Reproductive health of refugees: barriers to accessing healthcare systems in host countries




diabetes, insulin, reproductive health, refugees, healthcare systems, barriers, access, host countries, maternal health


Refugees around the world face numerous challenges when it comes to accessing healthcare services, particularly in the area of reproductive health. This narrative review aims to explore the barriers that refugees encounter when trying to access healthcare systems in their host countries. These barriers include language and cultural differences, lack of knowledge about the healthcare system, limited access to transportation, financial constraints, and stigma. Comprehensive healthcare services, including healthcare access, nutrition, and mental health support, are crucial to prevent and manage chronic diseases and improve health outcomes for refugees, particularly those with diabetes who may face restricted availability of medications and monitoring devices. It is essential to ensure refugees diagnosed with diabetes have sufficient access to insulin supplies and equipment to administer it securely. We also highlight the impact of these barriers on the reproductive health of refugees, including inadequate prenatal care, lack of access to contraception and family planning services, and increased risk of sexually transmitted infections. The findings of this review underscore the urgent need for policymakers and healthcare providers to address the unique challenges that refugees face when accessing reproductive healthcare. Efforts must be made to improve access to information, increase cultural competency among healthcare providers, and address financial and transportation barriers. By addressing these challenges, we can ensure that refugees have the necessary support and resources to maintain their reproductive health and well-being.

No conflict of interests was declared by the authors.


Adunlin G, Cyrus JW, Asare M, Sabik LM. (2019, Jun). Barriers and Facilitators to Breast and Cervical Cancer Screening Among Immigrants in the United States. J Immigr Minor Health. 21 (3): 606-658.; PMid:30117005

Ahmed S, Shommu NS, Rumana N, Barron GRS, Wicklum S, Turin TC. (2016, Dec). Barriers to Access of Primary Healthcare by Immigrant Populations in Canada: A Literature Review. J Immigr Minor Health. 18 (6): 1522-1540.; PMid:26364053

Bakesiima R et al. (2020, Dec). Modern contraceptive use among female refugee adolescents in northern Uganda: prevalence and associated factors. Reprod Health. 17 (1): 67.; PMid:32434523 PMCid:PMC7238518

Chiarenza A, Dauvrin M, Chiesa V, Baatout S, Verrept H. (2019, Dec). Supporting access to healthcare for refugees and migrants in European countries under particular migratory pressure. BMC Health Serv Res. 19 (1): 513.; PMid:31337406 PMCid:PMC6651950

Clough J, Lee S, Chae DH. (2013). Barriers to Health Care among Asian Immigrants in the United States: A Traditional Review. J Health Care Poor Underserved. 24 (1): 384-403.; PMid:23377740

Cottingham J, Kismodi E, Hilber AM, Lincetto O, Stahlhofer M, Gruskin S. (2010, Jul). Using human rights for sexual and reproductive health: improving legal and regulatory frameworks. Bull World Health Organ. 88 (7): 551-555.; PMid:20616975 PMCid:PMC2897980

Crosby SS. (2013, Aug). Primary Care Management of Non-English-Speaking Refugees Who Have Experienced Trauma. JAMA. 310 (5): 519.; PMid:23925622

Dowling A, Enticott J, Kunin M, Russell G. (2019, Dec). The association of migration experiences on the self-rated health status among adult humanitarian refugees to Australia: an analysis of a longitudinal cohort study. Int J Equity Health. 18 (1): 130.; PMid:31438966 PMCid:PMC6704614

Filler T, Jameel B, Gagliardi AR. (2020, Dec). Barriers and facilitators of patient centered care for immigrant and refugee women: a scoping review. BMC Public Health. 20 (1): 1013.; PMid:32590963 PMCid:PMC7318468

Harding C, Seal A, Duncan G, Gilmour A. (2019). General practitioner and registrar involvement in refugee health: exploring needs and perceptions. Australian Health Review. 43 (1): 92.; PMid:28867004

Hiam L, Gionakis N, Holmes SM, McKee M. (2019, Jul). Overcoming the barriers migrants face in accessing health care. Public Health. 172: 89-92.; PMid:30665689

Higginbottom GM et al. (2015, Dec). Immigrant women's experiences of maternity-care services in Canada: a systematic review using a narrative synthesis. Syst Rev. 4 (1): 13.; PMid:26187687 PMCid:PMC4506414

