Latino Studies

, Volume 16, Issue 4, pp 482–502 | Cite as

Mexico’s health diplomacy and the Ventanilla de Salud program

  • Raúl Necochea LópezEmail author
Original Article


Operating out of all Mexican consulates in the United States, the Ventanilla de Salud (VdS) program provides patients with health information, counseling, and referrals to available local health services. This article deals with the emergence of the VdS as the main component of Mexico’s strategy to promote the health of its citizens abroad. This form of outreach arose in the context of existing efforts by the Mexican government to cultivate its relations with the Mexican diaspora. However, the VdS originated as a project of Latino advocacy organizations and philanthropic donors in the United States, with the Mexican government joining in at the behest of the project leaders. The pilot phase of the VdS program demonstrated to the Mexican government the importance and feasibility of opening up the consular space to local health promotion partners, paving the way for the expansion of the VdS program nationwide and broadening the scope of the health-related activities of the Mexican government.


Migrant health Diplomacy Consulates Advocacy 



A Junior Faculty Award at the University of North Carolina funded this research. Many thanks to all the generous interviewees who shared their experiences with me; to Tom Ross, Jeannie Weaver, Dolores Estrada, and Elizabeth Tabita for helping me navigate the archives of the California Endowment; and to Nancy Berlinger, Beatrix Hoffman, Florence Siman, and my colleagues in the UNC/Duke Migration, Gender, and Health Working Group for their questions, comments, and encouragement.


