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Access to healthcare services for migrant and left-behind children: a scoping review

2026Artigo científico Acesso aberto
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dc.contributor.authorSpiteri, Jane
dc.contributor.authorRamos, Anne Carolina
dc.contributor.authorMota, Catarina Pinheiro
dc.contributor.authorİpek, Egemen
dc.contributor.authorDucu, Viorela
dc.contributor.authorBäckström, Bárbara
dc.contributor.editorJournal of Migration and Health
dc.date.accessioned2026-07-27T14:24:47Z
dc.date.available2026-07-27T14:24:47Z
dc.date.issued2026
dc.description.abstractMigrant and left-behind children experience health vulnerability that are shaped by climate change, including by climate change, including illness, displacement, and family separation, but also by the organisation of healthcare systems. This scoping review maps the evidence on healthcare services for migrant and left-behind children, with attention to health needs, service provision, barriers and facilitators to access, and gaps in care. Following PRISMA-ScR reporting guidance, searches were conducted in Web of Science/MEDLINE and Scopus for peer- reviewed English-language publications from the database inception to May 2026. After duplicate removal and two-stage screening, 35 publications were included. The evidence shows that migrant and left-behind children require a continuum of preventive, primary, specialist, developmental, nutritional, dental, mental health, and emergency care. However, access is frequently constrained by legal exclusion, documentation requirements, cost, language barriers, limited health system navigation, discrimination, mobility, disrupted continuity of care, and under-resourced services. Left-behind children remain especially under-represented, with limited evidence on preventive, mental health, and chronic care access. Facilitators include inclusive entitlements, community outreach, school provision, interpreters, bilingual professionals, culturally responsive care, health literacy support, and cross-sector coordination. The review argues that healthcare inequity for children affected by migration is produced not only by service absence, but by systems that fail to adapt to children’s legal, linguistic, relational, and transnational realities. Rights-based child health policy should therefore move from episodic and discretionary provision towards universal entitlements, continuous care pathways, and integrated support that is culturally responsive, developmentally appropriate, and accountable to the lived experiences of migrant and left-behind children.eng
dc.identifier.doi10.1016/j.jmh.2026.100425
dc.identifier.issn2666-6235
dc.identifier.urihttp://hdl.handle.net/10400.2/22295
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.relation.hasversionhttps://www.sciencedirect.com/science/article/pii/S2666623526000322?via%3Dihub
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectMigrant children
dc.subjectLeft-behind children
dc.subjectHealthcare access
dc.subjectChild health equity
dc.subjectMigration and health
dc.subjectScoping review
dc.subjectHealth systems
dc.titleAccess to healthcare services for migrant and left-behind children: a scoping revieweng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue14
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameSpiteri
person.familyNameRamos
person.familyNameMota
person.familyNameİpek
person.familyNameDucu
person.familyNameBäckström
person.givenNameJane
person.givenNameAnne Carolina
person.givenNameCatarina Pinheiro
person.givenNameEgemen
person.givenNameViorela
person.givenNameBárbara
person.identifier2517698
person.identifier.ciencia-idB31B-09D0-7227
person.identifier.orcid0000-0001-6625-2372
person.identifier.orcid0000-0002-0153-9003
person.identifier.orcid0000-0003-1814-7425
person.identifier.orcid0000-0002-1365-0526
person.identifier.orcid0000-0002-6643-6048
person.identifier.orcid0000-0002-5844-3854
person.identifier.ridA-8847-2018
person.identifier.scopus-author-id20633520700
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Sociologia | Artigos em revistas internacionais / Papers in international journals