Migrants in South Africa have access to healthcare: why it’s kicking up a storm


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Is the current response from South Africans misplaced?

South Africa’s public healthcare system is overburdened. But this is not because of non-nationals. According to the most reliable statistics they constitute no more than 8% of the total population.

The challenges within the public healthcare system relate to the general shortages of medical personnel, state facilities lacking beds, staff facing high workloads and low morale among nurses in public facilities.

Providing primary healthcare has undoubtedly been complicated by the post-apartheid era’s shortcomings in the governance of the health system, mismanagement of funds and state resources, corruption and underfunding. A report by civil society group Corruption Watch highlights how corruption prevents a vast section of the population from accessing their right to decent healthcare.

The blame on migrants is therefore misplaced as these are health system management and governance issues. This should not be a debate about individuals in a country which continues to feel the effects of health inequalities embedded by apartheid.

How much pressure do foreign nationals put on the system?

A higher concentration of non-nationals is likely in areas of high mobility and transit like border towns and metropolitan cities.

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Charles Rukuni
The Insider is a political and business bulletin about Zimbabwe, edited by Charles Rukuni. Founded in 1990, it was a printed 12-page subscription only newsletter until 2003 when Zimbabwe's hyper-inflation made it impossible to continue printing.

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