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Ensuring migrant rights to health: lessons from a study assessing non-citizen access to ART in inner-city Johannesburg

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Jo Vearey
Jo Vearey
Santé & Médecine
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Ensuring migrant rights to health: lessons from a study assessing non-citizen access to ART in inner-city Johannesburg Jo Vearey PhD Student, School of Public Health Doctoral Research Fellow, Forced Migration Studies Programme University of the Witwatersrand [email_address] http://migration.org.za 16 th May 2008
Overview of presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Background (1): migration and urban health ,[object Object],[object Object],[object Object],[object Object]
Background (2): migration & the City of Johannesburg ,[object Object],[object Object],[object Object],[object Object],(City of Johannesburg, 2008) ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Background (3): asylum policy
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Background (4): Protective policy – the right to health, including ART
NDOH Memo (2007) ,[object Object],[object Object]
Study aim ,[object Object]
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object]
Methods ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ethics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Limitations of the study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],Basic demographics of migrant ART clients
Health migrants? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Like South Africans, these migrants are most likely to test only when sick (Chi-squared; P = 0.122)
Migrants are no more likely than South Africans to not collect or not take their ART (Chi-squared; p = 0.404)
[object Object],[object Object],Migrants are accessing ART in the non-governmental sector Government sites Non-governmental
A dual healthcare system ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health provision: a political domain? ,[object Object],[object Object],[object Object],[object Object]
Quality of service ,[object Object],[object Object],[object Object]
NDOH Directive (September 2007): refugees and asylum seekers with or without a permit
Letter from Gauteng DOH ,[object Object],[object Object]
Migrant access to health care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
Key recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Ensuring migrant rights to health: lessons from a study assessing non-citizen access to ART in inner-city Johannesburg

  • 1. Ensuring migrant rights to health: lessons from a study assessing non-citizen access to ART in inner-city Johannesburg Jo Vearey PhD Student, School of Public Health Doctoral Research Fellow, Forced Migration Studies Programme University of the Witwatersrand [email_address] http://migration.org.za 16 th May 2008
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  • 17. Like South Africans, these migrants are most likely to test only when sick (Chi-squared; P = 0.122)
  • 18. Migrants are no more likely than South Africans to not collect or not take their ART (Chi-squared; p = 0.404)
  • 19.
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  • 23. NDOH Directive (September 2007): refugees and asylum seekers with or without a permit
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