Delivery of Mobile Clinic Services to Migrant and Seasonal Farmworkers: A Review of Practice Models for Community-Academic Partnerships


Farmworkers in the US are a medically underserved group, who are largely uninsured, foreign-born, and working in a hazardous industry. This review addresses the challenges of providing health services for this priority population to study the numerous health access barriers that face migrant and seasonal farmworkers (MSFW), evaluates the services provided at mobile clinics, summarizes practice models for community-academic partnerships, and synthesizes the literature on effective partnership approaches to deliver these services. Because MSFW are a difficult group to reach and access, mobile farmworker clinics provide an opportunity for unique student training experiences, in addition to small survey and feasibility studies. A literature search was conducted to identify articles for the review. Out of 196 articles identified by the article databases and manual search techniques, 18 articles were finally selected for the review based on predetermined inclusion and exclusion criteria. Half of the articles were classified as case studies or descriptive studies with lessons learned. Only three articles were classified as research studies, and six articles were not classified as research studies, but rather descriptions of the clinics only. Many of the partnership models were structured with the lead agency as either the academic partner or an Area Health Education Center. The academic partner was usually a nursing school, and less frequently a medical school. Other service partners frequently mentioned were federally-qualified Community Health Centers, Migrant Health Centers, and health departments. The review found that service partnerships were characterized by collaboration between academic institutions and community organizations, with a lead agency driving sustainability efforts.

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  1. 1.

    Arcury, T. A., & Quandt, S. A. (2007). Delivery of health services to migrant and seasonal farmworkers. Annual Review of Public Health, 28, 345–363.

    PubMed  Article  Google Scholar 

  2. 2.

    McCauley, L. A. (2005). Immigrant workers in the United States: Recent trends, vulnerable populations, and challenges for occupational health. AAOHN Journal, 53(7), 313–319.

    PubMed  Google Scholar 

  3. 3.

    Kugel, C., & Zuroweste, E. L. (2010). The state of health care services for mobile poor populations: History, current status, and future challenges. Journal of Health Care for the Poor and Underserved, 21(2), 421–429.

    PubMed  Article  Google Scholar 

  4. 4.

    Carroll, C., Samardick, R., Bernard, S., Gabbard, S., & Hernandez, T. (2005). Findings from the National Agricultural Workers Survey (NAWS) 20012002: A demographic and employment profile of United States Farm Workers, vol. Rep. 9. Washington, DC: Department of Labor.

  5. 5.

    Villarejo, D. (2003). The health of U.S. hired farm workers. Annual Review of Public Health, 24, 175–193.

    PubMed  Article  Google Scholar 

  6. 6.

    Carr, D. D. (2006). Implications for case management: ensuring access and delivery of quality health care to undocumented immigrant populations. Lippincotts Case Management, 11(4), 195–204. (quiz 205–196).

    Google Scholar 

  7. 7.

    Arcury, T. A., & Quandt, S. A. (2009). The health and safety of farmworkers in the Eastern United States: a need to focus on social justice. In T. A. Arcury & S. A. Quandt (Eds.), Latino farmworkers in the Eastern United States. New York: Springer.

    Google Scholar 

  8. 8.

    Lambert, M. I. (1995). Migrant and seasonal farm worker women. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 24(3), 265–268.

    PubMed  Article  CAS  Google Scholar 

  9. 9.

    Albritton, T. A., & Wagner, P. J. (2002). Linking cultural competency and community service: A partnership between students, faculty, and the community. Academic Medicine, 77(7), 738–739.

    PubMed  Article  Google Scholar 

  10. 10.

    Butterfoss, F. D., & Kegler, M. C. (2009). The community coaltion action theory. In R. J. DiClemente, R. A. Crosby, & M. C. Kegler (Eds.), Emerging theories in health promotion practice and research: Strategies for improving public health. San Francisco: Jossey-Bass.

    Google Scholar 

  11. 11.

    Luque, J. S., Tyson, D. M., Bynum, S. A., Noel-Thomas, S., Wells, K. J., Vadaparampil, S. T., et al. (2011). A social network analysis approach to understand changes in a cancer disparities community partnership network. Annals of Anthropological Practice, 35(2), 112–135.

    Article  Google Scholar 

  12. 12.

    Morris, C. T. (2011). Assessing and achieving diversity of participation in the grant-inspired community-based public health coalition. Annals of Anthropological Practice, 35(2), 43–65.

    Article  Google Scholar 

  13. 13.

    Kegler, M. C., & Swan, D. W. (2012). Advancing coalition theory: The effect of coalition factors on community capacity mediated by member engagement. Health Education Research, 27(4), 572–584.

    PubMed  Article  Google Scholar 

  14. 14.

    Morris, C. T., & Luque, J. S. (2011). Anthropological insights on effective community-based coalition practice: An introduction. Annals of Anthropological Practice, 35(2), 1–9.

    Article  Google Scholar 

  15. 15.

