Adaptation of a community health outreach model during the COVID-19 pandemic: The case of the Mexican consulates in the United States of America

Abstract

The Ventanillas de Salud (VDS – “Health Windows”) are a culturally sensitive outreach program within the 49 Mexican Consulates in the United States that provides information and health care navigation support to underserved and uninsured Mexican immigrants. During the COVID-19 pandemic the VDS rapidly transitioned to remote operations adding new services. Based on the EquIR implementation framework, this qualitative study investigates how adaptations to improve emergency preparedness were performed. We conducted motivational interviews with three actors – six VDS coordinators, eight partner organizations, and ten VDS users– in two VDS, Los Angeles and New York, to document specific needs of the target population and identify implementation processes to adapt and continue operating. The VDS adapted their model by adding new services for emerging needs, by switching service provision modalities, and by expanding the network of partner organizations. According to the VDS staff, these adaptations increased their topics, depth, reach, and diversified their users. Users had mostly positive opinions about the VDS adaptation, although they highlighted some heterogeneity across service provision. The VDS is a public health intervention able to serve a marginalized population and its implementation offers valuable lessons to complement health systems and to improve preparedness and resiliency for future crises.

Citation

Relevant Evidence Summaries

The evidence was reviewed and included in the following summaries: 

What are the best strategies for emergency preparedness and emergency information dissemination among resettled refugees?

The evidence in this area is suggestive. Within these suggestive studies, there is broad consensus on four key points related to emergency preparedness and emergency information dissemination among resettled refugees: Pre-existing partnerships among refugee communities, community-based organizations (CBOs), and local emergency planners are vital. People who serve as social bridges between refugee communities and governmental…

About this study

AGE: Adults

DIRECTION OF EVIDENCE: Positive impact

FULL TEXT AVAILABILITY: Free

HOST COUNTRY: United States

HOST COUNTRY INCOME: High

INTERVENTION DURATION: Ongoing

INTERVENTION: Ventanillas de Salud

REGION OF ORIGIN OF PARTICIPANT(S): North America

STRENGTH OF EVIDENCE: Positive impact

TYPE OF STUDY: Suggestive evidence

More STUDIES

Primary substance use prevention programs for children and youth: A systematic review

An updated synthesis of research on substance abuse prevention programs can promote enhanced uptake of programs with proven effectiveness, particularly when paired with information relevant to practitioners and policy makers.To assess the strength of the scientific evidence for psychoactive substance abuse prevention programs for school-aged children and youth.A systematic review was conducted of studies published…

A systematic review of qualitative research on substance use among refugees

Aims To evaluate qualitative research on substance use and substance use disorders (SUDs) among refugees in terms of practitioners’ and substance users’ attitudes, beliefs and experiences. Methods Six medical, allied health and social sciences databases (EBSCO, PubMed, ScienceDirect, Web of Science, Scholar and the Cochrane Library) were systematically searched in a time frame between January…

The impact of a parent-based prevention intervention on Mexican-descent youths’ perceptions of harm associated to drug use: Differential intervention effects for male and female youths

Parent training (PT) interventions reduce the likelihood of youth problematic behaviors, including drug use. However, the dissemination of culturally adapted PT interventions in low‐income Latina/o immigrant communities remains scarce. In this selective prevention study, we examined the extent to which exposure to CAPAS‐Youth, a culturally adapted version of the PT intervention known as GenerationPMTO©, resulted…