African Human Mobility Review
AHMR
VOLUME 10 NUMBER 2
MAY - AUGUST 2024
SIHMA
Scalabrini Institute for
Human Mobility in Africa
AHMR Editorial Board
_______________________________________________________
Editor-in-Chief
Prof Mulugeta F. Dinbabo, University of the Western Cape, South Africa
Editors
Dr Sergio Carciotto, University of the Western Cape, South Africa
Prof Daniel Tevera, University of the Western Cape, South Africa
Board members
Prof Vivienne Lawack, University of the Western Cape, South Africa
Prof Jonathan Crush, Balsillie School of International Affairs, Canada
Prof Loren Landau, University of the Witwatersrand, South Africa
Prof Simon Bekker, University of Stellenbosch, South Africa
Prof Thomas Faist, Bielefeld University, Germany
Prof Raul Delagdo Wise, Universidad Autónoma de Zacatecas, Mexico
Prof Laurence Piper, University of the Western Cape, South Africa
Prof Shimelis Gulema, Stony Brook University, New York, USA
Prof Wilson Majee, University of Missouri, USA
Prof Linda Oucho, African Migration and Development Policy Centre, Kenya
Prof Razack Karriem, University of the Western Cape, South Africa
Prof Ernest Angu Pineteh, University of Pretoria, South Africa
Dr Delali Margaret Badasu, University of Ghana, Ghana
Dr Edmond Agyeman, University of Education, Winneba, Ghana
Dr Eria Serwajja, Makerere University, Uganda
Dr Joseph Yaro, University of Ghana, Ghana
Dr Lothar Smith, Radboud University, Netherlands
1
AHMR is an interdisciplinary peer-reviewed journal created to encourage and
facilitate the study of all aspects of human mobility in Africa, including socio-
economic, political, legal, developmental, educational and cultural aspects.
Through the publication of original research, policy discussions and evidence-based
research papers, AHMR provides a comprehensive forum devoted exclusively to
the analysis of current migration trends, migration patterns and some of the most
important migration-related issues.
AHMR is jointly owned by the Scalabrini Institute for Human Mobility in Africa
(SIHMA) and the University of the Western Cape (UWC).
The Scalabrini Institute for Human Mobility in Africa (SIHMA) is a member of the
Network of the Scalabrinian Centers for Migration Studies, with institutions in
New York, Paris, Rome, Buenos Aires, Sao Paulo, and Manila.
AHMR is accredited by the Department of Higher Education and Training
(DHET) in South Africa.
Articles and reviews in AHMR reflect the opinions of the contributors.
AHMR allows the author/s to retain full copyright in their articles.
ISSN 2410-7972 (online) ISSN 2411-6955 (print).
Editing services provided by On Point Language Solutions
AHMR © 2024 Creative Commons License CC-BY-4.0
SIHMA Physical address
47, Commercial St, 8001 Cape Town – South Africa
Tel. 0027 021 461 4741
Email: ahmr@sihma.org.za
Webpage: www.sihma.org.za
2
AHMR
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AHMR African Human Mobilty Review - Volume 10 No
2, May-August 2024
Contents
3 Editorial
Mulugeta F. Dinbabo
7 Book review: Lifeworlds in Crisis: Making Refugees in the Chad–Sudan
Borderlands
Reviewed by Daniel Tevera
9 “When There Is No Migration, the Whole Region Has a Problem”: The
Political Priorities of Migration Policies in West Africa
Franzisca Zanker
29 Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s
Refugee Regime
Gracsious Maviza and Divane Nzima
51 Does Climate Change Transfer Poverty from Rural to Urban Areas?
Implications for Regional Sub-Saharan Research Agenda
Thanyani Madzivhandila and Aklilu Asha
67 Institutionalizing Anti-Migrant Discourse in Public Healthcare: An
Analysis of Medical Xenophobia against Zimbabwean Migrant Women in
Johannesburg
Learnmore Mvundura
3
Editorial
___________________________________________________________________________________
Professor Mulugeta F. Dinbabo
Editor-in-Chief, African Human Mobility Review (AHMR)
University of the Western Cape
Email: editor@sihma.org.za
We are delighted to announce the release of the second issue of 2024 of the African
Human Mobility Review (AHMR). This issue features current, high-quality, and
original research, including a book review and articles focusing on various aspects
of human mobility in Africa. AHMR benefits from the expertise of a skilled editorial
board, a global network of scholars, and an interdisciplinary approach, ensuring
contributions that support evidence-based policymaking.
We would like to extend our gratitude to all contributors, authors, the editorial
board, the publisher, and anonymous reviewers, who have supported the journal.
Our goal is to continually enhance the journal’s quality and achieve new milestones,
positioning it more prominently within the international scientific community.
This issue includes a book review and four articles, all promoting original research
and policy discussions, while providing a comprehensive forum for examining
contemporary trends, migration patterns, and key migration-related issues in Africa.
The first section of this issue is a critical and academic appraisal by Daniel
Tevera of a book entitled “Lifeworlds in Crisis: Making Refugees in the Chad–Sudan
Borderlands,” authored by Andrea Behrends. The reviewer indicates that the book
is divided into three parts. Part I, organized around the themes of displacement and
emplacement, provides an exposition of how the war had shaken many lives, with
some families losing almost everything and recovering very little. Part II focuses on
the refugee camps and the everyday realities of people living in and around the camps
in the borderlands. Part III provides a close analysis of the Chadian government’s
intricate categorizations of the borderlands, such as delineating security zones and
allocating resources. Tevera comments on the author’s discussion of the nuanced
strategies that households and communities in the borderlands employ to navigate
everyday situations of severe crisis and uncertainty. Furthermore, the reviewer notes
the author’s detailed examination of the interventions of international, military, and
non-governmental organizations that have reshaped the social landscapes of the
borderlands. Tevera further indicates that the book is a richly textured discussion of
refugee precarity and the permeability of borders in the Chad–Sudan borderlands.
The first article by Franzisca Zanker is entitled “‘When There Is No Migration,
the Whole Region Has a Problem’: The Political Priorities of Migration Policies
in West Africa.” The paper is based on over 130 interviews with policymakers,
4
AHMR African Human Mobility Review - Volume 10 No
2, MAY-AUGUST 2024
politicians, civil society activists, and academic experts in Niger, Nigeria, Senegal,
and The Gambia in 2019. It adds to the literature on the agency of migration states
in the Global South. The study’s findings revealed that the lack of prior political
attention to migration governance becomes most evident when we consider that in
Nigeria, Niger, The Gambia, and Senegal a National Migration Policy (NMP) was
only developed and introduced following external funding for these schemes from
the European Union (EU) and their member states. The juxtaposition of the lack
of policy implementation and an everyday lived reality of mobility comes across
clearly, considering the Economic Community of West African States (ECOWAS)
framework. Addressing the political priorities of migration policies in West Africa
is crucial.
The second article by Gracsious Maviza and Divane Nzima is entitled
“Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee
Regime.” The methodological approach employed in this research is qualitative
research based on 12 in-depth interviews with key informants to explore how the
prolonged socio-economic crisis has impacted the state’s ability to provide social
protection to refugees in Zimbabwe. The author argues that although the refugee
regime in Zimbabwe mandates the state to provide protection services to refugees, the
macroeconomic reality is the major constraining factor. The author further indicates
that even though the United Nations High Commissioner for Refugees (UNHCR)
and its partners strive to offer protection, they often become overwhelmed by the
extensive demands involved in providing housing, improving livelihoods, ensuring
food security, and delivering water, sanitation services, and public health systems.
The findings of this research uncover that socio-economic challenges in a shrinking
economy affect the protection outcomes of refugees, regardless of the presence of a
robust refugee regime in the country.
The third article by Aklilu Asha and Thanyani Madzivhandila is entitled
“Does Climate Change Transfer Poverty from Rural to Urban Areas? Implications
for a Regional Sub-Saharan Research Agenda.” The research is based on an
extensive review of existing literature using qualitative document analysis. The
purpose of this article is to examine the role of climate change on rural-urban
migration, which ultimately contributes toward the increase in urban poverty.
Using a thorough literature review, the authors contend that the impacts of climate
change are widespread, affecting agriculture, water resources, and biodiversity, and
disproportionately burden vulnerable communities. Addressing climate change
requires urgent action, including reducing greenhouse gas emissions, transitioning
to renewable energy, and implementing sustainable practices. Overall, this paper
provides a novel concept on the implications for a research agenda in the context of
sub-Saharan Africa towards sustainable ways to respond to the challenges of climate-
induced migration, urbanization, and poverty.
The fourth article by Learnmore Mvundura is entitled “Institutionalizing Anti-
Migrant Discourse in Public Healthcare: An analysis of Medical Xenophobia against
5
Editorial
Zimbabwean Migrant Women in Johannesburg.” The research broadly focuses on
how Zimbabwean migrant women navigate maternal health inequities in South
Africa. The narratives are from 13 Zimbabwean migrant women who have been in
the country from as early as 2008. The paper focuses on the utterances and practices
that the participants attribute to nurses and frontline staff in their interactions in
healthcare facilities, drawing parallels with the anti-migrant discourse that populates
certain platforms outside the healthcare facilities, especially in the conventional
media, political discourse, and narratives from other anti-migrant platforms in the
community and on social media platforms. The result of this study concludes that
the practices that constitute medical xenophobia in the public healthcare system are
rearticulations and restaging of the anti-migrant discourse that has been popularized
by the media, politicians, and certain anti-migrant groupings in the community.
Finally, I encourage more researchers, academics, and students to join us in
exploring new and impactful research areas with significant social and practical
applications across various disciplines. I also hope they will bring original and
substantial research ideas to this journal.
6
AHMR African Human Mobility Review - Volume 10 No
2, MAY-AUGUST 2024
SIHMA is part of the Scalabrini International Migration Network (SIMN),
and joins an existing Network of Scalabrini Study Centres around the globe:
CSER (Centro Studi Emigrazione Roma), established in 1964 in Rome (Italy)
Journal: Studi Emigrazione
www.cser.it
CIEMI (Centre d’Information et Études sur les Migrations Internationales),
established in 1971 in Paris (France)
Journal: Migrations Société
www.ciemi.org
CMS (Center for Migration Studies of New York), established in 1969 in New York (USA)
Journal: International Migration Review (IMR)
and Journal on Migration and Human Security (JMHS)
www.cmsny.org
SMC (Scalabrini Migration Center), established in 1987 in Manila (Philippines)
Journal: Asian and Pacific Migration Journal (APMJ)
www.smc.org.ph
CEM (Centro de Estudios Migratorios), established in 1985 in São Paulo (Brazil)
Journal: Travessia
www.missaonspaz.org
CEMLA (Buenos Centro de Estudios Migratorios Latinoamericanos),
established in 1985 in Buenos Aires (Argentina)
Journal: Estudios Migratorios Latinoamericanos (EML)
www.cemla.com
Among our partners: CSEM (Centro Scalabriniano de Estudos Migratórios) in Brasilia
(Brazil); Journal: Revista Interdisciplinar da Mobilidade Humana (REMHU); www.csem.org.br
CEMLA, Buenos Aires
CIEMI, Paris
SMC, Manila
CSER, Rome
CEM, Sao Paolo
CMS, New York
SIHMA, Cape Town
Scalabrini Network
_______________________________________________________
7
Book review
Behrends, Andrea, 2024
Lifeworlds in Crisis: Making Refugees in the Chad–
Sudan Borderlands
London: C. Hurst & Company, 307 pages
ISBN: 9781911723226
Lifeworlds in Crisis: Making Refugees in the Chad–Sudan Borderlands is an engaging
book that addresses the gap in the literature on refugee precarity in the Chad–Sudan
borderlands. The book pursues an intersectional approach to examine crises and
gendered forms of migration and unpack the complex web of cross-border activities
and the multifaceted experiences of refugees in the Chad–Sudan borderlands. Andrea
Behrends engages with critical questions about borderland migration regimes and
civil society responses to crises and precarious livelihoods. She provides a compelling
account of the contexts and conditions of lifeworlds in crisis that illustrates how
crises profoundly reshape refugees’ social and spatial worlds.
Behrends discusses the nuanced strategies that households and communities
in the borderlands employ to navigate everyday situations of severe crisis and
uncertainty. Also, she examines the interventions of international, military, and
non-governmental organizations that have reshaped the social landscapes of the
borderlands. She assesses livelihoods before, during, and after the Darfur war and
discusses how communities struggled to sustain their livelihoods when social and
institutional arrangements were disrupted.
The book is divided into three parts. Part I, organized around the themes of
displacement and emplacement, provides an exposition of how the war had shaken
many lives, with some families losing almost everything and recovering very little.
Behrends highlights the resilience of the communities who reacted to violence,
displacement, and everyday insecurity in the borderlands following the outbreak
of war. Drawing on ethnographic data collected from participants in the study,
Behrends expounds on the increased mobility brought about by the 2003 Darfur
war, its negative impact on the established modes of subsistence in the borderlands,
and the different responses of various communities.
Part II focuses on the refugee camps and the everyday realities of people living
in and around the camps in the borderlands. It discusses the tensions and dynamics
in the borderlands, which had become an arena that embodied the struggles of
displaced refugees engaged in precarious work. Behrends examines the socio-
Book review - Lifeworlds in Crisis: Making Refugees in the Chad–Sudan Borderlands
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AHMR African Human Mobility Review - Volume 10 No
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spatial processes in the Chad–Sudan borderlands by exploring the dynamics that are
influenced by the area’s socio-spatial features (space-dependent dynamics) and the
dynamics that shaped the area’s physical-spatial structure (space-forming dynamics).
This exploration sheds light on factors that determined whether refugee households
returned to their former homes or remained in Chad. Behrends argues that despite
the urgency and trauma of war in the Chad–Sudan borderlands, the fabric of daily
life, in the form of routines, practices, and social interactions, survived in the face of
forced mobility and displacement.
Part III provides a close analysis of the Chadian government’s intricate
categorizations of the borderlands, such as delineating security zones and allocating
resources. Behrends shows how, because of the trauma of war in the Chad–Sudan
borderlands, refugee livelihoods became difficult for all displaced people who did
not have the capacity to access land, housing, food, work, and healthcare. The crisis
described in the book highlights the highly dynamic ways of living in or near war zones.
A compelling feature of the book is the richly textured discussion of refugee
precarity and the permeability of borders in the Chad–Sudan borderlands. The
book also provides nuanced insights into crises, migration, and migrant legal-status
complexities. Behrends frames the Chad–Sudan borderlands as dynamic socio-
spatial phenomena that require a critical and socially embedded understanding of
the crisis and migration nexus. The author’s disentanglement of the socio-spatial
processes in the borderlands not only highlights the materiality and permeability
of borders but also helps to unpack the crisis and migration nexus. While the book
has a shortcoming of limited data on official policies on refugees in the Chad–Sudan
borderlands, it nevertheless addresses an important niche on borderlands.
Prof Daniel Tevera, University of the Western Cape, South Africa
9
“When There Is No
Migration, the Whole Region
Has a Problem”: The Political
Priorities of Migration Policies
in West Africa
Franzisca Zanker1
Received 18 December 2023 / Accepted 19 July 2024 / Published 06 September 2024
DOI: 10.14426/ahmr.v10i2.2012
Abstract
This paper considers the implications of migration to Europe for West African
governments in relation to other forms of politically relevant mobilities. This helps to
understand what governments in West Africa prioritize when it comes to migration
policy. No doubt, there is an increasing European influence on the migration agenda.
However,despitethisinfluence,therearestillotherWestAfricaninterestswhenitcomes
to migration governance. These are diverse, covering development and humanitarian
concerns, and include pro-active diaspora policies, restrictive immigration regimes due
to economic protectionism and security concerns, as well as protecting migrants and
displaced people. Thus, different countries in the region have varying sets of political
priorities, though underlined by a broader unpolitical nature of migration of the
everyday. The paper is based on over 130 interviews with policymakers, politicians,
civil society activists, and academic experts in Niger, Nigeria, Senegal, and The Gambia
in 2019. It adds to the literature on the agency of migration states in the Global South.
Keywords: diaspora relations, ECOWAS, internally displaced people, irregular
migration, migration states, Nigeria, Niger, refugees, Senegal, The Gambia.
1
Senior Researcher at the Arnold-Bergstraesser-Institute (ABI) in Freiburg, Germany.  franzisca.zanker@abi.uni-
freiburg.de
The Political Priorities of Migration Policies in West Africa
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AHMR African Human Mobility Review - Volume 10 No
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INTRODUCTION
There has been growing research and policy focus on migration in West Africa. What
has traditionally been deliberated on in terms of the predominant circular labor
migration and the benefits and pitfalls for development (e.g., Adepoju, 2003, 2011;
Awumbila et al., 2017) has increasingly become a discussion on the implications of
irregular African migration toward Europe (e.g., Adam et al., 2020; Deridder et al.,
2020; Gaibazzi et al., 2017; Mouthaan, 2019).
This change in perspective is tied to an increasing focus in European
policymaking on migration in their external policies, notably in West Africa. The
first common framework on migration cooperation with so-called “third countries”
– outside the European Union (EU) – is from 2005, adapted in 2011 to the Global
Approach to Migration and Mobility (GAMM). One of the major outcomes of the
GAMM was the possibility of mobility partnerships, which aim to improve direct
coordination on migration, including legal pathways but also returns. The EU signed
three out of nine such partnerships with African countries, namely Cape Verde (2008),
Morocco (2013), and Tunisia (2014). Another format, with less commitment, but to
signal a wish to advance cooperation on migration in the long run, was added through
the Common Agenda for Migration and Mobility. To date, only two such agreements
exist, both in Africa, namely in Nigeria and Ethiopia (both signed in 2015).
From the onset of the so-called "migration crisis" in Europe, the cooperation
attempts gathered even more speed. By the summer of 2015, an unexpectedly high
number of refugees and other migrants arriving in the EU led to newfound urgency
in migration cooperation partnerships with third countries, especially in Africa.
According to figures from the United Nations High Commissioner for Refugees
(UNHCR), 1,032,408 refugees and other migrants arrived via the Mediterranean in
2015,with3,771reportedasdeadormissing(UNHCR,2021b).Bytheendofthesame
year, the very first summit between African and European heads of state dedicated
to migration took place in Valetta, Malta. At the summit, an EU Emergency Trust
Fund for Stability and Addressing Root Causes of Irregular Migration and Displaced
Persons in Africa (EUTF for Africa) was launched. By 2021, when it formally ended,
though projects are still running, it was worth nearly €5 billion, funded mostly from
EU development funds (88%), in addition to contributions from EU member states
(EU, 2020). The EUTF was not renewed after 2020 and has been replaced by the EU
Neighbourhood, Development and International Cooperation Instrument (NDICI)
(for a critical discussion, see Pope and Weisner, 2023).
Not long after the launch of the EUTF, in 2016, the New Partnership
Framework on Migration with Third Countries (NPF) was launched, in which all
priority countries, chosen as a starting point for partnerships were in Africa (namely
Ethiopia, Mali, Niger, Nigeria, and Senegal). The NPF aimed to create more tailored
approaches through migration compacts, including migration policies addressing
areas like aid, trade, energy, and security. Throughout all these policy initiatives,
European interest in migration governance centers on regulating migration flows
11
in the region generally and stopping irregular migration to Europe in particular.
This interest is pursued through institutional and legal capacity building on issues
such as “smuggling” persons, human trafficking, border control, and (forced) return
cooperation. All these interests were supported by the EUTF projects that seek to
address the “root causes” of migration, including lack of employment and conflict.
In West Africa, migration has both historically and post-independently been of
vital importance to the region for regional development – for example, both Nigeria
and Senegal have enshrined the right to migrate in their constitutions. Yet, the topic
has also previously received little political attention, perhaps with the exception
of periods of mass expulsions of immigrants from the region up to the 1980s, for
example, in Nigeria and Ghana (Okyerefo and Setrana, 2018). This is because there
is an everyday lived reality of migration that does not necessitate further policy
development on migration governance (Arhin-Sam et al., 2022). Yet, as will be
further explored below, the region has not been left untouched by the heightened
attention and funds for migration policy development. In recent years, much has
been written about the effects of European externalization policies in West Africa
(Cham and Adam, 2021; Frowd, 2020; Jegen, 2023; Mouthaan, 2019; Opi, 2021;
Strange and Oliveira Martins, 2019; Vives, 2017). Yet, what about other forms of
migration and mobility in the region? What happens to West African policy interests
in migration despite external influence from a very powerful actor?
A small but growing body of research has started pointing to the agentic role
of Global South states in migration governance (Fiddian-Qasmiyeh, 2020; Gazzotti
et al., 2023; Zanker, 2023). The literature argues that despite the constraints and
external influence from more powerful actors, like the EU, states are still managing
to carve out their own responses – be it creatively or otherwise (El Qadim, 2014;
Kandilige et al., 2023; Zanker and Altrogge, 2022). More than mere “passive
recipients” of external policies, West African states show their domestic interests
in pursuing certain migration policies – including the importance of remittances
(e.g., Mouthaan, 2019), domestic legitimacy (Altrogge and Zanker, 2019), and
how domestic interests interact with external interests (Adam et al., 2020; Frowd,
2020). Others have focused more on the micro-level adaptation to externalization
responses (Deridder et al., 2020). What these critical works have in common is that
they largely focus on the type of migration that is relevant for European stakeholders:
irregular migration to Europe. While the amount of time, effort, and money that has
gone into this objective no doubt has a political effect for countries in West Africa,
there are also other forms of migration that play a role in the region. This includes
involving diaspora abroad, which plays a significant role for the development of
the countries in question, not least through their financial remittances (addressed
by some; see, Adam et al., 2020; Mouthaan, 2019). Notwithstanding such diaspora
interest, the current body of work does not engage with other forms of migration,
such as the political dynamics of regional mobility (Okyerefo and Setrana, 2018)
or the significant populations of displaced people. As of April 2024, there are 13.7
The Political Priorities of Migration Policies in West Africa
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AHMR African Human Mobility Review - Volume 10 No
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million forcibly displaced and stateless persons in West and Central Africa, including
8 million internally displaced persons (IDPs) (UNHCR, 2024). This paper seeks to
consider the place of migration to Europe for West African governments in relation
to other forms of politically relevant mobilities. Taking 2019 as a snapshot year for
migration governance in the region (when the EU interest was at a peak and a first
wave of EUTF projects were being implemented), the paper highlights how other
forms of migration policymaking were also important for gaining political capital for
countries in the region. In particular, this includes diaspora relations (top priority in
Nigeria and Senegal) as well as humanitarian protection of displaced persons, which
was second and third political priority in Niger and Nigeria, respectively. By showing
the political capital related to migration policies varied, even in this year of massive
EU interest in irregular migration, showcases the agency of Global South states in
prioritizing their own interests when it comes to migration policymaking and that
mobility speaks to a whole range of interests that go far beyond those making their
way to Europe.
In the first part, the paper introduces the influence of the European agenda
on migration, to explain the high prioritization of irregular migration for many
countries. The second part demonstrates that despite this influence, there are still
West African interests when it comes to migration governance, including those
related to development interests as well as protecting displaced people. The interests
are not straightforward and go in different directions but highlight the importance
of other forms of migration. The third section summarizes the different migration
policy priorities for 2019 in Niger, Nigeria, The Gambia, and Senegal, highlighting
that states consider various interests when looking at migration, which go far beyond
irregular migration. A concluding section sums up the overall priorities, as well as
notes the overall non-political nature of migration governance in the region.
METHODOLOGY
The paper draws on a research project on the political economy of migration
governance in Nigeria, Niger, The Gambia, and Senegal, carried out in 2019. These
four countries are all important source and transit countries of migration toward
Europe, as well as playing a prominent role in regional migration. Moreover, the fact
that the study includes both Anglo- and Francophone contexts as well as countries
with varying sizes in population, is an indication of different types of political
interests and stakes. They thus provide an interesting snapshot for balancing
political priorities.
