Barreiras de acesso à saúde sexual e saúde reprodutiva de mulheres migrantes: revisão integrativa

Autores

DOI:

https://doi.org/10.26694/reufpi.v15i1.6993

Palavras-chave:

Mulheres, Migrantes, Barreiras ao acesso, Saúde sexual, Saúde reprodutiva

Resumo

Objetivo: Sintetizar evidências relacionadas às barreiras enfrentadas por mulheres migrantes para o acesso à atenção em saúde sexual e saúde reprodutiva. Método: Trata-se de um estudo de revisão integrativa, realizado nas bases de dados Medline, Embase, Web of Science e Scopus, que incluiu artigos publicados entre 2014 e 2023, disponíveis em texto completo, independentemente do tipo de estudo, nos idiomas português, inglês e espanhol. Resultados: Foram identificados 230 estudos, sendo incluídos 35, publicados entre 2017 e 2023. As barreiras no acesso à atenção em saúde sexual e saúde reprodutiva foram classificadas em quatro categorias: barreiras socioculturais (estigma social); barreiras relacionadas às condições das mulheres migrantes (fatores financeiros); barreiras relacionadas aos profissionais de saúde (sexo masculino); barreiras relacionadas ao sistema e aos serviços de saúde (falta de acessibilidade). Conclusão: As barreiras foram categorizadas didaticamente, mas verificou-se que elas estão implicadas umas às outras, de forma complexa e inter-relacionada, independentemente de serem barreiras socioculturais, relacionadas à situação das mulheres migrantes, aos profissionais de saúde ou ao sistema e aos serviços de saúde. Com isso, constata-se que a superação dessas barreiras exigirá ações organizadas em conjunto com outros setores da sociedade que extrapolam o setor saúde.

Referências

1. Redin G. Migrações internacionais: experiências e desafios para a proteção e promoção de direitos humanos no Brasil. Santa Maria: Ed. UFSM, 2020. Disponível em: https://www.acnur.org/br/sites/br/files/2025-01/2020-livro-migracoes-internacionais.pdf

2. ONU – Organização Mundial da Saúde. Assembleia Geral das Nações Unidas. Declaração Universal dos Direitos Humanos. Adotada e proclamada pela resolução 217 A (III) da Assembléia Geral das Nações Unidas em 10 de dezembro de 1948. Disponível em: https://www.unicef.org/brazil/declaracao-universal-dos-direitos-humanos

3. Teixeira IDS, Rollo RM, Rocha CMF. Um diálogo pluricultural sobre o acesso à saúde com mulheres imigrantes. Reflexão e Ação. 2021;29(1):84–97. doi: https://doi.org/10.17058/rea.v29i1.14815

4. Ministério da Justiça e Segurança Pública (BR). 12º Relatório anual do Observatório das Migrações Internacionais: política migratória no Brasil – evidências para gestão de fluxos e políticas setoriais. Brasília (DF): Ministério da Justiça e Segurança Pública; Observatório das Migrações Internacionais (OBMigra); 2026. Disponível em: https://www.gov.br/mj/pt-br/assuntos/seus-direitos/migracoes/portal-de-imigracao-laboral/obmigra-1/relatorios-obmigra/relatorios-mensais/2025/401981-ano-6-numero-12-dezembro-2025.pdf

5. McAuliffe M, Ceriani Cernadas P, editors. World Migration Report 2026 [Internet]. Geneva: International Organization for Migration (IOM); 2026. Disponível em: https://publications.iom.int/books/world-migration-report-2026

6. Larrea-Schiavon S, Auerswald C, Guendelman S, Graham J, Infante C. Challenges and facilitators to sexual and reproductive health care for undocumented in-transit migrant women in Mexico: a qualitative study. Front Reprod Health. 2025 Sep 26;7:1683858. doi: https://doi.org/10.3389/frph.2025.1683858

