International migrants, especially those belonging to key populations, face a considerable HIV burden. However, continuity of HIV care for this group is often challenged along the migration route. We assess the available evidence on the existing interventions that aim to strengthen community and health systems to ensure the continuity of HIV care for international migrants. We did a systematic search of PubMed for publications from 1989 until 2023 focused on different stages of the HIV care continuum regardless of the geographical region. The literature was reviewed with a thematic approach. Globally, legal regulations can restrict access to HIV care and fuel fear of deportation among undocumented migrants. The intersection of HIV-related and migration-related stigma creates further challenges for uninterrupted access to HIV care along the migration route, with negative clinical and public health consequences. Different potential interventions were identified including: provision of HIV care regardless of migration status; utilisation of mobile health, mobile units, and community-led initiatives to bring HIV care to migrants; and utilisation of participatory and co-creation methods to develop tailored and sustainable HIV-related interventions with migrant communities. Improving access to the continuity of care for migrants requires a shift towards intersectional policies rooted in co-creation approaches to address the underlying multiple and mutually reinforcing inequalities.

中文翻译：

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确保国际移民获得 HIV 护理和连续性的干预措施：证据综合。


国际移民，尤其是那些属于重点人群的国际移民，面临着相当大的艾滋病毒负担。然而，在迁移路线上，这一群体的 HIV 护理的连续性经常受到挑战。我们评估了有关现有干预措施的现有证据，这些干预措施旨在加强社区和卫生系统，以确保国际移民 HIV 护理的连续性。我们对 PubMed 进行了系统检索，以查找 1989 年至 2023 年的出版物，重点关注 HIV 护理连续体的不同阶段，而不受地理区域的影响。采用主题方法对文献进行了综述。在全球范围内，法律法规可能会限制无证移民获得 HIV 护理的机会，并加剧他们对被驱逐出境的恐惧。HIV 相关和移民相关污名的交集为在迁移路线上不间断地获得 HIV 护理带来了进一步的挑战，并对临床和公共卫生产生负面影响。确定了不同的潜在干预措施，包括：无论移民身份如何，都提供 HIV 护理;利用移动医疗、移动装置和社区主导的倡议，为移民提供 HIV 护理;以及利用参与式和共创性方法，与移民社区一起制定量身定制和可持续的 HIV 相关干预措施。改善移民获得连续性护理的机会需要转向植根于共创方法的交叉政策，以解决潜在的多重和相互强化的不平等。