The project was conducted in 2019 and this is also the time frame for the
migration policy priorities under review. At the time, the European interest in trying
to influence West African migration policies was at a peak, with many EUTF projects
unfolding and intense political activities taking place to develop migration policies
in Senegal, The Gambia, and to a lesser degree, in Niger. For the research project,
the research team conducted fieldwork in different localities in all four countries:
13
Niamey, Abuja, Lagos, Benin City, Banjul, Dakar, and Tambacounda (and a small
number of interviews in different European cities) and included interviews with
133 policymakers, politicians, civil society activists, and academic experts. The
interviews generally asked about migration policies in the country, to understand
how European-influenced agenda-setting compares to own interests in migration
governance. The research design was participatory and resulted in open-access
country case-study reports that were peer reviewed, mostly by experts from the
countries themselves. The project team also presented the findings at dissemination
events for further feedback and revisions in Abuja, Banjul, Niamey, and Dakar.
Furthermore, we discussed our findings with academics and civil society activists
from the four participating countries at a workshop in Accra during 2019. The paper
draws on insights from these interviews, the reports from the project (Altrogge
and Zanker, 2019; Arhin-Sam, 2019; Jegen, 2020a, 2020b), as well as an analysis of
policies, reports, and newspaper analysis from the period under review.2
Regardingmigrationpolicies,thispaperacknowledgesthatacleardelineation
between various definitions of movement at best obscures overlapping motivations
and consequences and at worst speaks to certain political interests (see, e.g., Erdal
and Oeppen, 2017; Mourad and Norman, 2020). However, states label a certain
type of movement (and act on it) for a variety of reasons. Even if this does not
speak to a clear-cut motivation, legal status, or journey of people on the move,
it speaks to a policy agenda. Thus, the paper considers five types of migration
policies. First, “irregular migration,” depicting policymaking around migration
from West Africa to Europe affected by European policy interests. Second,
“diaspora relations,” which include interests around remittances, “brain drain” and
“brain gain” as well as migration-for-development discussions. Third, what I term
“ECOWAS immigration,” includes interests related to regional labor migration,
as well as tensions between migrant communities and political scapegoating in
times of economic downturn within the region. Fourth, “displacement” concerns
policymaking around internally displaced persons (IDPs). Fifth, “refugee hosting”
considers policies related to refugees in the country.
European influence on migration governance in West Africa: “Who pays, commands”
No doubt, the increased interest by the EU and its member states has had a growing
influence on migration governance in West Africa (Adam et al., 2020; Arhin-Sam et
al., 2022; Jegen, 2023; Kandilige et al., 2023). The paper shows the prioritization of
irregular migration policies for African states due to the influence and pressure from
the EU.
2
I have included fieldwork data from Judith Altrogge (Gambia 2017, 2019), Kwaku Arhin-Sam (Nigeria, 2019) and Leo-
nie Jegen (Niger, Senegal in 2019) in this paper, carried out in the framework of two projects under my supervision. These
are a pilot study on the political stakes of migration governance in The Gambia (in 2017) and the project “The Political
Economy of West African Migration Governance” (WAMIG), which was conducted as part of the Mercator Dialogue on
Asylum and Migration (MEDAM) in 2019, funded by the Ministry for Science, Research and the Arts of Baden-Würt-
temberg and the Mercator Foundation, respectively. My thanks to my project team for their hard work and collegiality.
Thanks also to the reviewers for comments on earlier versions. All errors remain my own.
The Political Priorities of Migration Policies in West Africa
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AHMR African Human Mobility Review - Volume 10 No
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The increased European interest and influence on African migration
governance have affected the agenda setting in the region, dictating the priorities
of migration policies. Increasing development aid for migration-related purposes
makes it lucrative for governments to cooperate with the EU and its European
interests. Taking the case of Senegal, our interviews showed wide agreement among
respondents on competing for leadership in the field of migration governance on the
political, institutional and civil society levels. More generally, there is a fragmented
institutional landscape in which actors operate with partially overlapping and
unclear mandates. This itself may make the determination of the best project partner
for external partnerships difficult and has in part contributed to particular initiatives
failing in their full implementation (Vives, 2017). It also leads to inter-institutional
competition, which includes, for example, the development of the National Migration
Policy (NMP) in Senegal. This competition is likely to be partly linked to the funding
such development projects bring. One implementing actor commented in an
interview: “Everyone wants to lead the projects, but why? Because of resources, it’s
very simple, it’s nothing but a question of resources” (Interview, Dakar, July 2019).3
In the case of the NMP, a civil servant further noted: “The problem is that when the
donor arrives, a competition is created” (Interview, Dakar, July 2019).4
The funds also
affect the agenda of certain policy developments. While diaspora migration is a key
interest of Senegalese policymakers, European donors have made irregular migration
an increasingly important issue in the Senegalese context. As a result, dealing with
irregular migration becomes the priority, to which one interlocutor, a civil society
activist, noted, “Who pays, commands,” highlighting the continuing asymmetric
dependencies between European and African states (Interview, Dakar, July 2019;
Jegen and Zanker, 2019; Mouthaan, 2019; Vives, 2017).5
The influence of external actors on agenda-setting can further be exemplified
by the NMP in Senegal. According to our interviewees, the initiative to elaborate
the policy did not come from a high political level but from civil servants. This was
done without the initial permission from a higher level, which was only granted
once the funding was secured. The formulation of the document took place in the
framework of an interministerial committee that was coordinated by the Ministry of
Economy, Planning and Cooperation and financed by the International Organization
for Migration (IOM). This raises questions about the exact (political) ownership of
policies elaborated, given that the initiative to draft the policy may not have derived
from a political priority but rather a funding possibility (see also, Camara, 2022).
This may also explain why political adoption of the policy dragged on, even making
EU budgetary support conditional upon the adoption of the policy, has so far proved
unsuccessful (a National Strategy to Combat Irregular Migration was passed in
2023). A civil society actor stated that donors also have an impact on the policy
3
Original : « Chacun veut piloter; mais pourquoi? A cause des ressources [financières], c’est très simple! Ce n’est rien
d’autre qu’une question de ressources. » Translation by author.
4
Original : « Mais le problème est que quand les bailleurs arrivent, une compétition se créée. » Translation by author.
5
Original : « Qui paie command. » Translation by author.
15
content, for example, making border control a key issue. It is also notable that once
the NMP was technically validated, a “lobbying” process followed to push for the
adoption of the policy at the political level. While the political approval of the NMP
only passed in late 2023, with no official declarations, the EU commenced funding
the implementation of some of the policy’s proposals and exerted pressure for its
implementation much earlier.
Another illustration of undue influence on the migration agenda comes
from Niger, a major country of interest due to its “transit” position to countries like
Algeria and Libya, the final places for refugees and other migrants on their way
toward Europe. The interest and focus on Niger have resulted in much funding
for the country – by 2021, the end-period of the EUTF, there were 15 projects
under the EUTF for Africa, amounting to over €272 million in development funds.
The focus of many of these projects, as well as related ones on “anti-smuggling,”
including the 2015 anti-smuggling law, has been widely discussed by a number of
scholars (e.g. Frowd, 2020; Jegen, 2020a). Less known is the influence at a broader,
more general level of migration policymaking. The EU quickly focused on funding
the development of the National Strategy to Counter Irregular Migration, tied to
the anti-smuggling law. In a record time of under a year, the International Centre
for Migration Policy Development (ICMPD) drafted the strategy. This stands
in strong contrast to the NMP. Niger launched its Interministerial Commission
on Migration (Comité Interministériel Chargé de l’élaboration du Document de
Politique Nationale de Migration – CIM) to develop an NMP already in 2007. For
numerous reasons, mainly financial, but also due to a lack of strong leadership, this
process was put on hold in 2014. The NMP process was only re-launched in 2017
with financial and technical support from the German development agency GIZ
(Deutsche Gesellschaft für Internationale Zusammenarbeit). Besides the emphasis
placed on specific interests (e.g., anti-smuggling in Niger, to stop persons moving
beyond the Nigerien borders), the frameworks also limit the involvement of a wider
section of the Nigerien community. Two civil society actors were closely involved
in the CIM process, in addition to the national human rights council. The GIZ
notes that this civil society involvement resulted in the founding of a Migration,
Development, Human Rights network (Réseau Migration–Développement–Droits
Humains – REMIDDH) in Niger (GIZ, 2017). A new national policy on migration
2020–2035 was adopted in September 2020. Yet, some interlocutors decried the
political nature of inclusion in the consultation framework. Accordingly, only
those civil society actors that reinforced a security-focused approach to migration
governance were given a space to discuss and contribute to the new migration
policy (see also, Jegen, 2023).
In sum, the European agenda influences African policy development,
excluding more critical voices that follow different interests. Yet, this Europeanized
agenda pushing the interests with regard to irregular migrants to the forefront tells
only part of the story.
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WEST AFRICAN POLITICAL INTERESTS IN MIGRATION GOVERNANCE
Despite the European influence on West African migration governance, there are
also national or regional political interests that come into play when considering
migration governance (see also, Adam et al., 2020; Mouthaan, 2019; Zanker, 2023).
Unsurprisingly,thesearenotstraightforwardinterestsandoftenstandincontradiction
to each other but highlight that these countries also follow their own interests when
it comes to migration policymaking. These interests include, broadly speaking,
development interests – that play a role in diaspora and immigration governance –
and humanitarian concerns, which primarily affect the protection measures toward
refugees and internally displaced people. These are discussed in turn.
Development interests: Diaspora and immigrants
An important interest for African states in relation to migration is linked to
remittances. These come from both within the region, where most migration occurs,
as well as beyond. Remittances, especially those from abroad, make up a substantial
part of local economies. For example, personal remittances made up 15.5% of The
Gambia’s gross domestic product (GDP), 21.5% of Lesotho’s, and 34.4% of South
Sudan’s in 2019 (World Bank, 2020). Due to this, the African Union (AU) has
recognized the diaspora as the sixth “area” of Africa. The significance of remittances is
reflected in the efforts at prioritizing diaspora relations in migration governance. For
example, remittances to Nigeria continue to exceed official development assistance
and foreign direct investment. Nigeria is the largest remittance recipient country
in sub-Saharan Africa. By 2018, the country received more than US$ 24.3 billion
in official remittances (an increase of $2 billion from 2017), representing 6.1% of
Nigeria’s GDP (World Bank, 2019).
Considering the huge impact of remittances, it is unsurprising that the Nigerian
government’s priority clearly lies with diaspora migration policies (Arhin-Sam, 2019).
Overall,Nigeriahasbeenactiveinitsmigrationpolicydevelopmentatleastsince2014,
including an NMP from 2015, strategies on labor migration and diaspora matters,
and a coordinating framework to further reform migration governance. The most
pro active policies by far are the diaspora policies, which are far-reaching and include
an office assisting the president on diaspora affairs, a senate committee on diaspora
matters, a diaspora commission, and strong support for the Nigerians in Diaspora
Organization. There are ongoing plans to set up a government-owned money transfer
system for Nigerians abroad. As a diaspora representative noted, “Diasporas have a
political stake in the affairs of Nigeria” (Interview, Hamburg, February 2019).
This focus on diaspora is clearly prioritized over European interests in
migration cooperation with the country. A substantial portion of funding for
governing irregular migration in Nigeria comes from development partners and
particularly the EU. Migration-related projects funded by the EU and member states
in Nigeria have focused for the most part on irregular migration, trafficking, return,
17
and reintegration. The low interest of the Nigerian government to work on this issue
is mirrored by the funds provided. For example, the government reduced the annual
funding of the primary agency for combating human trafficking and smuggling
(NAPTIP) between 2015 and 2016 (see also, Arhin-Sam, 2019).
In a similar manner, immigration is relevant as a political priority. Regional
migration makes up around 80% of emigration from West Africa (Okyerefo and
Setrana, 2018). This openness is also linked to a general culture of hospitality in the
region. One localized version, summed up under the Wolof term, is Teranga (spoken
in Senegal and The Gambia), which means a welcoming nature and hospitality
(Gasparetti, 2011). As a Senegalese government official noted, “We are a country of
teranga,it’snatural,it’sreallythispolicyofopennessthatwe’vehadsinceourancestors”
(Interview, Dakar, August 2019).6
To a degree, the regional mobility is something that
just happens and is not politically prioritized, “Immigrant communities in Lagos
are very active … but they have no political stakes” (Interview with government
official, Lagos, April 2019). However, it is also something that can be celebrated, like
a “Senegambia Free Movement Day” that was implemented in The Gambia as “a kind
of a celebration on ECOWAS Protocol,” according to a government official in The
Gambia (Interview, Banjul, May 2019). A Senegalese counterpart noted, “We have
no negative fixation on one aspect or another of the migration issue. This project [the
planned NPM] is a policy that promotes both emigration and immigration, because
the vision is positive by nature” (Interview, Dakar, July 2019).7
Despite this – and notwithstanding that regional mobility also adds to the
remittances and therefore development potential in the region – immigration is also
a topic that provides political capital through exclusion. Economic downturns have
historically been met by exclusionary rhetoric toward immigrants as a threat to the
local labor market. Migrants are scapegoated for economic and social challenges
rather than the government addressing corruption, mismanagement, or other causes
for such issues (Akinola, 2018). One of the first supplementary protocols to the
Free Movement Protocols from 1979 contained additional stipulations for “illegal
immigrants,” that is, “any immigrant citizen of the Community who does not fulfill
the conditions stipulated in the different protocols.” This protocol came at a time when
several countries throughout the region were expelling citizens from other Economic
Community of West African States (ECOWAS) countries in response to economic
downturns. For example, in the infamous “Ghana must go” campaign in Nigeria
in 1983, over two million Ghanaians in Nigeria were affected by mass expulsions
(Ikuteyijo and Olayiwola, 2018). This was no unique incident, but expulsions also
took place from Ghana (1954 and 1969) and Côte d’Ivoire in 1958 (Tonah et al.,
2017). Even today, this exception for “inadmissible immigrants” is applied as a matter
6
Original « Nous sommes un pays dit de la TERANGA… C’est naturel, c’est vraiment cette politique d’ouverture que
nous avons depuis nos ancêtres. » Translation by author.
7
Original « C’est pour vous dire qu’on n’a pas un point de fixation négative sur un aspect ou autre sur la question mi-
gratoire. Ce projet est une politique qui donne de l’intérêt aussi bien à l’émigration qu’à l’immigration parce que la vision
étant par nature positive. » Translation by author.
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of routine across the region (Hamadou, 2020). One of our interviewees working for
an international organization in The Gambia told us, “I think there is a previous
misunderstanding of ECOWAS Free Movement Protocol. Just because they have
them in place, does not mean that you don’t need to check the entry and exit records
of people who are moving across borders” (Interview, Serrekunda, April 2019). This
highlights that at least for some, the free circulation of movement in the region is
also subject to securitization and checks. The security situation, in particular in the
Sahel, has also led to an increasing salience of controlling immigration to be able to
control terrorist organizations that are active across borders. Similarly, Aly Ngouille
Ndiaye, the Senegalese Minister of the Interior, noted in 2019 that security questions
necessitate having better information of who is in the country: “By putting this system
in place, we will know, as all countries do, who is in our country. Because we don’t
know right now” (Mine, 2019).8
Political capital can be drawn from excluding immigrants and controlling
immigration for economic and security reasons. In this regard, immigration in the
region, while important for regional development (Okyerefo and Setrana, 2018), is
increasingly receiving (negative) political attention. This can be linked to economic
protectionism and to securitization; thus, reduced mobility in the region cannot
merely be explained by European influence in trying to reduce irregular migration.
Beyond remittances and development (as well as a degree of political curtailment of
immigration), the protection of migrants and displaced persons is also of political
interest in the region.
Protection interests: Humanitarian narratives and hosting displaced persons
There is a widespread humanitarian concern for migrants on the move, and this is
often repeated in political statements and speeches. Hosting displaced persons – both
IDPs and refugees – does, however, also have political implications.
In 2014, Yahya Jammeh, former president and dictator who brutally ruled The
Gambia for over two decades, gave a speech at the United Nations (UN) General
Assembly in which he argued that Westerners were racist and inhumane and that
they were “deliberately causing boats carrying Black Africans to sink, only to select a
few lucky ones to be rescued and sent to concentration camps, called Asylum Seekers’
Camps [sic]” (Hultin and Zanker, 2019). Though his own human rights records and
protection of Gambian citizens were disastrous, the resonance of his provocative
statement continues to this day. The danger of traversing various routes toward Europe
has, if anything, worsened (UNHCR, 2021a). In response to an incident off the coast
of Mauritania in 2019, current President Barrow said: “To lose sixty young lives at
sea is a national tragedy and a matter of grave concern to my government” (Shaban,
2019). Similar sentiments were also expressed by a government representative in
The Gambia, who noted in relation to migrants who are returned to The Gambia,
8
Original : « En mettant en place ce système, nous saurons, comme tous les pays le font, qui est chez nous. » Translation
by author.
19
“[While I accept the] need for deportation, the question is how… some of them … are
inhumane. You cannot treat humans like that. It has to follow a process. Give them the
dignity to the human being” (Interview, Banjul, May 2019).
The release of news channel CNN’s footage of African migrants and refugees
being auctioned off in slave markets in Libya in November 2017 marked a major
turning point, as outrage unfolded across the continent (Cascais, 2017). Coinciding
with the EU–Africa Summit in Abidjan, also in November 2017, the footage revealed
the plight of African migrants to many governments. The revelations led Burkina
Faso to recall its ambassador to Libya, and Niger to summon the Libyan ambassador
for talks. In Senegal, the chargé d’affaires of the Libyan Embassy in Senegal was
summoned by the Foreign Minister, “to notify him of the ‘profound indignation’ of
President Sall over the sale of Sub-Saharan African migrants on Libyan soil” (Bodian,
2018: 168). Furthermore, the International Organization for Migration (IOM) began
to airlift migrants out of Libya, and countries like Nigeria also repatriated its citizens
(Arhin-Sam, 2019; see also, Mouthaan, 2019).
Another example of humanitarian interest is the Nigerien anti-smuggling
law of 2015, which tries smuggling of migrants to Libya by further criminalizing
the popular transportation business. By many accounts, the law was introduced in
response to European pressure and funding (Frowd, 2020; Jegen, 2020a; Molenaar,
2017). But the very same law has also been shrouded in a humanitarian discourse
by the Nigerien government, as a measure to protect migrants, referring to a tragedy
in 2013, when a group of over 90 abandoned migrants died in the desert (Jegen and
Zanker, 2019; see also, Lambert, 2020). Thus, although humanitarian concerns are by
no means the sole priority, it is a political narrative that was relevant to leaders across
the region. A Nigerien government official stated in an interview with us that Niger
is “always a country of welcome, where we give hospitality to the people” (Interview,
Niamey, March 2019).9
Hosting IDPs and refugees is also increasingly relevant in the region. While
in 2009 there were 149,000 refugees and 500,000 IDPs, a decade later, the number
of refugees had nearly quadrupled to 394,796 and the IDP figures were more than
six times higher at 3,155,465 (UNHCR, 2010, 2021c). Refugee rights in the region
are strong – they are protected mostly with prima facie recognition due to the 1969
Organisation of African Unity (OAU) Refugee Convention. Nonetheless, refugees and
IDPs are not always fully protected. Niger faces a huge humanitarian situation with
many IDPs due to the conditions in the Sahel (drought and excessive rain), terrorist
conflicts, and thus, according to a Nigerien government official, “We are facing all
possible risks; we have opened our borders to displaced populations and all the West
African migrants” (Interview, Niamey, March 2019).10
Given the structural problems
the country has to deal with, displacement and stark humanitarian situations have
made the problem of displacement a priority for the country (Jegen, 2020a).
9
Original « Toujours un pays d’accueil où nous donnons l’hospitalité aux gens. » Translation by author.
10
Original « Nous faisons face à tous les risques possibles ; nous avons ouvert nos frontières aux populations déplacées et
à tous les migrants d’Afrique de l’Ouest. » Translation by author.
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This scenario notwithstanding, states also politically contest protection
measures, which are still considered a political priority, albeit in a different way. In
Niger, the recent arrival of more Sudanese refugees has sparked strong contestation.
The government and regional authorities view the arrival of Sudanese with suspicion,
characterizing them as “criminals,” “fighters,” and “possible members of armed
groups in Libya” (Lambert, 2020; Tubiana et al., 2018). As noted in one of our
interviews, “In regard to the Sudanese, the people that come from other countries,
maybe their practices are not well seen in the country,” which “poses problems of
social cohesion” (Interview, International Organization, Niamey, March 2019). The
Nigerien government certainly displayed reluctance to protect Sudanese refugees. In
2018, they deported 135 Sudanese asylum seekers back to Libya, which amounted to a
breach of the non-refoulement principle (Lambert, 2020). The UNHCR had to lobby
the Nigerien government to allow for the registration of Sudanese asylum seekers in
the first place and to accept the opening of the humanitarian center outside the city
of Agadez, which could host them (ibid). The Nigerien government has demanded
the resettlement of Sudanese refugees and more aid to deal with the situation. Some
respondents highlighted that a few resettlements took place. Living conditions in
the humanitarian center are dire, with a lack of education, healthcare facilities, and
security (Reidy, 2019). The unacceptable behavior toward Sudanese refugees and
asylum seekers is evident in scapegoating them for potential job losses and causing
other immigration-related tensions. They have become a target for exclusion, mainly
because they do not come from the region (Jegen, 2020a; Lambert, 2020).
An inverse political interest is seeking to repatriate refugees from another
context in order to highlight the strength of the country. For example, the repatriation
of Nigerian refugees in Cameroon back home by the Nigerian government is a sign
of improved security in Nigeria, even if this comes at the cost of refugee protection.
To highlight their own stability, the government has tried several times to repatriate
Nigerian refugees within the Lake Chad Basin. It was politically preferable to
repatriate Nigerian refugees, bring them into IDP camps, and label them as IDPs to
avoid the embarrassment of having refugees abroad. As argued by Whitaker (2017), it
is often in the interest of states to label migrants as “migrants” rather than “refugees,”
since the producing states can avoid political embarrassment and receiving states can
avoid providing them with the refuge they seek. However, even in the migrants’ home
countries, the governance of IDPs can signal certain political interests.
In Nigeria, for example, the IDP situation is of importance due to the personal
connection the (now former) President has to the region of displacement. According
to one interlocutor working for a research organization, “They [northerners] are his
[then President Buhari] people. He understands that context better than the irregular
migration in the south, which is in the interest of the EU to stop it” (Interview, Abuja,
April 2019). For a policy consultant, this means: “They [the government] are more
interested in the IDP issue than in the rising scale of irregular migration” (Interview,
Abuja, April 2019). This implies that the President is “spending a lot of political capital
21
in the north on the plight of the IDPs” (Interview, researcher, Abuja, April 2019).
Notably, former President Buhari also politically instrumentalized IDPs to show
military strength, especially in the ongoing military operation against the terrorist
group Boko Haram (Arhin-Sam, 2019), not least to fulfill his political promises.
During the 2015 election, after Goodluck Jonathan’s administration had exhausted
all means of defeating Boko Haram, the then-presidential candidate Muhammadu
Buhari, who is also a former military man, campaigned heavily on having what it
takes to defeat Boko Haram and stabilize the region. However, after four years and
the rising number of IDPs, the situation continues to put political pressure on the
government (Carsten and Kingimi, 2018). Considering the rising numbers of IDPs,
dealing with IDPs has become a major feat to show military strength. Thus, Buhari
declared the northeast region to be in a “post-conflict stabilization phase” in June
2018 (Arhin-Sam, 2019). In the same month, the army asked 2,000 IDPs to return
to their home district of Guzamala, adding to the 1,200 IDPs who were also asked to
return to the city of Bama in Borno state in April 2018 (Orji, 2018; Urowayini, 2018).
Many international actors, including the UN, criticized these desperate political
moves, noting the volatile situation of the region in the face of intensified bombings
by Boko Haram. This shows that protection interests are diverse and contested, but all
the same are a significant political priority often overlooked.
