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TransnationalSocialProtectionandtheRoleofDiplomaticNetworksofMigrant...
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coverageforallgroupsofthepopulation,butmostnotablyforHispanics.
uWhiletheuninsuredrateforallHispanicadultswas40.5%priortothemain
provisionsoftheACAtakingeffectin2013,thisratedecreasedslightlyby
7.1percentagepointsin2014.”47
Totacklethisproblem,theMexicangovernmenthastakendifferent
measuresinthelasttwodecades.In2003,aninitiativecalledVentanillas
deSalud(VDS;uHealthWindows”)waslaunched.Currently,theMexican
consulatesintheU.S.operate49VDSandtwomobileVDSwhichfrom2013
to2017provided21millionservicesto7.7millionpeople.48
VDSarepartofastrategydefinedbytheMexicanGovernmentand
implementedbytheMexicanMinistryofHealth(SSA)andtheOfficeof
ForeignRelations(SRE)throughtheconsularnetworkintheUSA,relyingalso
onthehelpprovidedbylocalpartners.Accordingtothegovernment,these
uWindows”aresettoprovideMexicanimmigrantsinasituationofvulnerability
withearlyintegralcareandculturallyappropriateinformation,togetherwith
atimelydetectionofillnessesandtheirtreatmentbyspecializedhealthcare
services.49
Basingonthisexperience,anewinitiativecalledJuntosporlaSalud(JPLS)
hasbeenlaunchedbytheMexicanSectionoftheU.S.-MexicoBorderHealth
Commission(BHC)toofferhealthpromotionanddiseasepreventionservicesto
Hispanicslivinginandaround11USmetropolitancitiesviamobilehealthunits.
JPLSuMobileHealthandWellnessInitiative”aimsutostrengthentheVDS
strategyandprovidepreventivehealthservicestoruralandhard-to-reach
communitiesintheUSwithdifficultaccesstoregularmedicalcare.”50Itisan
ongoingcollaborationbetweentheSSA,theSRE,theInstituteofMexicans
Abroad(IME)andtheVentanillasdeSaludstrategy.JPLSmobileunits,however,
differfrommobileVDSservicesbecausetheyoperateindependentlyfromthe
consulatesandareorganizedatthecommunitylevel.
47
M.R.RangelGómez,A.M.LópezJaramillo,A.Svarch,J.Tonda,J.Lara,E.J.Anderson,
C.Rosales,TogetherforHealth:AnInitiativetoAccessHealthServicesfortheHispanic/
MexicanPopulationLivingintheUnitedStates,uFrontiersinPublicHealth”2019,Vol.7,
48
Sept.2019,Article273,p.2.
Cf.Ibidem.
49
Cf.https://www.gob.mx/ime/articulos/ventanillas-de-salud-vds-239641?idiom=es
[accessed:20April2021].
50
M.R.RangelGómez,A.M.LópezJaramillo,A.Svarch,J.Tonda,J.Lara,E.J.Anderson,
C.Rosales,TogetherforHealth…,op.cit.,p.2.