How migrants who move between Zimbabwe and SA access health care in border towns

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In Beitbridge, the health needs often related to chronic or infectious diseases such as hypertension and malaria. There was also high HIV prevalence among women.

These economic motivations were coherent with the main difficulties many respondents faced in Zimbabwe as their last place of residence. Many respondents had travelled from countries further north and had spent some time in Zimbabwe en route to SA.

The survey was initiated before the Covid-19 pandemic and the data collection was concluded and published just as the pandemic began. Some of these findings may therefore be different now.For a long time there has been insufficient information about migrants’ medical needs in this area.Our results showed that Central Africans coming from countries such as Burundi and the Democratic Republic of the Congo were particularly hampered from accessing medical care, primarily due to language barriers.

These facilities are geared towards providing services around chronic conditions. Their capabilities to provide mental health and sexual and reproductive health services are more limited. At the Dulivadzimu council clinic, Medecins Sans Frontieres supports the facility with human resources, filling in gaps for the pharmacy, and providing laboratory support.

Recently a quick needs assessment by Medecins Sans Frontieres in the area showed inappropriate water and sanitation facilities at the site, as well as difficulties in accessing health care in the public clinics and hospitals. Having achieved successful rates of treatment continuation, the activities have been handed over to the SA authorities.Historically, the flow of migration in Southern Africa is towards SA, as shown by the International Office for Migration’s flow trends data.

 

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