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J Immigr Minor Health. 2018 Feb;20(1):91-100. doi: 10.1007/s10903-016-0535-7.

Exploring The Migration Profiles of Primary Healthcare Users in South Africa.

Author information

1
African Centre for Migration & Society, University of the Witwatersand, PO Box 76, Wits, Johannesburg, 2050, South Africa. jovearey@gmail.com.
2
African Centre for Migration & Society, University of the Witwatersand, PO Box 76, Wits, Johannesburg, 2050, South Africa.
3
London School of Hygiene & Tropical Medicine, London, UK.
4
The Aurum Institute, Johannesburg, South Africa.

Abstract

South Africa's public healthcare system responses seldom engage with migration. Our exploratory study investigates migration profiles and experiences of primary healthcare (PHC) users. A cross-sectional survey involving non-probability sampling was conducted with 229 PHC users at six purposively selected PHC clinics in three districts of SA. The survey captured socio-demographic information, migration histories, and PHC experiences. Chi square and Fischer's exact tests were used to compare categorical variables, whilst Mann-Whitney U tests compared continuous variables between groups. Most PHC users were migrants (22% internal South African; 45% cross-border) who generally move for reasons other than healthcare seeking. Length of time accessing services at a specific clinic was shown to be key in describing experiences of PHC use. Understanding population movement is central to PHC strengthening in SA and requires improved understanding of mobility dynamics in regard to not just nationality, but also internal mobility and length of stay.

KEYWORDS:

Access to healthcare; Migration; Public healthcare; South Africa

PMID:
27909937
PMCID:
PMC5772125
DOI:
10.1007/s10903-016-0535-7
[Indexed for MEDLINE]
Free PMC Article

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