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Published in: Journal of Immigrant and Minority Health 1/2018

Open Access 01-02-2018 | Original Paper

Exploring The Migration Profiles of Primary Healthcare Users in South Africa

Authors: Jo Vearey, Thea de Gruchy, Mphatso Kamndaya, Helen L. Walls, Candice M. Chetty-Makkan, Johanna Hanefeld

Published in: Journal of Immigrant and Minority Health | Issue 1/2018

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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.
Footnotes
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Data not presented here.
 
Literature
2.
go back to reference Vearey J. Learning from HIV: exploring migration and health in South Africa. Glob Public Health. 2012;7:58–70.CrossRefPubMed Vearey J. Learning from HIV: exploring migration and health in South Africa. Glob Public Health. 2012;7:58–70.CrossRefPubMed
3.
go back to reference Moultrie T, Dorrington R, Budlender D. Migration in South Africa An analysis of the 2011 South African census data. Johannesburg: African Centre for Migration & Society, University of the Witwatersrand; 2016 (forthcoming). Moultrie T, Dorrington R, Budlender D. Migration in South Africa An analysis of the 2011 South African census data. Johannesburg: African Centre for Migration & Society, University of the Witwatersrand; 2016 (forthcoming).
4.
go back to reference Statistics South Africa. Census in brief. Report No. 03-01-41. Pretoria: Statistics South Africa; 2012. Statistics South Africa. Census in brief. Report No. 03-01-41. Pretoria: Statistics South Africa; 2012.
5.
go back to reference Vearey J. Healthy migration: a public health and development imperative for south(ern) Africa. S Afr Med J. 2014;104:663.CrossRefPubMed Vearey J. Healthy migration: a public health and development imperative for south(ern) Africa. S Afr Med J. 2014;104:663.CrossRefPubMed
6.
go back to reference Walls HL, Vearey J, Modisenyane M, Chetty-Makkan CM, Charalambous S, Smith RD, et al. Understanding healthcare and population mobility in southern Africa: the case of South Africa. S Afr Med J. 2015;106:14.CrossRefPubMed Walls HL, Vearey J, Modisenyane M, Chetty-Makkan CM, Charalambous S, Smith RD, et al. Understanding healthcare and population mobility in southern Africa: the case of South Africa. S Afr Med J. 2015;106:14.CrossRefPubMed
7.
go back to reference Bell D, Holliday R, Ormond M, Mainil T. Transnational healthcare, cross-border perspectives. Soc Sci Med. 2015;124:284–9.CrossRefPubMed Bell D, Holliday R, Ormond M, Mainil T. Transnational healthcare, cross-border perspectives. Soc Sci Med. 2015;124:284–9.CrossRefPubMed
8.
go back to reference Connell J. From medical tourism to transnational health care? An epilogue for the future. Soc Sci Med. 2015;124:398–401.CrossRefPubMed Connell J. From medical tourism to transnational health care? An epilogue for the future. Soc Sci Med. 2015;124:398–401.CrossRefPubMed
9.
go back to reference Hanefeld J, Lunt N, Smith R, Horsfall D. Why do medical tourists travel to where they do? The role of networks in determining medical travel. Soc Sci Med. 2015;124:356–63.CrossRefPubMed Hanefeld J, Lunt N, Smith R, Horsfall D. Why do medical tourists travel to where they do? The role of networks in determining medical travel. Soc Sci Med. 2015;124:356–63.CrossRefPubMed
10.
go back to reference Hopkins L, Labonté R, Runnels V, Packer C. Medical tourism today: what is the state of existing knowledge? J Public Health Policy. 2010;31:185–98.CrossRefPubMed Hopkins L, Labonté R, Runnels V, Packer C. Medical tourism today: what is the state of existing knowledge? J Public Health Policy. 2010;31:185–98.CrossRefPubMed
11.
