Health Disparities Among Migrant Workers During COVID-19 in Maldives

Background: Migrant workers in the Maldives, primarily from South Asia, form a significant part of the workforce in sectors such as tourism and construction. Despite their crucial role in the economy, they face systemic health disparities exacerbated by the COVID-19 pandemic. Key issues include limited access to healthcare, overcrowded living conditions, poor mental health support, and social marginalization. This study explores how the pandemic intensified these inequalities and evaluates the effectiveness of public health responses. Methods and Materials: A mixed-methods approach was employed, incorporating surveys and interviews with migrant workers, healthcare providers, and policymakers. Quantitative data was gathered through structured questionnaires assessing healthcare access, living conditions, and mental health. Qualitative insights were obtained from in-depth interviews with stakeholders, focusing on policy gaps and lived experiences. Secondary data from government and NGO reports further contextualized the findings. Results: Findings indicate that migrant workers encountered significant barriers to healthcare due to language differences, lack of health insurance, and fear of deportation. Overcrowded housing conditions facilitated the rapid spread of COVID-19, while mental health issues, such as anxiety and depression, were widespread but largely unaddressed. Public health measures, including quarantine and vaccination campaigns, were often inaccessible or inadequately adapted to the needs of migrant workers. Limited policy interventions failed to mitigate these disparities effectively. Conclusion: The COVID-19 pandemic exposed and deepened existing health inequalities among migrant workers in the Maldives. Addressing these disparities requires urgent policy reforms, improved healthcare access, and targeted public health interventions. A collaborative approach involving government agencies, NGOs, and community leaders is essential to ensure more equitable health outcomes for migrant workers, both during crises and in long-term healthcare strategies.