ABSTRACT:
Migrant adolescents in Latin America are a population that faces health inequalities. Based on a qualitative study, the poster aims to analyse the main challenges and opportunities for strengthening access to primary health care (PHC) for migrant adolescents in Chile, with a view to helping reduce the gaps that currently exist in terms of access to and use of services.

METHODS:
A qualitative study was conducted using participatory methodologies, including semi-structured interviews with 10 experts in the areas of health, migration, adolescence and interculturality, and eight photovoice workshops with 21 health professionals, 14 migrant adolescents and 21 migrant adults with adolescent children. Gaps in access to primary healthcare services for adolescents were identified. The main barriers to access include lack of awareness of the programme, bureaucratic obstacles due to lack of identification, language barriers, fear, mistrust and availability of time. Currently, mental health is the central concern due to the impact of separation and discrimination on young migrants. In sexual and reproductive health, early reproductive trajectories and a lack of systematic sex education policies persist in both countries of origin and destination. In addition, nutritional risks linked to socioeconomic vulnerability were detected.

CONCLUSIONS:
It is imperative to prioritise mental health and sexual and reproductive health in services aimed at these young people, to integrate elements of interculturality into programmes, and to decentralise care by promoting the use of educational centres as strategic spaces of trust. It is recommended that technical standards be updated to ensure cultural relevance, that training for officials in rights-based approaches be strengthened, and that intersectoral coordination be improved to guarantee universal access that transcends a reactive response to disease.