    Foster-Fishman, P. G., Berkowitz, S. L., Lounsbury, D. W., Jacobson, S., & Allen, N. A. (2001). Building collaborative capacity in community coalitions: A review and integrative framework. American Journal of Community Psychology, 29(2), 241–261.

    PubMed  Article  CAS  Google Scholar 

  16. 16.

    Wolff, T. (2001). Community coalition building–contemporary practice and research: Introduction. American Journal of Community Psychology, 29(2), 165–172. (discussion 205–111).

    PubMed  Article  CAS  Google Scholar 

  17. 17.

    Clingerman, E. (2011). Social justice: A framework for culturally competent care. Journal of Transcultural Nursing, 22(4), 334–341.

    PubMed  Article  Google Scholar 

  18. 18.

    Cooper, S. P., Heitman, E., Fox, E. E., Quill, B., Knudson, P., Zahm, S. H., et al. (2004). Ethical issues in conducting migrant farmworker studies. Journal of Immigrant Health, 6(1), 29–39.

    PubMed  Article  Google Scholar 

  19. 19.

    Garcia, D., Hopewell, J., Liebman, A. K., & Mountain, K. (2012). The migrant clinicians network: Connecting practice to need and patients to care. Journal of Agromedicine, 17(1), 5–14.

    PubMed  Article  Google Scholar 

  20. 20.

    Schenker, M. B. (1996). Preventive medicine and health promotion are overdue in the agricultural workplace. Journal of Public Health Policy, 17(3), 275–305.

    PubMed  Article  CAS  Google Scholar 

  21. 21.

    Rust, G. S. (1990). Health status of migrant farmworkers: A literature review and commentary. American Journal of Public Health, 80(10), 1213–1217.

    PubMed  Article  CAS  Google Scholar 

  22. 22.

    Wilson, A. H., Wold, J. L., Spencer, L., & Pittman, K. (2000). Primary health care for Hispanic children of migrant farm workers. Journal of Pediatric Health Care, 14(5), 209–215.

    PubMed  CAS  Google Scholar 

  23. 23.

    Brumitt, J., Garside, L. I., Healthcare, T., Reisch, R., University, P., Marshall, T., et al. (2011). Musculoskeletal healthcare for Latino migrant farmworkers: Interprofessional collaboration to provide service and educate future healthcare providers. Health and Interprofessional Practice, 1(1), eP1002.

    Article  Google Scholar 

  24. 24.

    Brumitt, J., Reisch, R., Krasnoselsky, K., Welch, A., Rutt, R., Garside, L. I., et al. (2011). Self-reported musculoskeletal pain in Latino vineyard workers. Journal of Agromedicine, 16(1), 72–80.

    PubMed  Article  Google Scholar 

  25. 25.

    Connor, A., Layne, L., & Thomisee, K. (2010). Providing care for migrant farm worker families in their unique sociocultural context and environment. Journal of Transcultural Nursing, 21(2), 159–166.

    PubMed  Article  Google Scholar 

  26. 26.

    Connor, A., Rainer, L. P., Simcox, J. B., & Thomisee, K. (2007). Increasing the delivery of health care services to migrant farm worker families through a community partnership model. Public Health Nursing, 24(4), 355–360.

    PubMed  Article  Google Scholar 

  27. 27.

    Hill, B. G., Moloney, A. G., Mize, T., Himelick, T., & Guest, J. L. (2011). Prevalence and predictors of food insecurity in migrant farmworkers in Georgia. American Journal of Public Health, 101(5), 831–833.

    PubMed  Article  Google Scholar 

  28. 28.

    Himelick, T. (2007). The South Georgia farmworker health project. Migrant Health Newsline, 24(3), 1–2.

    Google Scholar 

  29. 29.

    Goldsmith, D. F., & Sisneros, G. C. (1996). Cancer prevention strategies among California farmworkers: Preliminary findings. Journal of Rural Health, 12(4 Suppl), 343–348.

    PubMed  Article  CAS  Google Scholar 

  30. 30.

    Luque, J. S., Tyson, D. M., Markossian, T., Lee, J. H., Turner, R., Proctor, S., et al. (2011). Increasing cervical cancer screening in a Hispanic migrant farmworker community through faith-based clinical outreach. Journal of Lower Genital Tract Disease, 15(3), 200–204.

    PubMed  Article  Google Scholar 

  31. 31.

    Luque, J. S., Reyes-Ortiz, C., Marella, P., Bowers, A., Panchal, V., & Charles, S. (2012) Mobile farm clinic outreach to address health conditions among Latino migrant farmworkers in Georgia. Journal of Agromedicine, 17(4), 386–397.

    Google Scholar 

  32. 32.

    Sherrill, W., Crew, L., Mayo, R. B., Mayo, W. F., Rogers, B. L., & Haynes, D. F. (2005). Educational and health services innovation to improve care for rural Hispanic communities in the USA. Rural and Remote Health, 5(4), 402.

    PubMed  CAS  Google Scholar 

  33. 33.

