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WORLD ANTHROPOLOGICAL UNION

CONGRESS 2024​

Paper

Medical Xenophobia? Unpacking undocumented Zimbabwean migrant's experiences of public healthcare in Bloemfontein

presenters

    Mamokoena Mokoena

    Nationality: South Africa

    Residence: South Africa

    University of the Free State

    Presence:Face to Face/ On Site

Keywords:

Zimbabwean, transnational migrant, public healthcare, medical xenophobia, legal status

Abstract:

Given the shift in migratory patterns towards more extended stays in South Africa, accessing and utilising healthcare for migrants working and living in South Africa is critical, particularly for individuals from lower socioeconomic backgrounds (Makandwa and Vearey, 2017). Migrants transit across geographical boundaries, which leads to movement between and within diverse healthcare systems. Many authors have applied the concept of medical xenophobia to account for the negative experiences and healthcare-seeking behaviour of undocumented migrants in public healthcare facilities. They have considered, amongst other things, how nationality and legal status are used to refute care for migrants or give them poor treatment indiscriminately. Further, due to discrimination and legal status, migrants may avoid utilising public healthcare. The idea that transnational migrants in South Africa are indiscriminately excluded from accessing state healthcare is not only generalised but widely covered by literature. Conceptual frameworks for analysing these experiences are limited to "medical xenophobia." While this framework unpacks and offers a tool to understand the experiences of the migrants, it does not provide much room for discussion around the complexity of migrants' varied experiences of public healthcare. The legal and administrative obstacles that transnational migrants face are an essential component in the health disparities that exist among them in South Africa. The absence of appropriate documents influences migrants' access to healthcare services. Despite being mandated by the constitution to provide healthcare to all, the South African healthcare system frequently discriminates against undocumented migrants. They might experience stigmatisation and discrimination. I contend that there is greater nuance and a spectrum of possible experiences of transnational migrants in South Africa's public healthcare system. Based on in-depth interviews and participant observation, this ethnographic research revealed that Zimbabwean migrants' experiences accessing public healthcare are not homogenous. Instead, their experiences expose the nuances of seeking public healthcare services.