MIGRATION POLICY PRIORITIES
The paper shows what effects external interests from the EU and their member states
can have on agenda setting. However, using 2019 as a snapshot, it shows that interests
in migration policies are numerous and states have their own interests, and even
different priorities. The external push to adopt and implement measures targeting
irregular migration toward Europe resulted in “irregular migration” becoming a top
priority in Niger and The Gambia in comparison to other mobility-related policy
issues; “irregular migration” emerged as the second priority in Nigeria and Senegal
(see Figure 1).
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Figure 1: Migration Policy Priorities in Nigeria, Senegal, Niger and The Gambia
Source: Author's own elaboration
As shown, however, other interests like development and humanitarian concerns
also play a role. Diaspora relations are top political priorities in Nigeria and Senegal –
at least during the research phase in 2019 – and the second priority in The Gambia.11
Regional mobility, in what I termed “ECOWAS immigration,” was the third priority in
Niger and Senegal in 2019, fourth in The Gambia, and last in Nigeria. This highlights
that at least in 2019 not much capital was made out of it and shows the non-political
nature of mobility. For Niger, displacement was a second priority in the country,
unsurprisingly, given the high number of displaced people at the time, and third in
Nigeria, for similar reasons and as explained above. On the whole, “refugee hosting”
was a relatively low priority for the countries in question.
The order of priorities – based on our research and interviews – shows a
rough estimation of how different countries in the region politically prioritize
migration governance. It is perhaps no surprise that the smaller countries are
seemingly more influenced by external agendas (The Gambia and Niger) and
11
Since there are very few Nigeriens abroad and the diaspora community is rather small, this was a very low priority for
the Nigerien government.
Nigeria
diaspora
relations
irregular
migration
IDPs
refugee
hosting
(ECOWAS)
immigration
Senegal
diaspora
relations
irregular
migration
(ECOWAS)
immigration
IDPs
refugee
hosting
Niger
irregular
migration
IDPs
(ECOWAS)
immigration
refugee
hosting
diaspora
relations
The
Gambia
irregular
migration
diaspora
relations
refugee
hosting
(ECOWAS)
immigration
IDPs
23
the larger countries prioritize diaspora relations (Senegal and Nigeria). Perhaps
it is also telling that regional migration is politically more prominent in the two
francophone countries. Regional migration is safeguarded not only through the
ECOWAS Free Movement Protocols but the West African Economic and Monetary
Union (WAEMU), comprising the eight states that share the Franc CFA currency
to have their own rules on free movement. This may have strengthened the political
importance of regional free movement.
CONCLUSION: MIGRATION AS A WAY OF LIFE
The influence on migration priorities has been problematic in many different ways,
widely documented in a growing literature (see, e.g., Barry, 2023; Camara, 2022;
Deridder et al., 2020; Jegen, 2023; Opi, 2021). One of the most significant examples
of this was the Nigerien 2015 anti-smuggling law. One of our interviewees noted: “In
the moment when there is no migration, the whole region has a problem” (Interview,
civil society activist, Niamey, March 2019).12
Fast forward to 2024, and there has been
a series of coups across the region, and Niger, among other countries, has withdrawn
from ECOWAS and abrogated the controversial 2015 law. How migration priorities
will develop in the future, is yet to be seen.
It is relevant to note that for governments in the region, migration and mobility
are traditionally not a significant political topic. In other words, it is so central to
governments and their citizens that it is not politically questioned. In other words,
despite more recent framing, migration and mobility are generally not considered a
threat or problem in the West African context, but rather are considered a common
partofeverydaylife.Cross-bordermobilityisveryestablished,withregionalvariations
on the freedom of movement, and includes non-formalized border crossings (see
Okyerefo and Setrana, 2018). Indeed, it is in part remarkably normalized due to
high informal border crossing that transforms determined territorial borders into
artificial borders, dividing communities who maintain close social, economic, and
cultural cross-border ties (Arhin-Sam et al., 2022).
The lack of prior political attention to migration governance becomes most
evident when we consider that in Nigeria, Niger, The Gambia, and Senegal an NMP
wasonlydevelopedandintroducedfollowingexternalfundingfortheseschemesfrom
the EU and their member states. The juxtaposition of lack of policy implementation
and an everyday lived reality of mobility comes across clearly, considering the
ECOWAS framework. As one Nigerien interlocutor told us, “Migration is a tradition;
it is a way of life”13
(Interview, Niamey, March 2019). This way of life is a fundamental
aspect to understanding where political priorities in migration governance may lie.
12
Original : « Au moment où il n’y a pas de migration, toute la région a un problème. » Translation by author.
13
Original : « La migration, c’est une tradition; c’est une mode de vie. » Translation by author.
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REFERENCES
Adam, I., Trauner, F., Jegen, L. and Roos, C. 2020. West African interests in (EU)
migration policy: Balancing domestic priorities with external incentives.
Journal of Ethnic and Migration Studies, 46(15): 3101–3118. https://doi.org/10
.1080/1369183X.2020.1750354.
Adepoju, A. 2003. Migration in West Africa. Development, 46(3): 37–41.
Adepoju, A. 2011. Reflections on international migration and development in
sub-Saharan Africa. African Population Studies, 25(2): 298–318. https://doi.
org/10.11564/25-2-233.
Akinola, A.O. 2018. Introduction: Understanding xenophobia in Africa. In A.O.
Akinola (ed.), The political economy of xenophobia in Africa, 1–9. Cham,
Switzerland: Springer.
Altrogge, J. and Zanker, F. 2019. The political economy of migration governance in
the Gambia. Freiburg: Arnold Bergstraesser Institute. https://www.arnold-
bergstraesser.de/sites/default/files/medam_gambia_report_altrogge_
zanker.pdf.
Arhin-Sam, K. 2019. The political economy of migration governance in Nigeria.
Freiburg: Arnold Bergstraesser Institute.
Arhin-Sam, K., Bisong, A., Jegen, L., Mounkaila, H. and Zanker, F. 2022. The (in)
formality of mobility in the ECOWAS region: The paradoxes of free movement.
South African Journal of International Affairs, 29:187–205. https://doi.org/10.1
080/10220461.2022.2084452.
Awumbila, M., Teye, J.K. and Yaro, A.J. 2017. social networks, migration trajectories
and livelihood strategies of migrant domestic and construction workers in
Accra, Ghana. Journal of Asian and African Studies, 52(7): 982–996.
Barry, C. 2023. Externalisation et racisme en Afrique: Réflexions panafricaines. Plein
Droit, 139: 39–42.
Bodian, M. 2018. Senegal (Vol 14, 2017). In Mehler, A., Melber, H. and Van Walraven,
K. (eds.), Africa Yearbook Volume 14: Politics, economy and society south of the
Sahara in 2017. Leiden: Brill. https://brill.com/abstract/title/38125.
Camara, N. 2022. Analyse critique du document de politique nationale de migration
du Sénégal. Germany: Rosa Luxemburg Stiftung.
Carsten, P. and Kingimi, A. 2018. As Nigeria elections loom, refugees ordered
back to unsafe region. Reuters. https://www.reuters.com/article/us-nigeria-
security/as-nigeria-elections-loom-refugees-ordered-back-to-unsafe-region-
idUSKCN1LE18K.
Cascais, A. 2017. Slave trade in Libya: Outrage across Africa. Deutsche Welle, 22
November 2017. https://www.dw.com/en/slave-trade-in-libya-outrage-across-
africa/a-41486013.
25
Cham, O.N. and Adam, I. 2021. The politicization and framing of migration in
West Africa: Transition to democracy as a game changer? Territory, Politics,
Governance, 11(4): 638–657. https://doi.org/10.1080/21622671.2021.1990790.
Deridder, M., Pelckmans, L. and Ward, E. 2020. Reversing the gaze: West Africa
performing the EU migration-development-security nexus. Anthropologie &
Développement, 51: 9–32. https://doi.org/10.4000/anthropodev.938.
El Qadim, N. 2014. Postcolonial challenges to migration control: French–Moroccan
cooperation practices on forced returns. Security Dialogue, 45(3): 242–261.
Erdal, M.B. and Oeppen, C. 2017. Forced to leave? The discursive and analytical
significance of describing migration as forced and voluntary. Journal of
Ethnic and Migration Studies, 0(0): 1–18. https://doi.org/10.1080/136918
3X.2017.1384149.
European Union (EU). 2020. The EU Emergency Trust Fund for Africa. Brussels:
European Commission. https://trust-fund-for-africa.europa.eu/index_en.
Fiddian-Qasmiyeh, E. 2020. Introduction: Recentering the south in studies of
migration. Migration and Society, 3(1): 1–18. https://doi.org/10.3167/
arms.2020.030102.
Frowd, P.M. 2020. Producing the “transit” migration state: International security
intervention in Niger. Third World Quarterly, 41(2): 340–358. https://doi.org/
10.1080/01436597.2019.1660633.
Gaibazzi, P., Bellagamba, A. and Dünnwald, S. 2017. Introduction: An Afro-
Europeanist perspective on EurAfrican borders. In EurAfrican borders and
migration management. Palgrave Series in African Borderlands Studies.
Palgrave Macmillan, New York, pp. 3–28. https://doi.org/10.1057/978-1-349-
94972-4_1.
Gasparetti, F. 2011. Relying on Teranga: Senegalese migrants to Italy and their
children left behind. Autrepart, 57-58(1): 215–232.
Gazzotti, L., Mouthaan, M. and Natter, K. 2023. Embracing complexity in “southern”
migration governance. Territory, Politics, Governance, 11(4): 625–637. https://
doi.org/10.1080/21622671.2022.2039277.
GIZ. 2017. Migration policy advice in Niger: 2017–2020. https://www.giz.de/en/
worldwide/58037.html.
Hamadou, A. 2020. Free movement of persons in West Africa under the strain of
COVID-19. AJIL Unbound, 114: 337–341. https://doi.org/10.1017/aju.2020.66.
Hultin, N. and Zanker, F. 2019. Responding to the backway. In Fynn Bruey, V.
and Bender, S.W. (eds.), Deadly Voyages: Migrant Journeys across the Globe.
Rowman & Littlefield Publishers.
The Political Priorities of Migration Policies in West Africa
26
AHMR African Human Mobility Review - Volume 10 No
2, MAY-AUGUST 2024
Ikuteyijo, L. and Olayiwola, P. 2018. Migration and xenophobia in Africa. In The
Palgrave Handbook of African Politics, Governance and Development. Springer,
pp. 307–319.
Jegen, L. 2020a. The political economy of migration governance in Niger. Freiburg:
Arnold Bergstraesser Institute.
Jegen, L. 2020b. The political economy of migration governance in Senegal. Freiburg:
Arnold Bergstraesser Institute.
Jegen, L. 2023. “Migratising” mobility: Coloniality of knowledge and externally
funded migration capacity building projects in Niger’. Geoforum, 146: 103862.
https://doi.org/10.1016/j.geoforum.2023.103862.
Jegen, L. and Zanker, F. 2019. European dominance of migration policy in Niger: “On
a fait les filles avant la mère.” 2019/3. MEDAM Policy Brief. Kiel.
Kandilige, L., Teye, J., Talleraas, C. and Gopsill, A. 2023. National and international
migration policy in Ghana. EFFEXT background papers. Bergen: Chr.
Michelsen Institute. https://www.cmi.no/publications/8795-national-and-
international-migration-policy-in-ghana.
Lambert, L. 2020. Who is doing asylum in Niger? State bureaucrats’ perspectives
and strategies on the externalization of refugee protection. Anthropologie &
Développement, 51: 85–101.
Mine, D. 2019. “Pourquoi nous voulons ramener le visa pour les étrangers” [Why
we want to bring back the visa for foreigners.] IGFM. https://www.igfm.sn/
Pourquoi-nous-voulons-ramener-le-visa-pour-les-etrangers.
Molenaar, F. 2017. Irregular migration and human smuggling networks in Niger’.
CRU Report. The Hague, Netherlands: The Clingendael Institute.
Mourad, L. and Norman, K.P. 2020. Transforming refugees into migrants:
Institutional change and the politics of international protection. European
Journal of International Relations, 26(3): 687–713.
Mouthaan, M. 2019. Unpacking domestic preferences in the policy – “Receiving”
state: The EU’s migration cooperation with Senegal and Ghana. Comparative
Migration Studies, 7(1): 1–20.
Okyerefo, M.P.K. and Setrana, B.M. 2018. Internal and international migration
dynamics in Africa. In Triandafyllidou, A. (ed.), Handbook of Migration and
Globalisation. Cheltenham: Edward Elgar Publishing.
Opi, B. 2021. Borders Recolonised: The impacts of the EU externalisation policy in
Africa. Journal of Decolonising Disciplines, 3. https://doi.org/10.35293/jdd.
v3i1.3718.
Orji, S. 2018. Boko Haram – IDP returns and political calculations in Nigeria: Why
are IDPs being urged to return to unsafe areas in Nigeria’s northeast? Aljazeera
News, 4 July.
27
Pope, S. and Weisner, Z. 2023. From development to deterrence? Migration spending
under the EU Neighbourhood Development and International Cooperation
Instrument (NDICI). Oxfam International. https://policy-practice.oxfam.org/
resources/from-development-to-deterrence-migration-spending-under-the-
eu-neighbourhood-de-621536/.
Reidy, E. 2019. One year after deportations, Sudanese left in Niger see no way out.
The New Humanitarian, 7 May. https://www.thenewhumanitarian.org/
news/2019/05/07/deportations-sudanese-left-niger-see-no-way-out-migration.
Shaban, A.R.A. 2019. Gambia probes “national tragedy” as 60 nationals drown in
Mauritania’.Africanews,8December.https://www.africanews.com/2019/12/08/
gambia-probes-national-disaster-as-60-nationals-drown-in-mauritania/.
Strange, M. and Oliveira Martins, B. 2019. Claiming parity between unequal partners:
How African counterparts are framed in the externalisation of EU migration
governance. Global Affairs, 5(3): 235–246. https://doi.org/10.1080/23340460.2
019.1691932.
Tonah, S., Setrana, M.B. and Arthur, J.A. 2017. Migration and development in Africa:
Trends, challenges and policy implications. Lanham: Lexington Books.
Tubiana, J., Warin, C. and Saeneen, G.M. 2018. Multilateral damage. CRU Report.
The Hague, Netherlands: Clingendael. https://www.clingendael.org/pub/2018/
multilateral-damage/.
United Nations High Commissioner for Refugees (UNHCR). 2010. 2009 Global
Trends: Refugees, asylum-seekers, returnees, internally displaced and stateless
persons. UNHCR. https://www.unhcr.org/4c11f0be9.pdf.
United Nations High Commissioner for Refugees (UNHCR). 2021a. Mounting
death toll in the central Mediterranean calls for urgent action. UNHCR. 23
April 2021. https://www.unhcr.org/news/press/2021/4/6083054d4/mounting-
death-toll-central-mediterranean-calls-urgent-action.html.
United Nations High Commissioner for Refugees (UNHCR). 2021b. Mediterranean
situation. Operational data portal. https://data2.unhcr.org/en/situations/
mediterranean.
United Nations High Commissioner for Refugees (UNHCR). 2021c. UNHCR
West and Central Africa update. https://reporting.unhcr.org/sites/default/
files/UNHCR%20West%20and%20Central%20Africa%20Regional%20
operational%20Update%20-%20December%202020%20-%20January%20
2021.pdf.
UnitedNationsHighCommissionerforRefugees(UNHCR).2024.UNHCRWestand
Central Africa update. https://reporting.unhcr.org/west-and-central-africa-
forcibly-displaced-and-stateless-population-and-trends-2018-2023-6526.
Urowayini, W. 2018. Boko Haram: 2000 IDPs return to Guzamala LGA to celebrate
Eid-el-Fitr 6 years after – Army. The Vanguard, 17 June.
The Political Priorities of Migration Policies in West Africa
28
AHMR African Human Mobility Review - Volume 10 No
2, MAY-AUGUST 2024
Vives, L. 2017. The European Union–West African sea border: Anti-immigration
strategies and territoriality. European Urban and Regional Studies, 24(2): 209–
224. https://doi.org/10.1177/0969776416631790.
Whitaker, B.E. 2017. Migration within Africa and beyond. African Studies Review,
60(2): 209–220. https://doi.org/10.1017/asr.2017.49.
World Bank. 2019. World Development Indicators – DataBank. https://databank.
worldbank.org/reports.aspx?source=2&series=BX.TRF.PWKR.DT.GD.
ZS&country=#.
World Bank. 2020. Annual remittances data. September. https://www.worldbank.
org/en/topic/labormarkets/brief/migration-and-remittances.
Zanker, F. and Altrogge, J. 2022. Protective exclusion as a postcolonial strategy:
Rethinking deportations and sovereignty in the Gambia. Security Dialogue,
53(5): 475–493.
Zanker, F. 2023. A typology of resistance: The “hot potato” of European return in
West Africa. Territory, Politics, Governance, 1–20. https://doi.org/10.1080/216
22671.2023.2198579.
29
Dynamics of Protection in a
Shrinking Economy: A Peak into
Zimbabwe’s Refugee Regime
Gracsious Maviza1
and Divane Nzima2
Received 09 February 2024 / Accepted 09 July 2024 / Published 06 September 2024
DOI: 10.14426/ahmr.v10i2.2056
Abstract
Zimbabwe has consistently experienced an influx of refugees despite its shrinking
economy. This places a heavy burden on the state to provide social protection to
refugees. There are limited studies that focus on the dynamics of refugee protection
in resource-constrained countries like Zimbabwe, often characterized as being only
immigrant-sending countries. We use data from 12 in-depth interviews with key
informants to explore how the prolonged socio-economic crisis has impacted the state’s
ability to provide social protection to refugees in Zimbabwe. The study also explores the
relationship between the state and other stakeholders in hosting refugees in Zimbabwe.
The findings suggest that socio-economic challenges in a shrinking economy affect the
protection outcomes of refugees regardless of the presence of a robust refugee regime
in the country.
Keywords: migration, refugees, shrinking economies, social protection,
COVID-19, Zimbabwe
1
Alliance of Bioversity International and CIAT and Department of Sociology, University of the Free State, South Africa.
2
Department of Sociology, University of the Free State, South Africa. Corresponding author  nzimad@ufs.ac.za
Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
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INTRODUCTION
The number of refugees continues to increase globally. Much of the increase is
attributed to pervasive persecution, conflicts, violence, human rights violations, and
similar events that significantly disturb national and global peace and public order
(UNHCR, 2021). According to the UNHCR (2023), these disturbances have seen
the global statistics of refugees reaching 43.3 million by the end of 2023, registering
a notable increase compared to numbers at the end of 2022. This increasing global
challenge has become a significant strain on host countries, especially in light of the
social protection mandate levied on host countries by the international protocols on
refugees (Andrade et al., 2021; Kool and Nimeh, 2021). In international law, refugees
have a legal right to flee from hostile and dangerous conditions and seek safety in any
country where their rights will be upheld (Kool and Nimeh, 2021; UNHCR, 2021).
In line with conventions and protocols on refugee governance, the host countries
are responsible for protecting the refugees while they remain in their jurisdiction
(Klaaren and Rutinwa, 2004). However, although refugees are a priority on the global
agenda (Micinski, 2020), the issue of protection has become complicated (Kool and
Nimeh, 2021; Seyfert and Quarterman, 2021).
Much of the complication stems from the fact that many host governments
that are supposed to receive these populations have reached elevated levels of fatigue.
For example, in the Global South, countries such as South Africa, Uganda, and
Zimbabwe continue to welcome refugees and asylum seekers while the opposite
holds for countries in the Global North (Spiegel and Mhlanga, 2022). In the Global
South, much of the influx is spurred by proximity to the countries with ongoing
and increasing protracted conflicts, growing economic challenges, and the ever-
tightening mobility restrictions to the Global North (Spiegel and Mhlanga, 2022).
Host countries that would ordinarily welcome and host refugees gradually reach
fatigue (UIA, 2020) due to the increased influx of people, a phenomenon that
has been termed compassion fatigue (Raney, 2019). The willingness and capacity
of Global North countries to assist, especially considering the current economic
stagnation and the aftermath of the COVID-19 pandemic, have been intensely tested
by the continued influx of refugees. Notably, the ever-increasing number of displaced
persons seeking refuge in other countries has led governments in the West to devise
policies that contain xenophobic connotations (Coen, 2021; Crawley, 2021). Some
countries impose strict border controls that constrain the flow of refugees into their
countries, most of which are contrary to the inclusionary fundamentals espoused in
the Global Compact for Refugees (GCR) (Spiegel and Mhlanga, 2022). For countries
in the Global South, such as South Africa, the fatigue and resentment have increased,
as they are overwhelmed by the double burden of having to offer protection to their
citizens and to the refugee populations (Spiegel and Mhlanga, 2022; Wamara et al.,
2022). Given the economic crises typical of most economies in the Global South,
the influx of refugees often triggers conflicts between host communities and refugee
populations, as they compete for scarce resources. Hence, most countries have
31
resorted to the encampment policy to reduce conflicts (Spiegel and Mhlanga, 2022).
In refugee protection, the encampment policy refers to a system where host countries
accommodate refugees in refugee camps where there is little to no integration with
host communities. Conversely, some countries, like South Africa, have devised
immigration policies that allow refugees to reside within local communities and thus
integrate with the local population.
The fatigue in the Global North is epitomized by the now overturned
multimillion-dollar deal recently signed between the United Kingdom (UK)
and Rwanda (Kampmark, 2022; Limb, 2022; Oxford Analytica, 2022). The deal
was a culmination of the UK’s plan to tackle the challenge of illegal migration by
transferring irregular immigrants (arriving on small boats or smuggled in lorries)
to Rwanda to process their asylum and refugee claims (Limb, 2022). According
to officials from both countries, the deal was seen as a migration and economic
development partnership (Soy, 2022). The former Conservative UK government
had anticipated that it would be a move to eliminate the irregular migration
syndicates involved in criminal smuggling. That policy sparked controversy because
the refugees and asylum seekers whose claims were accepted would be resettled in
Rwanda with the support of the UK government. Although other countries have
made similar arrangements, for example, Australia and its offshore detention centers
in 2001, as well as Israel and Denmark, accusations have been leveled against the
UK. For instance, Limb (2022: 1) proffers that “the UK stands widely accused of
trading refugees as commodities to a repressive state, trashing legal obligations, and
undermining international protections of refugees.” Rights groups also criticized
the proposed plans as irresponsible and inhumane because similar approaches
implemented elsewhere have failed, leading to humanitarian catastrophes and loss
of lives (Kampmark, 2022; Limb, 2022). Moreover, the UNHCR had also condemned
the deal, noting that it “evades international obligations, and is contrary to the letter
and spirit of the Refugee Convention” (UNHCR, 2022a).
Deals such as the proposed UK–Rwanda scheme emanate from the challenges
experienced by the host countries in offering protection to refugees. Besides the costs
incurred, refugee protection is problematic, as it causes conflicts and resentment
in communities (Neis et al., 2018). The increased competition for employment
and services and the ever-increasing rent and food prices are significant drivers of
increased tensions within host communities (Kool and Nimeh, 2021). Therefore, in
most instances, the conflicts result from disgruntled citizens who view refugees as
competitors who receive services and goods that locals do not receive. Thus, if the
influx of refugees causes many challenges in these already established economies, the
situation can only be worse in resource-constrained countries.
Given the anti-refugee sentiments in the Global North, many non-European
refugees and asylum seekers end up in neighboring countries that are resource
constrained (Kool and Nimeh, 2021; UNHCR, 2021). This means that if refugees
make their way to the nearest possible place, they will most likely end up in these
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shrinking economies. This paper explores why refugees end up in these resource-
constrained countries and addresses the critical question of protection dynamics in
some of these countries with shrinking economies. Its main aim is to gain a theoretical
grounding on refugee protection in countries with ailing economies. Undeniably,
taking care of refugees’ basic needs such as food, education, shelter, and health is very
costly. This paper addresses the question of who bears the refugee protection costs,
since the encamped refugees do not contribute to the economy but benefit from
the host country’s resources. Clearly, there are inherent tensions in what would be
considered the ideal situations for refugee protection. Using the case of Zimbabwe,
this paper addresses the most critical question of the dynamics of protection when
the conditions are far from ideal. The paper aims to assess the impact of the prolonged
socio-economic and political crises on the country’s ability to provide the required
protection and welfare services to the refugees it hosts. Furthermore, the paper seeks
to understand the relationship between the state and other stakeholders in hosting
refugees in Zimbabwe. This country presents a unique case because it is characterized
by protracted macroeconomic challenges that have persisted for over two decades.
