Migrant women's access to public health care services in Makhado, Limpopo: a case of Zimbabwean women

dc.contributor.advisorGarba, Faisal
dc.contributor.authorTshililo, Takalani Yolanda
dc.date.accessioned2020-11-10T14:43:07Z
dc.date.available2020-11-10T14:43:07Z
dc.date.issued2020
dc.date.updated2020-11-10T14:10:09Z
dc.description.abstractMigrant women are often omitted within the migrant discourse/research, with that in mind, the research study brings to the fore migrant women's experiences when accessing public health care services within underdeveloped communities. The study explored Zimbabwean migrant women's experiences in accessing public health care services in Makhado, a small town based in Limpopo, South Africa which has only two public health care services namely, Louis Trichardt Memorial Hospital and Louis Trichardt clinic. To conduct this study, ethical clearance was obtained in November 2018 from the Department of Sociology at the University of Cape Town. The qualitative research method was adopted in collecting the data. The study conducted in-depth interviews with five Zimbabwean migrant women who had made use of the two public health care services in Makhado. Field notes, diary entry, an impromptu focus group were used to collect the study data. The sample for the study was purposively selected. The study worked with a total of twelve participants, in-depth interviews with five Zimbabwean women, and a focus group with seven health care workers. The collected data was manually transcribed and was analyzed using the framework analysis. Main themes and sub-themes were extracted from the transcribed interview scripts. The study revealed that migrants accessing the two hospitals in Makhado faced challenges such as language barriers, discrimination, and adverse health personnel attitudes based on the patient's citizenship status. Furthermore, the challenges that nurses are faced within their workplace, which include lack of resources, absenteeism, long working hours and overcrowded public health care services within their workplace contributed towards their negative attitude in assisting patients. As a result, migrants bore the challenges faced by the nurses within the public health care services. Therefore, the migrants reverted to having other alternatives such as traditional healers, churches, connections with nurses working in the hospitals, private hospitals and over the counter medication. However, participants underscored that in order for betterment within the public health care services, the following measures ought to be implemented, these include the introduction of independent centres, an increase of mobile clinics, increased number of interpreters, better working environment for the health personnel within the public health care facilities and intensive education training of the health personnel around the awareness migrant issues when accessing public health care services. Foucault's (1980) theory on power and knowledge, played a significant role in understanding the operational systems of public health care services. It also assisted in understanding how public health care services function, to exclude and control migrant patients, through the introduction of fees and required documentation to access public health care services.
dc.identifier.apacitationTshililo, T. Y. (2020). <i>Migrant women's access to public health care services in Makhado, Limpopo: a case of Zimbabwean women</i>. (). ,Faculty of Humanities ,Department of Sociology. Retrieved from http://hdl.handle.net/11427/32369en_ZA
dc.identifier.chicagocitationTshililo, Takalani Yolanda. <i>"Migrant women's access to public health care services in Makhado, Limpopo: a case of Zimbabwean women."</i> ., ,Faculty of Humanities ,Department of Sociology, 2020. http://hdl.handle.net/11427/32369en_ZA
dc.identifier.citationTshililo, T.Y. 2020. Migrant women's access to public health care services in Makhado, Limpopo: a case of Zimbabwean women. . ,Faculty of Humanities ,Department of Sociology. http://hdl.handle.net/11427/32369en_ZA
dc.identifier.ris TY - Master Thesis AU - Tshililo, Takalani Yolanda AB - Migrant women are often omitted within the migrant discourse/research, with that in mind, the research study brings to the fore migrant women's experiences when accessing public health care services within underdeveloped communities. The study explored Zimbabwean migrant women's experiences in accessing public health care services in Makhado, a small town based in Limpopo, South Africa which has only two public health care services namely, Louis Trichardt Memorial Hospital and Louis Trichardt clinic. To conduct this study, ethical clearance was obtained in November 2018 from the Department of Sociology at the University of Cape Town. The qualitative research method was adopted in collecting the data. The study conducted in-depth interviews with five Zimbabwean migrant women who had made use of the two public health care services in Makhado. Field notes, diary entry, an impromptu focus group were used to collect the study data. The sample for the study was purposively selected. The study worked with a total of twelve participants, in-depth interviews with five Zimbabwean women, and a focus group with seven health care workers. The collected data was manually transcribed and was analyzed using the framework analysis. Main themes and sub-themes were extracted from the transcribed interview scripts. The study revealed that migrants accessing the two hospitals in Makhado faced challenges such as language barriers, discrimination, and adverse health personnel attitudes based on the patient's citizenship status. Furthermore, the challenges that nurses are faced within their workplace, which include lack of resources, absenteeism, long working hours and overcrowded public health care services within their workplace contributed towards their negative attitude in assisting patients. As a result, migrants bore the challenges faced by the nurses within the public health care services. Therefore, the migrants reverted to having other alternatives such as traditional healers, churches, connections with nurses working in the hospitals, private hospitals and over the counter medication. However, participants underscored that in order for betterment within the public health care services, the following measures ought to be implemented, these include the introduction of independent centres, an increase of mobile clinics, increased number of interpreters, better working environment for the health personnel within the public health care facilities and intensive education training of the health personnel around the awareness migrant issues when accessing public health care services. Foucault's (1980) theory on power and knowledge, played a significant role in understanding the operational systems of public health care services. It also assisted in understanding how public health care services function, to exclude and control migrant patients, through the introduction of fees and required documentation to access public health care services. DA - 2020 DB - OpenUCT DP - University of Cape Town KW - migration KW - Zimbabwean women KW - public health care services KW - Louis Trichardt Memorial Hospital KW - Louis Trichardt clinic LK - https://open.uct.ac.za PY - 2020 T1 - Migrant women's access to public health care services in Makhado, Limpopo: a case of Zimbabwean women TI - Migrant women's access to public health care services in Makhado, Limpopo: a case of Zimbabwean women UR - http://hdl.handle.net/11427/32369 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/32369
dc.identifier.vancouvercitationTshililo TY. Migrant women's access to public health care services in Makhado, Limpopo: a case of Zimbabwean women. []. ,Faculty of Humanities ,Department of Sociology, 2020 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/32369en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Sociology
dc.publisher.facultyFaculty of Humanities
dc.subjectmigration
dc.subjectZimbabwean women
dc.subjectpublic health care services
dc.subjectLouis Trichardt Memorial Hospital
dc.subjectLouis Trichardt clinic
dc.titleMigrant women's access to public health care services in Makhado, Limpopo: a case of Zimbabwean women
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMPhil
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
thesis_hum_2020_tshililo takalani yolanda.pdf
Size:
2.63 MB
Format:
Adobe Portable Document Format
Description:
License bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
0 B
Format:
Item-specific license agreed upon to submission
Description:
Collections