Intro -- Acknowledgements -- Abbreviations -- Executive summary -- Introduction -- Scope of the health systems country review -- Specific objectives and outcomes -- Methodology -- Members of the JRT -- Country context -- Geographical context -- Demographic and socioeconomic context -- Profiles of refugees, migrants and asylum seekers in Bulgaria -- International migrant workers and their families living in Bulgaria -- Ukrainian refugees from Ukraine -- Non-Ukrainian refugees, migrants and asylum seekers in irregular situation -- Legal frameworks and policies related to refugees and migrants -- Asylum and refugee policy and governance -- Asylum law, procedures and responsible agencies -- Protection under the LAR -- Temporary protection for Ukrainian refugees -- Unaccompanied children -- Migration policy and governance -- Bulgaria's National Strategy on Migration 2021-2025 -- Assessing health system needs for refugees and migrants in Bulgaria -- Health policy and governance -- Organization of the health system -- Health policy and planning -- Policy for health service access for refugees and migrants -- Health financing and health insurance for refugees, migrants and asylum seekers -- Health insurance and its coverage -- Health insurance for people with refugee status, humanitarian status or asylum -- Health insurance coverage for Ukrainian refugees under temporary protection -- Health insurance for migrants in irregular situations -- Out-of-pocket payments and access to prescriptions, medicines and medical products -- Health workforce -- Shortage of GPs and nurses -- In-service training for Bulgarian health workers -- Integration and utilization of refugee health workers in the national health system -- Service delivery and access to essential health services -- Access to essential health services.

MHPSS services for refugees, migrants and asylum seekers -- Barriers to accessing essential health services for refugees, migrants and asylum seekers in Bulgaria -- Health information system and health information management -- Roles and responsibilities -- Surveillance, notifiable conditions and data collection -- Reporting of health data -- Refugee health records -- Absence of indicators for the health status of refugees, migrants and asylum seekers -- Health promotion, disease prevention and control and social determinants of health -- Vaccination -- Preparedness an d public health response to disease outbreaks, natural disasters and other emergencies -- Health communication and social mobilization for health -- Partners' support for RCCE -- Main recommendations for consideration -- Strengthen health leadership, health policy and governance -- Support the provision of quality and people-centred health services, health finance and continuity of care -- Strengthen health workforce capacity to provide people-centred health services to host and migrant populations -- Support health promotion around communicable diseases and NCDs, including mental health -- Provide MHPSS services -- Strengthen health monitoring and the health information system -- Build capacity for preparedness and public health response to emergencies, disease outbreaks and disasters -- Strengthen RCCE, health communications and social mobilization -- References -- Annex 1. Joint review mission agenda -- Annex 2. Weekly report on public health protection activities involving in refugees, migrants and asylum seekers.