Its economy is characterized by hyperinflation and limited economic productivity. In
essence, the economy has shrunk over the years due to deindustrialization. Despite
this scenario, the country continues to host refugees from different countries and
there continues to be a steady increase in the number of refugees.
ZIMBABWE’S EXPERIENCE WITH REFUGEES
Migration scholarship has long portrayed Zimbabwe as a major emigrant and
refugee sender due to the protracted economic meltdown and political challenges
stretching over the past three decades (Crush and Tevera, 2010; Crush et al., 2015;
McGregor and Pasura, 2010; McGregor and Primorac, 2010; Mlambo, 2010). It is
well documented that due to the economic and political challenges, the country
transitioned from being a major receiver of migrants to being one of the biggest
senders in the region (Crush and Tevera, 2010; Ncube, 2010). However, what has
received less attention is the scholarship focusing on the refugee movements into
Zimbabwe and the country’s experiences in hosting refugees and asylum seekers
(Chikanda and Crush, 2016; Takaindisa, 2021). Undeniably, Zimbabwe has hosted
refugees since the 1980s (Chikanda and Crush, 2016; Matseketsa and Mhlanga,
2020; Sidzumo-Mazibuko, 1998). However, while the subject of refugees has gained
considerable attention from migration scholarship in sub-Saharan Africa, there are
knowledge gaps about Zimbabwe’s ability to meet its refugee population’s protection
and welfare needs, considering the ongoing economic challenges.
The first refugees in Zimbabwe were from war-torn Mozambique in the early
1980s. They fled the protracted war between the Liberation Front of Mozambique
(FRELIMO) and the Mozambican National Resistance (RENAMO), which pitted
opposition ideologies and regions against each other (Chikanda and Crush, 2016;
Emerson, 2014). Throughout the 1980s, the country also received trickles of refugees
33
from South Africa comprising of political activists fleeing the repressive rule of the
apartheid government (Chikanda and Crush, 2016). Although there was a notable
flow from South Africa, Mozambique remained the major source. Between 1983
and 1994 Zimbabwe hosted over 200,000 Mozambican refugees (Emerson, 2014;
Matseketsa and Mhlanga, 2020). This increased flow of refugees in the 1980s can
be linked to the political disturbances in its neighboring countries (Chikanda and
Crush, 2016). Notably, much of Zimbabwe’s generosity was driven by the spirit of
comradeship spurred by the need to protect fellow neighbors who had sheltered
Zimbabwe’s freedom fighters and its refugees during the war for independence
(Munguambe, 2020).
Responding to the growing influx of refugees, the Government of Zimbabwe
adopted an encampment policy by establishing four rural refugee camps in 1984,
namely Tongogara, Chambuta, Nyan’ombe, and Nyamatiki (Matseketsa and Mhlanga,
2020; Mutsvara, 2015) and the fifth in 1990 known as the Mazowe River Bridge
(Chikanda and Crush, 2016; Sidzumo-Mazibuko, 1998). The encampment policy
restricted refugees’ mobility and their ultimate integration into local communities
(Spiegel and Mhlanga, 2022; Wamara et al., 2022). To date, the Zimbabwean
government restricts all refugees to camps, with limited freedom to explore
economic options (Matseketsa and Mhlanga, 2020; Wamara et al., 2022). Given
the high inflow of Mozambicans fleeing the war in their country, these camps were
often overcrowded (Chikanda and Crush, 2016). For example, the state established
the Tongogara Refugee Camp (TRC) in 1984, with a carrying capacity of 10,000
refugees, but in 1993 it had a population of 52,000 refugees (Chikanda and Crush,
2016). Similarly, the Mazowe River Bridge Camp’s maximum capacity was 5,000, but
in 1993 it housed over 34,000 refugees, almost six times its capacity (Chikanda and
Crush, 2016; Sidzumo-Mazibuko, 1998; UNHCR, 1994).
Duringthisperiod,thecampswerealmostexclusivelyoccupiedbyMozambican
refugees (Chikanda and Crush, 2016). In 1994, FRELIMO and RENAMO signed
a peace treaty known as the Rome Agreement (see Emerson, 2014). This resulted
in a huge reduction in the number of refugees in the country and the closure of
some refugee camps in 1994, leaving the TRC as the only operational camp in the
country (Chikanda and Crush, 2016; Matseketsa and Mhlanga, 2020). To date, the
TRC remains the only functional camp and is home to approximately 14,413 refugees
and asylum seekers (Matseketsa and Mhlanga, 2020; Mhlanga, 2020).
Although the end of the war in Mozambique led to a significant decline in
the number of refugees in Zimbabwe, the growing incidence of wars and internal
conflicts on the African continent saw a gradual increase in the numbers and sources
of refugees in Zimbabwe (Matseketsa and Mhlanga, 2020; Mutsvara, 2015). In the
1990s, there was a notable diversification in the origins of refugee flows in the country,
with the source patterns showing a global character (Chikanda and Crush, 2016).
Notably, most of the source countries both in and outside Africa were characterized
by internal strife and political disturbances (Sidzumo-Mazibuko, 1998). For example,
Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
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Rwanda was experiencing genocide while the Democratic Republic of the Congo
(DRC)wasengagedinwar(MatseketsaandMhlanga,2020;Mhlanga,2020;Mutsvara,
2015). By the end of the 1990s, the DRC, Burundi, and Rwanda were the major
origin countries for refugees in Zimbabwe (Chikanda and Crush, 2016; Sidzumo-
Mazibuko, 1998). Part of the increase in the influx of refugees from the Great Lakes
region, mostly Rwandans, during this time was caused by the fact that they had
been debarred from Tanzania’s Ngara refugee camp (Mutsvara, 2015). According to
Jakachira (2003), these refugees did not want to return to their country because they
feared retribution from their government. Moreover, the en masse influx of refugees
into Zimbabwe was also spurred by the emergence of terrorists in Nigeria, Central
African Republic, and Mali, growing ethnic conflicts in Ethiopia, and the perpetual
insecurities in Somalia and the DRC (Chikanda and Crush, 2016; Matseketsa and
Mhlanga, 2020). With the return of stability in some regions, for example, the Great
Lakes, peace in countries like Burundi and Rwanda led to a significant decrease in
the number of refugees in Zimbabwe. This was further exacerbated by the economic
demise that the country experienced in the early 2000s, climaxing in 2008, making
Zimbabwe an unattractive destination for refugees. Notwithstanding this scenario,
episodes of instability in some countries like the DRC led to a continued presence of
refugees in the country (Chikanda and Crush, 2016).
Zimbabwe’s economic outlook continues to be characterized by high
uncertainty. However, amidst all these socio-economic challenges characteristic of
the country, Zimbabwe has remained host to refugees and asylum seekers from the
Great Lakes region since 1998 (WFP and UNHCR, 2019). This influx of refugees
presents population pressures that strain the already distressed government
resources, compromising its effective service provision to the country’s population.
RESEARCH METHODS
The research site for this study was the TRC in Zimbabwe. The refugee camp is
located in the Chipinge district, 600 km southeast of the Harare Metropolitan
Province (Mhlanga and Zengeya, 2016). This is the only refugee camp that is
currently operational in Zimbabwe. Therefore, any study that seeks to understand
refugee dynamics in Zimbabwe is likely to gain rich insights by using this refugee
camp as a case study.
This paper followed a qualitative research methodological approach. This
approach was the most appropriate to employ, given the need to gain an in-depth
understanding of refugee protection dynamics in a refugee center with multiple
actors. To gain an insider perspective, there was a need for a more explorative
approach that enabled the researchers to gather diverse narratives on the different
roles played by different actors and how they collectively worked toward providing
protection in a shrinking economy. The research team gathered qualitative data
through in-depth semi-structured interviews with key informants who represented
different stakeholders at the TRC in Zimbabwe. The researchers purposively drew a
35
sample of 12 key informants from different organizations operating at the TRC. These
included officials from the Ministry of Public Service, Labour, and Social Welfare
(MoPSLSW), United Nations High Commissioner for Refugees (UNHCR), World
Vision Zimbabwe, Doctors Without Borders (MSF), and other non-governmental
organizations (NGOs) operating in the camp. To achieve representative diversity, it
was crucial for the researchers to use purposive sampling to select representatives of
key actors who played a role in the continued functioning of the refugee camp.
The research team conducted all the interviews in this study in English; hence,
therewasnoneedfortranslations,asallparticipantsunderstoodandspokethelanguage
fluently. In conducting this study, researchers applied due ethical consideration
for dealing with human subjects in research and followed the ethical standards and
principles as detailed in the Helsinki Declaration. In addition, the Institutional Review
Board (IRB) of the Alliance of Biodiversity International and the International Centre
for Tropical Agriculture (CIAT) evaluated the ethical considerations of the study, and it
wasapprovedunderclearancenumber2023‐IRB72.Priortotheinterviews,theresearch
team developed an informed consent sheet that advised participants about different
aspects of the study, including envisaged risks and benefits, voluntary participation,
the right to withdraw from the study at any given moment, and participants’ consent
for audio recording the interviews. All those who participated in the study signed the
consent form as an indication that they voluntarily agreed to participate in this study.
In the process of data analysis, the research team coded all the interview
transcripts for ease of identification and assigned the codes according to the order
of the interviews. For example, the first interview was coded as Informant 1 up to
the last interview that was coded as Informant 12. After this first coding round,
researchers coded the transcripts according to emerging themes and then analyzed
them thematically. Maxwell and Chmiel (2013) define coding as a strategy used to
organize qualitative data. The process entails the identification of distinct concepts
and themes in the data, which then form master headings that become the basic
units of analysis (Flick, 2013; Gibbs, 2007). In this study, researchers applied coding
inductively based on the emerging themes from the data. Furthermore, they derived
first-order codes from the emerging key themes that directed analysis of the refugee
regime in Zimbabwe and the social protection initiatives at the TRC. The themes
developed formed subheadings under which the research team presented and
discussed findings supported by direct excerpts from the interviews.
FINDINGS AND DISCUSSION
The state and its obligations of refugee protection
There are three main elements of social protection that vulnerable people such as
refugees need: social assistance in the form of access to basic needs; livelihoods
support and capacity development; and labor market interventions (Andrade et al.,
2021; Barrientos and Santibáñez 2009). The participants of this study agreed that
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the state has the responsibility to provide comprehensive protection services to the
refugees they host. Commenting on the general obligations of the state at law, some
key informants reported as follows:
The Refugee Act mandates the government to ensure non-discrimination,
non-penalization, and adherence to the non-return policy for refugees
(Informant 1, September 2022).
The government should ensure that every recognized refugee is entitled to
rights and [is] subject to duties contained in the 1951 Convention and the
1969 OAU Convention Governing the Specific Aspects of Refugee Problems
in Africa (Informant 5, September 2022).
According to the UNHCR (undated), the first obligation to ensure basic human rights
and physical security of citizens lies with governments. However, when people are
displaced and driven out of their countries for whatever reason and become refugees
or asylum seekers, this safety net ceases to exist. Considering this, global treaties,
conventions, and compacts mandate host countries to uphold and protect the basic
human rights of these displaced persons (Barnett, 2002; Chikanda and Crush, 2016).
It is from this point of departure that the participants of this study correctly identified
the Government of Zimbabwe as responsible for providing protection to all refugees
and displaced persons who make their way to Zimbabwe.
The findings of this study show that while the Zimbabwean state provides
protection to refugees, it faces resource constraints that limit its capacity. As a
result, the state becomes overly dependent on the support of partner organizations.
In Zimbabwe, this study found that the Office of the Commissioner for Refugees
in the Department of Social Development (MoPWLSW) is largely funded by the
UNHCR, including staff salaries, vehicles, and expenses for the programmes
implemented in the camp. Therefore, regarding social assistance and access to basic
needs, submissions from key informants suggest that although the state has a bigger
mandate, it mainly provides services that cannot be delegated to other partners.
These include registration, status determination, and provision of security. Some key
informants explained:
TRC is wholly established and owned by the government of Zimbabwe and
the government of Zimbabwe has the obligation to provide peace and security,
shelter, food, education, health, and all other basic needs and social amenities
for refugees (Informant 9, September 2022).
ThesettlementhasaZimbabweRepublicPolicebasemannedbyfivepoliceofficers
to provide security and protection services (Informant 7, September 2022).
37
In line with the Zimbabwe Refugee Act, the government takes the lead in the
refugee status determination, issuance of refugee identity cards, birth, marriage
and death certificates, and travel documents through the Registrar General’s
Office. It also issues temporary passes for refugees through the Immigration
Department (Informant 3, September 2022).
The above excerpts suggest that resource-intense protection services have been
delegated to the partners, with the UNHCR as the main partner. However, while this
can be confused with the state negating its obligations, consideration must be given
to the state’s resource constraints. Zimbabwe has a documented history of economic
turmoil that has persisted for over two decades (Kanyenze et al., 2017; Mhlanga and
Ndhlovu, 2021; Raftopoulos, 2006). According to Mhlanga and Ndhlovu (2021),
while southern African countries experienced broad-based economic expansion
in the past 20 years, Zimbabwe remained an exception, largely owing to its poor
economic policies and haphazard land reform program. Kanyenze et al. (2017) point
out that between 1999 and 2008, Zimbabwe experienced a 52% decline in its gross
domesticproduct(GDP).Todate,thereisstillskepticismaroundtheofficialeconomic
indicators due to years of hyperinflation and currency failures that decimated the
formal sectors. Therefore, the country is a classic case of a shrinking economy that
still hosts refugees, despite its limitations. What stands out from the findings of this
study is that while the country is poorly resourced, this has not stopped the state
from facilitating processes that result in those in need of protection accessing it,
even if this means allowing capacitated partners such as the UNHCR to contribute
significant resources to keep the program running. In addition, documentation is a
widespread problem in refugee management globally, yet this does not seem to be
the case in Zimbabwe, where processes are well coordinated to ensure that refugees’
needs in this regard are met. In a shrinking economy, strategic partnerships appear
to be the sustaining factor in ensuring that vulnerable groups such as refugees access
some relief.
Refugee protection services through strategic partnerships
The findings of this study show that at the TRC in Zimbabwe, the UNHCR is
the leading strategic partner that works with several partner organizations to
complement government efforts in the provision of different protection services to
refugees. Table 1 shows the different partners who work together in ensuring that
refugees receive the protection they need. While several of these strategic partners
are non-state actors, there are some state actors, such as the MoPWLSW. Each
partner provides unique support while at times consolidating their efforts to meet
the most urgent needs.
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Table 1: Partners at TRC and the protection services offered
Partner Protection services offered
Department of Social
Development (MoPWLSW)
Registration, camp coordination and
management, shelter, refugee status
determination
UNHCR Registration, durable solutions, shelter,
water and sanitation, livelihoods, food
security, refugee status determination
WFP Cash transfers
Terres des Hommes (Italy) Education, health, child protection, food
security, GBV prevention, mitigation and
response, life-skills training
World Vision Zimbabwe WASH and livelihoods
Jesuit Refugee Service Education, vocational training, pastoral
services
Childline Child protection
MSF (Doctors Without Borders) Community mental health services (non-
clinical)
Zimbabwe Council of Churches Peace, justice, and conflict resolution
Zimbabwe Red Cross Society ICT, tracing and restoring family links,
livelihoods
Source: Authors' work
As observed in Table 1, the services provided through the strategic partnerships
include social assistance, access to basic services, livelihoods support, and capacity
development. Commenting on social assistance and access to basic services, some of
the key informants offered the following narrations:
WeprovidepsychosocialsupportservicestotherefugeesattheTRC.Ourneeds
assessment indicated a gap in terms of mental healthcare needs for the camp
population and we believe our mental health program will build resilience and
community coping skills, which will ultimately improve the well-being of the
camp population (Informant 12, September 2022).
The host community [at the ward, district, and provincial levels] is essential in
ensuring the peaceful co-existence of refugees and communities (Informant 4,
September 2022).
The above excerpts demonstrate that refugee protection and assistance is a priority
that the collective efforts of strategic partners and surrounding communities strive
39
for, despite the shrinking economy of Zimbabwe. However, the findings of this
study suggest that assistance to refugees must go beyond protection and aim toward
finding durable solutions that will allow refugees to rebuild their lives. As a result,
providing livelihood support and promoting economic inclusion for refugees have
been highlighted as notable contributions from strategic partners. In this regard,
some refugees were offered opportunities to embark on self-reliance and economic-
empowermentprogramstoenhancetheirlivelihoods.Despitethescarcityofresources
and an ailing Zimbabwean economy, these strategic partnerships demonstrate the
concerted efforts to provide refugees with better life experiences at the TRC. The
following interview excerpts acknowledge these efforts:
Some partners at the TRC offer self-reliance and livelihoods programs to help
refugees in rebuilding their lives. Different actors offer different services that
are an attempt to provide durable solutions to refugees at the camp (Informant
1, September 2022).
The UNHCR and other partners work with the government to provide
community empowerment, self-reliance, and livelihoods assistance to refugees
in line with the state, regional, and international obligations (Informant 3,
September 2022).
Moreover, these interview excerpts corroborate a report by the UNHCR (2022b) that
states that this multilateral institution and its partners have managed to support a
number of livelihoods programs at the TRC. Examples cited include a hydroponics
agricultural project where refugees managed to produce vegetables for consumption
and income generation. In addition, there is an income-generating poultry project
where refugees have close to 500 hens that produce eggs (UNHCR, 2022b). Some
partners offered capacity development programs, albeit limited in their scope,
aimed at equipping refugees with skills suitable for the labor market. An informant
confirmed the efforts aimed at skills development:
Partners have been trying to build refugee capacity through vocational skills
training. The goal has been to improve the skills base of the refugees so that
they may be fit to join the labor market (Informant 2, September 2022).
Notwithstanding the partners’ efforts, the macroeconomic environment in the
country has been detrimental to the protection efforts of the different stakeholders at
TRC. Scholars have documented Zimbabwe’s currency crisis and hyperinflation that
made it difficult to earn and secure livelihoods (Kudzai, 2023; Lieto, 2023). This has
also affected social-protection efforts, as it made it very difficult to plan and budget
in the local currency, leading to an over-reliance on foreign currency that is difficult
to come by (Lieto, 2023).
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The shrinking economy and its implications for refugee protection
The Zimbabwean economy has been experiencing prolonged challenges that have
persisted from the early 1990s to date (Kanyenze et al., 2017; Mhlanga and Ndhlovu,
2021). These were worsened by the fast-track land reform program that led to
economic sanctions, which isolated Zimbabwe from the global economic system
for decades (Nzima and Gumindega, 2023). During the period between 2019 and
2020, Zimbabwe experienced severe external shocks, namely cyclone Idai, protracted
drought, and the COVID-19 pandemic (Spiegel and Mhlanga, 2022). These shocks,
compounded by flawed policies during the same period, culminated in a significant
recession and peak inflation of 837% (UNDP, 2020). The trends have continued
to date, with significant implications for the ability of the TRC stakeholders to
provide effective protection services to refugees. Kudzai (2023) maintains that the
macroeconomic conditions continue to erode the state’s revenue base, compromising
its ability to provide meaningful social protection to its citizenry, such as providing
social safety nets. If the state struggles to provide social protection to citizens,
the situation can only be worse for refugees and asylum seekers. A key informant
reported the following:
The government does not have resources, and the pervasive macroeconomic
challenges continue to cripple the government and further diminish its ability
to provide protection to refugees (Informant 1, September 2022).
Resource scarcity resulting from the diminishing economic conditions in the country
has negatively affected the state’s ability to provide effective protection to refugees
(Spiegel and Mhlanga, 2022). This is exacerbated by the continued arrival of new
refugees putting an additional strain on the government’s ability to provide adequate
protection. Nearly all key informants expressed these sentiments. An informant from
one of the partner organizations said the following:
The continued influx of refugees and asylum seekers results in increased
annual resource needs for shelter and classrooms as well as increased teacher-
pupil ratios (Informant 9, September 2022).
The findings of this study suggest that the prevailing macroeconomic conditions at
both the national and global levels have led to a scarcity of donor funding (UNDP,
2020). Donor funding has been dwindling and in the recent past, the COVID-19
pandemic and the war in Ukraine resulted in the diversion of funds to focus on
these issues, significantly reducing funding for refugee protection, as seen in the
following excerpt:
41
The government does not have resources, and the pervasive socio-economic
challenges continue to cripple the government and further diminish its ability
to provide protection to refugees (Informant 1, September 2022).
The economic reality in Zimbabwe has created significant challenges for the state
and its strategic partners due to resource constraints and an ever-increasing demand
for services (Spiegel and Mhlanga, 2022; UNDP, 2020). As a result, partners face
the dilemma of having to do more with less, as the refugee population at the camp
continues to increase. The following interview excerpts provide further insight:
It has been difficult for partners to provide sustainable and durable livelihood
projects to refugees and asylum seekers. Also, markets for the produce have
been difficult to find and sustain (Informant 9, September 2022).
The hyperinflationary environment in the country complicates partner
interventions as it erodes the value of the assistance they give (Informant 11,
September 2022).
The UNHCR operation has low budgets due to its small caseload and has had
to prioritize lifesaving interventions. Again, the high cost of goods locally has
pushed the organization to consider international procurement for value for
money and accountability, but global supply-chain breaks mean delays, more
so in the context of the COVID-19 pandemic … The COVID-19 pandemic
and the war in Ukraine have resulted in a diversion of funds to focus on these
issues, significantly reducing funding for refugee protection (Informant 3,
September 2022).
The findings of this study suggest that the ongoing shrinking of the Zimbabwean
economy does not only constrain the state’s ability to fulfill its mandate, but strategic
partners are also affected, and this limits their capacity to provide adequate protection
to refugees. The difficult economic environment has led to the erosion of safety nets
for improved livelihoods as donor funding continues to dry up. This means that
refugees are left in a state of perpetual dependency on aid and handouts, a situation
that renders them perpetually vulnerable. Notably, the COVID-19 pandemic and
other shocks have had significant impacts on the effective provision of protection
services to refugees.
COVID-19 and the provision of protection services at the TRC
The COVID-19 pandemic caused a disruption in the provision of basic services
globally. A fuller understanding of the impact of the COVID-19 pandemic on
refugees in Zimbabwe requires a holistic appreciation of the shocks that have rocked
their realities in the recent past. According to Alio et al. (2020), refugees across the
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globe are heterogeneously affected by various shocks, including pandemics, conflicts,
climate-induced disasters, and poverty. Before the pandemic, refugees already
existed in precarious and cramped conditions with adverse public health conditions
that could easily facilitate the rapid spread of diseases (Alio et al., 2020; Spiegel and
Mhlanga, 2022). Although the effects of the pandemic were almost universal and
similar, not all populations were affected equally. Crawley (2021) asserts that the
pandemic amplified and deepened existing inequalities, with refugees and other
stateless persons being the most adversely affected, because they are often the poorest
with precarious livelihoods and are most deprived in terms of protection. As such, the
pandemic affected them on many levels. The findings of this study show that at the
TRC, the pandemic crippled basic service delivery. It impacted both the availability
of resources and the actual service provision. The pandemic forced partners to divert
resources to ensure compliance with the sanitary regulations to curb the spread of
the virus. This meant resources initially earmarked for the provision of protection
services to refugees were channeled towards addressing the COVID-19 pandemic.
Informants from partner organizations confirmed this unfortunate reality:
The COVID-19 pandemic meant diversion of resources by governments
and partners to ensure compliance with the sanitary guidelines and procure
medication. Moreover, the donor countries experienced shocks leading to
reduced donations (Informant 3, September 2022).
Lockdown restrictions meant reduced earning capacity for many, including
refugees (Informant 11, September 2022).
