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International urban migrants:   linkages between access to ART and survivalist livelihood strategies in the City of Johannesburg, South Africa 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 29 th  May 2008
Overview of presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Migration and the City of Johannesburg ,[object Object],[object Object],[object Object],[object Object],(City of Johannesburg, 2008) ,[object Object]
International migrants ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Asylum policy
Methods: Johannesburg inner-city ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key findings ,[object Object],[object Object],[object Object]
The importance of the informal economy for urban migrants ,[object Object],[object Object],[object Object],[object Object]
Urban migrant livelihoods African Cities Survey, 2006
Non-citizens face challenges in accessing ART in the public sector ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health migration and adherence ,[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)
[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]
The linkages between upholding the right to access ART and maintaining a survivalist livelihood ,[object Object],[object Object]
A revised sustainable livelihoods framework for urban migrants
ASSETS (strengths) Resources Stresses Shocks financial physical human social hunger violence evictions unemployment sickness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIV provision of remittances ART Legislation Protective policy housing - - - buffer - - -
Key messages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendations (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendations (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object]

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International urban migrants: linkages between access to ART and survivalist livelihood strategies in the City of Johannesburg, South Africa

  • 1. International urban migrants: linkages between access to ART and survivalist livelihood strategies in the City of Johannesburg, South Africa 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 29 th May 2008
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  • 6.
  • 7.
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  • 9. Urban migrant livelihoods African Cities Survey, 2006
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  • 12. Like South Africans, these migrants are most likely to test only when sick (Chi-squared; P = 0.122)
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  • 16. A revised sustainable livelihoods framework for urban migrants
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Notes de l'éditeur

  1. The theoretical framework for this intervention drew on work done on urban livelihoods, Paulo Friere’s adult learning, social anthropology and the reflect methodology. Sustainable Livelihoods is a people-centred, participatory and responsive approach to development. SL based programmes starts from where individuals, households and communities currently are, in relation to their livelihoods, and builds from there. This ensures that people - and their current, existing strengths (assets) - are built upon. Stresses are chronic – they include hunger, the fear of violence, unemployment Shocks , are acute - such as shack fires, evictions, rape, theft. Assets – whether they are financial (grants or microfinance loans), physical (a house that does not leak), social (community groups), act as buffers - they enable an individual, household or community to cope with , and recover from , stresses and shocks A SL approach involves assisting individuals to obtain additional assets (strengths) and build these in order to access and obtain additional resources. By continuously building and developing this asset base, an individual is better able to cope with shocks and stresses encountered on a daily basis. ---------------------------- Need to be imaginitave, creative Multi-disciplinary Adult educations Participatroy rural appraisals Reflect Social anth Livelihoods Understand and draw to create a strong theoretical framework Adjusted from various literature etc S ustainable livelihoods (SL) is a people-centred, participatory and responsive approach to development. A sustainable livelihood is “ a livelihood that can cope with and recover from stresses and shocks and maintain or enhance its capabilities and assets both now and in the future…. ” (Carney, 1998)