Holding the system together with tape: Social workers' experiences in migrant sexual and reproductive health services in Türkiye.

Abstract

This study examined the experiences of social workers providing sexual and reproductive health and rights (SRHR) services to migrant populations in Türkiye. Using a qualitative phenomenological approach, in-depth interviews were conducted with 25 social workers, and data were analysed through thematic analysis. Findings were organised under three headings: intersectional vulnerabilities in migrant communities; institutional and individual challenges for social workers; and recommendations for strengthening SRHR-focused social work. Legal precarity, cultural differences, and information gaps created complex SRHR needs among migrants. Participants reported role ambiguity, institutional neglect, and emotional burden, which reduced their capacity to deliver sustainable and rights-based care. Access to SRHR services for migrants-particularly those of uncertain legal status-remained structurally constrained, highlighting a key barrier undermining long-term service sustainability. Informal coping strategies and peer support helped manage emotional strain, yet were insufficient without structural backing. Study findings underscore the need for culturally responsive, coordinated, and ethically grounded SRHR provision. They also call for rights-based and status-independent service models to ensure equitable access for all individuals. Strengthening social work practice in migrant SRHR settings in Türkiye requires investment in training, supervision, and interdisciplinary collaboration to improve both service quality and practitioner well-being.