TY - JOUR
T1 - Interventions to ensure access to and continuity of HIV care for international migrants
T2 - an evidence synthesis
AU - Kamenshchikova, Alena
AU - Peters, Charlotte M M
AU - Nöstlinger, Christiana
AU - Rice, Brian
AU - Ford, Nathan
AU - Ravasi, Giovanni
AU - Burns, Fiona
AU - Parczewski, Milosz
AU - Hoebe, Christian J P A
AU - Dukers, Nicole
AU - Seedat, Farah
AU - Mozalevskis, Antons
AU - Bekker, Linda-Gail
AU - Berchmans Tugirimana, Jean
AU - Tang, Weiming
AU - Marley, Gifty
AU - Onyango, Denis
AU - Thormann Peynado, Monica C
AU - Noori, Teymur
AU - Hargreaves, Sally
PY - 2024/10/29
Y1 - 2024/10/29
N2 - International migrants, especially those belonging to key populations, face a considerable HIV burden. However, continuity of HIV care for this group is often challenged along the migration route. We assess the available evidence on the existing interventions that aim to strengthen community and health systems to ensure the continuity of HIV care for international migrants. We did a systematic search of PubMed for publications from 1989 until 2023 focused on different stages of the HIV care continuum regardless of the geographical region. The literature was reviewed with a thematic approach. Globally, legal regulations can restrict access to HIV care and fuel fear of deportation among undocumented migrants. The intersection of HIV-related and migration-related stigma creates further challenges for uninterrupted access to HIV care along the migration route, with negative clinical and public health consequences. Different potential interventions were identified including: provision of HIV care regardless of migration status; utilisation of mobile health, mobile units, and community-led initiatives to bring HIV care to migrants; and utilisation of participatory and co-creation methods to develop tailored and sustainable HIV-related interventions with migrant communities. Improving access to the continuity of care for migrants requires a shift towards intersectional policies rooted in co-creation approaches to address the underlying multiple and mutually reinforcing inequalities.
AB - International migrants, especially those belonging to key populations, face a considerable HIV burden. However, continuity of HIV care for this group is often challenged along the migration route. We assess the available evidence on the existing interventions that aim to strengthen community and health systems to ensure the continuity of HIV care for international migrants. We did a systematic search of PubMed for publications from 1989 until 2023 focused on different stages of the HIV care continuum regardless of the geographical region. The literature was reviewed with a thematic approach. Globally, legal regulations can restrict access to HIV care and fuel fear of deportation among undocumented migrants. The intersection of HIV-related and migration-related stigma creates further challenges for uninterrupted access to HIV care along the migration route, with negative clinical and public health consequences. Different potential interventions were identified including: provision of HIV care regardless of migration status; utilisation of mobile health, mobile units, and community-led initiatives to bring HIV care to migrants; and utilisation of participatory and co-creation methods to develop tailored and sustainable HIV-related interventions with migrant communities. Improving access to the continuity of care for migrants requires a shift towards intersectional policies rooted in co-creation approaches to address the underlying multiple and mutually reinforcing inequalities.
U2 - 10.1016/S2352-3018(24)00175-9
DO - 10.1016/S2352-3018(24)00175-9
M3 - (Systematic) Review article
SN - 2405-4704
VL - 11
SP - e873-e884
JO - The lancet HIV
JF - The lancet HIV
IS - 12
ER -