Evidence map›Paper›PMID 41578293›Full record

ArticleBMC health services research2026

From barriers to solutions: a qualitative study of access to HIV and TB care for forced migrants from Ukraine.

Daniel Kashnitsky, Maria Vyatchina, Anna Ariabinska, Pauline Basquin, Maksym Kasianczuk, Gvantsa Kvinikadze, Ely Landeau, Vitali Rabinciuc, Krystyna Rivera, Iasoni Shishniashvili and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Daniel KashnitskyParis Cité Univeristy, Université Paris Cité - Campus Saint-Germain-des-Prés, 45 Rue des Saints-Pères, Paris, 75006, France. daniel.kashnitsky@inserm.fr.
Maria VyatchinaTartu University, Ülikooli 18, Tartu, 50090, Estonia.
Anna AriabinskaHelpNowHUB, Ul. Kujawska 48/32, Bydgoszcz, 85-031, Poland.
Pauline BasquinParis Cité Univeristy, Université Paris Cité - Campus Saint-Germain-des-Prés, 45 Rue des Saints-Pères, Paris, 75006, France.
Maksym KasianczukEstonian Network of People Living with HIV, Õismäe tee 36-8, Tallinn, 13511, Estonia.
Gvantsa KvinikadzeEquality Movement, 19 Ushangi Chkheidze Str., Tbilisi, 0159, Georgia, Jason, Georgia.
Ely LandeauParis Cité Univeristy, Université Paris Cité - Campus Saint-Germain-des-Prés, 45 Rue des Saints-Pères, Paris, 75006, France.
Vitali RabinciucPuls Comunitar Association, Strada Kiev, 1 Apt. 32 3102, Balti, Republic of Moldova.
Krystyna Rivera100% Life - Network of PLWH in Ukraine, Mezhyhirska Street, 87-A, Kyiv, 04071, Ukraine.
Iasoni ShishniashviliEquality Movement, 19 Ushangi Chkheidze Str., Tbilisi, 0159, Georgia, Jason, Georgia.
Jekaterina SmirnovaEstonian Network of People Living with HIV, Õismäe tee 36-8, Tallinn, 13511, Estonia.
Natalia TiuniahinaHelpNowHUB, Ul. Kujawska 48/32, Bydgoszcz, 85-031, Poland.
Laurence Simmat-DurandParis Cité Univeristy, Université Paris Cité - Campus Saint-Germain-des-Prés, 45 Rue des Saints-Pères, Paris, 75006, France.

Funding

ANRS | MIE ANRS0399
6 · The paper itself

Abstract

backgroundThis study investigates the barriers faced by individuals who fled Ukraine following the Russian invasion in accessing HIV, tuberculosis (TB), and opioid agonist treatment (OAT). It aims to understand how forced displacement intersects with healthcare access in the context of war, drawing on the frameworks of social determinants of health and transnationalism.

methodsThe research is based on in-depth interviews conducted between 2023 and 2025 as part of an international community-based project spanning six countries. Empirical data were analyzed to identify systemic, regulatory, and linguistic challenges, with particular attention to how these factors influence healthcare practices among forcibly displaced individuals.

resultsThe findings show that, while in transit, refugees encounter major barriers to care, including interpreter shortages, treatment disruptions, and complex bureaucratic procedures. Community-based collaborations played a vital role in overcoming these barriers by facilitating access through advocacy, peer support, and informal system navigation. Applying the concept of cross-border patient mobility, the study highlights how individuals with intersecting vulnerabilities navigate war trauma, displacement, family separation, and social isolation.

conclusionsThe study underscores the importance of enhancing migrant-sensitive healthcare services and supporting grassroots initiatives. Addressing the healthcare needs of displaced populations requires recognizing and investing in community-driven solutions, particularly during ongoing crises and instability.

Indexed as

Health Services AccessibilityHIV InfectionsRefugeesTransients and MigrantsTuberculosisFemaleHumansInterviews as TopicMedical InterpretingQualitative ResearchRussiaUkraineCommunity-based careDisplacementForced migrantsHIVMigrant healthOpioid agonist treatment (OAT)Public healthRefugeesRussian invasion of ukraineTuberculosis

Identifiers

PMID41578293
PMCPMC12910903

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.