The reform of administrative detention in Italy: A “declaration of war” to irregular migrants and asylum seekers

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Dating back to Italy’s first comprehensive immigration law in the 1990s, the practice of detaining irregular migrants has served various explicit and implicit purposes, both practical and symbolic. Two decrees passed in 2023, under the far-right government of Giorgia Meloni, were explicitly framed as responses to the increasing number of migrants arriving at the borders. The aim of these decrees was to prolong the detention of asylum seekers and irregular migrants, with the stated aim of increasing returns. However, despite these measures, available data suggests that the capacity of detention centres has not increased significantly, and the rate of returns has remained stable. Against this backdrop, this article seeks to explore the explicit and implicit functions of detention by examining recent reforms and publicly available quantitative data obtained through a request under Italy’s Freedom of Information Act. It suggests that whilst detention serves practical purposes for a minority of migrants, its symbolic role in conveying state sovereignty and strict border control is equally important.

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  • 10.1177/233150241700500102
Critical Perspectives on Clandestine Migration Facilitation: An Overview of Migrant Smuggling Research
  • Mar 1, 2017
  • Journal on Migration and Human Security
  • Gabriella Sanchez

Current representations of large movements of migrants and asylum seekers have become part of the global consciousness. Media viewers are bombarded with images of people from the global south riding atop of trains, holding on to dinghies, arriving at refugee camps, crawling beneath wire fences or being rescued after being stranded in the ocean or the desert for days. Images of gruesome scenes of death in the Mediterranean or the Arizona or Sahara deserts reveal the inherent risks of irregular migration, as bodies are pulled out of the water or corpses are recovered, bagged, and disposed of, their identities remaining forever unknown. Together, these images communicate a powerful, unbearable feeling of despair and crisis. Around the world, many of these tragedies are attributed to the actions of migrant smugglers, who are almost monolithically depicted as men from the Global South organized in webs of organized criminals whose transnational reach allows them to prey on migrants and asylum seekers' vulnerabilities. Smugglers are described as callous, greedy, and violent. Reports on efforts to contain their influence and strength are also abundant in official narratives of border and migration control. The risks inherent to clandestine journeys and the violence people face during these transits must not be denied. Many smugglers do take advantage of the naivetέ and helplessness of migrants, refugees, and asylum seekers, stripping them of their valuables and abandoning them to their fate during their journeys. Yet, as those working directly with migrants and asylum seekers in transit can attest, the relationships that emerge between smugglers and those who rely on their services are much more complex, and quite often, significantly less heinous than what media and law enforcement suggest. The visibility of contemporary, large migration movements has driven much research on migrants' clandestine journeys and their human rights implications. However, the social contexts that shape said journeys and their facilitation have not been much explored by researchers (Achilli 2015). In other words, the efforts carried out by migrants, asylum seekers, and their families and friends to access safe passage have hardly been the target of scholarly analysis, and are often obscured by the more graphic narratives of victimization and crime. In short, knowledge on the ways migrants, asylum seekers, and their communities conceive, define, and mobilize mechanisms for irregular or clandestine migration is limited at best. The dichotomist script of smugglers as predators and migrants and asylum seekers as victims that dominates narratives of clandestine migration has often obscured the perspectives of those who rely on smugglers for their mobility. This has not only silenced migrants and asylum seekers' efforts to reach safety, but also the collective knowledge their communities use to secure their mobility amid increased border militarization and migration controls. This paper provides an overview of contemporary, empirical scholarship on clandestine migration facilitation. It then argues that the processes leading to clandestine or irregular migration are not merely the domain of criminal groups. Rather, they also involve a series of complex mechanisms of protection crafted within migrant and refugee communities as attempts to reduce the vulnerabilities known to be inherent to clandestine journeys. Both criminal and less nefarious efforts are shaped by and in response to enforcement measures worldwide on the part of nation-states to control migration flows. Devised within migrant and refugee communities, and mobilized formally and informally among their members, strategies to facilitate clandestine or irregular migration constitute a system of human security rooted in generations-long, historical notions of solidarity, tradition, reciprocity, and affect (Khosravi 2010). Yet amid concerns over national and border security, and the reemergence of nationalism, said strategies have become increasingly stigmatized, traveling clandestinely being perceived as an inherently — and uniquely — criminal activity. This contribution constitutes an attempt to critically rethink the framework present in everyday narratives of irregular migration facilitation. It is a call to incorporate into current protection dialogs the perceptions of those who rely on criminalized migration mechanisms to fulfill mobility goals, and in so doing, articulate and inform solutions towards promoting safe and dignifying journeys for all migrants and asylum seekers in transit.

