Perceptions related to health, illness, and provision of healthcare among West African migrants residing in Norway: a qualitative study.

BACKGROUND: Norway has seen an increase in its West African immigrant population, whose integration into the community is influenced by their beliefs about health, illness, and healthcare. This study aimed to explore how West African immigrants experience and navigate healthcare in Norway. METHODS: This qualitative study involved semi-structured interviews with 31 West African immigrants residing in Norway. Thematic analysis was employed to examine the broader context of their resettlement experiences, health perceptions, health-seeking behaviors, and overall experiences with the Norwegian healthcare system. RESULTS: Three key findings emerged: (1) Participants expressed strong cultural and religious beliefs about illness, often attributing it to spiritual causes and ancestral spirits. Many initially sought traditional remedies, viewing them as complementary to Western medicine. (2) Effective communication and trust in healthcare providers were identified as critical factors, influencing patients' sense of being heard, respected, and involved in decision-making. (3) Participants highlighted the challenges of balancing traditional health practices with the Norwegian biomedical system. Social networks, including family, community, and religious institutions, played a pivotal role in navigating this healthcare landscape and influencing health-related decisions. CONCLUSION: The findings highlight the complexity of integrating traditional health beliefs with Western biomedical practices. They underscore the importance of culturally sensitive healthcare approaches that acknowledge and incorporate traditional health perspectives to enhance the healthcare experience for immigrant communities.