Sexual and reproductive health and rights, HIV and migration in southern Africa: A rapid review

Migration, a prevalent global phenomenon, significantly impacts health, particularly in low- to middle-income countries. This article presents a rapid review aimed at mapping projects, lessons and policies concerning sexual and reproductive health (SRH), HIV and migration in southern Africa. Ut...

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Main Authors: G Musuka, I Chingombe, E Moyo, T Chikava, B Moyo, M Mapingure, H Musuka, T Dzinamarira
Format: Article
Language:English
Published: South African Medical Association 2024-08-01
Series:South African Medical Journal
Subjects:
Online Access:https://samajournals.co.za/index.php/samj/article/view/2011
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author G Musuka
I Chingombe
E Moyo
T Chikava
B Moyo
M Mapingure
H Musuka
T Dzinamarira
author_facet G Musuka
I Chingombe
E Moyo
T Chikava
B Moyo
M Mapingure
H Musuka
T Dzinamarira
author_sort G Musuka
collection DOAJ
description Migration, a prevalent global phenomenon, significantly impacts health, particularly in low- to middle-income countries. This article presents a rapid review aimed at mapping projects, lessons and policies concerning sexual and reproductive health (SRH), HIV and migration in southern Africa. Utilising a population-concept-context framework, the review focuses on understanding the scope, nature and extent of interventions, identifying lessons learnt, and assessing existing policies and strategies. A comprehensive search strategy and screening process resulted in 19 studies and reports for inclusion. The review highlighted diverse projects across southern Africa, addressing SRH and HIV among migrants, refugees and asylum seekers. Projects ranged from peer-education interventions to community-based referral systems, aiming to improve knowledge, access and outcomes related to SRH and HIV. The lessons learnt emphasised the importance of community involvement, healthcare worker (HCW) training and inclusive policies to address migrants’ diverse needs effectively. Additionally, projects facilitated cross-border collaborations and policy integration, enhancing access to SRH-HIV services and migrant health rights. Despite these efforts, challenges persist, including gender-based violence, financial barriers and xenophobic attitudes among HCWs. Limited access to comprehensive sexuality education and social protection for migrants underscores the need for further policy development and implementation. Nevertheless, existing policies, such as Botswana’s inclusive HIV treatment policy and South Africa’s National Strategic Plan for HIV, TB and STIs, demonstrate steps towards ensuring migrants’ rights to healthcare.
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institution Kabale University
issn 0256-9574
2078-5135
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spelling doaj-art-c072273d45a84a5bb2ddc273ee7cdc5a2025-02-10T12:25:46ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352024-08-01114810.7196/SAMJ.2024.v114i8.2011Sexual and reproductive health and rights, HIV and migration in southern Africa: A rapid reviewG Musuka0I Chingombe1E Moyo2T Chikava3B Moyo4M Mapingure5H Musuka6T Dzinamarira7Innovative Public Health and Development Solutions, Harare, ZimbabweInnovative Public Health and Development Solutions, Harare, ZimbabweSchool of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South AfricaInnovative Public Health and Development Solutions, Harare, ZimbabweAIDS and TB Programme, Ministry of Health and Childcare, Harare, ZimbabweInnovative Public Health and Development Solutions, Harare, ZimbabweInnovative Public Health and Development Solutions, Harare, ZimbabweSchool of Medicine, Medical Science and Nutrition, University of Aberdeen, Scotland; ICAP, Harare, Zimbabwe Migration, a prevalent global phenomenon, significantly impacts health, particularly in low- to middle-income countries. This article presents a rapid review aimed at mapping projects, lessons and policies concerning sexual and reproductive health (SRH), HIV and migration in southern Africa. Utilising a population-concept-context framework, the review focuses on understanding the scope, nature and extent of interventions, identifying lessons learnt, and assessing existing policies and strategies. A comprehensive search strategy and screening process resulted in 19 studies and reports for inclusion. The review highlighted diverse projects across southern Africa, addressing SRH and HIV among migrants, refugees and asylum seekers. Projects ranged from peer-education interventions to community-based referral systems, aiming to improve knowledge, access and outcomes related to SRH and HIV. The lessons learnt emphasised the importance of community involvement, healthcare worker (HCW) training and inclusive policies to address migrants’ diverse needs effectively. Additionally, projects facilitated cross-border collaborations and policy integration, enhancing access to SRH-HIV services and migrant health rights. Despite these efforts, challenges persist, including gender-based violence, financial barriers and xenophobic attitudes among HCWs. Limited access to comprehensive sexuality education and social protection for migrants underscores the need for further policy development and implementation. Nevertheless, existing policies, such as Botswana’s inclusive HIV treatment policy and South Africa’s National Strategic Plan for HIV, TB and STIs, demonstrate steps towards ensuring migrants’ rights to healthcare. https://samajournals.co.za/index.php/samj/article/view/2011migrants ZimbabweSouth Africasexual & reproductive healthHIV
spellingShingle G Musuka
I Chingombe
E Moyo
T Chikava
B Moyo
M Mapingure
H Musuka
T Dzinamarira
Sexual and reproductive health and rights, HIV and migration in southern Africa: A rapid review
South African Medical Journal
migrants
Zimbabwe
South Africa
sexual & reproductive health
HIV
title Sexual and reproductive health and rights, HIV and migration in southern Africa: A rapid review
title_full Sexual and reproductive health and rights, HIV and migration in southern Africa: A rapid review
title_fullStr Sexual and reproductive health and rights, HIV and migration in southern Africa: A rapid review
title_full_unstemmed Sexual and reproductive health and rights, HIV and migration in southern Africa: A rapid review
title_short Sexual and reproductive health and rights, HIV and migration in southern Africa: A rapid review
title_sort sexual and reproductive health and rights hiv and migration in southern africa a rapid review
topic migrants
Zimbabwe
South Africa
sexual & reproductive health
HIV
url https://samajournals.co.za/index.php/samj/article/view/2011
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