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Irregular Immigration Control in Italy and Greece: Strong Fencing and Weak Gate-keeping serving the Labour Market
  • Jan 1, 2011
  • European Journal of Migration and Law
  • Maurizio Ambrosini + 1 more

Italy and Greece have been often blamed by their fellow EU Member States for the excessive permeability of their borders, their inability to stop irregular migration, and their inefficient asylum systems. In addition the two countries have weak internal controls, especially as regards the sectors of the labour market where immigrants are usually employed e.g. agriculture, domestic work, tourism and catering. This article seeks to make sense of these fundamentally contradictory policies that characterise Greece’s and Italy’s approach to managing migration. The article starts by outlining the common features of Italian and Greek immigration policies and proposes an analysis of immigration control regimes along two dimensions: their internal (within the country’s territory) or external (at the border or outside the border) character, and their fencing (stopping) vs. gate-keeping (preventing) nature. Section 3 discusses critically the irregular migration inflows in Greece, the policies implemented to address them and their contradictory results. Section 4 reviews the related policies in Italy and casts light to their inconsistencies. In the concluding section, we highlight the possible explanations for these two countries’ lack of direction in immigration management pointing to the opposition between excessively regulated labour markets, large informal economies and strict border controls which however become lax and ineffective once irregular migrants or asylum seekers are within the country.

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  • Preprint Article
  • 10.32920/24290629.v1
Irregular immigration control in Italy and Greece : strong fencing and weak gate-keeping serving the labour market
  • Oct 11, 2023
  • Anna Triandafyllidou + 1 more

<p>Italy and Greece have been often blamed by their fellow EU Member States for the excessive permeability of their borders, their inability to stop irregular migration, and their inefficient asylum systems. In addition the two countries have weak internal controls, especially as regards the sectors of the labour market where immigrants are usually employed e.g. agriculture, domestic work, tourism and catering. This article seeks to make sense of these fundamentally contradictory policies that characterise Greece’s and Italy’s approach to managing migration. The article starts by outlining the common features of Italian and Greek immigration policies and proposes an analysis of immigration control regimes along two dimensions: their internal (within the country’s territory) or external (at the border or outside the border) character, and their fencing (stopping) vs. gate-keeping (preventing) nature. Section 3 discusses critically the irregular migration inflows in Greece, the policies implemented to address them and their contradictory results. Section 4 reviews the related policies in Italy and casts light to their inconsistencies. In the concluding section, we highlight the possible explanations for these two countries’ lack of direction in immigration management pointing to the opposition between excessively regulated labour markets, large informal economies and strict border controls which however become lax and ineffective once irregular migrants or asylum seekers are within the country.</p>

  • Preprint Article
  • Cite Count Icon 1
  • 10.32920/24290629
Irregular immigration control in Italy and Greece : strong fencing and weak gate-keeping serving the labour market
  • Oct 11, 2023
  • Maurizio Ambrosini + 1 more