Inaddition,thefindingsofthisstudyshowthattheresultantlockdownsandmobility
restrictions had an adverse effect on the livelihoods and economic empowerment
initiatives implemented at the camp. Refugees could not move around to sell their
products, and this crippled their ability to earn. This occurred against a backdrop
that refugees are generally in a marginalized socio-economic position (Crawley,
2021), and restrictions on their economic activities plunged them into deeper
precarity. Moreover, the restrictions affected the repatriation and resettlement of
refugees. The suspension of the asylum procedures due to COVID-19 left refugees
in conditions of protracted uncertainty while exacerbating their already dire living
conditions (Crawley, 2021; Ghezelbash and Feith Tan, 2020). The restrictions
further affected children’s access to education and the camp population’s ability to
access healthcare services beyond the camp. Other studies note similar findings,
detailing the effects of the pandemic on education and health services (Matsilele,
2021; Mbunge et al., 2020; Murewanhema and Makurumidze, 2020). Some key
informants reported the following:
43
COVID-19 negatively affected access to education for children in TRC because
they were out of school for prolonged periods without access to e-learning
facilities. This has resulted in low pass rates among the refugee population
(Informant 10, September 2022).
Refugees rely on the national healthcare system and during hard lockdown,
services at some major referral centers were suspended due to the pandemic
and this negatively affected refugees in need of health services (Informant 12,
September 2022).
This study also found that officials from partner organizations could not move freely
to implement some of the programs at the camp, which left refugees with limited
assistance and increased vulnerability. Moreover, the inability of the Zimbabwe
Refugee Committee to meet and process status determination meant that during
the COVID-19 pandemic, many refugees remained entirely undocumented. The
findings confirm Crawley’s (2021) assertion that one of the biggest consequences
of the pandemic has been the stalling of status determination, which in some
instances compromised refugees’ access to rights, work opportunities, healthcare,
and education. To augment this, some of the key informants indicated the following:
Service delivery in many government departments that serve refugees and
asylum seekers was disrupted at the height of the pandemic (Informant 9,
September 2022).
The Zimbabwe Refugee Committee used to meet monthly for refugee status
determination, that is, conducting interviews for asylum seekers to determine
whether their cases warrant a refugee status. Due to COVID-19, the committee
has not been meeting and there is now a backlog in cases (Informant 3,
September 2022).
Although there were challenges, some positive innovations emerged that improved
service delivery. Partners devised strategies to circumvent the effects of restrictions
around COVID-19. Key informants further narrated that COVID-19 led to
innovations in service provision such as online lessons, WhatsApp surveillance and
reporting for child protection and gender-based violence. Partners will continue
the implementation of these strategies in the post-COVID-19 era. Therefore, the
pandemic significantly affected the provision of protection services to refugees,
further exacerbating inequality and precarity in their living conditions.
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CONCLUSIONS AND RECOMMENDATIONS
Thispaperconcludesthatsocio-economicchallengesinfragileeconomiessignificantly
affect the welfare and protection outcomes of refugees, regardless of the presence of
a robust refugee regime in the country. In addition, accepting refugees remains a
political statement of sovereignty, and the macroeconomic instability in shrinking
economies may easily mar regional solidarity and the success of the ambitions. In
Zimbabwe, the protracted socio-economic crisis has rendered refugee protection a
challenge for the state and its partner organizations (Spiegel and Mhlanga, 2022).
Shocks such as Cyclone Idai, the COVID-19 pandemic, and the war between Russia
and Ukraine have worsened this precarious situation. Additionally, these shocks
have worsened the country’s macroeconomic environment, significantly shrinking
the economy (Spiegel and Mhlanga, 2022; UNDP, 2020). Macroeconomic instability
activates subtle inequalities between different population groups in a country
(Crawley, 2021; Spiegel and Mhlanga, 2022). Given that Zimbabwe’s deep economic
crisis has been protracted, it has gradually eroded the state’s ability to provide social
protection to its citizens by crippling economic production and growth and decreased
public budgets, plunging the country into a deep quandary characterized by high
unemployment rates (Chikanda and Crush, 2016; Spiegel and Mhlanga, 2022). In
the process, refugees and other persons of concern are relegated to the margins of
protection (Crawley, 2021), usually left to depend on the benevolence of donors and
humanitarian partners to provide services. This demonstrates the struggles around
mobility justice in the state’s responses to shocks and the influx of refugees and
asylum seekers.
Macroeconomic instability and the resultant shrinking of economies
complicate the dynamics of protection by compromising the ability to provide the
requisite services to the populations in question. The state and its partners thus fail to
provide comprehensive protection in the form of social assistance and access to basic
services, livelihoods support, as well as building refugees’ capacity for labor-market
readiness. Although the refugee regime in Zimbabwe mandates the state to provide
protection services to refugees, the macroeconomic reality is the major constraining
factor. In essence, shrinking economies adversely affect the provision of protection
to refugees, as partners do not have adequate resources to provide durable solutions
for the refugees. The economic realities leave effective protection elusive with limited
to no solutions in sight (Spiegel and Mhlanga, 2022). Although the UNHCR and its
partners may make efforts to provide protection, they become overwhelmed by the
needs load that entails provision of housing, enhancing livelihoods, ensuring food
security, provision of water and sanitation services as well as public health systems.
These are resource-intensive needs that may not be fully sustained through donor
funding. Thus, the inability of the state to contribute resources toward the protection
of refugees complicates the dynamics of protection, leaving refugees in perpetual
vulnerability and partners operating in emergency mode. Thus, even though
Zimbabwe’srefugeeregimeaccordstheprotectionmandatetothestate,theprotracted
45
economic crisis in the country has crippled the state’s ability to do so. Therefore, this
study recommends that the government increases its efforts in seeking humanitarian
international assistance with favorable conditions. In addition, the government and
its strategic partners must explore innovative financing mechanisms to ensure the
sustainability of protection efforts. Lastly, the government and its strategic partners
must increase their efforts toward programs and bilateral agreements that promote
regional cooperation to ensure better protection outcomes for refugees in the region.
DISCLOSURE STATEMENT
The authors report that there are no competing interests to declare.
ACKNOWLEDGMENTS
ThisworkwasconductedwithsupportfromtheConsultativeGrouponInternational
Agricultural Research (CGIAR) Initiative on Climate Resilience (ClimBeR), and the
CGIAR Initiative on Fragility, Conflict, and Migration. We would like to thank all
funders who supported this research through their contributions to the CGIAR
Trust Fund.
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REFERENCES
Alio, M., Alrihawi, S., Milner, J., Noor, A., Wazefadost, N., and Zigashane, P. 2020.
By refugees, for refugees: Refugee leadership during COVID-19, and beyond.
International Journal of Refugee Law, 32(2): 370–373. https://doi.org/10.1093/
ijrl/eeaa021.
Andrade, M., Sato, L., and Hammad, M. 2021. Improving social protection for
migrants, refugees and asylum seekers in Egypt: An overview of international
practices. Research Report, No. 57, International Policy Centre for Inclusive
Growth (IPC-IG), Brasilia. https://hdl.handle.net/10419/234898.
Barnett, L. 2002. Global governance and the evolution of the international refugee
regime. International Journal of Refugee Law, 14(2_and_3): 238–262. https://
doi.org/10.1093/ijrl/14.2_and_3.238.
Barrientos, A. and Santibáñez, C. 2009. New forms of social assistance and the
evolution of social protection in Latin America. Journal of Latin American
Studies, 41(1): 1–26. https://doi.org/10.1017/S0022216X08005099.
British Broadcasting Corporation (BBC). 2022. Which other countries send asylum
seekers overseas? https://www.bbc.com/news/uk-61106231.
Chikanda, A. and Crush, J. 2016. The geography of refugee flows to Zimbabwe.
African Geographical Review, 35(1): 18–34. https://doi.org/10.1080/19376812
.2014.933706.
Coen, A. 2021. Can’t be held responsible: Weak norms and refugee
protection evasion. International Relations, 35(2): 341–362. https://doi.
org/10.1177/0047117819884613.
Crawley, H. 2021. The politics of refugee protection in a (post)COVID-19 world.
Social Sciences, 10(3): 81. https://doi.org/10.3390/socsci10030081.
Crush, J. and Tevera, D.S. (eds.). 2010. Zimbabwe’s exodus: Crisis, migration, survival.
Cape Town: SAMP; and Ottawa: IDRC.
Crush, J., Chikanda, A., and Tawodzera, G. 2015. The third wave: Mixed migration
from Zimbabwe to South Africa. Canadian Journal of African Studies/Revue
Canadienne des Études Africaines, 49(2): 363–382. https://doi.org/10.1080/00
083968.2015.1057856.
Emerson, S.A. 2014. The battle for Mozambique: The Frelimo–Renamo struggle,
1977–1992. England: Helion and Company; and South Africa: 30 Degrees
South Publishers.
Flick, U. 2013. The SAGE handbook of qualitative data analysis. Thousand Oaks,
CA: SAGE.
Ghezelbash, D. and Feith Tan, N. 2020. The end of the right to seek asylum?
COVID-19 and the future of refugee protection. International Journal of
Refugee Law, 32(4): 668–679. https://doi.org/10.1093/ijrl/eeab002.
47
Gibbs, G. 2007. Analyzing qualitative data. Thousand Oaks, CA: SAGE. https://doi.
org/10.4135/9781849208574.
Jakachira, K. 2003. Zimbabwe: Country hit by influx of refugees. The Daily News.
https://allafrica.com/stories/200302170294.html.
Kampmark, B. 2022. Britain-Rwanda refugee deal obscene. Green Left Weekly,
1343: 16.
Kanyenze, G., Chitambara, P., and Tyson, J. 2017. The outlook for the Zimbabwean
economy. London: Supporting Economic Transformation (SET). https://
set.odi.org/wp-content/uploads/2017/08/SET-Outlook-for-Zimbabwe-
Economy_Sep2017.pdf.
Klaaren, J. and Rutinwa, B. 2004. Towards the harmonization of immigration and
refugee law in SADC. MIDSA Report, No. 1. Cape Town: IDASA; and Canada:
Queen’s University.
Kool, T.A. and Nimeh, Z. 2021. Refugees and social protection. In Schüring, E. and
Loewe, M. (eds.), Handbook on social protection systems. London: Edward
Elgar Publishing.
Kudzai, T. 2023. The impact of the Zimbabwe government’s fiscal policy on the
destruction of the country’s economy. Indonesian Journal of Islamic Economics
and Finance, 3(1): 11–18. https://doi.org/10.37680/ijief.v3i1.2424.
Lieto, A.J. 2023. Impact of Zimbabwe’s currency crisis on youth employment: Case
of youths in the informal sector. Journal of Social Studies, 9(4): 1–10.
Limb, M. 2022. UK-Rwanda migration plan fails to safeguard refugees’ medical care,
say campaigners. BMJ, 377: o1087. https://doi.org/10.1136/bmj.o1087.
Matseketsa, B. and Mhlanga, J. 2020. Self-reliance and refugee empowerment
programmes in Zimbabwe: A national security approach. African
Journal of Terrorism and Insurgency Research, 1(2): 5–20. http://dx.doi.
org/10.31920/2732-5008/2020/v1n2a1.
Matsilele, T. 2021. The implications of Covid-19 on institutions of higher learning:
A case of Zimbabwe and South Africa. In Education in Africa: Perspectives,
opportunities and challenges. New York: Nova Science Publishers, pp. 93–115.
Maxwell, J.A. and Chmiel, M. 2013. Notes toward a theory of qualitative data analysis.
In Flick, U. (ed.), The SAGE handbook of qualitative data analysis (1st ed.).
Thousand Oaks, CA: SAGE.
Mbunge, E., Fashoto, S., Akinnuwesi, B., Gurajena, C., Metfula, A., and Mashwama,
P. 2020. COVID-19 pandemic in higher education: Critical role of emerging
technologies in Zimbabwe. https://papers.ssrn.com/sol3/papers.cfm?abstract_
id=3743246.
McGregor, J. and Pasura, D. 2010. Diasporic repositioning and the politics of re-
engagement: Developmentalising Zimbabwe’s diaspora? The Round Table,
99(411): 687–703. https://doi.org/10.1080/00358533.2010.530413.
Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
48
AHMR African Human Mobility Review - Volume 10 No
2, MAY-AUGUST 2024
McGregor, J. and Primorac, R. 2010. Zimbabwe’s new diaspora: Displacement and the
cultural politics of survival (Vol. 31). Oxford, UK: Berghahn Books.
Mhlanga, D. and Ndhlovu, E. 2021. Socio-economic and political challenges in
Zimbabwe and the development implications for Southern Africa. Journal of
African Foreign Affairs, 8(2): 75–98. https://hdl.handle.net/10520/ejc-aa_jafa-
v8-n2-a6.
Mhlanga, J. 2020. Refugee protection in the era of complex migratory flows: A
reflection on ubuntu and social work practice. African Journal of Social Work,
10(1): 41–45.
Mhlanga, J. and Zengeya, R.M. 2016. Social work with refugees in Zimbabwe. African
Journal of Social Work, 6(1): 22–29.
Micinski, N.R. 2020. Migration and development in the UN Global Compacts. In
Browne, S. and Weiss, T.G. (eds.), The Routledge handbook on the UN and
development. London: Routledge, pp. 135–148.
Mlambo, A.S. 2010. A history of Zimbabwean migration to 1990. In Crush, J. and
Tevera, D.S. (eds.), Zimbabwe’s exodus: Crisis, migration, survival (Article 52).
African Books Collective.
Munguambe, C.V.L. 2020. Nationalism and exile in an age of solidarity: Frelimo–
ZANU relations in Mozambique (1975–1980). In Alexander, J., McGregor,
J., and Tendi, B.M. (eds.), Transnational histories of Southern Africa’s
liberation movements. London: Routledge, pp. 157–174. https://doi.
org/10.4324/9780367854935.
Murewanhema, G. and Makurumidze, R. 2020. Essential health services
delivery in Zimbabwe during the COVID-19 pandemic: Perspectives and
recommendations. The Pan African Medical Journal, 35(Suppl. 2): 143. https://
doi.org/10.11604%2Fpamj.supp.2020.35.143.25367.
Mutsvara, S. 2015. To what extent does Zimbabwe comply with its international
obligations for the protection of unaccompanied and separated refugee
children? Unpublished Doctoral Dissertation, University of the Western Cape.
Ncube, G. 2010. Migrant remittances, household livelihood strategies and local
development: A case study of Village 2 in Ward 19 of Tsholotsho District in
Zimbabwe. Unpublished MA Thesis, Institute of Social Studies of Erasmus
University, the Netherlands.
Neis, H.J., Meier, B., and Furukawazono, T. 2018. Welcome city: Refugees in three
German cities. Urban Planning, 3(4): 101–115. https://doi.org/10.17645/
up.v3i4.1668.
Nzima, D. and Gumindega, G.C. 2023. Exploring the politics of Jecharism in
Zimbabwe’s Second Republic. In Moyo, G. and Helliker, K. (eds.), Making
politics in Zimbabwe’s Second Republic: The Formative Project by Emmerson
Mnangagwa. Cham, Switzerland: Springer Nature, pp. 107–123.
49
Oxford Analytica. 2022. Politics may underpin UK–Rwanda asylum deal. Expert
briefings. https://doi.org/10.1108/OXAN-DB270150.
Raftopoulos, B. 2006. The Zimbabwean crisis and the challenges for the
left. Journal of Southern African Studies, 32(2): 203–219. https://doi.
org/10.1080/03057070600655988.
Raney, R. 2019. Compassion fatigue: A side effect of the immigration crisis. American
Psychological Association (APA). https://www.apa.org/members/content/
compassion-fatigue.
Seyfert, K. and Quarterman, L. 2021. Social protection for migrants and refugees.
Social Protection Approaches to COVID-19: Expert Advice Service
(SPACE), DAI Global, UK. https://socialprotection.org/sites/default/files/
publications_files/SPACE_Social%20protection%20for%20migrants%20
and%20refugees.pdf.
Sidzumo-Mazibuko, D.T.D. 1998. The impact of refugee assistance on the elderly:
A socio-economic and demographic study of elderly women and men at
Tongogara, Mazowe River Bridge and Chambuta camps in Zimbabwe, 1983–
1992. Unpublished Doctoral Thesis, University of Manitoba. http://hdl.handle.
net/1993/2013.
Soy, A. 2022. UK–Rwanda asylum seekers’ deal: Good news for Kigali hotels. BBC.
https://www.bbc.com/news/world-africa-61496397.
Spiegel, S.J. and Mhlanga, J. 2022. Refugee policy amidst global shocks: Encampment,
resettlement barriers and the search for “durable solutions.” Global Policy,
13(4): 427–441. https://doi.org/10.1111/1758-5899.13084.
Takaindisa, J. 2021. The political stakes of displacement and migration in/from
Zimbabwe. Arnold Bergstraesser Institut. https://www.arnold-bergstraesser.
de/sites/default/files/displacement_zimbabwe_takaindisa.pdf.
Union of International Associations (UIA). 2020. The Encyclopedia of World
Problems & Human Potential: Refugee fatigue. http://encyclopedia.uia.org/
en/problem/136690.
United Nations Development Programme (UNDP). 2020. The next frontier: Human
development and the anthropocene. UN Human Development Report
Office, UNDP. https://policycommons.net/artifacts/2116225/the-next-
frontier/2871523/.
United Nations High Commissioner for Refugees (UNHCR). 1994. UNHCR activities
financed by voluntary funds: Report for 1993–1994 and proposed programmes
and budget for 1995. Part 1 – Africa, Section 24 – Zimbabwe. UNHCR.
United Nations High Commissioner for Refugees (UNHCR). 2021. Mid-year trends
2021. UNHCR.
United Nations High Commissioner for Refugees (UNHCR). 2022a. UN refugee
agency opposes UK plan to export asylum. UNHCR – Africa. https://www.
Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
50
AHMR African Human Mobility Review - Volume 10 No
2, MAY-AUGUST 2024
unhcr.org/news/press/2022/4/62585e814/un-refugee-agency-opposes-uk-
plan-export-asylum.html.
United Nations High Commissioner for Refugees (UNHCR). 2022b. Zimbabwe
monthly operational update. UNHCR.
United Nations High Commissioner for Refugees (UNHCR). 2023. Five
takeaways from the 2023 UNHCR Global Trends Report. https://www.
unrefugees.org/news/five-takeaways-from-the-2023-unhcr-global-
trends-report/#:~:text=Five%20Takeaways%20from%20the%202023%20
UNHCR%20Global%20Trends,high-to-extreme%20exposure%20to%20
climate-related%20hazards.%20...%20More%20items.
United Nations High Commissioner for Refugees (UNHCR). Undated. Africa –
Protection. https://www.unhcr.org/afr/protection.html.
Wamara, C.K., Muchacha, M., Ogwok, B. and Dudzai, C. 2022. Refugee integration
and globalization: Ugandan and Zimbabwean perspectives. Journal of Human
Rights and Social Work, 7(2): 168–177. https://doi.org/10.1007/s41134-021-
00189-7.
World Food Programme (WFP) and United Nations High Commissioner for
Refugees (UNHCR). 2019. Tongogara refugee camp, Zimbabwe – Joint
Assessment Mission Report. WFP and UNHCR.
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Does Climate Change Transfer
Poverty from Rural to Urban
Areas? Implications for Regional
Sub-Saharan Research Agenda
Thanyani Madzivhandila1
and Aklilu Asha2
Received 23 July 2024 / Accepted 20 August 2024 / Published 06 September 2024
DOI: 10.14426/ahmr.v10i2.2305
Abstract
There is growing recognition that climate change is a worldwide phenomenon with far-
reaching effects and that it is linked to an increase in the frequency of extreme weather
occurrences. In rural areas of most of the sub-Saharan countries and other developing
countries in the world, the frequent occurrences of extreme weather events such as
flooding, heat waves, and drought have significantly destroyed livelihood activities of
poor communities. Unfavorable geographic characteristics, a lack of resources, and
a higher reliance on climate-sensitive sources of income among many community
members in poor nations all contribute to the impact. These include livelihood activities
associated with land use and agricultural practices. Sadly, the population’s capacity and
incentive to stay in rural areas have been altered because of climate change and its
detrimental impacts on agricultural output, income, and subsistence living; as a result,
many rural dwellers are migrating to urban areas. Rural populations migrate to urban
areas in search of economic opportunities to earn a living. It is evident that the expected
opportunities in urban areas are not always available; thus, most of the rural migrants
are stuck in informal settlements, shanty towns, and slums without access to services.
Consequently, it is evident that climate change is somehow transferring poverty
from rural to urban areas. This study adopted the push/pull theory as a theoretical
framework to guide the discussion and analysis. Based on an extensive review of the
existing literature using qualitative document analysis, the purpose of this article is
to examine the role of climate change on rural–urban migration, which ultimately
contributes to the increase in urban poverty. The article concludes by reviewing the
current (limited) research on climate change and poverty and argues for a research
agenda in the context of sub-Saharan Africa toward sustainable ways to respond to the
challenges of climate-induced migration, urbanization, and poverty.
Keywords: climate change, rural–urban migration, urbanization, poverty,
sub-Saharan Africa
1
Turfloop Graduate School of Leadership, University of Limpopo, South Africa.
2
Department of Development Planning and Management, University of Limpopo, South Africa. Corresponding author
 aklilu.asha@ul.ac.za
Does Climate Change Transfer Poverty from Rural to Urban Areas?
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INTRODUCTION
Sub-Saharan Africa, the region located below the Sahara Desert, comprises 90%
of the African nations. Despite its diverse cultural, historical, and socio-political
contexts, the region commonly confronts formidable challenges and complexities,
such as pervasive poverty and malnutrition, rapid and uncontrolled urbanization
(related to rural-urban migration), political volatility, and environmental degradation
(Szirmai, 2015). The region, much like other developing nations worldwide, is also
characterized by fast urbanization (Blekking et al., 2022), and it is expected to be
predominantly urban; by 2043, half of sub-Saharan Africa’s population will live in
urban areas (Jobarteh, 2024). Rural–urban migration is particularly significant in
large developing countries undergoing urbanization, such as those in sub-Saharan
Africa and South Asia, where rural populations remain disproportionately large
(Brueckner and Lall, 2015; Selod and Shilpi, 2021). The rapid increase in the urban
population size is attributable to the natural population growth of existing urban
settlements, the reclassification of rural settlements to urban settlements, and rural–
urban migration (Jobarteh, 2024). The primary drivers include higher urban incomes,
better amenities, climate change, conflicts, and the need for insurance against risks
(Selod and Shilpi, 2021). This migration pattern is also significantly influenced by
economic factors, population size, housing availability, and environmental conditions
(Chaplitskaya et al., 2024).
The impacts of climate change, therefore, are pivotal in exacerbating conditions
that drive rural–urban migration. This is particularly evident in how climate change
adversely affects rural livelihoods, which are predominantly dependent on agricultural
practices. Kumar (2018) notes that this region, particularly the drought-prone areas,
suffers from one of the lowest levels of agricultural productivity, primarily as a result
of water stress during crop growth. The author further indicates that the region is
plagued by conflicts, political instability, poor governance, corruption, politics of
exclusion, high rural poverty, and weak human resource capacities (Kumar, 2018).
Unlike other regions, the main drivers of rural–urban migration in sub-Saharan Africa
include dissatisfaction with public services in rural areas, changing weather patterns,
land pressures, natural disasters, and conflict (Jobarteh, 2024). Thus, this pattern of
migration poses an imminent burden on urban governance (Bawakyillenuo et al.,
2018). The most pressing issue is the readiness of urban governance to address the
ever-escalating urban poverty associated with climate-induced rural–urban migration.
