Welcoming care practices for migrant children in Primary Health Care: a scoping review.
Ana Beatriz Oliveira Costa, Lanna Jeniffer Silva Rodrigues, Mônica Letícia Martins Franco and 3 others
PMID 42709949WHAT IT FOUND
Welcoming migrant children in primary care was described through appointments, growth and development checks, home visits, vaccination, screening, health education, and referrals.
The review did not test whether these practices improve child health.
Key findings
01The review grouped welcoming care practices into clinical and follow-up actions, preventive actions, and healthcare network coordination.
02Clinical and follow-up actions included appointments, clinical assessment, growth and development monitoring, management of chronic and acute conditions, nutritional, dental and psychological follow-up, and home visits.
03Preventive actions included vaccination, health screening, laboratory tests, and health education, while network coordination was the least frequent category and was reported mainly through referrals to specialized, social, and educational services.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review did not formally appraise the methodological quality of included studies. Most included studies were qualitative, descriptive, or cross-sectional, so they show what was done but not whether it worked. The authors note that publication bias is possible because positive welcoming experiences may be published more often than studies showing problems. Many included studies did not report participant numbers, so the number of children, families, and professionals behind the findings is unclear. The review included opinion articles and literature reviews alongside primary studies, which broadens the map but weakens causal claims. The authors caution that practices described in the international literature may not transfer directly to Brazil or other Latin American contexts.
The easy way to misread this
Do not conclude that vaccination, home visits, or referrals improve migrant child health outcomes. The review mapped practices from mostly qualitative and descriptive studies, did not appraise study quality, and did not test effectiveness.