7. Organização Mundial da Saúde. Convenção das Nações Unidas relativa ao Estatuto dos Refugiados. Genebra: Assembleia Geral das Nações Unidas, 28 de julho de 1951. Disponível em: https://www.acnur.org/br/media/convencao-relativa-ao-estatuto-dos-refugiados-1951

8. Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-64. doi: http://dx.doi.org/10.1590/S0104-07072008000400018

9. Hosseini MS, Jahanshahlou F, Akbarzadeh MA, Zarei M, Vaez-Gharamaleki Y. Formulating research questions for evidence-based studies. J Med Surg Public Health. 2024;2:100046. doi: https://doi.org/10.1016/j.glmedi.2023.100046

10. Galvão TF, Silva MT, Garcia LP. Ferramentas para melhorar a qualidade e a transparência dos relatos de pesquisa em saúde: guias de redação científica. Epidemiol Serv Saúde. 2016; 25(2):427–36. doi: https://doi.org/10.5123/S1679-49742016000200022

11. Ursi ES, Galvão CM. Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. Rev Latino Am Enfermagem. 2006;14(1):124-31. doi: https://doi.org/10.1590/S0104-11692006000100017

https://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_metodologicas_sistema_grade.pdf

12. Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Lippincott; 2011. Making the case for evidence-based practice and cultivating a spirit of inquiry; p. 3-24.

13. Martins KN, Paula MC de, Gomes LPC, Santos JE dos. O software IRaMuTeQ como recurso para a análise textual discursiva. Revista Pesquisa Qualitativa. 2022;10(24):213–232. doi: https://doi.org/10.33361/RPQ.2022.v.10.n.24.383

14. Sawadogo PM, Sia D, Onadja Y, Beogo I, Sangli G, Sawadogo N, et al. Barriers and facilitators of access to sexual and reproductive health services among migrant, internally displaced, asylum seeking and refugee women: A scoping review. Wasti SP, editor. PLoS ONE. 2023 Sep 14;18(9):e0291486. doi: https//doi.org/10.1371/journal.pone.0291486

15. Azad A K, Zakaria M, Nachrin T, Chandra Das M, Cheng F, Xu J. Family planning knowledge, attitude and practice among Rohingya women living in refugee camps in Bangladesh: a cross-sectional study. Reprod Health. 2022 Dec;19(1):105. doi: https//doi.org/10.1186/s12978-022-01410-0

16. Egli-Gany D, Aftab W, Hawkes S, Abu-Raddad L, Buse K, Rabbani F, et al. The social and structural determinants of sexual and reproductive health and rights in migrants and refugees: a systematic review of reviews. East Mediterr Health J. 2021;27(12):1203-1213. doi: https//doi.org/10.26719/emhj.20.101

17. Khin YP, Nawa N, Fujiwara T, Surkan PJ. Access to contraceptive services among Myanmar women living in Japan: A qualitative study. Contraception. 2021 Nov;104(5):538–46. doi: https//doi.org/10.1016/j.contraception.2021.05.008

18. Bahamondes L, Laporte M, Margatho D, De Amorim HSF, Brasil C, Charles CM, et al. Maternal health among Venezuelan women migrants at the border of Brazil. BMC Public Health. 2020 Dec;20(1):1771. doi: https//doi.org/10.1186/s12889-020-09912-x

19. Chalmiers MA, Karaki F, Muriki M, Mody SK, Chen A, Thiel De Bocanegra H. Refugee women’s experiences with contraceptive care after resettlement in high-income countries: A critical interpretive synthesis. Contraception. 2022 Apr;108:7–18. doi: https//doi.org/10.1016/j.contraception.2021.11.004

20. Larrea-Schiavon S, Vázquez-Quesada LM, Bartlett LR, Lam-Cervantes N, Sripad P, Vieitez I, et al. Interventions to Improve the Reproductive Health of Undocumented Female Migrants and Refugees in Protracted Situations: A Systematic Review. Glob Health Sci Pract. 2022 Dec 21;10(6):1–15. doi: https//doi.org/10.9745/GHSP-D-21-00418