Sub-Saharan Africa has encountered frequent climate crises, including extreme
weather events and natural disasters. Ayanlade et al. (2022) argue that the impacts
of climate change are growing more intense and frequent, with the observed effects
of climate extremes on sub-Saharan Africa on the rise. Climate change shocks are
increasingly common in sub-Saharan Africa (Blekking et al., 2022), for example, the
Southern African drought (2015–2016), the East African drought (2016–2017), the
Cape Town water crisis (2017–2018), the Ethiopian drought (2019), and the ongoing
drought in the Sahel region. To effectively address the climate crisis, sub-Saharan
53
African nations need to act responsibly, sensibly, and sustainably, despite the absence
of specific climate change legislation in most of these countries. These nations continue
to combat climate change by deploying and using various measures aimed at mitigating
and adapting to its effects. They are also advancing the United Nations Sustainable
Development Goals (SDGs) for 2030. There are several studies investigating the
relationship between climate change, migration, and urbanization, particularly how
extreme weather and climatic changes promote urbanization (Barrios et al., 2006;
Henderson et al., 2017; Dia and Beaudelaire, 2021). However, there are limited studies
regarding how climate change exacerbates urbanization and poverty (Henderson et al.,
2017). Thus, drawing upon an extensive review of the existing literature, this article
aims to examine whether climate-induced rural–urban migration exacerbates the
already severe poverty conditions in urban areas of sub-Saharan Africa. This region,
already grappling with extreme poverty, provides a critical context for examining the
intersection of climate change, urbanization, and poverty.
THEORETICAL BACKGROUND
Migration, in general, is a complex phenomenon influenced by a variety of driving
factors. The motivations behind migration are often context-dependent, including a
rangeofsocio-economic,environmental,andpoliticaldrivers.Toexplainthiscomplex
process of migration, different theoretical perspectives have been applied to explore
the rationale behind individuals’ or groups’ decisions to migrate from one geographic
area to another, particularly to urban centers. For example, the dual sector theory
(Lewis model) on urban–rural migration argues that labor migrates from the rural
areas considered underemployed, traditional, agricultural, and subsistence sectors to
the urban areas perceived as high-productivity, modern industrial sectors (Knight,
2021). Another example is the Harris–Todaro model, which assumes that expected
differences between rural income and urban income or a higher urban wage lead
to rural–urban migration (Busso et al., 2021; Bhattacharya, 2024). However, these
theories of migration focus mainly on economic dimensions of human migration
and development.
This study adopted the push/pull theory, which suggests that people migrate
as a result of several push/pull drivers (Al-Khudairy, 2024). Different researchers
adopted the push/pull theory to investigate migration, particularly rural–urban
migration (Eshetu and Beshir, 2017; Mlambo, 2018; Hoffmann et al., 2019; Nguyen,
2019; Khalid and Urbański, 2021). Applied from a socio-economic perspective, this
theory emphasizes that people migrate because of push factors (e.g., unemployment,
lack of service, and poverty) in rural areas and pull factors (e.g., better employment
opportunities, services, and relatively good living conditions) in urban areas. On the
other hand, from an environmental change perspective, the push/pull theory stresses
that people migrate because of climate change-related push factors from rural areas to
urban areas where they perceive better living and economic conditions. In the context
ofsub-SaharanAfrica,manypeoplemigratefromruralunderdevelopedareastourban
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areas for various reasons, including climate change impacts. This study, therefore,
employed the push/pull theory, as it is relevant for exploring how climate-induced
migration can transfer poverty, as migrants may not find sufficient opportunities in
urban areas as expected, leading to increased urban poverty challenges.
METHODOLOGY
This study employed a qualitative research approach, which is acclaimed for its
significanceinprovidingdeepinsightsintocomplexissuesandfosteringthegeneration
of novel research ideas (Maree, 2020). The study used a document review method
that involved the systematic analysis of existing documents. This technique is vital in
this research to capture rich contextual data in a cost-effective manner (Lim, 2024).
It relied on secondary data collection to examine the dynamics of climate change and
its impact on transferring poverty from rural to urban areas. According to Maree
(2020), secondary sources are materials that synthesize previously published works,
which are integral to conducting a thorough literature review. In line with this, the
secondary data was drawn from a wide range of existing literature, including peer-
reviewed journals, books, and other reputable sources, ensuring a comprehensive
analysis of climate change, rural-urban migration, and urban poverty (Lim, 2024).
Data collection involved using databases such as Google Scholar and Science Direct,
focusing on recent and relevant publications.The study followed qualitative research
and document review to explore the complex relationship between climate change
and poverty transfer from rural to urban areas. The study provides a comprehensive
analysis that contributes to a broader understanding of the impact of climate change
on migration by using secondary data from a wide array of credible sources. Thus,
the application of the approach underscores the importance of secondary qualitative
methods in unraveling the climate-induced rural-urban migration factors that
influence urbanization and urban poverty challenges.
IMPACT OF CLIMATE CHANGE ON RURAL AREAS
Global abnormal natural disasters have significantly increased in recent decades. Ali
and Erenstein (2017) explain that between 1980 and 2008 erratic natural hazards
moved from an average of 125 per year to more than 500 events. The most common
disastrous hazards of global magnitude that impact large numbers of populations,
include flooding, drought, heat waves, sea-level rising, and desertification (Araos
et al., 2016; Dumenu and Obeng, 2016; Alam et al., 2017; Ali and Erenstein, 2017;
Sekkat, 2017; Lucci et al., 2018; Delazeri et al., 2022). Unfortunately, episodes of
unprecedented hazards are not slowing down and are impacting different spheres of
life, including how communities secure food and other sustenance. In other words,
climate-related disasters are continuing to be disruptive to poor households in rural
areas whose livelihoods are determined by environmental factors. Activities such as
subsistence and small-scale farming are mostly affected. The observable effects of
55
climate change are becoming more pronounced in terms of variations in temperature,
precipitation, and wind. Ali and Erenstein (2017: 184) note that “approximately
2.5 billion people who derive their livelihood in part or in full from agricultural
production systems” are impacted by climate change-related stressors. Ironically,
the most affected communities, who are in developing countries, contribute less
than 10% of the world’s yearly emissions of carbon dioxide, which is blamed for the
fast-paced manifestation of climate change (Ali and Erenstein, 2017). Even though
these people contribute an insignificant portion of the emissions, their over-reliance
on the climate and environmentally inclined activities expose them to the risks
associated with climate change. Maskrey et al. (2007) anticipate that the poor who
reside in agricultural communities in developing nations will be the most impacted
by these climate changes. In fact, because of their unfavorable geographic location,
scarcity of resources, and increased reliance on climate-sensitive sources of income,
most impoverished rural and agricultural populations suffer the most from climate
change (World Bank, 2009). Because of the large number of impoverished people
and the large populations that continue to rely mostly on rural economies based on
agriculture, most African and South Asian countries are especially affected.
Agriculture is a climate-sensitive sector; thus, rural livelihoods dependent on
this sector are more susceptible to the damages of climate change-related hazards
(Dube and Phiri, 2013; Husain, 2015; Nawrotzki et al., 2015; Tacoli et al., 2015; Araos
et al., 2016; Dumenu and Obeng, 2016). For example, in the sub-Saharan region,
temperatures are increasing, precipitation has dropped on average, and rainfall
patterns have become less predictable, making rural livelihoods in nations like South
Africa, Malawi, Zimbabwe, and Zambia more susceptible. In the tropical countries,
such as those in South America and the Caribbean, livelihoods have been exposed
to hazards associated with increases in sea levels, storm activity, and flooding. The
issue of infrastructure is the other underlying component contributing to the effects
of climate change. Because of inadequate infrastructure, such as sea walls, and a lack
of funding for the development of technological protection, poor and less-developed
nations are disproportionately affected by climate change (Tacoli et al., 2015; Araos
et al., 2016; Dumenu and Obeng, 2016; Alam et al., 2017). For instance, Pakistan has
experienced significant financial losses resulting from infrastructure and property
damage, decreased agricultural productivity, and the high cost of restoring and
reconstructing areas devastated by natural disasters (Husain, 2015).
There is evidence that the detrimental consequences of climate change
are threatening to undo the development gains made with transformation since
sub-Saharan Africa’s independence in other regions of the continent. Frequent
unpredictable weather events, such as floods, droughts, cyclonic storm surges,
riverbank erosion, saline intrusion, and water logging, have a negative impact on
food, water, health, and energy security, as well as many people’s lives and livelihoods,
especially the impoverished (Alam et al., 2017). According to Ali and Erenstein
(2017), recent extreme weather occurrences in the region – such as flash floods –
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are thought to be directly related to climate change and are trapping impoverished
communities in nations like Pakistan and India. The disappearance of the flora and
wildlife, which the majority of the impoverished rely on for the development and
sustainability of their livelihoods, threatens their access to food. Although many
adaptation tactics are used by rural communities, such as crop diversification, taking
on non-farm secondary occupations, and expanding farm sizes, not everyone can
afford these options because they need significant financial resources. The only way
out of rural poverty caused by these difficulties has been to migrate from rural to
urban areas.
The movement of poor people from rural to urban areas has always been there
and is influenced by many factors. However, the most common cause has been the lack
of income-earning opportunities in rural areas. Dumenu and Obeng (2016) argue that
the absence of employment prospects for economically active family members is the
main reason why most rural households encourage their young energetic members
to migrate to urban areas in search of employment to support the households. With
agriculture being the most relied on form of employment and livelihoods in rural
areas, it makes sense that the volume of those migrating to urban areas has increased
(Nawrotzki et al., 2015; Tacoli et al., 2015). In many developing countries, rural small-
scale farming and agricultural livelihoods have been struggling because of climate
change. As a result, what remains in agricultural production systems is increasingly
centered around large-scale and mechanized farming. These large-scale activities can
cope with and adapt to climate change, as they have financial support. The ability of
small-scale farmers to respond to climate variability and droughts is hampered by
their limited access to technology and credit. In the end, this forces people living in
rural areas to migrate to cities in pursuit of employment. With so many people living in
urban areas worldwide, it is critical to analyze how climate variability and change will
affect urban migration trends. This is a critical area of policy concern. The relationship
between climate change, rural–urban migration and the transfer of poverty is at the
center of the complex manifestation of climate change and perpetuation of poverty in
many developing countries.
THE LINK BETWEEN CLIMATE CHANGE, RURAL-URBAN MIGRATION,
AND POVERTY TRANSFER
In the last ten years or so, the scientific community has been increasingly interested
in the connection between population mobility and climate change. The interest has
also extended to how these movements manifest into poverty transfer from rural
to urban areas. This is undoubtedly not an easy process to understand. Delazeri et
al. (2022: 2159) state that the “interactions between climate-induced environmental
changes and migration are complex and highly context-specific, mediated not only by
the type and severity of climate drivers but also by the heterogeneity and vulnerability
of affected societies.” Currently, poverty and urban concentration are two of the main
issues facing many emerging nations. How much climate change contributes to this
57
process, is the question that needs to be asked. According to estimates by the United
Nations Human Settlements Programme (UN-Habitat), 881 million people, or 30%
of the urban population in developing nations, reside in slums (Lucci et al., 2018).
This urban concentration, which is constantly expanding in many emerging nations,
poses significant hurdles to the process of development. Bearing in mind that climate
change-related hazards are not slowing down, more people will continue to leave
rural areas to search for survival opportunities in urban areas. As a result, although
most people in the developing world currently reside in rural areas, the percentage of
those in urban areas will soon climb and surpass that of people living in rural areas.
Delazeri et al. (2022) highlight that the reason the numbers of migrants from rural to
urban areas are drastically increasing, is that whereas climate change is a contributor,
it is adding to other more common pull and push factors.
Migration is significantly influenced by several variables, including social,
financial, and human capital. These include amenities such as better services.
However, in countries like Sudan and Guinea, “socio-economic factors such as high
illiteracy level, heavy dependence on climate-sensitive livelihoods, less diversification
of income sources and limited access to climate change information contributed
to the high vulnerability of the rural population,” fueling their desire to move to
urban areas (Dumenu and Obeng, 2016: 208). Households therefore use migration
as a tactic to diversify their sources of income and to insure themselves against the
risks associated with climate catastrophes. Unfortunately, there have been many
challenges associated with the movement of people from rural to urban areas. For
instance, high levels of urban concentration have received unwelcome attitudes by
officials and other well-off urban residents (Dube and Phiri, 2013; Husain, 2015;
Nawrotzki et al., 2015; Tacoli et al., 2015; Araos et al., 2016). Different groups
“point to claimed negative externalities of geographically concentrated poverty and
irreversibility resulting from the costs of migration, which can mean that migrants
to urban areas cannot easily return to their former standard of living in rural areas”
(Ravallion et al., 2007: 667). Sekkat (2017) also notes that the concentration in cities
leads to traffic jams and environmental deterioration, which lower productivity and
raise poverty. Although not all immigrants live in poverty, they are frequently held
responsible for the rise in urban poverty. Other challenges include the inability of the
migrants, particularly the poor ones, to find adequate housing and to access services.
Because most low-income and informal settlements lack basic infrastructure,
most of these individuals who live in informal settlements work long hours in
low-paying, unstable, and dangerous employment, and are exposed to a variety of
environmental risks. Lucci et al. (2018: 297) highlight that “whereas urban poverty
may be underestimated, it has implications for targeting interventions and allocating
resources in the 2030 Agenda for Sustainable Development.” The other dilemma is
that poor urban populations, such as those living in informal settlements, are often
undercounted, and the indicators used to measure basic deprivations do not provide
policymakers with the information they need to formulate and implement policies
Does Climate Change Transfer Poverty from Rural to Urban Areas?
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to tackle urban scarcities (Lucci and Bhatkal, 2014). To develop suitable policies to
address the actual problems encountered by the impoverished urban population, it is
crucial to increase awareness and comprehension of deprivation in urban situations.
MITIGATION AND ADAPTATION STRATEGIES
While it is known globally that rural vulnerabilities and poverty are more severe than
urban ones, there is evidence of growing levels of helplessness and despair in urban
areas. Put differently, the notion that most of the extreme poverty in the developing
countries occurs in rural areas is an assumption of development policymaking,
although this has significantly changed in the last several years (Ravallion et al.,
2007). In fact, some experts think that urban poverty is becoming a bigger issue
than rural poverty. With climate change as one of the reinforcers of these changes,
emphasizing the need for assessing the susceptibility of local communities to climate
change and highlighting the necessity of area-specific measures and policies to
mitigate vulnerability and improve adaptation in both urban and rural regions are
crucial (Alam et al., 2017; Ali and Erenstein, 2017; Sekkat, 2017; Lucci et al., 2018;
Delazeri et al., 2022). However, what is more important for the climate response
strategies to work is to ensure that those affected are involved from the beginning of
any intervention. The effectiveness of climate change plans hinges on comprehending
the perspectives of all stakeholders, including those in rural and urban areas. These
include the policymakers, community members, farmers, and nongovernmental
civil society organizations, to mention a few. Since climate change adaptation tactics
vary over time, from place to place, and even within cultures, a variety of players
must be included for any program to be successful (Tacoli et al., 2015; Araos et al.,
2016; Dumenu and Obeng, 2016; Alam et al., 2017). It is not surprising that any
development-related interventions, including those targeting the impact of climate
change, are likely to be met with challenges. High levels of vulnerability to factors
beyond climate change make it difficult to have a specific climate-related response
without first addressing other social ills. For instance, in urban areas it is difficult to
address climate change without considering urban poverty, particularly in slums or
informal settlements, where the majority of the poorest people are found in cities of
the developing world.
When we conceptualize the poor as being vulnerable, we imply that they are
either unable to adapt to the negative impacts of poverty, inequality, and other social
problems such as extremes and variability in the climate, or that they are susceptible to
them. Thus, the intervention to assist such people requires a thorough consideration
of “the complex combinations of socio-economic, political and environmental factors
that act and interact to influence vulnerability to climate change, the magnitude of
the resultant impact and the set of coping or adaptation strategies that are developed
in response to the impacts” (Dumenu and Obeng, 2016: 209). It is evident that these
vulnerable populations do not have the necessary adaptive capacity to deal with the
effects of climate change (Tacoli et al., 2015). However, what is important is to assist
59
them to sufficiently respond to the challenges they are facing. Some of the main
issues that need urgent attention to succeed, include the approaches to addressing
social vulnerability. Equivalent to the system’s capacity, social vulnerability is
primarily influenced by socio-economic variables such as income distribution,
asset ownership, gender, ethnicity, poverty, and source of income. Overcoming the
challenges associated with social vulnerability is crucial in alleviating the added
pressure from climate-related stressors to both urban and rural poor communities.
Initiatives and programs that acknowledge the many needs of diverse households
and individuals, including migrants, and that are inclusive of all low-income groups
have a greater chance of successfully eliminating poverty in both urban and rural
areas, when considering various locations and circumstances.
In urban areas, “policies to address issues related to climate-induced migration
must focus on both facilitating migration and assisting vulnerable segments of
the population who remain in place, as the less-educated rural population whose
livelihoods depend on the agricultural activity” (Delazeri et al., 2022: 2159).
Access to information to facilitate a participatory approach toward these initiatives
should be encouraged. Strategic communication and an aggressive dissemination
effort aimed at addressing both urban and rural populations should be employed
to improve access to climate change knowledge. Such data should be packaged
and disseminated using context-specific methods and technologies. For example,
targeted radio broadcasts, local-language pamphlets, and door-to-door awareness
visits could be used to maximum effect in rural areas. In urban areas, targeted
television broadcasts, social media, and billboards could be used. The creation of
information hubs and the use of mobile communications services could potentially
enable communities in both urban and rural areas to better meet their needs to
access climate change information. This indicates that more financial resources
need to be invested in educating communities about climate change and how it
affects both rural and urban livelihoods.
All these efforts play a major part in enhancing urban and rural climate change
adaptation.Incontrasttomitigation,whichallowsforthemeasurementofgreenhouse
gas emissions to assess the efficacy of policy measures, adaptation lacks comparable
“off-the-shelf” measurements (Araos et al., 2016). It is challenging to determine
the impact of these efforts when the targeted communities continue to experience
unaddressed poverty. Also, the fast-paced impact of climate change on small-scale
agriculture and food production that ultimately leads to food insecurity, makes it even
more difficult to measure the success of adaptation. Whereas commercial and more-
established farmers are adapting to climate change, their small-scale counterparts
are facing lower food production security levels, resulting in higher levels of poverty.
The small-scale farmers have low adaptive capacity compared to the commercial and
large-scale farmers. The latter can promote local adaptation efforts and so increase
the resilience of farming practices by having access to financing and information
about suitable strategies. According to Alam et al. (2017), for small-scale farmers to
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succeed, it is critical that they have local-level knowledge of adaptation to strengthen
the resilience of vulnerable households against risks and to deal with climate change
and variability. The Intergovernmental Panel on Climate Change (IPCC, 2007) has
centered discussions on developing adaptation solutions based on local knowledge
about adaptation. This underscores the importance of developing and integrating
adaptation strategies alongside local knowledge and systems that communities have
been using for years.
GOVERNMENT POLICY RESPONSES TO THE
IMPACT OF CLIMATE CHANGE
Thenexusbetweenclimatechangeandrural–urbanmigrationfeaturesabroadersocio-
economic dimension of climate impacts. For example, in sub-Saharan Africa, climate
change poses a severe threat to rainfed agricultural systems, which are essential for
the livelihoods of a significant portion of the rural population (Serdeczny et al., 2017).
The disruption caused by climate variability is not only jeopardizing food security
but also triggering a notable increase in rural–urban migration. This migration
exacerbates urbanization pressures and contributes to rising poverty levels in cities
(2017). According to the World Bank (2015), in 2015 the sub-Saharan African region
had the highest proportion of people living below the poverty line in relation to all
world regions. This means that as climate-induced pressures drive people from rural
areas to urban spaces, cities face increased demands on infrastructure and services.
In recognition of the impacts of climate change, governments are adopting a
range of climate laws aimed at reducing emissions, promoting renewable energy, and
enhancing adaptation measures (Akpuokwe et al., 2024). Within Africa, regions such as
North and Southern Africa, including countries like Morocco, Cape Verde, and Ghana,
have demonstrated commendable performance in climate policy implementation
(Epule et al., 2021). The authors argue that these regions’ showcasing of effective
integration of climate change considerations suggests that the potential for success is
great when strong policy frameworks and governance structures are in place. The post-
Paris Agreement era has also seen a wave of legislative reforms across African nations
aimed at enhancing climate governance. In this regard, Kenya’s Climate Change Act of
2016 and the new South African Climate Change Act 22 of 2024 exemplify efforts to
integrate both mitigation and adaptation strategies into national frameworks (Rumble,
2019). These legislative measures are designed to establish comprehensive mechanisms
for addressing climate impacts, from greenhouse gas reduction to resilience building.
Effective governance structures and coordinated climate actions are pivotal in
translating these legislative efforts into tangible outcomes.
Regionally, efforts in East Africa to develop gender-responsive climate policies
illustrate a commitment to inclusive and equitable climate action. However, these
policies face significant implementation hurdles, primarily because of inadequate
resource allocation and insufficient attention to the root causes of climate challenges.
For instance, Uganda’s focus on clean energy and Kenya’s Climate Change Act, which
61
promoterenewableenergy,reflectpositivesteps(Namanya,2016).Nonetheless,without
robust support and effective execution, these initiatives may fall short of achieving their
intended impact. This underscores a critical need for enhancing resource mobilization
and addressing systemic issues in policy implementation. Likewise, most West African
countries have also developed climate policies that comprehensively address various
sectors, including agriculture, energy, water resource management, and health (Sorgho
et al., 2020). These authors further argued that given agriculture’s high vulnerability
to climate change, it receives particular emphasis. This sectoral approach reflects a
broader recognition of the need for diverse and targeted strategies to mitigate climate
impacts and enhance resilience across different facets of society. The integration of
climate considerations into multiple sectors is crucial for building a robust and adaptive
response to climate challenges.
CLIMATE CHANGE RESEARCH AGENDA
The climate change condition is paradoxical in Africa because the continent
contributes minimally to global anthropogenic emissions but faces severe and
multifaceted impacts from climate change, including changes in hydroclimate,
biodiversity, and wildfire dynamics that are already prevalent across Africa (Al-
zu’bi et al., 2022; Overland et al., 2022). This discrepancy highlights a significant
injustice in the global climate narrative and the impacts are exacerbated by the
continent’s limited capacity to respond effectively because of economic constraints
and underdeveloped infrastructure (Ogega et al., 2022).
OneoftheprimarychallengesinAfricaisthelimitedcapacityforclimatechange
research, with less than 0.5% of the mean gross domestic product (GDP) invested in
research and development (Ogega et al., 2022). Strengthening this capacity is crucial,
especially in sub-Saharan Africa, which is particularly vulnerable to climate impacts.
Adequate resourcing and investment in research infrastructure are essential to build
a robust knowledge base and develop effective adaptation and mitigation strategies.
Other challenges include insufficient use of modern technologies, models, climate
change scenarios, and earth observation products (Kapuka et al., 2022). Funding
trends show that there was no significant increase in climate-related research
funding for Africa from developed countries after 2015, which is concerning, given
the growing need for mitigation research to support a low-carbon, climate-resilient
future (Overland et al., 2022). However, as Africa’s population, economy, and energy
consumption grow, there is an urgent need for research that focuses on mitigation
strategies alongside adaptation, particularly to investigate the nexus between climate
crisis, migration, and urbanization in the context of sub-Saharan Africa. Nonetheless,
the lack of funding undermines the continent’s ability to contribute to and benefit
from global climate solutions.
A wide range of climate change research has been conducted in different parts
of Africa in key thematic areas, including equitable urban transitions, the resilience
of smallholder farmers, and the management of hydroclimate extremes (Al-Zu’bi et
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al., 2022). There is also a focus on just energy transitions, the intersection of climate
with diversity and ecosystem services, and health impacts of aerosol mitigation
(Overland et al., 2022). This diversity in research topics reflects the multifaceted
nature of climate impacts in Africa, necessitating an inclusive approach to climate
research that encompasses environmental, social, and economic dimensions. Further
research is needed in terms of the extent to which climate change policies and
strategies integrate gender issues, including promoting gender mainstreaming and
budgeting in the context of rural–urban migration (Ampaire et al., 2020). Namanya
(2016) also points out that detailed analysis is needed to provide deeper insight on the
relevance and effectiveness of climate change policy and legal frameworks in energy,
agriculture, infrastructure, and water resource management. Furthermore, Sorgho
et al. (2020) stress that evaluating the implementation of climate change action in
individual countries is paramount.
