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Open Access
Article
Publication date: 6 March 2017

Theresa Alfaro-Velcamp

Asylum seekers, refugees and immigrants’ access to healthcare vary in South Africa and Cape Town due to unclear legal status. The purpose of this paper is to shed light on the…

5510

Abstract

Purpose

Asylum seekers, refugees and immigrants’ access to healthcare vary in South Africa and Cape Town due to unclear legal status. The purpose of this paper is to shed light on the source of this variation, the divergence between the 1996 South African Constitution, the immigration laws, and regulations and to describe its harmful consequences.

Design/methodology/approach

Based on legal and ethnographic research, this paper documents the disjuncture between South African statutes and regulations and the South African Constitution regarding refugees and migrants’ access to healthcare. Research involved examining South African jurisprudence, the African Charter, and United Nations’ materials regarding rights to health and health care access, and speaking with civil society organizations and healthcare providers. These sources inform the description of the immigrant access to healthcare in Cape Town, South Africa.

Findings

Asylum-seekers and refugees are entitled to health and emergency care; however, hospital administrators require documentation (up-to-date permits) before care can be administered. Many immigrants – especially the undocumented – are often unable to obtain care because of a lack of papers or because of “progressive realization,” the notion that the state cannot presently afford to provide treatment in accordance with constitutional rights. These explanations have put healthcare providers in an untenable position of not being able to treat patients, including some who face fatal conditions.

Research limitations/implications

The research is limited by the fact that South African courts have not adjudicated a direct challenge to being refused care at healthcare facility on the basis of legal status. This limits the ability to know how rights afforded to “everyone” within the South African Constitution will be interpreted with respect to immigrants seeking healthcare. The research is also limited by the non-circulation of healthcare admissions policies among leading facilities in the Cape Town region where the case study is based.

Practical implications

Articulation of the disjuncture between the South African Constitution and the immigration laws and regulations allows stakeholders and decision-makers to reframe provincial and municipal policies about healthcare access in terms of constitutional rights and the practical limitations accommodated through progressive realization.

Social implications

In South Africa, immigration statutes and regulations are inconsistent and deemed unconstitutional with respect to the treatment of undocumented migrants. Hospital administrators are narrowly interpreting the laws to instruct healthcare providers on how to treat patients and whom they can treat. These practices need to stop. Access to healthcare must be structured to comport with the constitutional right afforded to everyone, and with progressive realization pursued through a non – discriminatory policy regarding vulnerable immigrants.

Originality/value

This paper presents a unique case study that combines legal and social science methods to explore a common and acute question of health care access. The case is novel and instructive insofar as South Africa has not established refugee camps in response to rising numbers of refugees, asylum seekers and immigrants. South Africans thus confront a “first world” question of equitable access to healthcare within their African context and with limited resources in a climate of increasing xenophobia.

Details

International Journal of Migration, Health and Social Care, vol. 13 no. 1
Type: Research Article
ISSN: 1747-9894

Keywords

Content available

Abstract

Details

Place, Race and Politics
Type: Book
ISBN: 978-1-80043-046-4

Content available
Article
Publication date: 21 September 2015

Charles Watters

129

Abstract

Details

International Journal of Migration, Health and Social Care, vol. 11 no. 3
Type: Research Article
ISSN: 1747-9894

Content available
Book part
Publication date: 26 October 2018

Jacqueline Stevenson and Sally Baker

Abstract

Details

Refugees in Higher Education
Type: Book
ISBN: 978-1-78743-714-2

Content available
Book part
Publication date: 18 June 2020

Abstract

Details

Refugee Crises and Third-World Economies
Type: Book
ISBN: 978-1-83982-191-2

Open Access
Article
Publication date: 12 March 2018

Lysann Seifert, Nathan Kunz and Stefan Gold

The purpose of this paper is to map and analyse the literature from 1989 to 2016 on humanitarian supply chain management (SCM) responding to refugees. This literature review…

14313

Abstract

Purpose

The purpose of this paper is to map and analyse the literature from 1989 to 2016 on humanitarian supply chain management (SCM) responding to refugees. This literature review systematically assesses existing literature, thereby highlighting gaps, challenges and directions for future research.

Design/methodology/approach

The authors apply a structured content analysis method which has been recognised as a traceable, systematic and reproducible research tool to analyse qualitative and quantitative aspects of existing literature.

