ArticleBMC medical ethics2025
"No, it is not a breach of my oath because it is beyond my control; I use the policies that are in place." Ethical challenges faced by healthcare workers in the provision of healthcare to cross-border migrants in Botswana.
Article in BMC medical ethics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Structural tensions between health policy and medical ethics: a qualitative study of physicians' experiences under Türkiye's health transformation programme.BMC medical ethics · 2026Article
- Crossing borders, facing barriers: a rights-based narrative review of HIV care access among African migrants living with HIV.Frontiers in public health · 2026Review
- Midwives' views on implementation of antiretroviral clinical guidelines for the prevention of HIV in a private hospital.Health SA = SA Gesondheid · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith a growing global population of migrants, understanding the complex dynamics between healthcare providers and policy restrictions is crucial for ensuring equitable access to healthcare. The main objective of this qualitative study was to explore the ethical challenges faced by health care providers in the provision of health care to migrants.
methodsWe conducted in -depth interviews with 11 healthcare providers, which were analysed using thematic analyse. Atlas ti software was used to analysis the data.
resultsHealthcare workers reported facing ethical challenges as a result of not being able to provide medical care to migrant patients because healthcare policies deny them access to healthcare. These policies make it difficult for healthcare professionals to fulfil their duties in accordance with their oath. Failure to provide healthcare to migrant patients can cause moral distress for healthcare workers and affect their well-being. Reporting migrant patients to the police was mentioned as another ethical challenge, which is a breach of confidentiality. Several healthcare providers have developed strategies to address the limitations of migrants' access to healthcare, including encouraging migrants to access healthcare from their home country and using private healthcare facilities.
conclusionsHealth policies influence the way health care providers carry out their tasks, which can either positively or negatively impact access for vulnerable migrant groups. To address the challenges faced by healthcare providers in implementing their professional ethics, inclusive policies should be introduced, and human rights and ethics training should be provided, as well as ongoing dialogue to ensure that healthcare providers fulfil their professional obligations toward all migrant patients.
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