<p>Italy and Greece have been often blamed by their fellow EU Member States for the excessive permeability of their borders, their inability to stop irregular migration, and their inefficient asylum systems. In addition the two countries have weak internal controls, especially as regards the sectors of the labour market where immigrants are usually employed e.g. agriculture, domestic work, tourism and catering. This article seeks to make sense of these fundamentally contradictory policies that characterise Greece’s and Italy’s approach to managing migration. The article starts by outlining the common features of Italian and Greek immigration policies and proposes an analysis of immigration control regimes along two dimensions: their internal (within the country’s territory) or external (at the border or outside the border) character, and their fencing (stopping) vs. gate-keeping (preventing) nature. Section 3 discusses critically the irregular migration inflows in Greece, the policies implemented to address them and their contradictory results. Section 4 reviews the related policies in Italy and casts light to their inconsistencies. In the concluding section, we highlight the possible explanations for these two countries’ lack of direction in immigration management pointing to the opposition between excessively regulated labour markets, large informal economies and strict border controls which however become lax and ineffective once irregular migrants or asylum seekers are within the country.</p>

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Saving Us From Them
  • Oct 1, 2002
  • M/C Journal
  • Michael Clyne

Saving Us From Them

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  • 10.1186/1471-2458-14-416
Sexual health is dead in my body: participatory assessment of sexual health determinants by refugees, asylum seekers and undocumented migrants in Belgium and The Netherlands.
  • May 1, 2014
  • BMC Public Health
  • Ines Keygnaert + 3 more

BackgroundAlthough migrants constitute an important proportion of the European population, little is known about migrant sexual health. Existing research mainly focuses on migrants’ sexual health risks and accessibility issues while recommendations on adequate sexual health promotion are rarely provided. Hence, this paper explores how refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands define sexual health, search for sexual health information and perceive sexual health determinants.MethodsApplying Community-based Participatory Research as the overarching research approach, we conducted 223 in-depth interviews with refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands. The Framework Analysis Technique was used to analyse qualitative data. We checked the extensiveness of the qualitative data and analysed the quantitative socio-demographic data with SPSS.ResultsOur results indicate that gender and age do not appear to be decisive determinants. However, incorporated cultural norms and education attainment are important to consider in desirable sexual health promotion in refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands. Furthermore, our results demonstrate that these migrants have a predominant internal health locus of control. Yet, most of them feel that this personal attitude is hugely challenged by the Belgian and Dutch asylum system and migration laws which force them into a structural dependent situation inducing sexual ill-health.ConclusionRefugees, asylum seekers and undocumented migrants in Belgium and the Netherlands are at risk of sexual ill-health. Incorporated cultural norms and attained education are important determinants to address in desirable sexual health promotion. Yet, as their legal status demonstrates to be the key determinant, the prime concern is to alter organizational and societal factors linked to the Belgian and Dutch asylum system. Refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands should be granted the same opportunity as Belgian and Dutch citizens have, to become equally in control of their sexual health and sexuality.

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  • 10.3390/ijerph19116624
“Lived the Pandemic Twice”: A Scoping Review of the Unequal Impact of the COVID-19 Pandemic on Asylum Seekers and Undocumented Migrants
  • May 29, 2022
  • International Journal of Environmental Research and Public Health
  • Zelalem Mengesha + 4 more

