Sexual Health

Improving access and utilization of sexual and reproductive health services by migrant women in Morocco: A qualitative study.

TL;DR

Migrant women in Morocco face significant barriers to accessing sexual and reproductive health services, including lack of information, stigmatization, language and cultural barriers, and administrative and economic difficulties, while facilitators include quality welcome, NGO support, and free access to certain services.

Key Findings

The majority of migrant study participants were young adults with very low rates of medical coverage and income.

  • 61% of the 48 participants were young adults aged 18 to 34
  • Only 6% of participants had medical coverage
  • Only 23% of participants had a source of income
  • 60% of participants were from Côte d'Ivoire
  • All participants spoke French and resided in Morocco for at least three months

Lack of information was identified as a major barrier to accessing sexual and reproductive health services for migrants in Morocco.

  • Lack of information was listed as one of the main obstacles identified through focus group discussions
  • The study employed qualitative methods through focus group discussions (FGDs) with migrant women (n=24) and men (n=24)
  • Participants were selected based on having experience with public healthcare facilities for SRH services
  • The study was conducted in July 2024 in two regions: Rabat and Casablanca

Stigmatization was identified as a key barrier to SRH service access for migrants in Morocco.

  • Stigmatization was explicitly listed among the main obstacles identified by focus group participants
  • The study highlights 'significant difficulties migrants face in accessing healthcare in Morocco'
  • The findings call for efforts to 'reduce discrimination' as part of improving migrant healthcare access

Language and cultural barriers constituted a significant obstacle to SRH service access, despite all participants speaking French.

  • Language and cultural barriers were among the main obstacles identified
  • All 48 participants spoke French, suggesting language barriers may relate to Arabic or Moroccan dialect used in healthcare settings rather than a French-language gap
  • Cultural factors were identified as distinct from language barriers, suggesting separate dimensions of the access problem

Administrative and economic difficulties were identified as barriers to SRH service access for migrants.

  • Administrative and economic difficulties were listed among the main obstacles
  • Only 6% of participants had medical coverage, illustrating the economic vulnerability of the population
  • The findings call for efforts to 'simplify administrative procedures to improve access to healthcare for migrants'

Several facilitators to SRH service access were identified, including quality of welcome, NGO support, trust in Moroccan health services, health professional support, and free access to certain services.

  • Facilitators included 'a quality welcome, support from associations and NGOs, confidence in Moroccan health services, support from health professionals, and free access to certain services'
  • Support from associations and NGOs was specifically highlighted as a facilitating factor
  • Free access to certain SRH services was identified as a structural facilitator
  • These facilitators were identified through focus group discussions with 48 migrant participants

The study identified a need for enhanced inclusion, reduced discrimination, and simplified administrative procedures to improve migrant access to healthcare in Morocco.

  • Recommendations include efforts to 'enhance inclusion, reduce discrimination, and simplify administrative procedures'
  • Morocco has become 'a major migratory corridor in the Mediterranean, hosting an increasing number of migrants, particularly from Sub-Saharan Africa' over the past decade
  • The study was conducted across two major Moroccan cities: Rabat and Casablanca

What This Means

This research suggests that migrant women living in Morocco face multiple overlapping challenges when trying to access sexual and reproductive health services, such as prenatal care, contraception, and related medical support. The study gathered information through group discussions with 48 migrants (24 women and 24 men) in Rabat and Casablanca in July 2024. The participants were predominantly young adults from Côte d'Ivoire, and while all spoke French, the vast majority lacked health insurance (94%) and most had no income (77%), leaving them highly economically vulnerable. The barriers they identified included not knowing what services were available, experiencing stigma and discrimination, facing cultural and language differences in clinical settings, and struggling with administrative requirements and costs. Despite these challenges, the study also found positive factors that helped migrants access care. These included being welcomed respectfully by healthcare staff, receiving help from non-governmental organizations and community associations, having trust in the Moroccan health system, and the existence of some services that are provided free of charge. These facilitators suggest that when the right support structures are in place, migrants are willing and able to engage with health services. This research suggests that improving migrant access to sexual and reproductive health services in Morocco would require action on multiple fronts: better information dissemination, anti-discrimination efforts within healthcare settings, cultural competency among health workers, and simplification of administrative processes. The findings are particularly relevant as Morocco continues to serve as both a destination and transit country for growing numbers of Sub-Saharan African migrants, making equitable healthcare access an increasingly important public health issue.

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Citation

Amaghdour C, Munezero C, Belouali R, Hassouni K. (2026). Improving access and utilization of sexual and reproductive health services by migrant women in Morocco: A qualitative study.. La Tunisie medicale. https://doi.org/10.62438/tunismed.v103i4.5507