go back to reference Lunt N, Exworthy M, Hanefeld J, Smith RD. International patients within the NHS: a case of public sector entrepreneurialism. Soc Sci Med. 2015;124:338–45.CrossRefPubMed Lunt N, Exworthy M, Hanefeld J, Smith RD. International patients within the NHS: a case of public sector entrepreneurialism. Soc Sci Med. 2015;124:338–45.CrossRefPubMed
12.
go back to reference Lunt N, Carrera P. Medical tourism: Assessing the evidence on treatment abroad. Maturitas. 2010;66:27–32.CrossRefPubMed Lunt N, Carrera P. Medical tourism: Assessing the evidence on treatment abroad. Maturitas. 2010;66:27–32.CrossRefPubMed
13.
go back to reference Crush J, Chikanda A. South–South medical tourism and the quest for health in Southern Africa. Soc Sci Med. 2015;124:313–20.CrossRefPubMed Crush J, Chikanda A. South–South medical tourism and the quest for health in Southern Africa. Soc Sci Med. 2015;124:313–20.CrossRefPubMed
14.
go back to reference Mayosi BM, Lawn JE, van Niekerk A, Bradshaw D, Abdool Karim SS, Coovadia HM. Health in South Africa: changes and challenges since 2009. The Lancet. 2012;380:2029–43.CrossRef Mayosi BM, Lawn JE, van Niekerk A, Bradshaw D, Abdool Karim SS, Coovadia HM. Health in South Africa: changes and challenges since 2009. The Lancet. 2012;380:2029–43.CrossRef
15.
go back to reference Polzer T. Collecting data on migrants through service provider NGOs: towards data use and advocacy. J Refug Stud. 2013;26:144–54.CrossRef Polzer T. Collecting data on migrants through service provider NGOs: towards data use and advocacy. J Refug Stud. 2013;26:144–54.CrossRef
16.
go back to reference Vearey J. Migration, access to ART, and survivalist livelihood strategies in Johannesburg. Afr J AIDS Res. 2008;7:361–74.CrossRefPubMed Vearey J. Migration, access to ART, and survivalist livelihood strategies in Johannesburg. Afr J AIDS Res. 2008;7:361–74.CrossRefPubMed
17.
go back to reference Landau L. Urbanisation, nativism, and the rule of law in South Africa’s “forbidden” cities. Third World Q. 2005;26:1115–34.CrossRef Landau L. Urbanisation, nativism, and the rule of law in South Africa’s “forbidden” cities. Third World Q. 2005;26:1115–34.CrossRef
18.
go back to reference Duponchel M, Gindrey V, Landau L, Misago J, Polzer T. Vulnerability, mobility and place: alexandra and central Johannesburg pilot study. Johannesburg: ACMS; 2010. Duponchel M, Gindrey V, Landau L, Misago J, Polzer T. Vulnerability, mobility and place: alexandra and central Johannesburg pilot study. Johannesburg: ACMS; 2010.
19.
go back to reference Myroniuk TW, Vearey J. Social capital and livelihoods in Johannesburg: differential advantages and unexpected outcomes among foreign-born migrants, internal migrants, and long-term South African residents. Int Migr Rev. 2014;48:243–73.CrossRef Myroniuk TW, Vearey J. Social capital and livelihoods in Johannesburg: differential advantages and unexpected outcomes among foreign-born migrants, internal migrants, and long-term South African residents. Int Migr Rev. 2014;48:243–73.CrossRef
20.
go back to reference Singh G, Clark B. Creating a frame: a spatial approach to random sampling of immigrant households in inner city Johannesburg. J Refug Stud. 2013;26:126–44.CrossRef Singh G, Clark B. Creating a frame: a spatial approach to random sampling of immigrant households in inner city Johannesburg. J Refug Stud. 2013;26:126–44.CrossRef
21.
go back to reference Vearey J, Palmary I, Nunez L, Drime S. Urban health in Johannesburg: the importance of place in understanding intra-urban inequalities in a context of migration and HIV. Health Place. 2010;16:694–702.CrossRefPubMed Vearey J, Palmary I, Nunez L, Drime S. Urban health in Johannesburg: the importance of place in understanding intra-urban inequalities in a context of migration and HIV. Health Place. 2010;16:694–702.CrossRefPubMed
