BackgroundTuberculosis (TB) infection control at primary healthcare (PHC) level remains problematic, especially in South Africa. Improvements are significantly dependent on healthcare workers’ (HCWs) behaviours, underwriting an urgent need for behaviour change. This study sought to 1) identify factors influencing TB infection control behaviour at PHC level within a high TB burden district and 2) in a participatory manner elicit recommendations from HCWs for improved TB infection control.MethodA qualitative case study was employed. TB nurses and facility managers in the Mangaung Metropolitan District, South Africa, participated in five focus group and nominal group discussions. Data was thematically analysed.ResultsUtilising the Information Motivation and Behaviour (IMB) Model, major barriers to TB infection control information included poor training and conflicting policy guidelines. Low levels of motivation were observed among participants, linked to feelings of powerlessness, negative attitudes of HCWs, poor district health support, and general health system challenges. With a few exceptions, most behaviours necessary to achieve TB risk-reduction, were generally regarded as easy to accomplish.ConclusionsStrategies for improved TB infection control included: training for comprehensive TB infection control for all HCWs; clarity on TB infection control policy guidelines; improved patient education and awareness of TB infection control measures; emphasis on the active role HCWs can play in infection control as change agents; improved social support; practical, hands-on training or role playing to improve behavioural skills; and the destigmatisation of TB/HIV among HCWs and patients.

The South African labor market is characterized by a high degree of inflexibility and complexity which poses significant challenges for both indigenes and migrants looking to be integrated into the labor market. These challenges are likely to be more poignant for international migrants as they face additional barriers owing to a chronically high employment rate, xenophobic sentiments, and racial exclusion. For female tied migrants, gender bias, expressed through migration policies and legislation, adds yet another layer of complexity to long-term aspirations of settling in South Africa. How well tied migrants fare in the South African labor market is an important matter for consideration. Using an intersectional approach and the theory of governmentality, this study sought to deconstruct the labor market subjectivities of tied migrants in South Africa. This paper used a qualitative approach, with a narrative and interpretivist research paradigm, on female tied migrants from Sub-Saharan Africa who either accompanied their husbands or followed them to South Africa in a process of family reunification. Although 13 interviews were carried out in total, as part of a broader study, the narratives of six participants were included in this study, to zone in on labor market experiences. The study found that despite their high human capital, tied migrants are not likely to be well integrated into the South African labor market. Their inequality in the South African labor market was attributed to their gender, ethnicity, race, migrant status and locality and various intersections thereof through which they are subjected to informality, immobility and precarity.

Orientation: The 2030 Sustainable Development Agenda highlights that migration is key to inclusive growth and economic development. For economic development to be realised, the full integration of skilled migrants into the labour market is essential.Research purpose: This research aimed at exploring the labour market experiences and self-initiated strategies of accompanying spouses, also referred to as tied migrants, in their attempt to achieve labour market integration (LMI) in South Africa.Motivation for the study: Skilled migration of tied migrants remains understudied in the Global South context. Thus, this study sought to fill this gap.Research approach/design and method: The study used a qualitative research approach to interrogate the experiences of accompanying spouses in South Africa. Thirteen one-on-one interviews were conducted, each lasting for 1.5 h on average. Thematic analysis was applied to the data.Main findings: Self-initiated strategies that reflect agency and a pushback on governing technologies by accompanying spouses can facilitate integration into the South African labour market. However, these strategies do not guarantee full LMI. The broad exclusionary context, premised on ethnicised rationalities that characterise the South African labour market, makes full LMI difficult to achieve, particularly in the absence of support for integration.Practical/managerial implications: This study makes practical contributions by making policy recommendations which consider the global agenda for women, especially concerning gender equality and empowerment.Contribution/value-add: Skilled migration in the global south remains significantly under-researched and there is evidence of significant gaps in literature particularly pertaining to migration by skilled women migrants. This research contributes to bridging this gap.

IntroductionThis study sought to ascertain the macro governing policies and factors that influence the integration of female accompanying spouses in the Free State, into the South African labor market.MethodsUtilizing a qualitative approach, thirteen one-on-one interviews, consisting of an initial purposive sample and a subsequent snowball sample, were conducted for data gathering. The study employed thematic analysis to interpret the data.ResultsThe findings revealed that governing policies emerging from South Africa's migration legislation, and factors such as spouse dependence, reinforcement of traditional gender roles, and restrictive employment legislation which forced deskilling of qualifications, mainly impacted the conduct of accompanying spouses concerning the labor market.DiscussionThis study contributes to the literature on labor market integration (LMI) from an underexplored South-to-South standpoint by delving into the experiences of skilled female migrants in the family migration setting. A neglected facet of Michel Foucault's governmentality theory was used to investigate the labor market assimilation needs of female accompanying spouses. The study's qualitative approach renders the findings much less generalizable than a quantitative inquiry. It is important to note that LMI research is considerably setting-specific, despite some aspects of this study being applicable to other settings in the Global South. South Africa continues to be a pivotal regional hub for migration in the Global South, yet it has a complex migration governance framework that sets up a specific, while broadly exclusionary, macro context for accompanying spouses. This study zones in on issues that could inform more effective family migration policy.