Table 4

Barriers in access to care for children on the move

InformationPatients and familiesUnfamiliar health system, lack of knowledge about where and how to seek care
Variable education and literacy, with variable knowledge about health
Lack of awareness about health rights
Health professionalsVariable understanding of and experience with treating children on the move
Limited epidemiological data on the health status and context-specific risks of children on the move
Lack of clear and readily available national guidance on the legal and practical aspects of healthcare for migrants
Culture and language differencesLanguage barriers, with limited or lack of access to medical interpreters
Differing cultural and health beliefs
Expectations for healthcare encounter may differ between the health professional and patient /family
FinancialCosts associated with care may include transport to health facility, treatment, medications and medical supplies
Other barriersDistance to health facility, transportation needed to access care
Insufficient time allotted to appointments
Fear, including the fear that accessing care may affect asylum decision
Breakdown in trust between patients and health workers