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Anything that they need, they can come into our office.[168] The Alliance Against Family Violence and Sexual Assault, an agency in Bakersfield that has slowly built support groups in the smaller towns around Bakersfield, noted they [had] to really pound the pavement, and consistently convene support meetings, even if no one showed up, in order to build trust.[169] Developing the capacity to serve farmworkers who do not speak English is obviously a major challenge, particularly in states where there are few bilingual Spanish speakers, let alone speakers of other relevant languages

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This report is formulated with a public health lens but it recognises the complex interplay that health has with its social determinants, human rights, cultural and economic environment and political will of a country