Background: Emerging evidence suggests that the COVID-19 pandemic is widening pre-pandemic health, social, and economic inequalities between refugees, migrants, and asylum seekers and the general population. This global scoping review examined the impact of the pandemic on community-based asylum seekers and undocumented migrants in high- and upper-middle-income countries. Methods: We conducted a systematic search of peer-reviewed articles in PubMed, Scopus, Web of Science, and ProQuest Central. We applied Katikireddi’s framework of understanding and addressing inequalities to examine the differential impact of the pandemic across exposure, vulnerability to infection, disease consequences, social consequences, effectiveness of control measures, and adverse consequences of control measures. Results: We included 32 articles in the review. The analysis showed that asylum seekers and undocumented migrants experienced greater exposure to the COVID-19 virus and higher infection rates. They also experienced differential social consequences in the form of job loss and lost and/or reduced work hours. The effectiveness of pandemic response measures on asylum seekers and undocumented migrants was also affected by pre-pandemic social and economic marginalisation, exclusion from pandemic-induced policy measures, lack of appropriate pandemic communication, and variable trust in governments and authority. Pandemic control measures had greater adverse consequences on asylum seekers and undocumented migrants than the general population, with the majority of studies included in this review reporting worsened mental health and social isolation conditions and reduced access to health care. Conclusions: Asylum seekers and undocumented migrants experienced a disproportionate impact of the COVID-19 pandemic across the six thematic areas of comparison. Policies that reduce exposure and vulnerability to the infection, grant equitable access to health and social care, and build capacities and resilience, are critical to enable asylum seekers and undocumented migrants to cope with and recover from pre-pandemic and pandemic-induced inequalities.

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  • Jan 1, 2018
  • الفكر الشرطي
  • أحمد عبد الحميد أحمد الهندي

ملتمسي اللجوء | الهجرة غير النظامية | آلية احتجاز ملتمسي اللجوء | بدائل احتجاز ملتمسي اللجوء | المهاجرين غير النظاميين | مفوضية الأمم المتحدة للاجئين | الاحتجاز للتحقيق من الهوية | الإشراف المجتمعي | الإفراج بكفالة | السيادة الإقليمية | Asylum Seeker | Illegal Immigration | Mechanism of Asylum Seekers Detention | Illegal Immigrants | UNHCR | Detention to Verify Identity | Community Supervision | Release on Bail | Regional Sovereignty

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"We want our freedom back, that's our only need": a qualitative study of health and social needs among asylum seekers and undocumented migrants crossing the borders from Belarus to Lithuania.
  • May 2, 2024
  • Frontiers in Public Health
  • Rabie Adel El Arab + 7 more

The influx of undocumented migrants and asylum seekers into Lithuania, particularly during the COVID-19 pandemic, presents unique public health challenges. This study employs the Social Determinants of Health framework to explore the healthcare and social needs of this vulnerable population. In May 2022, we carried out a qualitative study through semi-structured interviews with asylum seekers across four centers in Lithuania. Employing both purposive and snowball sampling techniques, we selected participants for our investigation. The study comprised 21 interviews-19 conducted in Arabic and 2 in English-with durations ranging between 20 and 40 min each. We audio-recorded all interviews, transcribed them verbatim, and subsequently performed a thematic analysis using Atlas.ti software. This process of design and analysis strictly followed the principles of thematic analysis as outlined by Braun and Clarke, guaranteeing methodological precision and rigor. 21 interviews revealed critical insights into the healthcare access challenges, mental health issues, and social integration barriers faced by the participants. Key themes included 'Healthcare Needs and the Impact of the COVID-19 Pandemic 'and 'Social needs and Aspirations Amidst Pandemic-Induced Uncertainty '. The findings highlight the multifaceted healthcare and social needs of asylum seekers, juxtaposed against significant barriers they face. Access to medical services is hindered by long waiting times and financial constraints, especially for specialized care such as dental services. Communication issues during medical appointments due to language barriers and the lack of gender-specific healthcare, such as access to gynecological services, further exacerbate the challenges. Additionally, the COVID-19 pandemic introduces hurdles such as limited testing, isolation measures, language-specific information barriers, and insufficient social distancing practices. Mental health has emerged as a critical concern, with asylum seekers reporting significant stress and emotional exhaustion due to uncertainty and restrictive living conditions. Social needs extend to delayed asylum application processes, inconsistent language education opportunities, inadequate clothing, and nutrition that lacks cultural sensitivity, and living conditions characterized by overcrowding and insufficient facilities. The restricted freedom of movement within asylum seeking centres severely impacts their psychological well-being, underscoring a deep longing for autonomy and a better life despite the myriad of challenges faced. The study illustrates the complex interplay between migration, health, and social factors in the context of a global pandemic. It highlights the need for culturally sensitive healthcare services, mental health support, and structured language education programs. Offering educational avenues alongside language courses for children and adults is essential for fostering social inclusion and securing economic prosperity. Addressing the challenge of language barriers is of utmost importance, as these barriers significantly impede undocumented migrants' and asylum seekers employment opportunities and their access to crucial services. The findings emphasized immigration as a health determinant and underscored the importance of inclusive health policies and advocacy for undocumented migrants and asylum seekers' rights and needs. There is an urgent need for comprehensive policies and practices that are grounded in the principles of equity, compassion, and human rights. Additionally, advocating for practice adaptations that are culturally sensitive, linguistically inclusive, and responsive to the unique challenges faced by undocumented migrants and asylum seekers. As global migration continues to rise, these findings are crucial for informing public health strategies and social services that cater to the diverse needs of this vulnerable population.

