Abstract

Two years of fieldwork with Mixtec families in California has underscored the importance of a binational perspective in addressing the health care needs of California's immigrant and migrant farmworkers. My fieldwork with these transnational farm workers and their migrant/immigrant communities focuses on the clinical health care systems utilized by Mixtec migrants in Ixpantepec Nieves, Oaxaca, and North County San Diego, California. Utilization patterns and access to health care is better understood by observing the ways in which migrants interface with systems in both California and Mexico. Ethnographic and survey methodologies have proved to be beneficial in understanding the entire gamut of conditions affecting access and utilization of health care services for Mixtec Families. In this article I examine the benefits of doing binational research with Mixtec families and the implications of this type of method for policy questions addressing the clinical health care needs of immigrant and migrant communities.

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