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Comparison of the Number and Reasons for Self-Perceived Barriers to Accessing Primary Health Care Services Between Roma and Ethnic Albanians Cover

Comparison of the Number and Reasons for Self-Perceived Barriers to Accessing Primary Health Care Services Between Roma and Ethnic Albanians

Open Access
|Mar 2026

References

  1. Buonsenso D, Pata D, Raffaelli F, Malorni G, Colaiaco F, Malorni W. Health care and access to quality social-health services of the Roma and Sinti: A scoping review. Int J Environ Res Public Health. 2025;22(7):1063. https://doi.org/10.3390/ijerph22071063.
  2. Guerrero Z, Civišová D, Winkler P. Mental health and access to care among the Roma population in Europe: A scoping review. Transcult Psychiatry. 2024;61(1):118–130. doi: 10.1177/13634615231200853.
  3. McFadden A, Siebelt L, Gavine A, Atkin K, Bell K, Innes N, et al. Gypsy, Roma and traveller access to and engagement with health services: A systematic review. Eur J Public Health. 2018;28(1):74–81. doi: 10.1093/eurpub/ckx226.
  4. Arora VS, Kuhlbrandt C, McKee M. An examination of unmet health needs as perceived by Roma in Central and Eastern Europe. Eur J Public Health. 2016;26(5):737–742. doi: 10.1093/eurpub/ckw004.
  5. Losonczy G, Piko P, Klevering BJ, Kosa Z, Sandor J, Adany R. Low prevalence of spectacle use in the Hungarian Roma population indicates unmet health needs. Sci Rep. 2022;12(1):3873. doi: 10.1038/s41598-022-07880-3.
  6. World Health Organization. Roma health [Internet]. 2025 [cited 2025 Oct 31]. Available at: https://www.who.int/europe/health-topics/roma-health#tab=tab_1
  7. Council of Europe. Romani group names (compiled by Zuzana Bodnarova) [Internet]. 2025 [cited 2025 Oct 31]. Available at: https://rm.coe.int/0900001680aac36b
  8. European Commission. Roma equality, inclusion and participation in the EU [Internet]. 2020 [cited 2025 Oct 31]. Available at: https://commission.europa.eu/strategy-and-policy/policies/justice-andfundamental-rights/combatting-discrimination/roma-eu/romaequality-inclusion-and-participation-eu_en
  9. Lämsä R, Castaneda AE, Weiste A, Laalo M, Koponen P, Kuusio H. The role of perceived unjust treatment in unmet needs for primary care among Finnish Roma adults. Int J Environ Res Public Health. 2020;17(16):5825. doi: 10.3390/ijerph17165825.
  10. Kolarcik P, Geckova AM, Reijneveld SA, Van Dijk JP. The mediating effect of discrimination, social support and hopelessness on self-rated health of Roma adolescents in Slovakia. Int J Equity Health. 2015;14:137. doi: 10.1186/s12939-015-0270-z.
  11. Kabayundo J, Ahuja M, Jadhav S, Smith LC, Bithi FA, Shahi S, et al. Transportation barriers to healthcare access: A scoping review of measurement approaches and associated health outcomes. Transp Res Interdiscip Perspect. 2025;34:101697. doi: 10.1016/j.trip.2025.101697.
  12. Díaz-Millón M, Olvera-Lobo MD. Systematic meta-review on migrant healthcare access: Language barriers and the role of translation. J Migr Health. 2025;12:100358. doi: 10.1016/j.jmh.2025.100358.
  13. Ewald L, Bellettiere J, Farag TH, Lee KM, Palani S, Castro E, et al. Association between trust in health care professionals and health care access: Insights from an online survey across 21 countries. Int J Public Health. 2025;70:1607884. doi: 10.3389/ijph.2025.1607884.
  14. Institute of Statistics (INSTAT), Republic of Albania. Albania population and housing census 2023: Main results [Internet]. 2024 [cited 2025 Oct 31]. Available at: https://www.instat.gov.al/en/publications/books/2024/albanian-population-and-housing-census-2023/
  15. Ismaili E, Rama R, Dragoti E. Access to healthcare services among vulnerable groups in Albania: Unveiling barriers and proposing solutions. Kontakt. 2024;26(4):369–375. doi: 10.32725/kont.2024.050.
  16. Institute of Roman Culture in Albania (IRCA). Monitoring the quality of public services at local level to the Roma community in the health and education sectors [Internet]. 2024 [cited 2025 Oct 31]. Available at: https://irca.al/wp-content/uploads/2024/10/Raport-monitorues.pdf [in Albanian]
