Lattof Samantha R, Coast Ernestina, Leone Tiziana
Department of Social Policy, London School of Economics and Political Science, London, UK.
Department of International Development, London School of Economics and Political Science, London, UK.
Health Serv Insights. 2018 Oct 30;11:1178632918804825. doi: 10.1177/1178632918804825. eCollection 2018.
Women's ability to access health care requires access to and control of resources as well as the ability to make personal health decisions. Female migrants may experience additional challenges in accessing health care due to marginalization and vulnerability resulting from both their gender and their migrant status. Rural-to-urban migrant women working in the informal sector, such as Ghana's head porters (), experience exclusion from the health system, risk of being uninsured, and poor health outcomes. survival needs (eg, food, water) and a need to provide for their families can mean that migrant avoid health care expenses for illnesses or injuries. To ensure equal access to health care for migrant and non-migrant populations, health insurance is crucial. Yet, improving access to health care and service uptake requires more than health insurance. Incorporating culturally appropriate care into the provision of health services, or even developing specific migrant-friendly health services, could improve health service uptake and health awareness among migrants. Public health systems should also take account of migrants' financial situations and priorities in the design and delivery of health services.
妇女获得医疗保健的能力需要获得并控制资源，以及做出个人健康决策的能力。女性移民由于其性别和移民身份导致的边缘化和脆弱性，在获得医疗保健方面可能会面临额外的挑战。在非正规部门工作的农村到城市的移民妇女，如加纳的搬运工，面临着被排除在卫生系统之外、未参保的风险以及不良的健康结果。生存需求（如食物、水）以及供养家庭的需求可能意味着移民会避免为疾病或受伤支付医疗费用。为确保移民和非移民人口平等获得医疗保健，医疗保险至关重要。然而，改善医疗保健的可及性和服务利用不仅仅需要医疗保险。将文化上适宜的护理纳入卫生服务的提供中，甚至开发专门针对移民的友好型卫生服务，都可以提高移民对卫生服务的利用和健康意识。公共卫生系统在设计和提供卫生服务时，也应考虑移民的经济状况和优先事项。
