported two California healthy housing policies that reduce exposure to asthma triggers, particularly in low-income communities and communities of color. In recognition, RAMP received the 2016 Housing and Urban Development Secretary’s Award for Healthy Homes on behalf of the California Healthy Housing Coalition.
  • Boosting national leadership to act on asthma. To share best practices from the California Healthy Housing Coalition model, RAMP launched a national learning community with representatives from across the country: Colorado, Nebraska, Montana, Minnesota, Georgia, Rhode Island, Michigan, Mississippi, New Mexico, Louisiana, Ohio, Georgia, and several regional offices of HUD and EPA.

In 2018, RAMP is doubling down in their commitment to protect vulnerable communities from the impacts of asthma, while advancing upstream, equitable solutions to keep people healthier.

Join us: Donate on Facebook or give directly here. [Don't forget to write in "RAMP" in the donation designation field.] Spread the word by sharing our post, or start your own Facebook fundraiser for PHI. [Click the "Raise Money" button.]


Housed at PHI, RAMP is a collaborative that promotes strategies for reducing asthma through a broad and comprehensive approach that includes clinical management and environmental protection. RAMP brings together diverse partners such as public health and community-based organizations, schools, medical providers, and environmental health and justice groups to join forces in reducing the burden of asthma with a focus on communities inequitably affected by the disease. Learn more about RAMP's work and impact.