Considerations for Program Managers to Improve Sexual and Reproductive Health Services for Displaced Populations

Key Messages

Displaced populations face profound challenges in accessing high-quality sexual and reproductive health and family planning services.

As the drivers of displacement increase, driven by conflict, climate change, and humanitarian crises, the need for effective understanding and implementation of sexual and reproductive health and rights is ever more acute.

We summarize key program insights and lessons focused on the need to strengthen country ownership, ensure a coordinated and adaptive approach, prioritize rights, and expand self-care to reach the most marginalized groups.

Across the world, individuals make choices every day to further their opportunities and/or protect themselves and their families. This has always included migration, both across borders and within countries. The 2022 World Migration Report estimated that there were approximately 281 million international migrants in 2020.1 However, the majority of people migrate within countries. In 2013, the number of internal migrants totaled 763 million,2 and in 2020 alone, it was estimated that 55 million people were forcibly displaced within borders, with 87% of these displaced by conflict and the remaining 13% due to natural disasters.1 The number of people migrating is expected to increase, with conflicts, poor economic opportunities, and climate change motivating movement or hastening displacement.3 The 2022 Groundswell report estimated that climate change alone could force 216 million people across 6 world regions to move within their countries by 2050.4

Migration can lead to reduced access to health and social services, worse economic and social outcomes (including discrimination and social stigma), lack of legal entitlements, and administrative barriers. These challenges, coupled with cultural and linguistic barriers that migrants may face, can contribute to health inequities, increased health risks, and negative health outcomes.5 These effects are particularly acute among populations that have been forcibly displaced, with the majority hosted in low- and middle-income countries …

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