Exploring how Syrian women manage their health after migration to Germany – results of a qualitative study

Background:

Syrian women in Germany are challenged by both the migration process and the changing of social roles. Seeking out health care may be hampered by linguistic and cultural barriers, but the new context may offer opportunities for health and well-being (free access to health care, civil/human rights). Little is known about how Syrian women manage their health in Germany.

Methods:

Semi-standardized interviews in Arabic were conducted with 9 Syrian women (18 – 55 years, migrated in 2011 – 2017, different education levels, mothers), focusing on capabilities to control one's health and to navigate the German healthcare system, and social/environmental barriers and facilitators. Interview transcripts were analyzed using content analysis.

Findings:

The women reported their health to be impaired by post-migration stressors, such as perceived discrimination, loss of social status and worrying about the future. Many interviewees felt disempowered and incompetent to successfully and actively navigate the German healthcare system, lacking information and not understanding their rights and options under the health insurance plan. The language barrier added to feeling vulnerable. Many women experienced doctors declining to treat them for capacity reasons; when treated, they often did not feel taken seriously. If possible, Arabic doctors were sought out. Some women, however, described improved resources for health, and appreciated better women's rights as a source of power.

Conclusion:

Providing tailored information on the German health system and creating a health-literacy responsive care (environment) could help Syrian women better utilize medical care offered in Germany.