In this report, Doctors of the World (MdM) presents its observations for 2013 on the social health determinants and health status of patients who have received support from 25 of our 160 European programmes providing access to healthcare. In 2013, 29,400 consultations provided to 16,881 patients were analysed (15,445 of them medical consultations) across 25 cities in eight European countries. The quantitative analyses are supported by information provided by the local teams. This year we want to reiterate the need for unconditional access to both antenatal care for pregnant women and to essential childhood vaccinations, neither of which are currently universally guaranteed. This amounts to a denial of rights which goes against basic human rights, international conventions and respect for the fundamental principles of public health.