Immigration policies shape access to services and are linked to immigrant family health. Due to the growth of immigrant families, a shift to local solutions advancing equitable access to services is needed to improve immigrant health. Informed by qualitative data collected from 23 key stakeholders of organizational and government organizations, this study examines community responses to the needs of immigrant families along the US–Mexico border during COVID-19. Participants described two overarching themes: (1) multiple challenges worsened by COVID-19 and (2) innovative strategies responding to increased services needed among immigrant families. Results advance COVID-19 response strategies: (1) community organizing and empowerment, (2) immigrant inclusion in community agency practices, (3) development of community partnerships centered on immigrants, and (4) benefits of local sanctuary policies. Findings suggest local-level solutions, inclusive of immigrant community voices, can mitigate structural barriers and ensure equitable access to services addressing the health and social needs of immigrant families.

移民政策决定了获得服务的机会，并与移民家庭的健康相关。由于移民家庭的增长，需要转向促进公平获得服务的本地解决方案，以改善移民健康。本研究根据从组织和政府组织的 23 个主要利益相关者收集的定性数据，考察了社区在 COVID-19 期间对美墨边境移民家庭需求的反应。参与者描述了两个首要主题：(1) COVID-19 加剧了多重挑战；(2) 应对移民家庭所需服务增加的创新战略。结果推进了 COVID-19 应对策略：(1) 社区组织和赋权，(2) 将移民纳入社区机构实践，(3) 发展以移民为中心的社区伙伴关系，以及 (4) 当地庇护政策的好处。调查结果表明，纳入移民社区声音的地方解决方案可以减轻结构性障碍，并确保公平地获得满足移民家庭健康和社会需求的服务。