{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:21:35Z","timestamp":1787836895494,"version":"build-2784847793"},"reference-count":137,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100013758","name":"Department of Psychiatry, Columbia University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013758","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014546","name":"New York State Psychiatric Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014546","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014878","name":"HIV Center for Clinical and Behavioral Studies","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014878","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>International migration has long shaped economies and public health. In today\u2019s globalized world, migrant health is increasingly a critical equity issue. This narrative review focuses on healthcare access for international migrants from sub-Saharan Africa who are living with HIV. We address the question: \u201cHow do legal, policy, and socio-structural factors influence access to HIV care for African migrants, and what rights-based strategies can ensure health equity for this population?\u201d We synthesize peer-reviewed and grey literature (2005\u2013early 2025) using the Availability, Accessibility, Acceptability, and Quality (AAAQ) human rights framework integrated with a structural violence (SV) lens. We find that African migrants living with HIV encounter considerable systemic barriers to care driven by restrictive immigration policies, fragmented and exclusionary health financing, intersecting stigmas (racism, xenophobia, HIV stigma, homophobia), and inconsistent provider competencies. We recommend seven bold, yet actionable, strategies to align policy and practice with states\u2019 human rights obligations: decoupling healthcare from immigration enforcement, tapping migrant community power, creating centralized migrant-inclusive health information systems, re-imagining migrant-inclusive universal healthcare, shared financial responsibility for migrant health, operationalizing ethical safeguards to protect the healthcare rights of migrants and recognition of the needs of uniquely situated migrants, particularly women, youth, and LGBTQI+ individuals.<\/jats:p>","DOI":"10.3389\/fpubh.2026.1706232","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T12:54:55Z","timestamp":1787835295000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Crossing borders, facing barriers: a rights-based narrative review of HIV care access among African migrants living with HIV"],"prefix":"10.3389","volume":"14","author":[{"given":"Joanne Ellen","family":"Mantell","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Columbia University Irving Medical Center","place":["New York, NY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsitsi B.","family":"Masvawure","sequence":"additional","affiliation":[{"name":"Department of Integrative and Global Studies, The Global School, Worcester Polytechnical Institute","place":["Worcester, MA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelle Anna","family":"Thomas","sequence":"additional","affiliation":[{"name":"Bioethics Program, Columbia University School of Professional Studies","place":["New York, NY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Hirsch-Moverman","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and ICAP, Mailman School of Public Health, Columbia University","place":["New York, NY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin","family":"George","sequence":"additional","affiliation":[{"name":"Health Economics and HIV and AIDS Research Division (HEARD), University of KwaZulu-Natal","place":["Durban, South Africa"]},{"name":"Division of Social Medicine and Global Health, Lund University","place":["Lund, Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"ref1","article-title":"Something extraordinary is happening all over the world","volume-title":"The New York Times","author":"Polgreen","year":"2025"},{"key":"ref2","year":"2017"},{"key":"ref3","year":"2024"},{"key":"ref4","year":"2024"},{"key":"ref5","author":"Williams","year":"2019"},{"key":"ref6","volume-title":"World Migration Report 2024: Chapter 3 - Africa","year":""},{"key":"ref7","year":"2024"},{"key":"ref8","author":"Dennison","year":"2024"},{"key":"ref9","first-page":"586","article-title":"Social contexts and immigration policies directly impact immigrant health","volume-title":"Int. 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