  17. Hosmer D, Lemeshow S. Applied logistic regression. New York: Wiley & Sons; 1989.
  18. Maslyankov I. Unmet healthcare needs in Southeastern Europe: A systematic review. J Med Access. 2024;8:27550834241255838. doi: 10.1177/27550834241255838.
  19. Dimova A and García-Ramírez JA. Can people afford to pay for health care? New evidence on financial protection in Bulgaria. Copenhagen: WHO Regional Office for Europe; 2022.
  20. Chaupain-Guillot S and Guillot O. Health system characteristics and unmet care needs in Europe: An analysis based on EU-SILC data. Eur J Health Econ. 2015;16(7):781–796. doi: 10.1007/s10198-014-0629-x.
  21. Scintee SG, Mosca I and Vladescu C. Can people afford to pay for health care? New evidence on financial protection in Romania. Copenhagen: WHO Regional Office for Europe; 2022.
  22. World Health Organization. Immunization agenda 2030: A global strategy to leave no one behind [Internet]. 2020 [cited 2025 Dec 6]. Available at: https://cdn.who.int/media/docs/default-source/immunization/strategy/ia2030/ia2030-draft-4-wha_b8850379-1fce-4847-bfd1-5d2c9d9e32f8.pdf
  23. Gabrani J, Schindler C, Wyss K. Factors associated with the utilisation of primary care services: A cross-sectional study in public and private facilities in Albania. BMJ Open. 2020;10(12):e040398. doi: 10.1136/bmjopen-2020-040398.
  24. Gabrani J, Schindler C, Wyss K. Perspectives of public and private primary healthcare users in two regions of Albania on non-clinical quality of care. J Prim Care Community Health. 2020;11:2150132720970350. doi: 10.1177/2150132720970350.
  25. Mone I, Vasil S, Alia A, Xinxo S, Muça K. Burazeri G. Socio-demographic correlates of barriers to access healthcare services among children in post-communist Albania. Sustainability. 2023;15(11):8455. doi: 10.3390/su15118455.
  26. Muja H, Vasil S, Toçi D, Clemens T, Brand H, Burazeri G. Ability to maintain and improve health and socio-demographic correlates among children in Albania. Zdr Varst. 2024 Jun 14;63(3):113–122. doi: 10.2478/sjph-2024-0016.
  27. Stefa J, Gega M, Refatllari B, Hyska G, Qirjako G, Burazeri G. Prevalence and sociodemographic correlates of nutritional habits among schoolchildren aged 11–15 years in Albania. Zdr Varst. 2025 Sep 1;64(3):133–142. doi: 10.2478/sjph-2025-0017.
  28. Plavnicka JM, Veselska ZD, Bobakova DF. Barriers to primary health care: Perspectives of marginalized Roma women and healthcare professionals. BMC Health Serv Res. 2025;25(1):1284. doi: 10.1186/s12913-025-13482-2.
  29. Magadi JP, Magadi MA. Ethnic inequalities in patient satisfaction with primary health care in England: Evidence from recent General Practitioner Patient Surveys (GPPS). PLoS One. 2022;17(12):e0270775. doi: 10.1371/journal.pone.0270775.
  30. World Health Organization Regional Office for Europe. Can people afford to pay for health care? Evidence on financial protection in 40 countries in Europe [Internet]. 2023 [cited 2025 Oct 31]. Available at: https://www.who.int/europe/publications/i/item/9789289060660
  31. Khan G, Kagwanja N, Whyle E, Gilson L, Molyneux S, Schaay N, et al. Health system responsiveness: A systematic evidence mapping review of the global literature. Int J Equity Health. 2021;20:112. doi: 10.1186/s12939-021-01447-w.
  32. European Commission. Roma equality, inclusion and participation in the EU (2020–2030) [Internet]. 2020 [cited 2025 Dec 6]. Available at: https://commission.europa.eu/strategy-and-policy/policies/justiceand-fundamental-rights/combatting-discrimination/roma-eu/romaequality-inclusion-and-participation-eu_en
DOI: https://doi.org/10.2478/sjph-2026-0002 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 5 - 15
Submitted on: Nov 4, 2025
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Accepted on: Jan 5, 2026
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Published on: Mar 1, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Alvi Naum, Albana Gjyzari, Gentiana Qirjako, Katarzyna Czabanowska, Ervin Toçi, Genc Burazeri, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution 4.0 License.