21. Nabulsi D, Abou Saad M, Ismail H, Doumit MAA, El-Jamil F, Kobeissi L, et al. Minimum initial service package (MISP) for sexual and reproductive health for women in a displacement setting: a narrative review on the Syrian refugee crisis in Lebanon. Reprod Health. 2021 Dec;18(1):58. doi: https//doi.org/10.1186/s12978-021-01108-9

22. Davidson N, Hammarberg K, Romero L, Fisher J. Access to preventive sexual and reproductive health care for women from refugee-like backgrounds: a systematic review. BMC Public Health. 2022 Feb 27;22(1):403. doi: https//doi.org/10.1186/s12889-022-12576-4

23. Rocha L, Soeiro R, Gomez N, Costa ML, Surita FG, Bahamondes L. Assessment of sexual and reproductive access and use of menstrual products among Venezuelan migrant adult women at the Brazilian–Venezuelan border. Journal of Migration and Health. 2022;5:100097. doi: https//doi.org/10.1016/j.jmh.2022.100097

24. Bahamondes L, Makuch MY, Margatho D, Charles CM, Brasil C, De Amorin HS. Assessment of the availability of sexual and reproductive healthcare for Venezuelan migrant women during the SARS-CoV-2 pandemic at the north-western border of Brazil-Venezuela. Journal of Migration and Health. 2022;5:100092. doi: https//doi.org/10.1016/j.jmh.2022.100092

25. Makuch MY, Osis MJD, Brasil C, De Amorim HSF, Bahamondes L. Reproductive health among Venezuelan migrant women at the north western border of Brazil: A qualitative study. Journal of Migration and Health. 2021;4:100060. doi: https//doi.org/10.1016/j.jmh.2021.100060

26. Ha T, Givens D, Shi H, Nguyen T, Nguyen N, Shrestha R, et al. Assessing Barriers and Utilization of Sexual and Reproductive Health Services among Female Migrant Workers in Vietnam. IJERPH. 2023 Jul 15;20(14):6368. doi: https//doi.org/10.3390/ijerph20146368

27. Asuamah MA, Agyenim-Boateng R. Access to Reproductive Healthcare Services Among African Women Living in Beijing: Understanding the Challenges. J Racial and Ethnic Health Disparities. 2023 Feb;10(1):343–9. doi: https//doi.org/10.1007/s40615-021-01225-y

28. Acharai L, Khalis M, Bouaddi O, Krisht G, Elomrani S, Yahyane A, et al. Sexual and reproductive health and gender-based violence among female migrants in Morocco: a cross sectional survey. BMC Women’s Health. 2023 Apr 11;23(1):174. doi: https//doi.org/10.1186/s12905-023-02307-1

29. Smith SA. Chuukese Patients, Dual Role Interpreters, and Confidentiality: Exploring Clinic Interpretation Services for Reproductive Health Patients. Hawaii J Med Public Health. 2018 Apr;77(4):83–8. PubMed PMID: 29637014; PubMed Central PMCID: PMC5883252.

30. Rajbangshi PR, Nambiars D, Srivastava A. “We wish to have good medical care”: findings from a qualitative study on reproductive and maternal health of internally displaced women in India. Sexual and Reproductive Health Matters. 2022 Jan 1;29(2):2059324. doi: https//doi.org/10.1080/26410397.2022.2059324

31. Ivanova O, Rai M, Kemigisha E. 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. IJERPH. 2018 Jul 26;15(8):1583. doi: https//doi.org/10.3390/ijerph15081583

32. Guijarro S, Torres AL, Montero G, Garcia M, Sabay H, Iribarren S, et al. Perspectives of health practitioners on the challenges to accessing sexual and reproductive health care services for Venezuelan migrant women during the COVID-19 pandemic in Quito, Ecuador. Panam Salud Publica. 2023;1–10. doi: https//doi.org/10.26633/RPSP.2023.58

