Invisible survivors: sexual and reproductive health and rights of migrant women in French Guiana.

French Guiana faces significant sexual health challenges, notably a high prevalence of HIV. Migrant women are particularly vulnerable, and are impacted by socio-economic factors such as poverty, food insecurity, and precarious living conditions, which affect their sexual and reproductive health and rights. Previous research has primarily utilised quantitative data, neglecting qualitative insights into the factors shaping women's health and rights. The aim of this study was to explore the factors and phenomena liable to have an impact on the sexual and reproductive health and rights (SRHR) of migrant women in French Guiana. Between 2021 and 2022, semi-structured interviews were conducted with health and social professionals. Data triangulation against evidence from two existing surveys on mental health and healthcare access reinforced the findings. The results highlight some of the socio-economic environment factors affecting SRHR, with transactional relationships and gender-based violence exacerbating physical and mental health risks. Addressing these issues requires a systemic approach sensitive to women's lives and the context, prioritising efforts to tackle gender-based violence. The study's findings provide support to local health stakeholders and policymakers in enhancing services and policies to better care for migrant women in French Guiana.