Migrants face several unmet health needs due to the inability of the healthcare system to address their healthcare challenges. As a result, they adopt coping strategies to overcome their healthcare needs. Consequences can include infrequent but severe adverse reactions, dangerous drug interactions, incorrect dosage etc. Little is known in Ghana about the role played by cultural and linguistic barriers in shaping migrants' access to formal healthcare and the coping mechanisms adopted by these migrants to overcome their healthcare challenges. Surprisingly, most of the studies that have been conducted have focused on financial barriers to care accessibility. This presents a loss opportunity for any health programme aimed at addressing this inequity. Thus, the purpose of this paper is to fill this gap by exploring the challenges of healthcare accessibility and coping strategies adopted by migrants to overcome their healthcare needs in the informal urban settlement of Madina, in the Greater Accra Region. The author employed a narrative type of qualitative research design. A purposive and then snowball sampling technique were used to select 20 participants to participate in the study after saturation was reached. Twelve in-depth interviews (IDIs) and six key informants' interviews (KIIs), as well as two focus group discussions (FGDs), were conducted. The study is consistent with the ecological model, which posits that health is determined by influences at multiple levels. The author found linguistic, cultural, stigmatisation and financial challenges as the main barriers to healthcare accessibility among the migrants. As a result, self-medication and the use of lay health personnel for addressing healthcare needs were more pronounced. The study also found other means of survival that posed a health risk to the migrants. Based on this, it was recommended that healthcare systems take into account the healthcare needs of migrants who are people with culturally and linguistically diverse backgrounds.

中文翻译：

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当医疗保健系统忽视某些人时：农村 - 城市移民、社会文化条件和非正规住区的健康应对策略，加纳麦地那：一项探索性设计

由于医疗保健系统无法应对他们的医疗保健挑战，移民面临着一些未满足的健康需求。因此，他们采取应对策略来克服他们的医疗保健需求。后果可能包括罕见但严重的不良反应、危险的药物相互作用、不正确的剂量等。在加纳，人们对文化和语言障碍在影响移民获得正规医疗保健方面所起的作用以及这些移民为克服困难而采取的应对机制知之甚少。医疗保健挑战。令人惊讶的是，已经进行的大多数研究都集中在医疗可及性的经济障碍上。这给任何旨在解决这种不公平现象的健康计划都带来了损失机会。因此，本文的目的是通过探讨在大阿克拉地区 Madina 的非正式城市定居点中移民为克服医疗保健需求而采取的医疗保健可及性和应对策略所面临的挑战来填补这一空白。作者采用了叙事式的定性研究设计。在达到饱和后，使用有目的的然后滚雪球抽样技术选择 20 名参与者参与研究。进行了 12 次深度访谈 (IDI) 和 6 次关键线人访谈 (KII)，以及两次焦点小组讨论 (FGD)。该研究与生态模型一致，该模型假定 作者采用了叙事式的定性研究设计。在达到饱和后，使用有目的的然后滚雪球抽样技术选择 20 名参与者参与研究。进行了 12 次深度访谈 (IDI) 和 6 次关键线人访谈 (KII)，以及两次焦点小组讨论 (FGD)。该研究与生态模型一致，该模型假定 作者采用了叙事式的定性研究设计。在达到饱和后，使用有目的的然后滚雪球抽样技术选择 20 名参与者参与研究。进行了 12 次深度访谈 (IDI) 和 6 次关键线人访谈 (KII)，以及两次焦点小组讨论 (FGD)。该研究与生态模型一致，该模型假定健康是由多个层面的影响决定的。作者发现语言、文化、污名化和经济挑战是流动人口获得医疗保健的主要障碍。因此，自我药疗和使用非专业医务人员来满足医疗保健需求更为明显。该研究还发现了对移民构成健康风险的其他生存方式。基于此，建议医疗保健系统考虑具有不同文化和语言背景的移民的医疗保健需求。