Access to health care for refugees and migrants from Venezuela remains limited in many countries, mainly due to irregular status, low levels of health literacy, and limited service coverage as a consequence of the COVID-19 pandemic. The lack of access to sexual and reproductive health (SRH) services and supplies remains a concern, as it increases maternal and neonatal mortality and the risk of unintended pregnancies.
Nevertheless, some important progress was made in 2021 to expand access. In Colombia, for example, the inclusion of refugees and migrants in national insurance systems increased with the Temporary Protection Permit, with more than 400,000 Venezuelans affiliated to the General Social Health Insurance System (SGSSS) by the end of 2021. The national public health insurance in Peru increased its coverage to over 100,000 affiliated Venezuelans in the first half of the year, and the Ministry of Health provided care to 41,777 refugees and migrants in 2021. Ecuador provided free antiretroviral treatment to people living with HIV, including 1,494 Venezuelan refugees and migrants. Brazil continued to provide free access to its national healthcare system (SUS) to all refugees and migrants with a taxpayer registry number (CPF) issued upon arrival at the border. Meanwhile, vaccination against COVID-19 advanced across the region, with national immunization plans inclusive of refugees and migrants from Venezuela, in part as a result of advocacy by R4V partners.