face additional stigmatization and discrimination as well as
relative income instability (8–11). There are important differ‑
ences among refugees and migrants depending on a wide
range of factors such as their legal status, their integration in
the hosting society, their educational background, country
of origin and so on, all affecting their health status differently
(11–13).
Evidence may indicate poor health outcomes among refu‑
gees and migrants. Migrant women are likely more exposed
to sexual violence, abuse and trafficking, as well as risks
related to pregnancy and childbirth. They may experience
poor access to sexual and reproductive health services (12).
Children may be affected by health risks and poor access to
health services. Many refugees and migrants may be more
prone to risk factors for noncommunicable diseases, such
as exposure to tobacco, and often experience challenges in
accessing health services when living with a chronic con‑
dition. Those affected by noncommunicable diseases may
experience interruption in their care when they move with‑
out medicines or health records. Evidence also suggests
that there are higher reported levels of mental distress
among refugee and migrant populations, with increased
risk for older people, people with underlying medical condi‑
tions, women and those who have experienced trauma; fur‑
ther risks are linked to lack of social support and increased
stress after migration (11,12). Many of these problems might
be intensified during the COVID‑19 crisis. The negative
2
| Introduction
impact of COVID‑19 on the health and living conditions of
refugees and migrants may have impact on the families
they have left behind in countries of origin (8–10,14–18).
The plight of refugees and migrants during the COVID‑19
crisis has been highlighted in the media, and by online
stories, blogs, reports and posts, often with regional or
national focus and not reported by refugees and migrants
themselves. It is vital to better understand how refugees
and migrants themselves experience the pandemic and its
consequences. The ApartTogether survey aimed to collect‑
ed data from refugees and migrants globally on how they
perceived the pandemic has impacted them. The results
presented here could provide insight into potential ac‑
tions, including indicating where more data might need to
be collected systematically, to address the concerns faced
by refugees and migrants.
The survey gave refugees and migrants a platform to
self-report the perceived impact of COVID‑19 on their lives
including the preventive measures recommended. It also
provides an opportunity to better understand their situ‑
ation and specific difficulties they face. This is not a sys‑
tematic survey of the incidence of COVID‑19 among ref‑
ugees and migrants nor an assessment of the prevalence
of symptoms or immunity. This advocacy brief captures a
preliminary analysis and findings based on the collected
self-reported data and observations.