The literature on health care provision for immigrants in Italy has generally been considered to be less relevant than in other sectors in terms of exclusion, due to the universalistic mission and organisation of the health system. Nevertheless, studies have suggested that there are problems relating to service access and use by immigrants in this sector also. In particular, in recent years the increasing proportion of women in the immigrant population has led to the emergence of new needs in the social and health services. The Italian literature on health policy for immigrants is now welldeveloped, and there has been particular reference to the gender dimension. However, clinical data and general data on health service use by immigrants are still incomplete. This article will draw from this existing state of the art in the field, as well as research from recent and ongoing comparative projects.1 Following an overview of the institutional framework for immigration policies in Italy and reference to its political context, the article will examine the vulnerable position of female immigrants, both at the general level and in relation to health care. This will involve examination of the principal legislative provisions in the field of health policy for immigrants, and particular arrangements affecting the gender dimension. Specific provisions in health care for immigrant women will be assessed, together with proposals to make them more effective. © 2007, Emerald Group Publishing Limited

Immigration Women Italy Health system Vulnerability social integration

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