24.
go back to reference Kuhlmann E, Annandale E., editors. The palgrave handbook of gender and healthcare. London: Springer; 2016. Kuhlmann E, Annandale E., editors. The palgrave handbook of gender and healthcare. London: Springer; 2016.
25.
go back to reference Nanda P. Gender dimensions of user fees: Implications for women’s utilization of health care. Reprod Health Matters. 2002;10:127–34.CrossRefPubMed Nanda P. Gender dimensions of user fees: Implications for women’s utilization of health care. Reprod Health Matters. 2002;10:127–34.CrossRefPubMed
26.
go back to reference Vearey J. Migration, urban health and inequality in Johannesburg. Migration and Inequality. London: Routledge; 2013. Vearey J. Migration, urban health and inequality in Johannesburg. Migration and Inequality. London: Routledge; 2013.
27.
go back to reference Chen J. Internal migration and health: re-examining the healthy migrant phenomenon in China. Soc Sci Med. 2011;72:1294–301.CrossRefPubMed Chen J. Internal migration and health: re-examining the healthy migrant phenomenon in China. Soc Sci Med. 2011;72:1294–301.CrossRefPubMed
29.
go back to reference Misago J-P, Landau LB. Gutters, gates, and gangs: collaborative sampling in “post-violence” Johannesburg. J Refug Stud. 2013;26:116–25.CrossRef Misago J-P, Landau LB. Gutters, gates, and gangs: collaborative sampling in “post-violence” Johannesburg. J Refug Stud. 2013;26:116–25.CrossRef
30.
go back to reference Richter M, Chersich MF, Vearey J, Sartorius B, Temmerman M, Luchters S. Migration status, work conditions and health utilization of female sex workers in three South African cities. J Immigr Minor Health. 2014;16:7–17.CrossRefPubMed Richter M, Chersich MF, Vearey J, Sartorius B, Temmerman M, Luchters S. Migration status, work conditions and health utilization of female sex workers in three South African cities. J Immigr Minor Health. 2014;16:7–17.CrossRefPubMed
32.
go back to reference Vigneswaran D. Residential sampling and Johannesburg’s forced migrants. J Refug Stud. 2009;22:439–59.CrossRef Vigneswaran D. Residential sampling and Johannesburg’s forced migrants. J Refug Stud. 2009;22:439–59.CrossRef
33.
go back to reference Vigneswaran D, Quirk J. Quantitative methodological dilemmas in urban refugee research: a case study of Johannesburg. J Refug Stud. 2013;26:110–6.CrossRef Vigneswaran D, Quirk J. Quantitative methodological dilemmas in urban refugee research: a case study of Johannesburg. J Refug Stud. 2013;26:110–6.CrossRef
34.
go back to reference Wimmer A, Glick Schiller N. Methodological nationalism and beyond: nation–state building, migration and the social sciences. Glob Netw. 2002;2:301–34.CrossRef Wimmer A, Glick Schiller N. Methodological nationalism and beyond: nation–state building, migration and the social sciences. Glob Netw. 2002;2:301–34.CrossRef
35.
go back to reference Wimmer A, Schiller NG. Methodological nationalism, the social sciences, and the study of migration: an essay in historical epistemology1. Int Migr Rev. 2003;37:576–610.CrossRef Wimmer A, Schiller NG. Methodological nationalism, the social sciences, and the study of migration: an essay in historical epistemology1. Int Migr Rev. 2003;37:576–610.CrossRef
Metadata
Title
Exploring The Migration Profiles of Primary Healthcare Users in South Africa
Authors
Jo Vearey
Thea de Gruchy
Mphatso Kamndaya
Helen L. Walls
Candice M. Chetty-Makkan
Johanna Hanefeld
Publication date
01-02-2018
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 1/2018
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-016-0535-7

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