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‘May I get asylum for my diabetes?’
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  • 10.21827/5a86a8eda4ed2
The Principle of Non-discrimination: An Empty Promise for the Preventive Health Care of Asylum Seekers and Undocumented Migrants?
  • Dec 18, 2015
  • Groningen Journal of International Law
  • Veronika Flegar

The principle of non-discrimination in Article 2 of the International Covenant on Economic, Social and Cultural Rights (ICESCR) holds that its rights are equally applicable to ‘everyone’. Nevertheless, evidence from the national context suggests that access to health care for asylum seekers and undocumented migrants depends on their legal status and in particular, preventive health care is often inaccessible to them.1 This has led to several hitherto under-investigated questions concerning the right to health in this context: Does a right to preventive health care exist at the international level? If so, what individual rights and State obligations are involved in this right? How does the principle of non-discrimination relate to this right? Does this principle offer (additional) protection to asylum seekers and undocumented migrants in terms of a possible right to preventive health care? Method: The main issue is what the principle of nondiscrimination has to offer for the preventive health care of persons without a regular residence status. Based on an analysis of the non-binding, but authoritative, General Comments of the United Nations (UN) Committee on Economic, Social and Cultural Rights (CESCR), the paper takes an exploratory style that goes beyond traditional legal analysis and investigates how the law should be interpreted in order to enhance its effectiveness and relevance. Results and Discussion: Strictly speaking, there is no explicit, binding right to preventive health care for asylum seekers or undocumented migrants in the ICESCR itself.2 Nevertheless, implications can be found in the CESCR General Comments Number 14 and 20.3 Particularly, if one takes into account how the law should be interpreted according to CESCR General Comment 14 (CESCR GC 14), there should be a right to preventive health care for asylum seekers and undocumented migrants. The exact content of such a right, however, is less clearly defined. Further, the principle of non-discrimination is not conclusive as to whether the right to health would apply equally to asylum seekers and/or undocumented migrants as it would to nationals. Conclusion: For non-discrimination to be truly unambiguous with regard to the preventive health care of asylum seekers and undocumented migrants, it would be necessary to strike out the ‘general welfare’ provision of CESCR General Comment 20 (CESCR GC 20) and to clearly state that the ‘other status’ criterion also entails ‘residence status’. In that sense, the principle of non-discrimination is, indeed, an empty promise and the right to preventive health care for asylum seekers and undocumented migrants seems to be much better protected under the CESCR GC 14’s non-discriminatory interpretation of the right to health itself.

