Abstract
This study aims to identify the barriers to access to sexual and reproductive health services for migrants living in Japan. There are more options for contraceptives and abortion care with reasonable costs in the research-targeted countries, China, Vietnam, Nepal, Indonesia, and Myanmar, compared to Japan. A total of 536 people from these countries participated in the questionnaire survey. The results show that 16.3% of women were warned they would have to return home if they became pregnant, and 17.6% of those who had sex partners in Japan experienced unintended pregnancies. Unmarried women chose abortion to prioritize their studies and work, regardless of residence status. The 4A model – Availability (existence/time), Accessibility (location/distance), Affordability (cost), and Acceptability (psychological barrier) – was applied to analyze the barriers. Given these barriers, some migrants brought contraceptives from their home countries; however, even if they attend a medical institution due to illness, they tended to hide that they were taking medication without a doctor's supervision. This is risky, as they may not receive appropriate medical treatment without a full disclosure of their medical history. It may be necessary to make emergency contraception, oral contraceptives, over-the-counter medicines, and health insurance applicable to prevent migrants from taking such risks.
https://ror.org/01nckkm68 