CONCLUSION
This article demonstrates that climate impacts livelihoods in rural areas, prompting
rural–urban migration. Climate change hurts agricultural outputs, rural jobs and
income, and subsistence living, compelling people to move to towns and cities.
The primary drivers and patterns of migration from rural to urban areas because
of climate change are diverse, and contextual. Broadly, the main reasons why
people move from rural areas include: lack of income-earning opportunities; less
diversification of income and livelihoods; resource scarcity; higher urban incomes;
and access to basic services in urban areas. However, the influx of rural migrants as
a result of climate change affects poverty levels and socio-economic conditions in
urban areas. The expected opportunities are not always available in urban areas, and
such migration contributes to rapid urbanization, causing challenges and pressure on
housing, service delivery, and the mushrooming of informal illegal settlements. To
address the problem of climate change, governments are adopting different climate
change adaptation and mitigation strategies, including laws and fiscal measures,
to reduce emissions. Furthermore, in view of supporting government responses,
research in climate change mitigation should be enhanced in sub-Saharan Africa
through strengthening capacity and resource allocations.
63
REFERENCES
Akpuokwe, C.U., Adeniyi, A.O., Bakare, S.S. and Eneh, N.E. 2024. Legislative
responses to climate change: A global review of policies and their effectiveness.
International Journal of Applied Research in Social Sciences, 6(3): 225-239.
Alam, G.M.M., Alam, K. and Mushtaq, S. 2017. Climate change perceptions and local
adaptation strategies of hazard-prone rural households in Bangladesh. Climate
Risk Management, 7: 52-63.
Ali, A. and Erenstein, O. 2017. Assessing farmer use of climate change adaptation
practices and impacts on food security and poverty in Pakistan. Climate Risk
Management, 16: 183-194.
Al-Khudairy, S.I. 2024. Theories of migration: Sociological and conceptual dilemmas.
European Journal of Sustainable Development, 13(1): 31-31.
Al-zu’bi, M., Dejene, S.W., Hounkpè, J., Kupika, O.L., Lwasa, S., Mbenge, M.,
Mwongera, C., Ouedraogo, N.S. and Touré, N.E. 2022. African perspectives
on climate change research. Nature Climate Change, 12(12): 1078-1084.
Ampaire, E.L., Acosta, M., Huyer, S., Kigonya, R., Muchunguzi, P., Muna, R. and
Jassogne, L. 2020. Gender in climate change, agriculture, and natural resource
policies: Insights from East Africa. Climatic Change, 158(1): 43-60.
Araos, M., Berrang-Ford, L., Ford, J.D., Austin, S.E., Biesbroek, B. and Lesnikowski,
A. 2016. Climate change adaptation planning in large cities: A systematic
global assessment. Environmental Science and Policy, 66: 375-382.
Ayanlade, A., Oluwaranti, A., Ayanlade, O.S., Borderon, M., Sterly, H., Sakdapolrak,
P., Jegede, M.O, Weldemariam, L.F. and Ayinde, A.F.O. 2022. Extreme climate
events in sub-Saharan Africa: A call for improving agricultural technology
transfer to enhance adaptive capacity. Climate Services, 27: 100311.
Barrios, S., Bertinelli, L. and Strobl, E. 2006. Climatic change and rural–urban
migration: The case of sub-Saharan Africa. Journal of Urban Economics, 60(3):
357-371.
Bawakyillenuo, S., Olweny, M., Anderson, M. and Borchers, M. 2018. Sustainable
energy transitions in sub-Saharan African cities: The role of local government.
In Droege, P. (ed.), Urban energy transition (2nd ed.). United Kingdom:
Elsevier, pp. 529-551.
Bhattacharya, P. 2024. A test of two rival migration models. In Bhattacharya, P.,
Informal sector, migration, and the beginnings of structural transformation.
Cham: Palgrave Macmillan, pp. 37-55. https://doi.org/10.1007/978-3-031-
61085-1_4.
Blekking, J., Giroux, S., Waldman, K., Battersby, J., Tuholske, C., Robeson, S.M. and
Siame, G. 2022. The impacts of climate change and urbanization on food
Does Climate Change Transfer Poverty from Rural to Urban Areas?
64
AHMR African Human Mobility Review - Volume 10 No
2, MAY-AUGUST 2024
retailers in urban sub-Saharan Africa. Current Opinion in Environmental
Sustainability, 55: 101169.
Brueckner, J.K. and Lall, S.V. 2015. Cities in developing countries: Fueled by rural–
urban migration, lacking in tenure security, and short of affordable housing. In
Duranton, G., Henderson, J.V. and Strange, W.C. (eds.), Handbook of regional
and urban economics, Vol. 5. Elsevier, pp. 1399-1455.
Busso, M., Chauvin, J.P. and Herrera, N., 2021. Rural-urban migration at high
urbanization levels. Regional Science and Urban Economics, 91: 1-21.
Chaplitskaya, A., Tassinari, G., Heijman, W. and Van Ophem, J. 2024. Rural-urban
migration within Russia: Prospects and drivers. Regional Science Policy and
Practice, 16(9): 100053. https://doi.org/10.1016/j.rspp.2024.100053.
Delazeri, L.M.M., Cunha, D.A.D. and Oliveira, L.R. 2022. Climate change and rural–
urban migration in the Brazilian Northeast region. Geographical Journal, 87:
2159-2179.
Dia, K.B and Beaudelaire, D.W. 2021. Climate variability and urbanisation in sub-
Saharan Africa: Mitigating the effects on economic growth. AERC Working
Paper Series, African Economic Research Consortium, Nairobi, Kenya.
Dube, T. and Phiri, K. 2013. Rural livelihoods under stress: The impact of climate
change on livelihoods in Southwestern Zimbabwe. American International
Journal of Contemporary Research, 3(5): 11-25.
Dumenu, W.K. and Obeng, E.A. 2016. Climate change and rural communities in
Ghana: Social vulnerability, impacts, adaptations and policy implications.
Environmental Science and Policy, 55: 208-217.
Epule, T.E., Chehbouni, A., Dhiba, D., Moto, M.W. and Peng, C. 2021. African climate
change policy performance index. Environmental and Sustainability Indicators,
12: 100163.
Eshetu, F. and Beshir, M. 2017. Dynamics and determinants of rural–urban migration
in Southern Ethiopia. Journal of Development and Agricultural Economics,
9(12): 328-340.
Henderson, J.V., Storeygard, A. and Deichmann, U. 2017. Has climate change driven
urbanization in Africa? Journal of Development Economics, 124: 60-82.
Hoffmann, E.M., Konerding, V., Nautiyal, S. and Buerkert, A. 2019. Is the push-
pull paradigm useful to explain rural–urban migration? A case study in
Uttarakhand, India. PloS One, 14(4): 1-22.
Husain, T. 2015. Pakistan bears the worst of climate change effects. The Express Tribune,
13 December. Available at: http://tribune.com.pk/story/1009340/pakistan-
bears-the-worst-of-climate-change-effects/. Accessed on 15 June 2024.
Intergovernmental Panel on Climate Change (IPCC). 2007. Climate change 2007:
Impacts, adaptation and vulnerability. Contribution of Working Group
65
II to the Fourth Assessment Report of the IPCC. Cambridge: Cambridge
University Press.
Jobarteh, M. 2024. Sub-Saharan Africa: Geographic futures. African Futures and
Innovation Programme. Available at: https://futures.issafrica.org/geographic/
regions/sub-saharan-africa/.Accessed on 16 August 2024.
Kapuka, A., Hlásny, T. and Helmschrot, J. 2022. Climate change research in southern
Africa in recent two decades: Progress, needs, and policy implications. Regional
Environmental Change, 22(1): 18.
Khalid, B. and Urbański, M. 2021. Approaches to understanding migration: A multi-
country analysis of the push and pull migration trend. Economics & Sociology,
14(4): 242-267.
Knight, J., 2021. A tale of two countries and two stages: South Africa, China and the
Lewis model. South African Journal of Economics, 89(2): 143-172.
Kumar, M.D. 2018. Water policy making: What other developing economies can
learn from India. In Kumar, M.D. (ed.), Water policy science and politics.
United Kingdom: Elsevier, pp. 259-280.
Lim, W.M. 2024. What is qualitative research? An overview and guidelines.
Australasian Marketing Journal, 00(0): 1-31.
Lucci, P., and Bhatkal, T. 2014. Monitoring progress on urban poverty: Are indicators
fit for purpose? London: ODI.
Lucci, P., Bhatkal, T. and Khan, A. 2018. Are we underestimating urban poverty?
World Development, 103: 297-310.
Maree K. (ed.). 2020. First steps in research (3rd ed.). Pretoria: Van Schaik.
Maskrey, A., Buescher, G., Peduzzi, P., Schaerpf, C. 2007. Disaster risk reduction:
2007 global review (Consultation edition). Geneva: Global Platform for
Disaster Risk Reduction.
Mlambo, V. 2018. An overview of rural–urban migration in South Africa: Its causes
and implications. Archives of Business Research, 6(4): 63-70.
Namanya, B. 2016. Towards harmonisation of the East African Community (EAC)
climate change policies, laws and institutions. Paper for presentation at the 3rd
Global Climate Policy Conference, Dar es Salaam, Tanzania.13–14 July.
Nawrotzki, R.J., Hunter, L.M., Runfola, D.M. and Riosmena, F. 2015. Climate change
as a migration driver from rural and urban Mexico. Environmental Research
Letters, 10(11): 114023.
Nguyen, D.T. 2019. Applying the “pull–push” theory in the study of the current free
labour migration from rural to urban areas for jobs in Vietnam. VNU Journal
of Science: Policy and Management Studies, 35(3): 79-88.
Ogega, O.M., Lakey, G., Opisa, R. and Gyampoh, B.A., 2022. Strengthening climate
research capacity in Africa: Lessons from the “Climate Impact Research
Does Climate Change Transfer Poverty from Rural to Urban Areas?
66
AHMR African Human Mobility Review - Volume 10 No
2, MAY-AUGUST 2024
Capacity Leadership Enhancement” project. Regional Environmental Change,
22(4): 135.
Overland, I., Fossum Sagbakken, H., Isataeva, A., Kolodzinskaia, G., Simpson, N.P.,
Trisos, C. and Vakulchuk, R. 2022. Funding flows for climate change research
on Africa: Where do they come from and where do they go? Climate and
Development, 14(8): 705-724.
Ravallion, M., Chen, S. and Sangraula, P. 2007. New evidence on the urbanization of
global poverty. Population and Development Review, 3(4): 667-701.
Rumble, O. 2019. Climate change legislative development on the African continent.
In Kameri-Mbote, P., Paterson, A., Ruppel, O.C., Orubebe, B.B. and Kam Yogo,
E.D. (eds.), Law, Environment, Africa. Germany: Nomos Verlagsgesellschaft,
pp. 31-60.
Sekkat, K. 2017. Urban concentration and poverty in developing countries. Growth
and Change, 48(3): 435-458.
Selod, H. and Shilpi, F. 2021. Rural–urban migration in developing countries: Lessons
from the literature. Regional Science and Urban Economics, 91(1): 13.
Serdeczny, O., Adams, S., Baarsch, F., Coumou, D., Robinson, A., et al. 2017. Climate
change impacts in sub-Saharan Africa: From physical changes to their social
repercussions. Regional Environmental Change, 17(6): 1585-1600.
Sorgho, R., Quiñonez, C.A.M., Louis, V.R., Winkler, V., Dambach, P., Sauerborn, R.
and Horstick, O. 2020. Climate change policies in 16 West African countries: A
systematic review of adaptation with a focus on agriculture, food security, and
nutrition. International Journal of Environmental Research and Public Health,
17(23): 8897.
Szirmai,A.2015.Socio-economicdevelopment(2nded.).UnitedKingdom:Cambridge
University Press.
Tacoli, C., McGranahan, G. and Satterthwaite, D. 2015. Urbanisation, rural–urban
migration and urban poverty. London: International Institute for Environment
and Development.
World Bank. 2009. South Asia: Shared views on development and climate
change. Washington, DC: World Bank, South Asia Region, Sustainable
Development Department.
World Bank. 2015. Regional dashboard: Poverty and equity – sub-Saharan Africa.
Available at: http://povertydata.worldbank.org/poverty/region/SSA. Accessed
on 18 July 2024.
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An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
Institutionalizing Anti-Migrant
Discourse in Public Healthcare:
An Analysis of Medical
Xenophobia against
Zimbabwean Migrant Women in
Johannesburg
Learnmore Mvundura1
Received 07 February 2024 / Accepted 30 August 2024 / Published 06 September 2024
DOI: 10.14426/ahmr.v10i2.2211
Abstract
TheprovisionofhealthcareservicestoAfricanmigrantswithintheSouthAfricanpublic
healthcare system has been characterized as marred by medical xenophobia. While the
literatureonxenophobiainthecountrydrawsconnectionsbetweenxenophobicviolence
and how the migrant is characterized through demeaning metaphors in the media and
the political space, medical xenophobia literature somewhat remains with the burden
of categorically connecting specific practices that constitute medical xenophobia
with the broader anti-migrant discourse. Drawing on the narratives of Zimbabwean
migrant women seeking antenatal care services within the public healthcare system
in Johannesburg, this paper analyzes the utterances and practices of some healthcare
providers to draw connections with the anti-migrant narratives obtaining in the media,
the political space, and certain anti-migrant formations (bearers of discourse). Like
studies before it, this paper observes medical xenophobia and relying on Foucault’s
disciplinary power as a conceptual tool, it argues that the utterances by some public
healthcare professionals are indeed unabridged rearticulations of the normalized anti-
migrantdiscourseinvarioussitesbearinganti-migrantdiscourse.Whileacknowledging
that some bureaucrats’ practices are tangential to the anti-migrant discourse, which
decouples their individual actions from the discursive norm, the paper maintains that
the standardized anti-migrant discourse for the large part provides frames of reference
for some healthcare providers on how to perceive and treat the migrant patient, as their
utterances are a restage of this discourse, usually with little to no annotations.
Keywords: medical xenophobia, discourse, Zimbabwean, South Africa,
migrants, public healthcare
1
African Center for Migration and Society, University of the Witwatersrand, South Africa.
 learnmoremvundura@gmail.com
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INTRODUCTION
The provision of healthcare services to African migrants within the South
African public healthcare sector is characterized as marred by “medical xenophobia,”
which Crush and Tawodzera (2014) define as the discrimination of the migrant
“others” based on their non-national presence. The challenges that migrants face
when seeking care are documented by many. These include verbal and physical
abuse, language barriers, and in some cases the demand for documentation and user
fees (Lefko-Everett, 2008; Vearey and Nunez, 2010; Hunter-Adams and Rother, 2017;
Makandwa and Vearey, 2017). Some characterize these as medical xenophobia (Crush
and Tawodzera, 2014; Zihindula et al., 2017; Chekero and Ross, 2018; Munyaneza
and Mhlongo, 2019).
The characterization of these challenges as medical xenophobia has not gone
unchallenged. Crush and Tawodzera (2014) caution against a broad application
of the term, citing how locals also face challenges within the public healthcare
system, a fact that has been observed by many (Jewkes et al., 1998; Vearey, 2012,
2014; Oosthuizen et al., 2017; Maphumulo and Bhengu, 2019). Vanyoro (2019) also
critiques the idea of medical xenophobia or the indiscriminate exclusion of migrants,
documenting how public healthcare providers, as street-level bureaucrats, draw upon
other philosophies like “therapeutic citizenship” and “bureaucratic incorporation” to
ensure that migrants get access to medical help.
Another key consideration in the interrogation of the idea of medical
xenophobia is the health system itself that is characterized by significant systemic
challenges. Thus, while medical xenophobia indeed exists, as some challenges
that migrants face are very specific to them and stem from their nationality, some
studies argue that the context of service provision should be considered. The South
African public health sector faces significant challenges that include brain drain,
heavy workloads, understaffing, and the burden of communicable diseases like
HIV and AIDS, which incapacitates the system to satisfactorily meet the needs of
all health help-seekers (Jewkes et al., 1998; de Jager, 2009; Kruger and Schoombee,
2010; Maphumulo and Bhengu, 2019; Malakoane et al., 2020). However, while the
considerations of these factors should be key in understanding the complex terrain of
health help-seeking in the public healthcare sector, they should not be the premise for
bundling the experiences of migrants with those of citizens. Anti-migrant attitudes
mediate the experiences of migrants when they seek healthcare.
The studies that highlight medical xenophobia observe that healthcare
providers harbor anti-migrant sentiments, which are manifested in how they
deal with migrant patients (Crush and Tawodzera, 2014; Zihindula et al., 2017;
Munyaneza and Mhlongo, 2019). However, while the literature argues – mostly in
a cursory fashion – that these anti-migrant sentiments are reflective of the broader
sentiments that permeate sections of the society, it is mostly preoccupied with the
excavation of specific practices that constitute medical xenophobia (the “what”
aspect of the issue). While we have literature that discuss general xenophobia in
69
the republic (Crush, 2001, 2008; Crush and Pendleton, 2004; Landau et al., 2005;
Neocosmos, 2006; Misago, 2016) and literature that draws connections between
this xenophobia and how migrants are characterized in the media and other spaces
(Danso and McDonald, 2001; Mawadza and Crush, 2010; Mawadza, 2012; Banda
and Mawadza, 2015; Tarisayi and Manik, 2020), migration and health literature,
especially on medical xenophobia, remains saddled with the burden of clearly
drawing links between the discursive framing of the migrant (in the media and other
spaces) and this medical xenophobia.
This paper feeds into medical xenophobia literature, edifying it by attempting
to draw clear links between the xenophobic practices in the public healthcare space
and the discursive framing of migrants, especially in various forms of the media and
the political space. By focusing on specific utterances and practices of some nurses
and frontline staff, the paper argues that just as the portrayal of migrants by the
media and some politicians largely informs xenophobic practices in sections of
the wider society (Danso and McDonald, 2001; Mawadza and Crush, 2010; Banda
and Mawadza, 2015; Tarisayi and Manik, 2020), the same discursive framing of the
migrant provides a template for certain nurses and frontline staff on how to perceive
and interact with migrant patients. The paper argues that discourse informs practice,
and certain practices in the public healthcare bureaucracy are indeed almost a
mirror image of the discourse obtaining in the media and the political spaces, as this
discourse is rearticulated with little to no annotations.
MIGRATION AND HEALTH IN SOUTH AFRICA
South Africa is a popular destination for migrants in the region, dating from the
migrant labor regime under apartheid (Crush, 1992; Crush et al., 1995) to the present
day where migration is now more a result of people seeking better livelihoods and
fleeing conflict and environmental hazards (Landau and Wa Kabwe Segatti, 2009;
Crush et al., 2017; Stats SA, 2022). The number of foreign-born populations in the
country has increased over the years. The 2022 census recorded 2,4 million migrants,
which is a considerable increase from 800,000 in 1996 (Stats SA, 2022). Most of the
migrants are young adults between the ages of 20 and 44 years, which partly explains
why the establishing of families in the country is becoming a norm (Polzer, 2008;
Crush and Tevera, 2010).
As migrants establish themselves in the country, the need for healthcare
services arises. It must, however, be noted that healthcare is not the primary reason
why migrants are in the country. While a handful of migrants are indeed in the
country for medical reasons (Pophiwa, 2009; Crush et al., 2012; Vearey et al., 2018),
for many, the need for healthcare only arises once they are in the country. South
Africa has a two-tier health system – the private health system that offers world-
class services to those who afford, and the state-funded public health system relied
upon by large sections of the population (Crush and Tawodzera, 2014). The citizens
must therefore share services with migrants within the public system, most of whom
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do not afford the private sector. This system that these populations rely on grapples
with many systemic challenges that incapacitates it to satisfactorily meet the needs of
its own citizens (Coovadia et al., 2009; de Jager, 2009; Crush and Tawodzera, 2014;
Maphumulo and Bhengu, 2019; Malakoane et al., 2020). The system is therefore met
with an additional task of providing services to an increasing migrant population,
which is coupled with often unclear and confusing policies regarding migrants’
access to healthcare services in the sector.
On the surface, the country’s policy on migrants’ access to health services
is progressive. The National Health Act of 2003 guarantees access to basic health
services for all, and it guarantees free access for all pregnant and lactating women,
and for children under the age of six (RSA, 2004). Section 27 (g) of the 1998 Refugees
Act also guarantees refugees the same access to treatment as citizens. However, sub-
national policies are vague on these provisions. In Gauteng province, where this
study was conducted, the Hospitals Ordinance 14 of 1958 does not mention free
services for all pregnant and lactating women and children under six (Section27,
2022). The 2020 Gauteng Department of Health’s Circular 27, Policy Implementation
Guidelines on Patient Administration and Revenue Management (Gauteng DOH,
2020), sections of which were deemed illegal by the Johannesburg High Court after
litigation (Khumalo, 2023), classified all non-citizens as full-paying patients, and it
has been argued how these gray areas in policy usually lead to the disenfranchisement
of migrant patients, as some medical staff manipulate this schism in policy to deny
migrant patients services (Section27, 2022). This partly explains why some boldly
characterize the practices of some nurses and frontline staff as medical xenophobia
(Crush and Tawodzera, 2014; Zihindula et al., 2017; Munyaneza and Mhlongo, 2019).
This paper, while acknowledging the systemic challenges within the public healthcare
system and the attendant confusing policy, supports the medical xenophobia
explanation. However, to fully understand the premise of medical xenophobia, it is
critical to locate it within the broader xenophobia literature.
METAPHORICAL FRAMING OF MIGRANTS AND
XENOPHOBIA IN SOUTH AFRICA
Intolerance against African immigrants is as old as the democratic dispensation
itself. The failure by the democratic government in alleviating poverty and delivering
on electoral promises has left many citizens disgruntled (Tshitereke, 1999; Crush,
2008; Adjai and Lazaridis, 2013). This disgruntlement is often directed at African
migrants with whom they share space and limited resources in the once “forbidden
cities” (Landau et al., 2005). Migrants are perceived as hindering the full enjoyment
of the fruits of democracy, and consequently, there have been periodic and sustained
violent attacks against migrants in the republic (Crush, 2001, 2008; Crush and
Pendleton, 2004; Neocosmos, 2006; Adjai and Lazaridis, 2013; Misago, 2016).
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The media has been seriously implicated in the negative characterization of
migrants through demeaning metaphors that are drawn upon by certain sections of
the population in their attacks of migrants (Mawadza and Crush, 2010; Polzer and
Takabvirwa, 2010; Mawadza, 2012; Adjai and Lazaridis, 2013; Banda and Mawadza,
2015; Tarisayi and Manik, 2021). For example, aquatic metaphors like “waves,” “tides,”
“flowing,” “pouring,” which exaggerate the numbers of migrants in the country are
frequently used (Mawadza and Crush, 2010). These cast migrants as invaders and
a burden on the country. Indeed, migrants have been blamed for “stealing” jobs,
abusing the system by living at the expense of taxpayers, and for overwhelming and
swamping the healthcare and other systems (Tshitereke, 1999; Banda and Mawadza,
2015). The global literature has observed how this framing of migrants through this
crisis lens constructs individual perceptions of the social order (Sides and Citrin,
2007; Moore et al., 2012; Gallagher, 2014; Blinder and Jeannet, 2018). In South Africa,
tabloid and other forms of media, which have also been accused of overly focusing
on undocumented migrants, refugees, and asylum seekers, while ignoring skilled
migrants (Tarisayi and Manik, 2021), have been implicated in being responsible for
how the general news consumers perceive and respond to immigration and migrants
(Wasserman, 2010; Kariithi, 2017).
As argued by Moore et. al (2012), these narratives have a political thrust, as
political parties with anti-migrant agenda pursue them. The recent election cycles
in South Africa have been marked with various political parties drawing on the
anti-migrant discourse for political expediency (Mashego and Malefane, 2017;
Bornman, 2018, 2019b, 2019a, 2024; Madia, 2018; Mailovich, 2018; Davis, 2019;
Fogel, 2019; Machinya, 2022). For example, in 2018, the then Minister of Health,
Dr Aaron Motsoaledi was on record for accusing migrants of flooding South Africa
and overburdening the public health system (Heleta, 2018; Moodley, 2018). In
2017, the then Minister of Police, Fikile Mbalula, was also on record for blaming
ex-Zimbabwean soldiers residing in the country for violent crimes (Maromo, 2017).
