MOH is the first province-wide study in Ontario focused on immigrant and refugee use of settlement and integration services, and is one of the largest surveys of this nature of immigrants and refugees ever undertaken in Ontario. This study addresses the service use, satisfaction, and challenges of immigrants (including refugees, refugee claimants, migrant workers, and those without legal immigration status). Its purpose is to develop a deeper understanding of which immigrants and refugee needs are being met and how; which groups are well served and why; why do some newcomers not use settlement services; and how the settlement needs of immigrants and refugees across the province may best be served. It is the most comprehensive description to date of those who use settlement and integration services.