Medical Xenophobia and Zimbabwean Migrant Access to Public Health Services in South Africa

Crush, Jonathan; Tawodzera, Godfrey

doi:10.1080/1369183x.2013.830504

Cited by 120 publications

(130 citation statements)

References 31 publications

Supporting

Mentioning

116

Contrasting

Unclassified

Order By: Relevance

“…The sentiments from Maria and Fatima resonate with previous research demonstrating that the use of English by Zimbabweans attracts hostile responses (Crush and Tawodzera 2014). Field notes highlight intersections between anger and hostility by staff, with those of race and language:…”

Section: Fatimasupporting

confidence: 53%

“…As outlined above, this was manifested as being shouted at and/or experiencing delays in access to care at the facilities. Public perceptions in South Africa generally position migrant populations as undesirable; hostility towards migrants and refugees makes South Africa one of the most migrant unfriendly countries in the world (Landau 2005;Crush and Tawodzera 2014). Such hostility towards non-nationals is in direct contradiction with the South African Constitution and the Bill of Rights when it comes to access to public healthcare.…”

Section: Non-nationals As Bthe Other^and As a Burdenmentioning

confidence: 93%

“…The languages spoken by healthcare providers and users mediate experiences of access to public healthcare for migrants in the city; this is further exacerbated by the unavailability of interpreters and the resentment of English displayed by some healthcare providers (Davies et al 2010;Vearey 2011;Crush and Tawodzera 2014;IOM 2013;Moyo 2010;Tlebere et al 2007).…”

Section: Field Notes 19 October 2013mentioning

confidence: 99%

“…Crush and Tawodzera 2014;Vearey et al 2016). South Africa's public health history is permeated with discrimination (Coovadia et al 2009), and healthcare providers have been found to be responsible for importing their own personal and social priorities into their working environment-negatively affecting professionalism (Andersen 2004).…”

Section: Mariamentioning

confidence: 99%

See 3 more Smart Citations

Giving Birth in a Foreign Land: Exploring the Maternal Healthcare Experiences of Zimbabwean Migrant Women Living in Johannesburg, South Africa

Makandwa

Vearey

2017

Urban Forum

View full text Add to dashboard Cite

Maternal mortality in South Africa is unacceptably high, and interventions to address this are urgently needed. Whilst urban centres, such as Johannesburg, are home to significant numbers of non-national migrant women, little is known about their maternal healthcare experiences. In order to inform future research, an exploratory study investigating the maternal healthcare and help-seeking experiences of migrant women living in inner-city Johannesburg was undertaken. Intersections between migration, maternal health and life in the city were explored through semi-structured interviews with 15 Zimbabwean women who had engaged with the public healthcare system in Johannesburg during pregnancy and childbirth. Interviews were dominated by reports of verbal abuse from healthcare providers and delays in receiving careparticularly at the time of delivery. Participants attributed these experiences to their use of English-rather than other South African languages; further work comparing this with the experiences of nationals is required. Beyond the healthcare system, the study suggests that the well-being of these migrant women is compromised by their living and working conditions in the city: maintaining access to income-generating activities is prioritised over accessing antenatal care services. Migrant Zimbabwean women make use of their religious and social networks in the city to inform help-seeking decisions during pregnancy and delivery. Improving the maternal healthcare experiences of urban migrant women should contribute to reducing maternal mortality in South Africa. Further research is required to inform interventions to improve the maternal health of migrant women in the city, including the multiple determinants of urban health that operate outside the biomedical healthcare system.

show abstract

Section: Fatimasupporting

confidence: 53%

Section: Non-nationals As Bthe Other^and As a Burdenmentioning

confidence: 93%

Section: Field Notes 19 October 2013mentioning

confidence: 99%

Section: Mariamentioning

confidence: 99%

See 2 more Smart Citations

Giving Birth in a Foreign Land: Exploring the Maternal Healthcare Experiences of Zimbabwean Migrant Women Living in Johannesburg, South Africa

Makandwa

Vearey

2017

Urban Forum

View full text Add to dashboard Cite

show abstract

“…According to the opinion of ft he irst group the medical staff handle this question with much more professional ethics of practice (according to the international requirements emerging on the culturally competent and diversity sensitive services) than a few decades ago. The second group of interviewees found that the problems come from cultural diff erences which would not be eliminated or solved completely in the healthcare institutions (Crush, J. and Tawodzera, G. 2014). Majority of the interviewees agreed that there should be employees knowing or practicing particular cultures in such institutions because a lot of patients having cultural diff erences.…”

