But this is not significant enough to mount pressure on the public healthcare system. For example, most people who move to South Africa from within the region are moving for work. This suggests there’s no relation between high mobility and seeking health services. Even if there were reported cases of women crossing the border to give birth, the public healthcare system is guided by the Uniform Patient Fee Schedule, which sets out who must pay for certain services at any South African health facility.
And, where there are pressures, these can be buffered if the proper systems are put in place to respond to challenges related to documentation, language and poor referral systems.
What should be done?
The World Health Organization has highlighted the importance of public healthcare systems needing to be responsive to the needs of migrant populations. In a 2019 report it notes countries should accommodate sudden spikes in demand brought on by the arrival of new populations.
The results of poor governance should not be blamed on poor migrants who are simply in need of services. Healthcare providers should desist from being political gatekeepers and instead use notions of morality, ethics and public service in their decision making.
By Kudakwashe Vanyoro for The Conversation
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