African Migration Governance

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What Are the Cross-Border Health Coordination Challenges Between South Africa and Neighboring SADC Countries?

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Breaking Down Borders, Building Health Systems: The Cross-Border Coordination Crisis in Southern Africa Introduction: When Borders Become Barriers to Health Maria, a 34-year-old Mozambican mother living in Nkomazi, South Africa, discovered she was HIV-positive during antenatal care. Immediately, healthcare workers started her treatment. However, when she returned to Mozambique for a family emergency three months […]

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What Happens When Migrants with Chronic Diseases Can’t Access Affordable Medication in South Africa?

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When Chronic Illness Meets Barriers: Migrants Struggling to Access Medication in South Africa A human story, and why it matters In early 2025, a 34‑year-old Zimbabwean woman — we’ll call her “Amina” — living in Johannesburg was diagnosed with hypertension. After losing her job, she could no longer afford private care. At her local public

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How Can South Africa’s Healthcare System Better Support Migrants with HIV/AIDS and TB Co-Infections?

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Bridging the Treatment Gap: Supporting Migrants with HIV/AIDS-TB Co-Infections in South Africa When Borders Become Barriers: The Silent Crisis Thirty-five-year-old Grace* travels between Zimbabwe and South Africa’s Limpopo province every three months. She works on commercial farms near Musina during harvesting seasons. Grace lives with both HIV and tuberculosis (TB), requiring consistent medication for both

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How Does Incomplete Vaccination Coverage Among Cross-Border Migrants Threaten Disease Outbreaks in South African Communities?

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Incomplete Vaccination Among Migrants and Disease Risks in South Africa Opening — a warning from 2025 In 2025, National Institute for Communicable Diseases (NICD) data reported over 1,900 confirmed measles cases in South Africa by November, with the majority concentrated in urban provinces such as Gauteng. NICD+2IOL+2 Meanwhile, ongoing cross‑border migration — both regional and

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Are Migrant Children in South Africa Falling Through the Cracks of National Immunization Programs?

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Migrant Children and Immunisation Gaps in South Africa Opening: a worrying real-world snapshot When one thinks of immunisation in South Africa, the assumption is often that children — whoever they are — receive vaccines via the state’s well-established immunisation schedule. But for many migrant children, especially those whose parents are foreign nationals or undocumented, reality

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What Are the Ethical and Policy Implications of Excluding Non-Citizens from Food Security Interventions in South Africa?

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Excluding Non‑Citizens from Food Security in South Africa: Ethics and Policy Opening — A Case of Silent Hunger In late 2023, a family of Zimbabwean migrants living in a Johannesburg township reached out to a local NGO. The mother described how, after losing her informal‑sector job, her children went hungry for days because food parcels

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How Do Social Networks and Community Organizations Mediate Food Access and Health Outcomes for African Migrants?

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When networks become lifelines: a migrant household in Johannesburg In 2024, a family of Mozambican migrants living in a township near Johannesburg spoke with researchers about their weekly food situation. They reported surviving on “what the group can afford together.” Neither parent had stable employment. Instead, they pooled income and shared staples bought in bulk

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What Are the Long-Term Health Implications of Dietary Acculturation for Second-Generation African Migrants in South Africa?

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Long-Term Health Implications of Dietary Acculturation for Second-Generation African Migrants in South Africa Introduction: Migration and Metabolic Risk Consider a hypothetical child, born in Johannesburg to parents who migrated from rural Limpopo. At home, the family still eats traditional meals such as maize porridge (pap), leafy greens, and pulses. Outside the home, at school and

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How Do Gender Dynamics Shape Food Access, Preparation, and Nutrition Outcomes Within African Migrant Households in South Africa?

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Gender and Food Security in African Migrant Households in South Africa Introduction Food insecurity among African migrant households in South Africa is a pressing concern. Over 30% of migrant-headed households have limited access to nutritious food (Statistics SA, 2023). Gender roles shape food access, preparation, and nutrition. Women often manage meals, while men control finances,

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