WHO: Migrants and Refugees Face Rising Health Risks as Global Systems Fall Short
UNITED NATIONS, April 2 (IPS) - Global human migration is at record-high levels, as the World Health Organization (WHO) estimates that roughly 1 in 8 people—about one billion individuals—are on the move. Many of these migrants and refugees face harsh living conditions and heightened challenges, such as poverty, insecurity, and limited access to basic services. With the number of international migrants having doubled since 1990, new findings from WHO call for expanding health systems to meet the growing scale of needs.
“Refugees and migrants are not just recipients of care, they are also health workers, caregivers and community leaders,” said Dr Tedros Adhanom Ghebreyesus, Director-General of WHO. “Health systems are only truly universal when they serve everyone. “Like anyone else, refugees and migrants need uninterrupted, affordable, and equitable access to health services wherever they are.”
WHO estimates that there are approximately 304 million international migrants worldwide, including 170 million migrant workers. Roughly 117 million of those are persons who have been forcibly displaced, 49 million are children, and 2.3 million have been born as refugees.
More than 71 percent of the world’s international migrants find refuge in low to middle-income countries, which often face the most severe resource constraints and protection challenges. Marginalized groups are disproportionately affected: women and girls are especially vulnerable to gender-based violence and often lack access to related services; unaccompanied children face heightened risks of exploitation, abuse, and neglect; and persons with disabilities face elevated barriers to accessibility and increased exposure to discrimination.
Refugees and migrants have been found to experience greater exposure to health risks, in part driven by conditions that restrict movement and access to care, as well as persistent discrimination and language and cultural barriers. These challenges are exacerbated by ongoing conflict and climate-related disasters, leaving millions around the world increasingly vulnerable to infectious and chronic diseases, mental health issues, and dangerous living and working conditions.
“We cannot talk about refugee and migrant health without also addressing emergencies,” said Dr Chikwe Ihekweazu, WHO’s executive director for health emergencies. “Whether it’s a conflict, a climate-related crisis, or an epidemic that forces movement, these crises expose the fragility of health systems and magnify the vulnerabilities of all those already at risk.”
On March 26, WHO launched its World Report on Promoting the Health of Refugees and Migrants: Monitoring Progress on the WHO Global Action Plan, establishing what it describes as the first global baseline for tracking progress toward inclusive, migrant-responsive health systems. Based on data from more than 93 Member States, the report highlights both a growing shift in national responses to migrant and refugee health needs and the persistent structural gaps that continue to hinder progress toward equitable access.
WHO found that out of the member states surveyed, only 42 percent reported having emergency preparedness and disaster reduction or response programs in place for migrant or refugee communities. Just 40 percent indicated that they provide training for health workers in culturally responsive care, while only 37 percent reported having systems to collect, monitor, and analyze migration-related health data—information that is rarely disseminated enough to support a more coordinated global response.
Discrimination remains widespread in low- and middle-income countries that host large numbers of refugees and migrants, with misinformation and disinformation continuing to fuel negative perceptions of these communities. Only 30 percent of surveyed countries reported having communication campaigns in place to counter these misconceptions and discriminatory language.
Anti-migrant sentiment remains particularly pronounced, with internally displaced persons, migrant workers, international students, and migrants under irregular circumstances being far less likely to access health services. Additionally, refugees and migrants are largely unrepresented in governance and decision-making processes that shape their access to health rights in most surveyed countries.
“The phenomena of displacement is unfortunately happening more frequently in countries with fragile systems, fragile economies and limited domestic resources,” said Dr Santino Severoni, head of WHO’s Special Initiative on Health and Migration and lead author of the report. “There is almost no mention of irregular migrants in those emergency plans and response or in disease risk reductions, there is no systematic approach in assessing the system to see how their system is really functioning, how efficient and effective it is. This is really a call for action to keep the promise of sharing a bit of responsibility in managing those emergencies.”
Over the past year, international support for refugee health has seen considerable declines. Figures from the United Nations High Commissioner for Refugees (UNHCR) show that their 2025 response plan has secured only 23 percent of its USD 10.6 billion goal. The agency projects that this could cause over 12.8 million displaced persons to lose access to lifesaving health interventions this year.
Global responses have been polarizing. Some countries have adopted inclusive policies that support migrant communities—such as Chile— which has supplied municipal health councils for migrants and refugees with community representatives. Other countries, such as the United States and Canada, have cut health insurance coverage for undocumented migrants, forcing them to pay out of pocket for lifesaving care and increasing protection risks.
Through the report, WHO called for greater inclusion of refugee and migrant voices in decision-making processes, as well as improved coordination between governments. With a smoother flow of data between Member States, WHO will be able to more effectively shape health, employment, housing, and protection services.
WHO emphasized that responses should be specifically tailored to the needs of different migrant subgroups, while remaining committed to countering misinformation and discrimination through “evidence-based action.” Investment in refugee and migrant health systems has been found to deliver significant returns, fostering improved social and economic cohesion, revitalizing fragile health systems, and boosting global security, all while reducing long-term costs by promoting these communities to contribute back to society.
“The health of refugees and migrants is not a marginal concern: it is a defining issue of our time,” said Severoni. “By acting now, countries can ensure that refugees and migrants are not left behind, and that health systems are stronger, fairer and more prepared for the future.”
IPS UN Bureau Report
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