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  • Cite Count Icon 1
  • 10.2139/ssrn.2704285
The Principle of Non-Discrimination: An Empty Promise for the Preventive Health Care of Asylum Seekers and Undocumented Migrants?
  • Dec 18, 2015
  • SSRN Electronic Journal
  • Veronika Flegar

The principle of non-discrimination in Article 2 of the International Covenant on Economic, Social and Cultural Rights (ICESCR) holds that its rights are equally applicable to ‘everyone’. Nevertheless, evidence from the national context suggests that access to health care for asylum seekers and undocumented migrants depends on their legal status and in particular, preventive health care is often inaccessible to them. This has led to several hitherto under-investigated questions concerning the right to health in this context: Does a right to preventive health care exist at the international level? If so, what individual rights and State obligations are involved in this right? How does the principle of non-discrimination relate to this right? Does this principle offer (additional) protection to asylum seekers and undocumented migrants in terms of a possible right to preventive health care? Method: The main issue is what the principle of nondiscrimination has to offer for the preventive health care of persons without a regular residence status. Based on an analysis of the non-binding, but authoritative, General Comments of the United Nations (UN) Committee on Economic, Social and Cultural Rights (CESCR), the paper takes an exploratory style that goes beyond traditional legal analysis and investigates how the law should be interpreted in order to enhance its effectiveness and relevance.Results and Discussion: Strictly speaking, there is no explicit, binding right to preventive health care for asylum seekers or undocumented migrants in the ICESCR itself.2 Nevertheless, implications can be found in the CESCR General Comments Number 14 and 20.3. Particularly, if one takes into account how the law should be interpreted according to CESCR General Comment 14 (CESCR GC 14), there should be a right to preventive health care for asylum seekers and undocumented migrants. The exact content of such a right, however, is less clearly defined. Further, the principle of non-discrimination is not conclusive as to whether the right to health would apply equally to asylum seekers and/or undocumented migrants as it would to nationals. Conclusion: For non-discrimination to be truly unambiguous with regard to the preventive health care of asylum seekers and undocumented migrants, it would be necessary to strike out the ‘general welfare’ provision of CESCR General Comment 20 (CESCR GC 20) and to clearly state that the ‘other status’ criterion also entails ‘residence status’. In that sense, the principle of non-discrimination is, indeed, an empty promise and the right to preventive health care for asylum seekers and undocumented migrants seems to be much better protected under the CESCR GC 14’s non-discriminatory interpretation of the right to health itself.

  • Research Article
  • Cite Count Icon 1
  • 10.5771/2193-7869-2016-2-114
Reception or Detention Centres? The detention of migrants and the EU ‘Hotspot’ Approach in the light of the European Convention on Human Rights
  • Jan 1, 2016
  • Kritische Vierteljahresschrift für Gesetzgebung und Rechtswissenschaft
  • Maria Pichou

Although the treatment of aliens by state authorities has been consistently under the scrutiny of the European Court of Human Rights, the detention of irregular migrants in reception centres has only very recently been examined by the Court. Given the current refugee and migration crisis in Europe and the policies implemented by states and the European Union to address the crisis, it is surprising how little attention this case law has received. In this article, I analyse the obligations of European states concerning the reception centres of migrants and asylum seekers under the European Convention on Human Rights and I review how these obligations were interpreted by the Strasbourg Court recently. Accordingly, the article first analyses the applicable legal framework of the Convention and then proceeds by classifying the case law on the issue of detaining aliens. Two main legal issues arise respectively: First, the criteria for the establishment of reception centres where migrants can be detained and the legal basis for the detention of aliens therein. As many states detain aliens in an attempt to deal with the ongoing migration crisis, I argue that administrative practices alone, without a statutory provision and established case law, are insufficient legal bases for the detention of people at reception centres. Second, whether the exceptional character of the current crisis may play a role when adjudicating cases of detention of aliens. The case law suggests that although the Court takes into consideration the multiple challenges that states confront, the latter cannot serve as an excuse for states deviating from their obligations under the Convention. During the analysis, I address the distinction between the right to liberty under Article 5 of the Convention and the right to liberty of movement, enshrined in Protocol 4, with the aim of investigating whether the latter may be applicable in cases of detention of aliens. I argue that under certain conditions the right to liberty of movement may be applicable in cases of detention of people who enter a member state irregularly. Finally, the article reviews the new EU ‘Hotspot’ approach adopted in 2015 by the European Commission to address emergencies at the European borders. Although this new policy has yet to be fully implemented, it poses interesting legal questions regarding the responsibility of European Union member states in the light of the European Convention on Human Rights. Despite the coordinating efforts to address the crisis, the responsibility for the conditions at reception centres still lies with the member states.

