Background: Migrant Black African women encounter substantial barriers when accessing RH services in the United Kingdom. These challenges stem from systemic issues such as cultural insensitivity, racial disparities, and healthcare biases, which negatively impact their care and health outcomes. This study seeks to explore the lived experiences of these women in the context of RH to provide a deeper understanding of the unique challenges they face within the context of systemic inequalities to improve RH access and quality. Methods: This qualitative study employed in-depth online or face-to-face interviews with 12 migrant Black African women in the UK. The research captured their narratives, focusing on their RH experiences. A thematic analysis was conducted to explore key themes from the data, ensuring a diverse range of perspectives and lived experiences were documented. Result: Five prominent themes emerged from the women’s narratives: experiences and perceptions, disparities in maternal healthcare, cross-cultural perspectives, autonomy, and enhancing RHS. Challenges of not feeling understood as an outsider, disregarding voice and pains and variation in antenatal expectation were mentioned among others. However, access to preventive care and promptness during antenatal visits were recognised as part of the strength of NHS services. Continuous funding of NHS services, improvement in the attitude of NHS staff, focus on early pregnancy and strengthening of home visits were advised to keep experiencing safe and effective RHS in the United Kingdom. Conclusion: These findings underscore the need for a more culturally sensitive, patient-centred healthcare system and the insights provide a foundation for addressing systemic inequities in RH for migrant women.
