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About Us

Local Access to Coordinated Healthcare (LATCH) is a program of the Division of Community Health, Department of Community and Family Medicine, Duke University School of Medicine. LATCH provides services to uninsured and under-insured Durham County residents.

LATCH works to improve enrollees’ health, improve their access to care, and increase their appropriate use of health services through a combination of bilingual outreach, care management, health education, service enhancement, and systems change. With its community partners, LATCH recognizes health care trends, identifies barriers confronting uninsured patients, and, working as a consortium, addresses and eliminates access barriers.

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“Since its inception in 2002, the Duke Division of Community Health’s LATCH (Local Access to Coordinated Healthcare) Program has been instrumental in collaborating with community members in Durham County, North Carolina to overcome barriers to health and healthcare access.

As Durham’s population began to rapidly grow and change over the last decade it became clear that many community members were unaware of how to efficiently navigate our healthcare system and access care. This issue was most prevalent amongst  homeless, uninsured, underinsured, and migrant populations who have also faced some of the most pressing health disparities in our communities. In response to this need, LATCH was developed in collaboration with diverse stakeholders, the first program of its kind in Durham County.

I am proud of the work that our team has accomplished thus far and hope that we will continue to work collaboratively with key partners, clinicians and community members to reduce barriers to healthcare access and improve the health of our community.” – Ángel Romero Ruiz, LATCH Program Manager

Angel Romero Ruiz

Ángel Romero Ruiz, LATCH Program Manager


Duke Community Engagement Youtube Video (in English)


Durham Diabetes Coalition Youtube Video (in Spanish)


Please visit our FAQ page and History page to learn more about the LATCH program.