Findings

The relative scarcity of literature implies that the interface of the fields of Humanitarian SCM and refugees has been rarely addressed. More specifically, the quantitative content analysis highlights a dearth of research that focusses on both fields in a well-balanced manner. In particular, empirical, practice-led studies, as well as research on development aid operations are under-represented. The qualitative analysis finds that further research on logistics models as well as technological innovations is necessary to increase data availability, forecast accuracy and the efficiency of (local) supply network operations during disasters.

Research limitations/implications

The review suggests a number of areas in need of future research, proposes possibilities of collaborations between different actors and provides a research agenda for Humanitarian SCM in the context of refugees.

Originality/value

This review is the first to analyse the literature on Humanitarian SCM related to refugees.

Details

Journal of Humanitarian Logistics and Supply Chain Management, vol. 8 no. 3
Type: Research Article
ISSN: 2042-6747

Keywords

Open Access
Article
Publication date: 18 May 2020

Marwa Sobhy Montaser

This paper aims at contributing to our understanding of how self-settled Syrian refugees (registered and non-registered) use informal practices to forge their non-political agency…

1576

Abstract

Purpose

This paper aims at contributing to our understanding of how self-settled Syrian refugees (registered and non-registered) use informal practices to forge their non-political agency and how this agency could be considered as political acts.

Design/methodology/approach

This paper was conducted per the qualitative data analysis (in-depth interviews and participant observation), attributed to the critical ethnographic approach, through which refugees’ everyday struggle is explored, additionally, that was incorporated with the analysis of Syrians’ Facebook groups and formal sources.

Findings

The research paper concluded that everyday struggle strategies are considered as political acts by acquiring rights that many self-settled Syrian refugees are stripped of by international humanitarian agencies and host government. Hence, registered and unregistered refugees equally forge what is called “informal citizenship” through their presence via a blend of agency forms ranging from hidden agency to explicit one and via their incorporating into the informal contexts, leading them to carve a position of semi-legality that help them to circumvent the formal structural hardship.

Originality/value

This paper endeavors to study how urban refugees as change agents can convert their illegal presence to “probably refugeeness” to unsettle the prominent recognition of them as illegal non-citizens in southern cities.

Details

Review of Economics and Political Science, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2356-9980

Keywords

Content available
Book part
Publication date: 16 November 2018

Abstract

Details

Strategies, Policies, and Directions for Refugee Education
Type: Book
ISBN: 978-1-78714-798-0

Content available
Book part
Publication date: 23 August 2022

Abstract

Details

Global Meaning Making
Type: Book
ISBN: 978-1-80117-933-1

Open Access
Article
Publication date: 27 September 2019

Sarah E. DeYoung, Denise C. Lewis, Desiree M. Seponski, Danielle A. Augustine and Monysakada Phal

Using two main research questions, the purpose of this paper is to examine well-being and preparedness among Cambodian and Laotian immigrants living near the Gulf Coast of the…

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Abstract

Purpose

Using two main research questions, the purpose of this paper is to examine well-being and preparedness among Cambodian and Laotian immigrants living near the Gulf Coast of the USA, and the ways in which indicators such as sense of community and risk perception are related to these constructs.

Design/methodology/approach

This study employed a cross-sectional prospective design to examine disaster preparedness and well-being among Laotian and Cambodian immigrant communities. Quantitative survey data using purposive snowball sampling were collected throughout several months in Alabama, Mississippi, Florida and Louisiana.

Findings

Results from two multiple regressions revealed that sense of community and age contributed to well-being and were significant in the model, but with a negative relationship between age and well-being. Risk perception, confidence in government, confidence in engaging household preparedness and ability to cope with a financial crisis were significant predictors and positively related to disaster preparedness.

Practical implications

Well-being and disaster preparedness can be bolstered through community-based planning that seeks to address urgent needs of the people residing in vulnerable coastal locations. Specifically, immigrants who speak English as a second language, elder individuals and households in the lowest income brackets should be supported in disaster planning and outreach.

Originality/value

Cambodian and Laotian American immigrants rely upon the Gulf Coast’s waters for fishing, crab and shrimp income. Despite on-going hazard and disasters, few studies address preparedness among immigrant populations in the USA. This study fills a gap in preparedness research as well as factors associated with well-being, an important aspect of long-term resilience.

Details

Disaster Prevention and Management: An International Journal, vol. 29 no. 4
Type: Research Article
ISSN: 0965-3562

Keywords

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