Deepening Social Inequalities in Health in the Maelstrom of War and Migration: A Multi-Criteria Approach

Authors : Emre Yılmaz

Pages : 176-187

Doi:10.26466/opusjsr.1784130

View : 102 | Download : 189

Publication Date : 2025-10-30

Article Type : Research Paper

Abstract :This study analyzes social inequalities in access to healthcare that emerge during periods of war and forced migration using a multi-criteria decision-making (MCDM) approach. The aim is to systematically assess the severity of inequalities that intensify during crises and to propose policy recommendations to reduce them. Based on a literature review, ten main categories of social inequalities in health were identified. To determine their relative weights, expert opinions were collected through an F-AHP questionnaire from six specialists in health management, psychology, sociology, behavioral sciences, and health economics. The analysis revealed that the most important inequalities in accessing healthcare services during war and forced migration are socioeconomic status, cultural and ethnic differences, and legal status. These findings highlight that disadvantaged socioeconomic groups, cultural and linguistic barriers, and uncertainties in legal identity significantly hinder access to essential health services. To mitigate these challenges, resource allocation in crisis settings should primarily focus on reducing such inequalities. Recommended strategies include providing financial support and social assistance to low-income immigrants, expanding cultural mediation services in healthcare institutions, and ensuring multilingual communication. Additionally, adopting a justice-based approach by guaranteeing a minimum level of healthcare for all immigrants, regardless of their legal status, is crucial for promoting equity in health access.
Keywords : sağlık, savaş, göç, eşitsizlik, çok kriterli karar verme

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