Evidence map›Paper›PMID 41862849›Full record

ArticleBMC public health2026

Understanding barriers for refugees and migrants when accessing abortion care in Europe: a scoping review.

Caroline Elfe, Talia Meer, Claudia Hövener, Stefanie Theuring

Abstract readScoping Review
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Caroline ElfeInstitute of International Health, Center for Global Health, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität and Humboldt-Universität zu Berlin, Berlin, Germany. caroline.elfe@t-online.de.ORCID http://orcid.org/0009-0003-6876-0524
Talia MeerDepartment of History, Humboldt Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-1301-9822
Claudia HövenerAlice Salomon University of Applied Sciences, Berlin, Germany.ORCID http://orcid.org/0000-0001-5994-7715
Stefanie TheuringInstitute of International Health, Center for Global Health, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-5372-7903

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to safe abortion care has been the subject of international policy deliberation for several decades and was included in the World Health Organization’s essential healthcare services in 2020. It differs across Europe, with legal barriers like gestational age limits and the conscientious objection persisting in most European countries. Refugees and migrants can encounter additional barriers when accessing healthcare services for various reasons, such as health system exclusion and language barriers. The aim of this study was to map existing evidence on refugees’ and migrants’ access to abortion care in Europe.

methodsAdopting a scoping review methodology, we conducted a systematic search in PubMed, complemented by web-based hand searches and citation tracking to identify the relevant literature. We included qualitative and quantitative studies as well as grey literature published in English between 2014 and 2025, addressing how refugees and migrants accessed abortion services across Europe. Data were charted according to Levesque et al.’s dimensions of healthcare access framework. Results were reported using a narrative synthesis approach.

resultsWe identified 19 studies in eleven different European countries and one EU-wide report (n = 20), including twelve qualitative, five mixed, and three quantitative designs. While some studies focused specifically on migrant women seeking reproductive healthcare, others focused on abortion seekers in general while highlighting barriers unique to migrant populations. Prominent barriers were lack of information and insufficient availability of translation services. Availability of services was often restricted by regional disparities and restrictive laws. Affordability issues were amplified by variations in cost entitlements and the precarious status of undocumented migrants. Quality of care was compromised by discriminatory attitudes held by providers.

conclusionsRefugees and migrants in Europe face barriers in access to abortion tied to their migration context. Gaps in coverage for refugees and migrants constitute a violation of universal human rights. Ensuring access requires improved outreach efforts, free availability of translation services, decriminalization, and integration of abortion care into a Universal Health Coverage framework, while combating racism in health care and amplifying the voices of marginalized groups.

Indexed as

Abortion, InducedHealth Services AccessibilityRefugeesTransients and MigrantsEuropeFemaleHumansPregnancyAbortion careAccessBarriersMigrantsPatient-centred careRefugeesReproductive health

Identifiers

PMID41862849
PMCPMC13063723

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.