  1. Abel, E. 2004. “Only the Best Class of Immigration”: Public Health Policy Toward Mexicans and Filipinos in Los Angeles, 1910–1940. American Journal of Public Health 94 (6): 932–939.CrossRefGoogle Scholar
  2. Acevedo-Garcia, D., E. Sanchez-Vaznaugh, E. Viruell-Fuentes, and J. Almeida. 2012. Integrating Social Epidemiology into Immigrant Health Research: A Cross-National Framework. Social Science and Medicine 75 (12): 2060–2068.CrossRefGoogle Scholar
  3. Alarcón, R. 2006. Hacia la construcción de una política de emigración en México. In Relaciones estado-diáspora: Aproximaciones desde cuatro continentes, ed. C. González Gutiérrez, 157–179. México: SRE.Google Scholar
  4. Balderrama, F. 1982. In Defense of La Raza: The Los Angeles Mexican Consulate and the Mexican Community, 1929 to 1936. Tucson: University of Arizona Press.Google Scholar
  5. Balderrama, F., and R. Rodríguez. 1995. Decade of Betrayal: Mexican Repatriation in the 1930s. Albuquerque: University of New Mexico Press.Google Scholar
  6. Batlan, F. 2015. Women and Justice for the Poor: A History of Legal Aid, 1863–1945. New York: Cambridge University Press.CrossRefGoogle Scholar
  7. Cano, G., and A. Délano. 2007. The Mexican Government and Organised Mexican Immigrants in the United States. Journal of Ethnic and Migration Studies 33 (5): 695–725.CrossRefGoogle Scholar
  8. Casey, M., P. Hayes, D. Heaney, L. Dowie, G. Olaighin, M. Matero, S. Hun, et al. 2013. Implementing Transnational Telemedicine Solutions: A Connected Health Project in Rural and Remote Areas of Six Northern Periphery Countries. European Journal of General Practice 19 (1): 52–58.CrossRefGoogle Scholar
  9. Collins-Dogrul, J. 2006. Managing US-Mexico “Border Health”: An Organizational Field Approach. Social Science and Medicine 63: 3199–3211.CrossRefGoogle Scholar
  10. Collins-Dogrul, J. 2012. Governing Transnational Social Problems: Public Health Politics on the US-Mexico Border. Global Networks 12 (1): 109–128.CrossRefGoogle Scholar
  11. Contreras, S. 2015. Interview, San Diego, CA, 30 January.Google Scholar
  12. Cortez, M. 2014. Interview, Los Angeles, CA, 29 September.Google Scholar
  13. Crooks, R. 2014. Interview, Los Angeles, CA, 29 September.Google Scholar
  14. Dávila, H. 2014a. Interview, Mexico City, Mexico, 1 December.Google Scholar
  15. Dávila, H. 2014b. Acceso a servicios de salud. Paper presented at the Foro Binacional de Políticas Públicas sobre Salud y Migración, October 5–6. San Luis Potosí, México.Google Scholar
  16. Délano, A. 2014. The Diffusion of Diaspora Engagement Policies: A Latin American Agenda. Political Geography 41: 90–100.CrossRefGoogle Scholar
  17. De María y Campos, A. 2014. Interview, Mexico City, Mexico, 23 July.Google Scholar
  18. Díaz de Cossío, R. 2010. Recuerdos del principio. In Mexicanos en el exterior: Trayectoria y perspectivas, 1990–2010, ed. P. Espinosa and J. Ventura, 17–24. México: Instituto Matías Romero.Google Scholar
  19. Díaz de León, J. 2014. Interview, Raleigh, NC, 18 December.Google Scholar
  20. Escobar, Z. 2014. Interview, Los Angeles, CA, 10 October.Google Scholar
  21. Farfán, F., I. Vizcarra, and N. González. 2012. Políticas de salud: Estrategia biopolítica para controlar a los migrantes Mexicanos en Estados Unidos. Migración y Desarrollo 10 (19): 3–32.Google Scholar
  22. Fernández, R. 2009. Vulnerabilidad de los migrantes Mexicanos en materia de salud. In La vulnerabilidad de los grupos migrantes en México, ed. L.M. González and M.C. Alvarez, 71–93. México: Universidad Iberoamericana.Google Scholar
  23. Figueroa Aramoni, R. 1999. A Nation beyond Its Borders: The Program for Mexican Communities Abroad. Journal of American History 86 (2): 537–544.CrossRefGoogle Scholar
  24. Fisher, B. 2014. Interview, San Diego, CA, 26 September.Google Scholar
  25. Fitzgerald, D. 2008. A Nation of Emigrants: How Mexico Manages Its Migration. Berkeley: University of California Press.Google Scholar
  26. Flores, M. 2014. Interview, San Diego, CA, 1 August.Google Scholar
  27. Gastaldo, D., A. Gooden, and N. Massaquoi. 2005. Transnational Health Promotion: Social Well-Being across Borders and Immigrant Women’s Subjectivities. Wagadu 2: 1–16.Google Scholar
  28. Gomez-Quiñones, J. 1994. Roots of Chicano Politics. Albuquerque: University of New Mexico Press.Google Scholar
  29. González, G. 1999. Mexican Consuls and Labor Organizing: Imperial Politics in the American Southwest. Austin: University of Texas Press.Google Scholar
  30. González, G., and R. Fernandez. 2003. A Century of Chicano History: Empire, Nations, and Migration. New York: Routledge.Google Scholar