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  • Research Article
  • Cite Count Icon 29
  • 10.3389/fpubh.2023.1145002
Health and well-being of refugees, asylum seekers, undocumented migrants, and internally displaced persons under COVID-19: a scoping review.
  • Apr 26, 2023
  • Frontiers in public health
  • Rabie Adel El Arab + 4 more

The objective of this scoping review was to identify what is known about the impact of COVID-19 on the physical and mental well-being of refugees, asylum seekers, undocumented migrants, and internally displaced persons. The aim was also to identify barriers influencing access to treatment or prevention. The search was conducted using PubMed/Medline, CINAHL, Scopus, and ScienceDirect. A mixed methods appraisal tool was used to assess methodological rigor. The study findings were synthesized using a thematic analysis approach. This review comprised 24 studies and were conducted utilizing a mixed method approach incorporating both quantitative and qualitative methodologies. Two major themes were identified related to the impact of COVID-19 on the health and wellbeing of refugees, asylum seekers, undocumented migrants, and internally displaced persons and the key barriers influencing access to treatment or prevention of COVID-19. They often have barriers to accessing healthcare due to their legal status, language barriers, and limited resources. The pandemic has further strained already limited health resources, making it even more challenging for these populations to receive healthcare. This review reveals that refugees and asylum seekers in receiving facilities face a higher risk of COVID-19 infection than the general population due to their less favorable living conditions. The various health impacts stem from a lack of access to accurate information about the pandemic, misinformation, and the exacerbation of pre-existing mental health issues caused by heightened stress, anxiety, and uncertainty, fear of deportation among undocumented migrants, and overcrowding camps and detention facilities that increase exposure risk. Social distancing measures are difficult to implement in these settings, and inadequate sanitation, hygiene, and a lack of personal protective equipment further compound the problem. Moreover, the pandemic has had significant economic consequences for these populations. Many of them rely on informal or precarious employment, which has been disproportionately affected by the pandemic. Job losses and reduced working hours, and limited access to social protection can lead to increased poverty, and food insecurity. Children faced specific challenges, such as disruptions to education, additionally, interruptions in support services for pregnant women. Some pregnant women have avoided seeking maternity care due to fears of contracting COVID-19, resulting in increased home births and delays in accessing healthcare services. Factors that play a role in vaccination reluctance include uncertainty of undocumented migrants' inclusion in vaccination programs, furthermore, a growing vaccine hesitancy in the population; skepticism about the safety of vaccines, inadequate knowledge/education, a variety of access barriers such as language barriers, and logistical challenges including remote locations, and inaccurate information. This review highlights that the physical health of refugees, asylum seekers, undocumented migrants, and internally displaced persons has been significantly impacted by various barriers to healthcare access during the pandemic. These barriers include legal and administrative challenges, such as a lack of documentation. Additionally, the shift to digital tools has introduced new obstacles, not only due to language barriers or limited technical knowledge but also because of structural barriers, such as the requirement of a bank ID that is often inaccessible to these groups. Other factors contributing to limited healthcare access include financial constraints, language barriers, and discrimination. Additionally, limited access to accurate information about health services, prevention measures, and available resources may hinder them from seeking care or following public health guidelines. Misinformation and lack of trust in healthcare systems can also contribute to a reluctance to access care or vaccination programs. There is concerning evidence regarding vaccine hesitancy that needs to be addressed to reduce any future pandemic outbreak, in addition there is a need to explore the factors that play a role in vaccination reluctance among children in these populations.

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