33. Bianco A, Larosa E, Pileggi C, Nobile CGA, Pavia M. Cervical and breast cancer screening participation and utilisation of maternal health services: a cross-sectional study among immigrant women in Southern Italy. BMJ Open. 2017 Oct;7(10):e016306. doi: https//doi.org/10.1136/bmjopen-2017-016306

34. Reinero EL, Vicente-Hernández MM, Cabedo Ferreiro R, Manresa-Domínguez JM, García Acosta M, Martínez Bueno C, et al. [Characteristics of the migrant women attended by the Reproductive Health Care Services of the Catalan Health Institute.]. Rev Esp Salud Publica. 2023 Mar 1;97:e202303016. PubMed PMID: 36883555; PubMed Central PMCID: PMC10558107.

35. Loganathan T, Chan ZX, De Smalen AW, Pocock NS. Migrant Women’s Access to Sexual and Reproductive Health Services in Malaysia: A Qualitative Study. IJERPH. 2020 Jul 26;17(15):5376. doi: https//doi.org/10.3390/ijerph17155376

36. Rocha‐Jiménez T, Morales‐Miranda S, Fernández‐Casanueva C, Brouwer KC, Goldenberg SM. Stigma and unmet sexual and reproductive health needs among international migrant sex workers at the Mexico–Guatemala border. Intl J Gynecology & Obste. 2018 Oct;143(1):37–43. doi: https//doi.org/10.1002/ijgo.12441

37. Gray C, Crawford G, Maycock B, Lobo R. Socioecological Factors Influencing Sexual Health Experiences and Health Outcomes of Migrant Asian Women Living in ‘Western’ High-Income Countries: A Systematic Review. IJERPH. 2021 Mar 3;18(5):2469. doi: https//doi.org/10.3390/ijerph18052469

38. Marques P, Gama A, Santos M, Heleno B, Vermandere H, Dias S. Understanding Cervical Cancer Screening Barriers among Migrant Women: A Qualitative Study with Healthcare and Community Workers in Portugal. IJERPH. 2021 Jul 6;18(14):7248. doi: https//doi.org/10.3390/ijerph18147248

39. Schmidt NC, Fargnoli V, Epiney M, Irion O. Barriers to reproductive health care for migrant women in Geneva: a qualitative study. Reprod Health. 2018 Dec;15(1):43. doi: https//doi.org/10.1186/s12978-018-0478-7

40. Mocelin HJS, Jezus SVD, Negri LDSA, Borges BJP, Silva AID, Maciel ELN. Barreiras e facilitadores do enfrentamento de HIV/aids e sífilis por venezuelanas residentes no Brasil. Revista Panamericana de Salud Pública. 2023 Mar 3;47:1. doi: https//doi.org/10.26633/RPSP.2023.3

41. Sutan R, Siregar PP. Reproductive health practices and use of health services among immigrant Indonesian women working in Malaysia. Rev saúde pública. 2022 Jun 24;56:55. doi: https//doi.org/10.11606/s1518-8787.2022056003811

42. Ivanova O, Rai M, Mlahagwa W, Tumuhairwe J, Bakuli A, Nyakato VN, et al. A cross-sectional mixed-methods study of sexual and reproductive health knowledge, experiences and access to services among refugee adolescent girls in the Nakivale refugee settlement, Uganda. Reprod Health. 2019 Dec;16(1):35. doi: https//doi.org/10.1186/s12978-019-0698-5

43. Mengesha ZB, Perz J, Dune T, Ussher J. Refugee and migrant women’s engagement with sexual and reproductive health care in Australia: A socio-ecological analysis of health care professional perspectives. Smith Fawzi MC, editor. PLoS ONE. 2017 Jul 20;12(7):e0181421. doi: https//doi.org/10.1371/journal.pone.0181421

44. Pérez-Urdiales I, Goicolea I. ¿Cómo acceden las mujeres inmigrantes a los servicios sanitarios en el País Vasco? Percepciones de profesionales sanitarias. Atención Primaria. 2018 Jun;50(6):368–76. doi: https//doi.org/10.1016/j.aprim.2017.05.011

