INTRODUCTION:
International migration reconfigures living conditions and access to services, significantly impacting the social determinants of health and the sexual and reproductive health of immigrant and refugee women1-2. In this context, understanding these experiences becomes central to promoting health equity. Thus, the objective was to understand how the social determinants of health interfere with the sexual and reproductive health experiences of immigrant and refugee women.

METHODS:
Qualitative research3 conducted in Fortaleza, Ceará, Brazil, with 14 immigrant and refugee women from Colombia, Venezuela, Portugal, and Guinea-Bissau, through semi-structured interviews conducted between June 2024 and July 2025. The analysis followed the assumptions of content analysis, anchored in Cultural Studies4-5. The study complied with the ethical guidelines of Resolution No. 466/2012 of the National Health Council6.

RESULTS:
It was evident that the social determinants of health complexly permeate the sexual and reproductive health experiences of these women, especially through linguistic barriers, precarious socioeconomic conditions, fragile support networks, and gender inequalities, which influenced access to information, services, and continuity of care. Participants recognized the Brazilian Unified Health System (SUS) as potentially welcoming, but reported difficulties related to communication, lack of knowledge of rights, and the absence of culturally sensitive practices. Perceived changes in sexual and reproductive health were associated with migratory stress, social instability, and disruption of cultural references for care.

CONCLUSIONS:
Strengthening intercultural public policies sensitive to social determinants is fundamental to promoting the sexual and reproductive health of immigrant and refugee women, contributing to equity and inclusion in transnational contexts. This becomes urgent in contemporary conditions of increased migratory flows, which requires preparation of National Health Systems.