Ivanova O, Rai M, Kemigisha E. (2018, Jul). A Systematic Review of Sexual and Reproductive Health Knowledge, Experiences and Access to Services among Refugee, Migrant and Displaced Girls and Young Women in Africa. Int J Environ Res Public Health. 15 (8): 1583.; PMid:30049940 PMCid:PMC6121882

Januwalla A, Pulver A, Wanigaratne S, O'Campo P, Urquia ML. (2018, Dec). Interventions to reduce adverse health outcomes resulting from manifestations of gender bias amongst immigrant populations: a scoping review. BMC Womens Health. 18 (1): 104.; PMid:29921247 PMCid:PMC6008916

Jennings L, George AS, Jacobs T, Blanchet K, Singh NS. (2019, Dec). A forgotten group during humanitarian crises: a systematic review of sexual and reproductive health interventions for young people including adolescents in humanitarian settings. Confl Health. 13 (1): 57.; PMid:31788022 PMCid:PMC6880589

McKeary M, Newbold B. (2010, Dec). Barriers to Care: The Challenges for Canadian Refugees and their Health Care Providers. J Refug Stud. 23 (4): 523-545.

Parish A. (2017). Gender-Based Violence against Women: Both Cause for Migration and Risk along the Journey. Migration Policy Institute. URL: st-women-both-cause-migration-and-risk-along-journey.

Podolsky VlV, Podolsky VV. (2016). Modern approaches to the prevention and treatment of alterations in reproductive health in women with somatoform disorders and autonomic homeostasis. Health of woman. 10 (116): 98-101.

Podolsky VlV, Podolsky VV. (2018). Psychosomatic characteristic of realization of mechanisms of psychological defence in women of fertile age. Health of woman. 3 (129): 114-117.

Podolskyi VlV, Podolskyi VV. (2018). Perynatalni ta akusherski naslidky perenesenykh khronichnykh zakhvoriuvan statevykh orhaniv u zhinok fertylnoho viku Zdorov'ia Ukrainy. 4: 30-32.

Podolskyi VV, Antypkin YuH, Podolskyi VlV, Umanets TR, Kaminska TM, Livshyts LA, Rudenko SA. (2021). Medyko-sotsialni chynnyky mozhlyvosti poshyrennia koronavirusnoi infektsii sered zhinok fertylnoho viku. Reproduktyvna endokrynolohiia. 5 (61): 8-15.

Segal UA. (2019, Jul). Globalization, migration, and ethnicity. Public Health. 172: 135-142.; PMid:31229257

Seyife A, Fisseha G, Yebyo H, Gidey G, Gerensea H. (2019, Mar). Utilization of modern contraceptives and predictors among women in Shimelba refugee camp, Northern Ethiopia. PLoS One. 14 (3): e0212262.; PMid:30840634 PMCid:PMC6402620

Spiegel PB et al. (2007, Jun). Prevalence of HIV infection in conflict-affected and displaced people in seven sub-Saharan African countries: a systematic review. The Lancet. 369 (9580): 2187-2195.; PMid:17604801

Stanzel KA, Hammarberg K, Fisher J. (2018, Mar). Experiences of menopause, self-management strategies for menopausal symptoms and perceptions of health care among immigrant women: a systematic review. Climacteric. 21 (2): 101-110.; PMid:29345497

Suurmond J, Uiters E, de Bruijne MC, Stronks K, Essink-Bot M-L. (2011, Dec). Negative health care experiences of immigrant patients: a qualitative study. BMC Health Serv Res. 11 (1): 10.; PMid:21235738 PMCid:PMC3029223

UNHCR. (2006). United Nations High Commissioner for Refugees. Protracted Refugee situations: the search for practical solutions. Geneva: UNHCR. URL:

UNHCR. (2018). United Nations High Commissioner for Refugees. Global trends forced displacementю Geneva: UNHCR. URL:

UNHCR. (2020). United Nations High Commissioner for Refugees. Figures at a Glance. Geneva. URL:

UNHCR. (2020). United Nations High Commissioner for Refugees. What is a refugee? Geneva. URL:

WHO. (2020). World Health Organisation. Universal health coverage for sexual and reproductive health. Geneva. URL: lth/publications/financing-uhc-for-sexual-reproductive-health-evidencebrief/en/.

Wylie L et al. (2018, Dec). Assessing trauma in a transcultural context: challenges in mental health care with immigrants and refugees. Public Health Rev. 39 (1): 22.; PMid:30151315 PMCid:PMC6103972