Invisible Barriers: Institutional Discrimination Against Asylum-Seeking Women in Portugal

Healthcare (Basel). 2025 Nov 19;13(22):2967. doi: 10.3390/healthcare13222967.

ABSTRACT

Introduction: Building a life in an asylum country poses specific challenges for women, who often face compounded barriers in healthcare, language acquisition, economic independence, childcare, education, cultural adaptation, and legal processes. This study examines the experiences of asylum-seeking women in Portugal, focusing on discrimination perpetrated by professionals within reception and integration institutions. Methods: Drawing on 24 semi-structured interviews with women from the Middle East (n = 14) and Africa (n = 10), this research adopts a criminological and gender lens and employs a narrative paradigm informed by constructivist Grounded Theory and an abductive approach. Results: The analysis reveals that institutional discrimination, manifested through neglect, hostility, and cultural insensitivity, reinforces feelings of abandonment and fear, obstructs integration, and perpetuates cycles of marginalization and vulnerability. These dynamics are intensified by gender-based and structural violence embedded in asylum procedures and professional practices. The findings highlight the emotional and relational dimensions of institutional encounters, showing how empathy, trust, and intercultural awareness among professionals are crucial for effective inclusion. Conclusions: This study concludes that addressing institutional discrimination requires systemic change, professional training in gender-sensitive and intercultural competencies, and the promotion of equitable, inclusive, and human rights-based reception practices in Portugal.

PMID:41302355 | DOI:10.3390/healthcare13222967