Barriers to Seeking Healthcare Services Among Labor Migrants in the Gulf Countries:
A Systematic Literature Review
Method: Following the PRISMA guideline, we searched Web of Science, Google Scholar, and PubMed for English language articles between July 15, 2023, and July 20, 2023, using Boolean search terms. The search included empirical studies published between January 1, 2013, and July 15, 2023, addressing any of barriers related to availability, accessibility, affordability, utilization of labor migrants in the Gulf Cooperation Council countries. To follow a rigorous process for ensuring the quality of included studies, we used JBI critical appraisal checklists.
Results: Our review addressed the limited mention of healthcare accessibility, availability, affordability, and the predominant mention of related barriers of the labor migrants in these countries. The review identified a range of barriers to healthcare access, including limited health insurance coverage and insufficient occupational health and safety standards. Additionally, socio-cultural challenges such as language barriers, discrimination, and low health literacy were prevalent. Many labor migrant workers believe that health insurance is only needed to renew their work permits. Disparities in healthcare access become apparent compared to the citizens of the host countries.
Conclusions: Our review recommends actions like enforcing comprehensive health insurance policies, enhancing cultural competence among healthcare providers through training programs, and implementing community-based health literacy campaigns tailored for international labor migrants. Effective implementation of these strategies aligns with several Sustainable Development Goals (SDGs), including good health and well-being, reduced inequalities, and decent work and economic growth, thereby fostering a healthier, more inclusive environment for all residents within the GCC.