Restrictive migration policies and their impact on HIV prevention, care and treatment services.
Olabode EkerinDeborah Oluwaseun ShomuyiwaDon Eliseo Lucero PrisnoOluwafemi Oluwaseun AgboolaAyelawa Samuel DamilolaSilvia Ojonoka OnojaChisom Favour ChikwenduEmery ManirambonaPublished in: Health research policy and systems (2024)
Migration policies have a significant impact on population health, particularly for individuals living with human immunodeficiency virus (HIV). These policies not only determine who is allowed to enter a country but also influence which immigrants can access services provided by the government. Some countries continue to impose restrictions on HIV-positive individuals, justifying these measures as necessary to protect public health and mitigate healthcare and economic concerns. However, these restrictions lack a valid public health rationale. Due to social, economic and political constraints, restrictive migration laws hinder access to HIV prevention, care and treatment services for immigrants living with HIV. Immigrants face numerous challenges in accessing medication, adhering to treatment regimens and benefitting from HIV preventive efforts. This situation increases the risk of HIV infection and adverse health outcomes due to limited access to preventive programmes, social stigma and engagement in risky behaviours. Additionally, these restrictive migration rules negatively affect immigrants' mental health. To improve the health of both immigrants and host communities, inclusive and evidence-based migration policies that address healthcare through public health and human rights lenses are required.
Keyphrases
- public health
- healthcare
- human immunodeficiency virus
- hiv positive
- antiretroviral therapy
- mental health
- hiv infected
- hepatitis c virus
- hiv aids
- men who have sex with men
- primary care
- global health
- hiv testing
- south africa
- endothelial cells
- combination therapy
- palliative care
- affordable care act
- social media
- adverse drug
- depressive symptoms
- social support
- chronic pain
- drug induced