383 Time to act: addressing discriminatory, racist and xenophobic health system policies and practice against forcibly displaced children in Europe

Abstract PTH 5: Exclusion and Discrimination, B307 (FCSH), September 4, 2025, 15:15 - 16:09 Aims To draw attention to the research gap on the impact of racism, xenophobia and discrimination in European health systems on child migrant health inequities, and inspire cross-sector action to prevent and mitigate against potentially harmful policies and practices. Methods A literature review was undertaken. Results There are an estimated 9 million children in Europe who have been forcibly displaced because of conflict, persecution, violence, natural or environmental disasters, climate change, and trafficking. They often have increased health needs due to their experiences pre, during, and post displacement. Despite host countries’ duty to address these needs, many European states are implementing restrictive and hostile immigration policies that further marginalise this population. Racism, xenophobia, and systemic discrimination within healthcare systems contribute to inequalities in access, entitlements, and quality of care. Healthcare barriers include: discriminatory user-fees; inadequate interpretation services; cultural biases; and discrimination by healthcare professionals. These obstacles limit access to essential medical care and health promotion services, and negatively impact the mental health of child migrants by reinforcing social exclusion and systemic inequities. Studies suggest that providing inclusive healthcare services to displaced populations could be a cost-effective public health approach, yet many countries fail to implement such policies. Conclusion To combat racism, xenophobia, and discrimination in healthcare and address the inequities experienced by forcibly displaced children an integrated approach is necessary. Prioritising research on health system discrimination and sharing successful interventions can improve health equity and public health outcomes. Robust data collection and reporting on the health of child migrants are crucial for developing evidence-based inclusive healthcare policies. The content of this presentation will draw on the authors’ paper: Stevens, AJ. et al. (2024). Discriminatory, racist and xenophobic policies and practice against child refugees, asylum seekers and undocumented migrants in European health systems. The Lancet Regional Health – Europe, Volume 41,100834.