    Ochoa-Bogue, H. (2012). Migratory and seasonal agricultural workers: Eligibility and verification. Migrant Health Newsline, 2, 1–5.

    Google Scholar 

  34. 34.

    Farquhar, S., Shadbeh, N., Samples, J., Ventura, S., & Goff, N. (2008). Occupational conditions and well-being of indigenous farmworkers. American Journal of Public Health, 98(11), 1956–1959.

    PubMed  Article  Google Scholar 

  35. 35.

    Arcury, T. A. (2009). Challenges in conducting farmworker research. Migrant Health Newsline, 26(3), 1–3.

    Google Scholar 

  36. 36.

    Rao, P., Arcury, T. A., & Quandt, S. A. (2004). Student participation in community-based participatory research to improve migrant and seasonal farmworker environmental health: Issues for success. The Journal of Environmental Education, 35(2), 3–15.

    Article  Google Scholar 

  37. 37.

    Norris, T. E., House, P., Schaad, D., Mas, J., & Kelday, J. M. (2003). Student providers aspiring to rural and underserved experiences at the University of Washington: Promoting team practice among the health care professions. Academic Medicine, 78(12), 1211–1216.

    PubMed  Article  Google Scholar 

  38. 38.

    Goldstein, A. O., Calleson, D., Bearman, R., Steiner, B. D., Frasier, P. Y., & Slatt, L. (2009). Teaching advanced leadership skills in community service (ALSCS) to medical students. Academic Medicine, 84(6), 754–764.

    PubMed  Article  Google Scholar 

  39. 39.

    Heravi, M., & Bertram, J. E. (2007). A novel resource model for underprivileged health support: Community medical outreach. Rural and Remote Health, 7(1), 668.

    PubMed  CAS  Google Scholar 

  40. 40.

    Wheat, J. R., Turner, T. J., Weatherly, L., & Wiggins, O. S. (2003). Agromedicine focus group: Cooperative extension agents and medical school instructors plan farm field trips for medical students. Southern Medical Journal, 96(1), 27–31.

    PubMed  Article  Google Scholar 

  41. 41.

    Treadwell, H. M., & Ro, M. (2003). Poverty, race, and the invisible men. American Journal of Public Health, 93(5), 705–707.

    PubMed  Article  Google Scholar 

  42. 42.

    Sobralske, M. (2006). Machismo sustains health and illness beliefs of Mexican American men. J Am Acad Nurse Pract, 18(8), 348–350.

    PubMed  Article  Google Scholar 

  43. 43.

    Porche, D. J., & Willis, D. G. (2004). Nursing and men’s health movement: Considerations for the 21st century. Nursing Clinics of North America, 39(2), 251–258.

    PubMed  Article  Google Scholar 

  44. 44.

    Garfield, C. F., Isacco, A., & Rogers, T. E. (2008). A review of men’s health and masculinity. American Journal of Lifestyle Medicine, 2(6), 474–487.

    Google Scholar 

  45. 45.

    Meade, C. D., Calvo, A., & Rivera, M. (2002). Screening and community outreach programs for priority populations: Considerations for oncology managers. The Journal of Oncology Management, 11(5), 20–28.

    PubMed  Google Scholar 

  46. 46.

    Bechtel, G. A., Shepherd, M. A., & Rogers, P. W. (1995). Family, culture, and health practices among migrant farmworkers. Journal of Community Health Nursing, 12(1), 15–22.

    PubMed  Article  CAS  Google Scholar 

  47. 47.

    Decker, S. D., & Knight, L. (1990). Functional health pattern assessment: A seasonal migrant farmworker community. Journal of Community Health Nursing, 7(3), 141–151.

    PubMed  Article  CAS  Google Scholar 

  48. 48.

    Larson, K., McGuire, J., Watkins, E., & Mountain, K. (1992). Maternal care coordination for migrant farmworker women: program structure and evaluation of effects on use of prenatal care and birth outcome. The Journal of Rural Health, 8(2), 128–133.

    PubMed  Article  CAS  Google Scholar 

  49. 49.

    Poss, J., & Meeks, B. H. (1994). Meeting the health care needs of migrant farmworkers: The experience of the Niagara County Migrant Clinic. Journal of Community Health Nursing, 11(4), 219–228.

    PubMed  Article  CAS  Google Scholar 

  50. 50.

    Stein, L. M. (1993). Health care delivery to farmworkers in the Southwest: An innovative nursing clinic. Journal of American Academic Nurse Practice, 5(3), 119–124.

    Article  CAS  Google Scholar 

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Correspondence to John S. Luque.

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Luque, J.S., Castañeda, H. Delivery of Mobile Clinic Services to Migrant and Seasonal Farmworkers: A Review of Practice Models for Community-Academic Partnerships. J Community Health 38, 397–407 (2013).

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  • Farmworker
  • Migrant labor
  • Hispanic health
  • Occupational and environmental health
  • Community health
  • Community partnership
  • Social responsibility