It is known that Florida school employees known as Migrant Advocates facilitate or broker MSF health care access for migrant and seasonal farmworker (MSF) families, but it is not known how states without a Migrant Education Program might also broker MSF health care access. To address this, present study examines the role of school employees in brokering health care access to immigrant Mexican and Indigenous Guatemalan MSF families in Connecticut. Informed by prior work, interviews (n = 12) with parents and elementary school employees showed that (1) a vast array of non-Migrant Advocate school employees, mostly Latinx women, directly brokered physical and psychosocial MSF health care access, often through developing deep social relationships and (2) barriers to brokerage included language inaccessibility, school employee gaps in knowledge of MSF health care needs, and transportation and related structural issues. Importantly, the school’s location near MSF homes is an important contributor to the success of the school’s brokerage efforts. Findings offer insight into how a school health broker model might be implemented, and advance understandings of MSF health and health care access.

众所周知，佛罗里达州的学校雇员被称为移民倡导者，他们为移民和季节性农场工人 (MSF) 家庭提供无国界医生医疗保健服务，但不知道没有移民教育计划的州如何也可能为无国界医生提供医疗保健服务。为了解决这个问题，本研究考察了学校员工在为康涅狄格州的墨西哥移民和危地马拉土著无国界医生家庭提供医疗保健服务方面的作用。根据之前的工作，对家长和小学员工的采访（n = 12）表明（1）大量非移民倡导学校员工，主要是拉丁裔女性，通常通过开发深厚的社会关系和 (2) 经纪障碍包括语言不通，学校员工在无国界医生医疗保健需求、交通和相关结构问题方面的知识差距。重要的是，学校靠近无国界医生家的位置是学校经纪工作取得成功的重要因素。调查结果提供了对如何实施学校健康经纪人模型的见解，并加深了对 MSF 健康和医疗保健访问的理解。