  31. González Gutiérrez, C. 1999. Fostering Identities: Mexico’s Relations with Its Diaspora. Journal of American History 86 (2): 545–567.CrossRefGoogle Scholar
  32. González Gutiérrez, C. 2010. Veinte años de tejer redes. In Mexicanos en el exterior: Trayectoria y perspectivas, 19902010, ed. Instituto Matias Romero, 41–57. México: IMR.Google Scholar
  33. González Gutiérrez, C. 2014. Interview, Sacramento, CA, 3 September.Google Scholar
  34. Gutierrez, M. 2014. Interview, Sacramento, CA, 12 August.Google Scholar
  35. Heyman, J., G. Nunez, and V. Talavera. 2009. Healthcare Access and Barriers for Unauthorized Immigrants in El Paso County. Texas. Family and Community Health 32 (1): 4–21.CrossRefGoogle Scholar
  36. Hoffman, B. 2012. Health Care for Some: Rights and Rationing in the United States since 1930. Chicago: University of Chicago Press.CrossRefGoogle Scholar
  37. Holmes, S. 2006. An Ethnographic Study of the Social Context of Migrant Health in the United States. PLoS Medicine 3 (10): e448.CrossRefGoogle Scholar
  38. Horton, S. 2013. Medical Returns as Class Transformation: Situating Migrants’ Medical Returns within a Framework of Transnationalism. Medical Anthropology 32 (5): 417–432.CrossRefGoogle Scholar
  39. Innis-Jiménez, M. 2013. Steel Barrio: The Great Mexican Migration to South Chicago, 1915–1940. New York: New York University Press.CrossRefGoogle Scholar
  40. LASSD. 2003–2004. Ventanilla de Salud. Archived case files.Google Scholar
  41. Lozano-Ascencio, F. 2002. La migración Mexicana, su historia e impacto. Accessed 31 July 2014.ón_mexicana,_su_historia_e_impacto.htm.
  42. Mariajimenez, Y. 2014. Interviews, Los Angeles, CA, 28 July and 29 September.Google Scholar
  43. McDowell, E. 2014. Interview, Los Angeles, CA, 29 September.Google Scholar
  44. McKiernan-González, J. 2012. Fevered Measures: Public Health and Race at the Texas-Mexico Border, 1848–1942. Durham, NC: Duke University Press.CrossRefGoogle Scholar
  45. Menjivar, C. 2006. The Ties That Heal: Guatemalan Immigrant Women’s Networks and Medical Treatment. International Migration Review 36 (2): 437–466.CrossRefGoogle Scholar
  46. Messias, D. 2002. Transnational Health Resources, Practices, and Perspectives: Brazilian Immigrant Women’s Narratives. Journal of Immigrant Health 4 (4): 183–200.CrossRefGoogle Scholar
  47. México, Instituto de los Mexicanos en el Exterior. 2008. Reporte de actividades del Instituto de los Mexicanos en el Exterior, 2007–2008. México: Secretaría de Relaciones Exteriores.Google Scholar
  48. México, Poder Ejecutivo. 1995. Plan nacional de desarrollo, 1995–2000. México: Gobierno Federal.Google Scholar
  49. México, Secretaría de Salud. 1995. Programa de reforma del sector salud, 1995–2000. México: Gobierno Federal.Google Scholar
  50. México, Secretaría de Salud. 2001. Programa nacional de salud, 2001–2006. México: Secretaría de Salud.Google Scholar
  51. México, Secretaría de Salud. 2007. Programa nacional de salud, 2007–2012. México: Secretaría de Salud.Google Scholar
  52. México, Secretaría de Salud. 2008. Programa de acción específico 2007–2012: Salud del Migrante. México: Secretaría de Salud.Google Scholar
  53. México, Secretaría de Salud, Instituto de los Mexicanos en el Exterior y Secretaría de Relaciones Exteriores. 2012. Documento rector de las Ventanillas de Salud. México: Secretaría de Salud.Google Scholar
  54. Molina, N. 2006. Fit to Be Citizens? Public Health and Race in Los Angeles, 1879–1939. Berkeley: University of California Press.Google Scholar
  55. Molina, N. 2011. Borders, Laborers, and Racialized Medicalization: Mexican Immigration and US Public Health Practices in the 20th Century. American Journal of Public Health 101 (6): 1024–1031.CrossRefGoogle Scholar
  56. Murphy, E., and R. Mahalingam. 2004. Transnational Ties and Mental Health of Caribbean Immigrants. Journal of Immigrant Health 6 (4): 167–178.CrossRefGoogle Scholar
  57. Nigenda, G., J. Ruiz-Larios, R. Bejarano-Arias, J. Alcalde-Rabanal, and P. Bonilla-Fernandez. 2009. Análisis de las alternativas de los migrantes Mexicanos en Estados Unidos de América para atender sus problemas de salud. Salud Pública de México 51: 407–416.CrossRefGoogle Scholar
  58. Ponce, M. 2014. Interview, Los Angeles, CA, 23 September.Google Scholar
  59. Portes, A., Patricia Fernandez-Kelly, and Donald Light. 2012. Life on the Edge: Immigrants Confront the American Health System. Ethnic and Racial Studies 35 (1): 3–22.CrossRefGoogle Scholar
  60. Proscio, T. 2003. Preserving Trust: Creating the California Endowment, 1996–2001. Los Angeles: TCE.Google Scholar
  61. Recinos, M. 2014. Interview, Los Angeles, CA, 29 September.Google Scholar
