Negotiating access and culture: organizational responses to the healthcare needs of refugees and asylum seekers living with HIV in the UK

This paper seeks to illustrate the complexity of factors that influence healthcare decisions and opportunities for refugees and asylum seekers living with HIV. It reviews the cultural, social, legal, institutional and structural barriers that jointly prevent effective and successful healthcare utilization.

It argues that complexity must be recognized as a central and defining feature of the situation, as it goes beyond any single explanation in offering a view of the realities of access to healthcare for this marginalized group. The paper is organized under the following headings after the introduction: 'Background', 'Cultural considerations', 'Questions of power', 'Barriers to healthcare access', and 'Interventions', followed by conclusion.