 Project MUSE's report on African refugee and immigrant health needs reveals that African immigrants struggle with accessing health care services due to lack of information concerning providers, costs, and unfamiliarity with the U.S. health care system.Communications with health care providers are also complicated by language barriers, differing degrees of English literacy, and immigration status.Mental health services tend to be less frequently utilized due to stigma concerning mental health disorders and social pressures to characterize mental and emotional struggles as offshoots of stress.