Migration and health in Johannesburg
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Input made to the City of Johannnesburg's Growth and Development Strategy 2040.
![24 th August 2011 Migration and health in Johannesburg Implications for the GDS 2040 Jo Vearey, PhD [email_address]](https://image.slidesharecdn.com/cojgds-migration24aug2011-110930021626-phpapp01/85/Migration-and-health-in-Johannesburg-1-320.jpg)
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Migration and health in Johannesburg
- 1. 24 th August 2011 Migration and health in Johannesburg Implications for the GDS 2040 Jo Vearey, PhD [email_address]
- 5. FMSP and UNOCHA, 2009
- 6. Percentage of international migrants living in urban settlement by District Municipality FMSP and UNOCHA, 2009
- 9. Internal AND cross-border migration
- 10. NDOH Financial Directive, 2007
- 21. 24 th August 2011 Migration and health in Johannesburg Implications for the GDS 2040 Jo Vearey, PhD [email_address]
- 25. NDOH Financial Directive, 2007
Hinweis der Redaktion
- However, 20% of international migrants reported initiating ART in another country ….. It a ppears that other reasons (economic) are the reason for movement; Further research needed – is access to ART (becoming) a determinant of migration? Qualitative follow up study; Continuity of treatment is essential – regardless of reasons for movement. To this end, guidelines relating to continuity of treatment do exist.
- Simply show as e.g. of type of data available at a national level. This can be used at national, provincial and district level for implementation of programmes etc.
- Simply show as e.g. of type of data available at a national level. This can be used at national, provincial and district level for implementation of programmes etc.
- The process of migration can affect the health of migrants. It is the context of migration that is the challenge; not being a migrant per se. There are various phases which need to be considered when thinking about HIV responses – migration is a continuum and responses need to engage with this. Especially continuity of care. This is applicable to BOTH internal AND cross-border migrant groups.
- In September last year, the NDOH released a revenue directive clarifying that refugees and asylum seekers – with or without a permit – have to rhight to access basic health services and ART. They must be assessed according to the current means test, as applied to South African citizens, and must not be charged foreign category fees.
- South Africa has a progressive asylum policy whereby refugees and asylum seekers are encouraged to self-settle and integrate, rather than be confined to camps. A range of protective rights are afforded to international migrants – including refugees and asylum seekers – that include the right to health, and to antiretroviral therapy. However, many challenges are experienced by international migrants as protective policy is not transformed into protective practice. Key here, are the challenges with the backlog at home affairs that presents challenges in accessing documentation and the lack of awareness of the rights of international migrants amongst service providers.
- A range of rights, including access to basic healthcare, are provided to non-nationals through the Refugee Act (1998) and the South African Constitution. The current HIV/AIDS and STI National Strategic Plan for South Africa (NSP) specifically includes non-nationals – international migrants, refugees and asylum seekers – and outlines their right to HIV prevention, treatment and support. In September 2007, the National Department of Health (NDOH) released a Revenue Directive [i] clarifying that refugees and asylum seekers – with or without a permit – shall be exempt from paying for antiretroviral treatment (ART) in the public sector. A key guiding principle to the successful implementation of the NSP is towards “ensuring equality and non-discrimination against marginalised groups”; refugees, asylum seekers and foreign migrants are specifically mentioned as having “a right to equal access to interventions for HIV prevention, treatment and support” [ii] . [i] Ref: BI 4/29 REFUG/ASYL 8 2007 [ii] Department of Health (2007) HIV & AIDS and STI Strategic Plan for South Africa, 2007 – 2011. April 2007: Pretoria: Department of Health, p56
- In September last year, the NDOH released a revenue directive clarifying that refugees and asylum seekers – with or without a permit – have to rhight to access basic health services and ART. They must be assessed according to the current means test, as applied to South African citizens, and must not be charged foreign category fees.
- The 2006 NDOH memo c larifies that possession of a South African identity booklet is NOT a prerequisite for eligibility for ART. This is important for South African citizens as well as non-citizens.
- In addition, Dr. Patrick Maduna of Gauteng Health released a memo in early April providing additional clarification that South African identity booklets are NOT a requirement of healthcare, including ART.