45. Machado S, Wiedmeyer M ling, Watt S, Servin AE, Goldenberg S. Determinants and Inequities in Sexual and Reproductive Health (SRH) Care Access Among Im/Migrant Women in Canada: Findings of a Comprehensive Review (2008–2018). J Immigrant Minority Health. 2022 Feb;24(1):256–99. doi: https//doi.org/10.1007/s10903-021-01184-w

46. Corvino I, D’Andrea F. Èquipe, community, traditional values, and reproductive rights. Front Sociol. 2023 Jan 10;7:1043241. doi: https//doi.org/10.3389/fsoc.2022.1043241

47. Sampson S, Oni F, Ayodeji O, Oluwatola T, Gab-deedam S, Adenipekun O, et al. Addressing barriers to accessing family planning services using mobile technology intervention among internally displaced persons in Abuja, Nigeria. AJOG Global Reports. 2023 Aug;3(3):100250. doi: https//doi.org/10.1016/j.xagr.2023.100250

48. Castaner MM, Slagstad C, Damm Nielsen S, Skovdal M. Tactics employed by healthcare providers in the humanitarian sector to meet the sexual and reproductive healthcare needs of undocumented migrant women in Denmark: A qualitative study. Sexual & Reproductive Healthcare. 2022 Dec;34:100785. doi: https//doi.org/10.1016/j.srhc.2022.100785

49. Bourgois P, Holmes SM, Sue K, Quesada J. Structural vulnerability: operationalizing the concept to address health disparities in clinical care. Acad Med. 2017;92(3):299-307. doi: https//doi.org/10.1097/ACM.0000000000001294

50. Debelo, B., Callander, D., Gunaratnam, P., Bateson, D., & Carter, A. (2026). Socio-ecological Analysis of Access To Sexual and Reproductive Health Services among Migrant and Refugee Women in high-income Countries: A Systematic Review. Sexuality Research and Social Policy. doi: https://doi.org/10.1007/s13178-026-01291-z

51. Stirling-Cameron, E., Almukhaini, S., Dol, J., DuPlessis, B. J., Stone, K., Aston, M., & Goldenberg, S. M. (2024). Access and use of sexual and reproductive health services among asylum-seeking and refugee women in high-income countries: A scoping review. PLOS ONE, 19. doi: https://doi.org/10.1371/journal.pone.0312746

52. Obach, A., Blukacz, A., Sadler, M., Calderón, A. C., Cabieses, B., & Díaz, C. (2024). Barriers and facilitators to access sexual and reproductive health services among young migrants in Tarapacá, Chile: a qualitative study. BMC Public Health, 24. doi: https://doi.org/10.1186/s12889-024-17884-5

53. Maheen, H., Chalmers, K., Khaw, S., & McMichael, C. (2021). Sexual and reproductive health service utilisation of adolescents and young people from migrant and refugee backgrounds in high-income settings: a qualitative evidence synthesis (QES).. Sexual health. doi: https://doi.org/10.1071/sh20112

54. Granero-Molina, J., Gómez-Vinuesa, A. S., Granero-Heredia, G., Fernández-Férez, A., Ruíz-Fernández, M. D., Fernández-Medina, I. M., & Jiménez-Lasserrotte, M. (2023). Sexual and Reproductive Health Care for Irregular Migrant Women: A Meta-Synthesis of Qualitative Data. Healthcare, 11. https://doi.org/10.3390/healthcare11111659

Publicado

2026-09-28

Como Citar

1.
Conceição NLM da, Pinheiro A de S, Cunha MPL, Melo NC de, Silva KM da, Queiroz ABA, et al. Barreiras de acesso à saúde sexual e saúde reprodutiva de mulheres migrantes: revisão integrativa. Rev Enferm UFPI [Internet]. 28º de setembro de 2026 [citado 28º de setembro de 2026];15(1). Disponível em: https://periodicos.ufpi.br/index.php/reufpi/article/view/6993

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