Access and Utilization of Norwegian Healthcare Services among sub-Saharan African Migrants: Patterns, Perceptions and Experiences

Abstract

Provision of equitable health care to migrants presents challenge to most health care systems, including the Norwegian health care system. However, access to and utilization of healthcare may not be the same across population groups and this is an under-researched area among the sub-Saharan African (SSA) migrants living in Norway. The aims of the thesis were to assess and explore the patterns and factors influencing access and utilization of healthcare services among SSA migrants living in Norway in particular migrants’ own perceptions. This project used a combination of two research methodologies; a quantitative method, using the Norwegian nationwide registries and qualitative methods, using in-depth interviews and focus group discussions. From the empirical data presented in the study, it is evident that migrants from the SSA countries in Norway utilization of Primary healthcare varies based on country of origin, despite similar morbidity burdens. This study illustrates that the Norwegian healthcare system is not equally accessible by all residents. Although different factors affect migrants’ access to healthcare, SSA migrants are also constrained by perceived discrimination and racism. SSA migrants’ experiences and challenges in and out of the healthcare system do not only discourage or demotivate them for future uptake of healthcare, but it also affects their emotional states and perspectives, thereby reducing their ability to trust the health system. This thesis provides insights that can inform policy recommendations for both health service provision and specifically to women living with female genital mutilation and health services.