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Center for Rural Health in South Texas

Whole-person, whole-community, whole-system, place-based care. Rooted in South Texas.

The Center for Rural Health in South Texas (CRHeST) stands at the forefront of health access and health improvement in the U.S.-Mexico borderlands. The center operates on a groundbreaking “whole-person, whole-community” model that addresses not just illness, but the environmental and non-medical drivers of poor health in rural populations. By integrating chronic disease prevention, emerging infectious disease surveillance, and workforce development, we bridge the gap between academic research and community service.

The center’s work is defined by community collaboration, cultural humility, and a commitment to improving the health of rural residents. Whether preventing diabetes, eliminating barriers to cancer screening, or addressing vector-borne threats such as Valley fever and Chagas disease, CRHeST collaborates with local partners to drive change. We envision a resilient region where thriving communities access high-quality, culturally rooted care. CRHeST transforms rural health systems, secures sustainable funding, and builds a future of wellness for all South Texans.

Focus Areas

  • Whole-Person Care
  • Chronic Disease and Diabetes
  • Vaccine-Preventable Cancers
  • Emerging Infections
  • Environmental & Non-medical Drivers of Health
  • Healthcare Access

map of texas showing urban vs rural areas

About the Regions We Serve

The Center for Rural Health in South Texas focuses on the mid-Rio Grande Valley and Winter Garden regions—a 32-county expanse along the United States-Mexico border where rural communities face some of the nation’s most pressing health issues. This is a land of vibrant culture and resilience, but also of deep challenges: 90% of border counties are medically underserved, diabetes and obesity rates are among the highest in the U.S., and emerging infections like Chagas disease and Valley fever are spreading. Many families live in colonias—unincorporated communities often lacking basic infrastructure—or rely on healthcare across the border, creating unique binational health patterns. By centering our work here, CRHeST bridges gaps in care, strengthens local health systems, and pioneers solutions that honor the region’s cultural and geographic realities.