Aim: This study was carried out to determine the access to health services and the barriers to access in the population of Syrian and Iraqi origin living in Sakarya. Material and methods: It was conducted in Sakarya between October 2017 and October 2018. The population of the study consisted of the Syrian and Iraqi population living in Sakarya. For the first part of the study, 500 people were included in the study with the convenience sampling method, one of the nonprobability sampling methods. Interviewers who can speak Arabic and Turkish were assigned to places visited by refugees. Data were collected by face-to-face interview method. In the qualitative part of the research, translators who speak Arabic and Turkish obtained experiences and thoughts from 50 people about the problems they had in accessing health institutions through face-to-face interview technique. In addition to these interviews, 50 hours of observation were made with the observation technique for the problems that refugees experienced in hospitals/policlinics and observation forms were filled. Results: 51.40% of the participants were Iraqi, 48.60% were Syrian. 50.60% of the participants were women; mean age was 35.90±11.30(17,00-72,00) years. 65.60% of the participants had problems in learning the functioning of the health system, 71.40% could not understand the information letters and signs in health institutions, 81.20% had problems in making an appointment, 77.80% could not agree with the doctor about diagnosis / treatment. and 51.40% reported that they had problems with the use of the drug purchased during drug supply at the pharmacy. In the second part of the study; The majority of the participants stated that they had difficulty in getting an appointment for the examination, that they had difficulty in understanding the signboards with the information letters, and that they had language barriers inpharmacies. In the third part of the study, the most common requests in the observations made in Sakarya University Training and Research Hospital were the requests to ask about the locations of the hospital departments and to direct them. Conclusion: In order to prevent language-related communication problems and the negativities caused by refugees while receiving health care services, arrangements should be made in health institutions both in terms of manpower and in terms of overcoming the language barrier.