Section: Language Communication and Cultural Factorsmentioning

confidence: 99%

Spatial characteristics of access of third-country citizens to the Hungarian public health care system

Illés¹,

Gellér-Lukács

2016

HunGeoBull

View full text Add to dashboard Cite

The eff ect of international migration on public health care system is one of the emerging themes within health and mobility studies. Unfortunately, there is scarce information on health situation of international migrants in Central and Eastern Europe. This research paper tries to contribute fi lling in this gap with a case study related to Hungary and it deals with the access and participation of third-country nationals to the Hungarian public health care system as patients. The study integrates quantitative and qualitative methodologies coupled with a holistic approach. Macro data of the National Health Insurance Fund was analysed and fi eld works in the National Ambulance Service and at the Semmelweis University (Budapest) were carried out. The volumes and rates of nationals of Ukraine, China, Vietnam, Serbia, former Yugoslavia, Russia and Mongolia are the dominant groups in the provision of acute care, in-patient care, out-patient care, dental care and cash benefi ts. Acute care is relatively the most populous and medical treatments in capital institutions as opposed to countryside ones. The main spatial factors aff ecting the provider and supplier side of public health care system in Hungary are identifi ed while concluding that third-country migrants utilize selectively the institutions of the Hungarian public health care system. Conclusions subscribe to the need for future research in this theme in the light of most recent international mobility upheavals.

show abstract

“Emotional stress is more detrimental than the virus itself”: A qualitative study to understand HIV testing and pre‐exposure prophylaxis (PrEP) use among internal migrant men in South Africa

Nardell,

Govathson‐Mandimika,

Garnier

et al. 2024

J Int AIDS Soc.

View full text Add to dashboard Cite

IntroductionSouth Africa has one of the highest rates of internal migration on the continent, largely comprised of men seeking labour in urban centres. South African men who move within the country (internal migrants) are at higher risk than non‐migrant men of acquiring HIV yet are less likely to test or use pre‐exposure prophylaxis (PrEP). However, little is known about the mechanisms that link internal migration and challenges engaging in HIV services.MethodsWe recruited 30 internal migrant men (born outside Gauteng Province) during August 2022 for in‐depth qualitative interviews at two sites in Johannesburg (Gauteng) where migrants may gather, a factories workplace and a homeless shelter. Interviewers used open‐ended questions, based in the Theory of Triadic Influence, to explore experiences and challenges with HIV testing and/or PrEP. A mixed deductive inductive content analytic approach was used to review data and explain why participants may or may not use these services.ResultsMigrant men come to Johannesburg to find work, but unreliable income, daily stress and time constraints limit their availability to seek health services. While awareness of HIV testing is high, the fear of a positive diagnosis often overshadows the benefits. In addition, many men lack knowledge about the opportunity for PrEP should they test negative, though they express interest in the medication after learning about it. Additionally, these men struggle with adjusting to urban life, lack of social support and fear of potential stigma. Finally, the necessity to prioritize work combined with long wait times at clinics further restricts their access to HIV services. Despite these challenges, Johannesburg also presents opportunities for HIV services for migrant men, such as greater anonymity and availability of HIV information and services in the city as compared to their rural homes of origin.ConclusionsBringing HIV services to migrant men at community sites may ease the burden of accessing these services. Including PrEP counselling and services alongside HIV testing may further encourage men to test, particularly if integrated into counselling for livelihood and coping strategies, as well as support for navigating health services in Johannesburg.

show abstract

Medical Xenophobia and Zimbabwean Migrant Access to Public Health Services in South Africa

Cited by 120 publications

References 31 publications

Giving Birth in a Foreign Land: Exploring the Maternal Healthcare Experiences of Zimbabwean Migrant Women Living in Johannesburg, South Africa

Giving Birth in a Foreign Land: Exploring the Maternal Healthcare Experiences of Zimbabwean Migrant Women Living in Johannesburg, South Africa

Spatial characteristics of access of third-country citizens to the Hungarian public health care system

“Emotional stress is more detrimental than the virus itself”: A qualitative study to understand HIV testing and pre‐exposure prophylaxis (PrEP) use among internal migrant men in South Africa

Contact Info

Product

Resources

About