  62. Rosales, F.A. 1999. ¡Pobre Raza! Violence, Justice, and Mobilization Among Mexico Lindo Immigrants, 1900–1936. Austin: University of Texas Press.Google Scholar
  63. Sargent, C., and S. Larchanche. 2011. Transnational Migration and Global Health: The Production and Management of Risk, Illness, and Access to Care. Annual Review of Anthropology 40: 345–361.CrossRefGoogle Scholar
  64. Sayavedra, G., R. Strochlic, and B. Sarmina García. 2008. “If We Don’t Speak, Our Voices Won’t Be Heard”: Organizing Farmworkers through Poder Popular. Davis: California Institute for Rural Studies.Google Scholar
  65. Shanks, C. 2001. Immigration and the Politics of American Sovereignty, 1890–1990. Ann Arbor: University of Michigan Press.CrossRefGoogle Scholar
  66. TCE. 1998a. The Border Health Initiative. Archived document 1998/164.Google Scholar
  67. TCE. 1998b. David Shaughnessy to Lorraine Whitehorse, 4 September. Archived correspondence.Google Scholar
  68. TCE. 2002a. Lori Senini to Mario Gutierrez, 22 January. Archived correspondence.Google Scholar
  69. TCE. 2002b. Ventanilla de Salud Project Draft, 2 August. Archived document.Google Scholar
  70. TCE. 2002c. Responsive Grant Write-Up, Ventanilla de Salud, October. Archived document.Google Scholar
  71. TCE. 2002d. Memorandum of Understanding between Neighborhood Legal Services of Los Angeles County, The Consumer Center for Health Education and Advocacy of the Legal Aid Society of San Diego, The Secretary of Foreign Affairs of Mexico, Family Health Centers of San Diego, AltaMed, The California-Mexico Health Initiative, The U.S.-Mexico Border Health Commission, The Los Angeles County Department of Health Services, The California Office of Binational Border Health, For the Ventanilla de Salud Project. Archived document.Google Scholar
  72. TCE. 2002e. Ventanilla de Salud Program Description. Archived document.Google Scholar
  73. TCE. 2002f. Melba Pría to Olga de la Cruz-Cañon, 16 July. Archived correspondence.Google Scholar
  74. TCE. 2002g. Olga de la Cruz Cañon to Yvonne Mariajimenez, 26 November. Archived correspondence.Google Scholar
  75. TCE. 2003a. Ventanilla de Salud, Second Summary Report, Reporting Period June–November, 2003. Archived document.Google Scholar
  76. TCE. 2003b. Grant Report Analysis for Reporting Period June 1, 2003 to November 30, 2003. Archived document.Google Scholar
  77. TCE. 2003c. Ventanilla de Salud Final Summary Report, March 17–December 31, 2003. Archived document.Google Scholar
  78. TCE. 2004a. Olga de la Cruz Cañon to Yvonne Mariajimenez, 2 March. Archived correspondence.Google Scholar
  79. TCE. 2004b. Ventanilla de Salud Project, Reporting Period December 1, 2003 to May 30, 2004. Archived document.Google Scholar
  80. TCE. 2004c. Olga de la Cruz Cañon to Maria Jose Salmeron, 5 February. Archived correspondence.Google Scholar
  81. TCE. 2004d. Ventanilla de Salud report Feb 2003–November 30, 2004. Archived document.Google Scholar
  82. TCE. 2004e. Yvonne Mariajimenez to Olga de la Cruz Cañon, 17 November. Archived correspondence.Google Scholar
  83. TCE. 2005a. Grant Report Analysis, 27 April. Archived document.Google Scholar
  84. TCE. 2005b. Lessons and Recommendations from the Pilot Phase of the Ventanilla de Salud Project, June 23, by Sonia Contreras. Archived report.Google Scholar
  85. Tonda, J. 2014. Interview, New York, NY, 12 August.Google Scholar
  86. Torres, J. 2013. Cross-Border Ties and Self-Rated Health Status for Young Latino Adults. Social Science and Medicine 81: 79–86.CrossRefGoogle Scholar
  87. United Nations. 1963. Vienna Convention on Consular Relations, 24 April. Treaty Series 596.Google Scholar
  88. Ventanilla de Salud. 2014. About Ventanilla de Salud. Accessed 14 June 2016.
  89. Viruell-Fuentes, E., P. Miranda, and S. Abdulrahim. 2012. More than Culture: Structural Racism, Intersectionality Theory, and Immigrant Health. Social Science and Medicine 75: 2099–2106.CrossRefGoogle Scholar
  90. Wallace, S., C. Mendez-Luck, and X. Castañeda. 2009. Heading South: Why Mexican Immigrants in California Seek Health Services in Mexico. Medical Care 47 (6): 662–669.CrossRefGoogle Scholar
  91. Weise, J. 2015. Corazón de Dixie: Mexicanos in the US South since 1910. Chapel Hill: University of North Carolina Press.CrossRefGoogle Scholar
  92. Zimmerman, C., L. Kiss, and M. Hossain. 2011. Migration and Health: A Framework for 21st Century Policy Making. PLoS Medicine 8 (5): e1001034.CrossRefGoogle Scholar

Copyright information

© Springer Nature Limited 2018

Authors and Affiliations

  1. 1.University of North Carolina School of MedicineChapel HillUSA

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