Across the opposition political aisle, in 2017, Herman Mashaba, former mayor of
Johannesburg and now leader of the Action SA party, was recorded blaming illegal
immigrants for holding the country to ransom and for causing unemployment
(Chaskalson, 2017). At the time of writing, he was canvasing people to “investigate”
spaza shops run by migrants, which he blames for acting as fronts for criminal
activities (Kgobotlo, 2024). Gayton Mackenzie, the leader of the Patriotic Alliance
party, has also become popular on the political scene with his anti-migrant rhetoric.
For example, at the launch of his 2024 national elections’ manifesto in Orlando
Stadium in Soweto, he was quoted accusing “illegal” foreigners as devils sent to sell
drugs to South Africans, and he went on to blame migrants for unemployment in the
country (Moichela, 2023; HRW, 2024). If elected, he threatened, he was going to go
to Rahima Moosa Hospital to switch off the oxygen supply for foreigners (Mlambo,
2023). While the efficacy of these narratives on substantive electoral gains is yet to be
established, politicians still cling to the anti-migrant discourse.
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Besides the political space, certain formations in society also harness and
reinforce these anti-migrant narratives. Of note is the Put South Africans First (PSAF)
movement, which is a social media formation that became popular around 2019 by
mobilizing the citizens around hashtags like “All foreigners must leave,” “We want our
country back,” and “Clean South Africa” (Dratwa, 2023), and these messages found
articulation on the ground through Operation Dudula, a militant group that queries
the membership and presence of foreign nationals in the country (Nhemachena et
al., 2022). The media and politicians are thus very central in framing the narratives
around immigration, and these draw from and influence the other.
These narratives, Neocosmos (2006) argues, are coopted into various
government departments. For example, the Department of Home Affairs has been
accused of being xenophobic in its dealing with asylum-permit applications for
refugees and other visas (Adjai and Lazaridis, 2013; Johnson, 2015; Khan and Lee,
2018; Carciotto, 2021). Similarly, the South African Police Services (SAPS) is also
known for abusing and preying on especially undocumented migrants from whom
they occasionally demand bribes (Harris, 2001; Valji, 2004; Nduru, 2005; Vahed and
Desai, 2008; Polzer and Takabvirwa, 2010; Adjai and Lazaridis, 2013).
Those who allude to medical xenophobia base their arguments on the
institutionalization of anti-migrant narratives in the public health system. The
literature on medical xenophobia (Crush and Tawodzera, 2014; Zihindula et al.,
2017; Munyaneza and Mhlongo, 2019), including those who sparingly allude to
this term (Alfaro-Velcamp, 2017; Hunter-Adams and Rother, 2017; Makandwa
and Vearey, 2017; White et al., 2020), argue that the institutionalization of the
anti-migrant discourse is in the public healthcare space. However, it still remains
to be categorically ascertained how the practices of healthcare providers (nurses
and frontline staff) are specifically indicative and reflective of the discursive norm
on migrants. This article, while far from being a comprehensive discussion on this
topic, feeds into the above literature, arguing that medical xenophobia indeed exists.
Moreover, the utterances and practices of some healthcare providers seem to prove
that the anti-migrant discourse that populate the media and the political and other
platforms is co-opted by some public healthcare bureaucrats in its raw form, and it
provides a mental roadmap for perceiving and dealing with migrants.
CONCEPTUAL FRAMEWORK: DISCIPLINARY POWER
This paper uses the concept disciplinary power, particularly nibbling on the notions
of the discursive norm or normalization (Foucault, 1977, 1978, 1982), to articulate
how the dominant forms of “knowledge” about migration from various forms
of the media and the political space assumes the authority of truth. It also shows
how this “knowledge” is materially enacted and embodied in the practices of some
public healthcare professionals toward migrant patients. In a profound shift in the
understanding of how power operates in modern societies, Michel Foucault (1977,
1982) coined the term disciplinary power to represent more subtle and pervasive
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mechanisms of control (opposed to spectacular forms found in sovereign power).
These control mechanisms are embedded in everyday life, shaping individuals and
populations through a complex web of institutions, norms, and practices. Shifting
focus from the body as the primary site of power, Foucault argues that disciplinary
power targets the mind, behavior, and identity of individuals. More specifically, it is
concerned with the regulation of daily life, the management of time, space, activity,
and the creation of a self-regulating subject who internalizes the superior norm and
discourse that permeate the society (Haugaard, 1997; Lilja and Vinthagen, 2014).
Foucault provides the mechanisms for such form of power, one of them
being normalization (standardization/universalization), which is a process by which
standardsofbehaviorareestablished,againstwhichindividualsaremeasured,judged,
and corrected. This is facilitated by systems of knowledge (institutions) that claim to
know the individual, or any communication and representation (verbal or otherwise)
that enables activity or limits it (Johnston, 1991; Nadesan, 2008; Lilja and Vinthagen,
2014). According to Foucault (1977, 1978, 1982), individuals are manufactured and
reconstituted (subjectification) through these systems of knowledge that provide
fields of comparisons and frames of reference for individuals on how to perceive
and respond to the political and social order. Thus, to Foucault, “analyzing power
must then embrace an analysis of how subjects are gradually, progressively, really
and materially constituted through a multiplicity of organizations, forces, energies,
material desires, thoughts etc.” (Kelly, 1994: 35). This paper harnesses these thoughts,
arguing that the anti-migrant discourse in platforms like the media, the political
space, and other societal formations constitutes systems of knowledge that shape
how some healthcare providers perceive and interact with the migrant patient.
Of course, Foucault has been criticized for this focus on the microphysics
of power. Some, coming from a Marxist perspective, critique Foucault’s analytics
of power for negating economic and material dimensions of life (Fraser, 1981;
Wacquant, 1989). Others, coming from a humanist position of a free and rational
subject, criticize Foucault’s conceptualization of power for limiting the possibility
of agency, democratic participation, resistance and social transformation, and
the moral dimensions of everyday life (Fraser, 1981; Honneth and Roberts, 1986;
Shapiro, 1986; Butler, 1989; Hartsock, 1989; Diamond et al., 1990). Indeed, a laser
focus on microphysics of power does not envision that people, while being subjects
of discourse, exercise agency, and they may draw from other philosophies that either
inadvertently or overtly stage resistance against dominant narratives. As this paper
observes, and as has been observed elsewhere (Vanyoro, 2019), some healthcare
providers exercise agency and discretion in their encounter with migrant patients,
which certainly decouple their practices from the dominant anti-migrant discourse.
Thus, while acknowledging the above shortfalls of disciplinary power, the
paper nevertheless maintains that the concept is useful in the understanding of
how individual behavior is not autonomous of dominant and prevailing forms of
knowledge. Using this concept, the paper draws attention to how the practices and
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utterances of some healthcare providers are reflective and indicative of the anti-
migrant discourse that has been standardized and normalized in the media, the
political space, and certain societal formations. This discourse, the paper posits,
shapes the perceptions and practices of certain healthcare providers, as their
utterances are largely a rearticulation of this discourse in its exact form.
METHODS
This paper is part of the author’s PhD project, which broadly focuses on how
Zimbabwean migrant women navigate maternal health inequities in South Africa,
therefore the narratives are from 13 Zimbabwean migrant women (see Table 1) who
have been in the country from as early as 2008. The paper focuses on the utterances
and practices that the participants attribute to nurses and frontline staff in their
interactions in healthcare facilities. Furthermore, the paper attempts to draw
parallels with the anti-migrant discourse that populates certain platforms outside
the healthcare facilities, especially in the conventional media, political discourse,
and narratives from other anti-migrant platforms in the community and on social
media platforms.
Table 1: Study population
Participant Years in South Africa Stated Age Residence
Nyasha 8 35 Ebony Park
Samantha 12 Undisclosed Ivory Park
Faith 7 30 Rabie Ridge
Mai Brenda 9 32 Ivory Park
Seda 11 37 Ivory Park
Mberi 12 40 Rabie Ridge
Jessica 16 38 Ebony Park
Chipo 11 39 Ivory Park
Octavia 15 42 Ebony Park
VaMasibanda 6 29 Ivory Park
Mai Precious 5 Undisclosed Ivory Park
Mary 7 Undisclosed Rabie Ridge
Gwaumbu 6 26 Ivory Park
Source: Author's own work
The author conducted the study in Ivory Park, Ebony Park, and Rabie Ridge, suburbs
located in Midrand, which is situated in the north of Johannesburg and encompasses
suburbs around the N1 highway north of the Jukskei River. I should therefore make
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it clear that the analysis in the paper largely applies to this context, though through
extrapolation, the findings may be useful in understanding other contexts as the
narratives of the participants here corroborate those in studies outside this context.
The suburbs in this study, which are adjacent to each other, fall under the
Johannesburg Metropolitan Municipality and are all adjacent to the township of
Tembisa, which is under the Ekurhuleni Municipality. Therefore, participants in
this study use various healthcare facilities in both municipalities, especially Tembisa
Hospital, which is the only referral hospital closer to where the participants live. Also,
while some participants may reside in Ivory Park, it is usually convenient for them to
use facilities in Tembisa, as some of these facilities are much closer to them than the
ones situated in Ivory Park. Within these suburbs, Black Africans constitute almost
99% of the population (Stats SA, 2022). While data on the number of migrants within
the space is unavailable in census reports, the author, through regular prior visits to a
relative in Ivory Park, observed that the suburbs host a significant number of African
migrants, especially Zimbabweans, which made the place a convenient site for the
author’s PhD project.
The focus on Zimbabwean nationals was justified by the fact that Zimbabwe
contributes a large portion of migrants in the country as a result of the deteriorating
political and economic situation in that country (Polzer, 2008; Crush and Tevera,
2010; Chiumbu and Musemwa, 2015). The recent South African 2022 census report
records Zimbabweans in the country as a little over 1 million, which is 45% of the
migrant population (Stats SA, 2022: 31). However, owing to border porosity and
inadequate record keeping by the government, these official statistics may not be
an accurate reflection of the actual numbers of immigrants in the country (Chekero
and Ross, 2018; Chekero and Morreira, 2020).
The study used purposive and snowballing sampling to recruit participants,
and the author benefited from existing networks in Ivory Park to recruit more
participants. Interviews ranged between 30 and 75 minutes; all participants
consented to the recording of the interviews and pseudonyms were used
throughout the study. The researcher obtained ethics (non-medical) approval from
the University of the Witwatersrand. Obtaining data from women was not an easy
task, especially considering that the researcher is a man. For women, especially
the married or those living with intimate partners, the author provided a leeway
for the partners to be joint participants in the interviews. The interviews, which
were semi-structured, were conducted in Shona, the native language of most of the
participants and the author. The interview audios were transcribed into English and
the author repeatedly listened to and read them to generate themes; this was done
using thematic content analysis. Three main themes were discovered: physical and
verbal abuse, the demand for user fees, and the demand for passports. The author
observed that the utterances accompanying these practices were in most cases a
mirror image of anti-migrant articulations in the media, the political space, and
certain anti-migrant formations gaining considerable popularity in the community.
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RESULTS AND DISCUSSION
Verbal and physical abuse: Rearticulation of the numbers and burden nomenclature
The characterization of migrants as a burden and coming in numbers into the country
to swamp the public healthcare system permeates the media and the political space
(Mawadza and Crush, 2010; Banda and Mawadza, 2015; Matlala, 2018; Moodley,
2018; Tarisayi and Manik, 2020). In this study, these same characterizations were
rearticulated, with no annotations, by some nurses whose verbal and physical abuse
of migrant patients was accompanied by these characterizations. For example,
Samantha, who delivered her baby in 2022 at Esangweni Clinic in Tembisa, narrated
how she was verbally abused by attending nurses who were complaining about how
foreign nationals come into the republic to burden them with work. According to
her, some of the nurses were shouting at her, saying how they wished for Operation
Dudula to come and take all the foreigners away:
That day, I was assisted by a male midwife. Another woman came … to assist
the man. The man was okay, he was never rough with me, but the woman
was rough. I had stitches done on me, and she did it without giving me an
injection. She did it live. She said for me not to make any movement, and if I
did and smear her with my blood, things were not going to be good for me.
The man had the injection to administer, but the woman objected to it. … She
actually said that foreigners come all the way here to burden them with work.
She asked why I did not go back to Zimbabwe to deliver instead of burdening
them with work. … They were casually saying, “Call you father, Mugabe, from
the grave to help you,” because I was pushing before eight centimeters (cervix
dilation). I was feeling that I should push, but they were objecting. I pushed
anyway and the child came out, yet they were saying I shouldn’t. … They will
be saying that foreigners are coming to burden them with work. The day I
went for three days (postnatal follow-up visit) to the clinic with this child, …
they were saying they wish for Dudula to come and take us all because we were
coming to burden them ... They will be saying, “Go back to your country, don’t
you have hospitals there?” (Samantha, interview, Ivory Park, 6 April 2024).
The casual references to Operation Dudula, an anti-migrant group known for crude
and violent attacks against African migrants (Masweneng, 2022; Nhemachena et
al., 2022) directly locates some of the nurses’ utterances in the discourse of anti-
migrant formations that popularize anti-migrant discourse. Participants in this
study continued to narrate their ill-treatment in public healthcare facilities, with the
healthcare professionals constantly blaming them for inundating the system. Nyasha,
who also delivered her baby at Esangweni Clinic in 2017, narrated how the nurses
were shouting at her, citing how Zimbabweans are bothering them and how the
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people with the name “Nyasha” were many and becoming a problem, implying that
Zimbabweans are many and crippling the system:
I gave birth there, but it was not easy there. They were always shouting at
us saying, “Your doctors are doing nothing in Zimbabwe, while you are busy
bothering us here in South Africa. I have just helped another patient by the
name Nyasha. You Nyashas are troublesome. The Nyashas are becoming a
problem here” (Nyasha, interview, Ebony Park, 24 February 2024).
Similarly, Faith explained how she was ill-treated at Tembisa Hospital in 2021. She
cited verbal abuse from nurses, whom she claimed were blaming Zimbabweans for
being too many and for coming into the country for their maternal health needs:
I was ill-treated at Tembisa Hospital. They don’t like foreigners, especially
those from Zimbabwe. They will be shouting at us saying, “You Zimbabweans
are coming in numbers to deliver here … you are delivering here in numbers,”
and many other things they were saying (Faith, interview, Rabie Ridge, 16
March 2024).
Mai Brenda, who delivered through cesarean-section (C-section) at Tembisa
Hospital in 2022, also cited ill-treatment from nurses. She narrated how the nurses
were uncouth and shouting, blaming migrants for coming to South Africa to deliver
and to trouble them:
I delivered the same day through C-Section. So, after I was operated on, when
it comes to them giving you your baby, they throw it at you … they will be
shouting at you saying, “Foreigners, you are troublesome. Your habit is to come
and deliver here instead of your country. Did you not hear that you should go
back home?” (Mai Brenda, interview, Ivory Park, 24 February 2024).
While migration for health help-seeking is indeed a present phenomenon in South
Africa (Crush et al., 2012; Crush and Chikanda, 2015), it should not be overstated.
I argue that the exaggeration of this phenomenon is directly connected to how
migrants are generally characterized with regards to healthcare seeking in various
spaces (Banda and Mawadza, 2015; Heleta, 2018; Matlala, 2018; Moodley, 2018). The
utterance against Mai Brenda, “Did you not hear that you should go back home?”
is arguably a clear indication that the specific nurse benefits from the narratives of
Operation Dudula and other political figures who are on record calling for the mass
deportation of foreign nationals (Mashego and Malefane, 2017; Nhemachena et al.,
2022). According to Foucault, knowledge systems discipline individuals to think and
act in specific ways (Foucault, 1977; Kelly, 1994; Lilja and Vinthagen, 2014). In our
case, it is quite evident that the anti-migrant discourse as a system of knowledge
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in the media, the political space and other societal formations disciplines, train
certain individuals, and provide frames of reference for behavior, as this discourse is
rearticulated in almost similar ways.
Demand of user fees: Policy implementation with
undertones of popular anti-migrant discourse
As stated earlier, the policy regarding the payment of user fees is very confusing.
While the National Health Act (NHA) No. 61 of 2003 precludes all pregnant and
lactating women from paying user fees, the Gauteng Department of Health Circular
27 of 2020 categorized all non-citizens as full-paying patients. This has “enabled
hospitals to interpret its provisions to deny pregnant women and children access to
free services if they are asylum seekers [and] undocumented persons” (Section27,
2022: 8). While it is quite a simplistic view that demanding user fees is indicative of
medical xenophobia, sometimes the utterances accompanying the process of demand
justify this judgment. As this study observed, the statements by some frontline staff
closely dovetailed with some narratives to the effect that migrants should pay for
services (White et al., 2020; White and Rispel, 2021). Seda, a participant in this study,
narrated how in 2020 when she used Thuthukani Clinic and Tembisa Hospital for
antenatal care, she had to pay. Additionally, the frontline staff said that migrants
are too many and should therefore pay – a narrative that has close links with the
discourse elsewhere that migrants are abusing the system and “stealing” the birth
rights of citizens (Crush and Tawodzera, 2014; Banda and Mawadza, 2015; White
and Rispel, 2021):
When I was pregnant with the first one in 2016, it was good, but for the second
one (2020) it was different. There were problems now. The difference was that
on every checkup they required us to pay money (R395 – approximately 22
USD). So, if you go to Tembisa for checkup, they would require money from
you as a foreigner. If you don’t have money, they do not tend to you … they
record that you have a debt. So, it was now different. In 2016 I did not pay
any money, but back in 2020 I paid lots of money, from registering until I
delivered. You will not get a card without paying money. So, the difference was
huge. It was very tough. … I paid R700 (approximately 38 USD) for the card.
Without paying that money, you wouldn’t get any help … They were saying
we foreigners are too many and we are a burden, so we should pay” (Seda,
interview, Ivory Park, 6 April 2024).
Considering the livelihood strategies of most participants in this study (scrap
collection, house help, and small market stalls), these amounts of money are relatively
significant. While the demand for payment was implementation of policy, statements
related to the volumes of migrants and the burden they impose on the system highlight
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how some members of staff draw on prevailing anti-migrant discourse, and the schism
in policy may sometimes serve as a platform for the articulation of such discourse.
Mberi, another participant in this study, also narrated how payment is indeed
required. She narrated how the frontline workers accompany the demand for
payment with the narrative that if migrants do not want to pay, they should trek back
home for services, which is a discourse largely situated in utterances by politicians.
For example, the then (2022) Limpopo Health Member of the Executive Council, Dr.
Phophi Ramathuba was recorded ranting to a Zimbabwean patient that the province
did not have a budget for migrants (Monama, 2022). This rhetoric has been very
popular with politicians in the past years, and it is creeping to the public healthcare
sector where these narratives are repeated. Mberi narrated:
With the current situation, … if I get ill, they will not tend to me if I don’t
have money to open a file … It’s either I produce money, and even if I do, they
will give a prescription for me to get medication elsewhere … I was told that
migrants should get services back home, and if I want services here, I should
pay (Mberi, interview, Rabie Ridge, 24 March 2024).
This was the case with many participants in this study. Jessica and Chipo also claimed
that it is now impossible to get attended to without payment, and that frontline staff
tell migrant patients that its either they pay or go back home for services – utterances
that are reflective of the dominant discourse:
Nowadays, it requires money. To register you need money. On delivery you
cannot be discharged until you pay. Those days it was good. It’s only becoming
a problem these days … These days, people are complaining a lot. They are
told that nothing is for free and if they can’t stand it, they should get a bus back
home. Money. Money is now required more (Jessica, interview, Ebony Park,
16 March 2024).
It is now getting very tough these days. During the time I first gave birth (2014),
it was not as tough as it is now. It is now getting very tough. The person who
was registering me clearly told me that there are no free services for those who
don’t pay tax ...There is huge change now as compared from the beginning.
When we gave birth, there was no money required. The only money that was
required was for the card and the stamp. Now the monies that are required
are a lot. The money can be as high as R621 (Chipo, interview, Ivory Park, 25
February 2024).
The reference to paying tax draws from the prevailing narratives, mainly by politicians
who argue that migrant patients are overwhelming the system, which has no budget
for foreign nationals (Banda and Mawadza, 2015; Heleta, 2018; BusinessLive, 2019;
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Monama,2022).Thus,thisdiscourseaccompaniestheimplementationofpoliciesthat
are, of course, already confusing. Yet, as confusing as the policies are, these utterances
seem to prove that implementation of policy is accompanied by broader discourse
regarding the number of migrants in the country and the supposed burden they
impose on the system. Other participants, while not specifically noting any phrases
from the healthcare staff that mirror the universalized norms on the characterization
of migrants, nevertheless narrated an over-emphasis on the demand for payments:
On this one (second child delivered in 2021), I paid around R600. They gave
me the card, but I had to pay to get a stamp so the baby would go to clinic. The
stamp needed, I think, R652 or R632. Locals don’t pay. I also delivered through
operation (C-section), and when I went for the removal of the stitches, I paid
money. It was around R300. It doesn’t exceed R400, it’s almost like at a private
hospital … at Tembisa, they treat you bad even after paying, because you are a
foreigner (Faith, interview, Rabie Ridge,16 March 2024).
…at Tembisa, on the second child in 2019, I paid. It was foreigners only …
I remember when I was getting in labor, I paid R150. When I was due to be
discharged, they said the money was not enough. I remember I paid R300. If
you haven’t paid, they will not give you the baby’s card, the one you use to go
to scale (postnatal checkups) with … [the reason was being] a foreigner. They
will say you have no papers … you have no proper documentation. But even if
you had a passport, they made you pay (Mai Octavia, interview, Ebony Park,
23 March 2024).
When Mai Octavia and Chipo delivered in 2019, the Gauteng Circular 27 of 2020
that categorized migrants as full-paying patients was not yet in effect. It potentially
highlights the fact that frontline staff can draw upon the normalized discourse about
immigrants and implement it as policy, even in advance of its inclusion in official
directives. Therefore, while we should definitely consider the confusing policy terrain
that healthcare staff work under (White et al., 2020; White and Rispel, 2021), we
should also consider that the disjuncture in policy is tantamount to manipulation
(Section27, 2022). Moreover, it can serve as a platform for the rearticulation of
popular anti-migrant discourse. To some degree, then, anti-migrant discourse creeps
into the public health system as it is reflected in some frontline staff’s utterances.
Resultantly, the public health bureaucracy becomes somewhat of an echo chamber
of this harmful discourse. As Foucault argues, discourse is critical in agenda setting
(Foucault, 1977, 1982), and as seen above, some politicians’ utterances seem to
have become the “superior norm” that sets the tone for the policy implementation
environment in the public health system.
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Demand for passports: A blatant form of exclusion or clerical requirement?
Of the documentation required for the registration of patients, especially in
Gauteng province, the Gauteng Department of Health specifically requires proof of
identification, which can be a passport, identity document, refugee permit, among
other identifying documents, including proof of residential address (Gauteng DOH,
2020). While these requirements should be for the purposes of registration and the
classification of patients, when migrants are seeking care, they encounter challenges
from frontline staff that overemphasize the need for passports (White and Rispel,
2021). This potentially indicates that other agendas may be at play, because above
a wide array of documents needed for registering patients, utility bills and proof
of residence can also serve the same purpose and some migrants indeed use these
(Crush and Tawodzera, 2014). In Messina, Limpopo province, it has already been
documented how frontline staff can simply use the information that the migrants
verbally provide (Vanyoro, 2019). However, in this study, some participants narrated
how the overemphasis on passports has led to them being outrightly sent away from
facilities. For example, Mberi, like many other participants in the study, noted that
it can be difficult to get services if one is not in possession of the “proper papers” – a
synonym for an up-to-date passport:
During that time (in the past), nothing like that was happening. Even when
opening a file for treatment or checkups, they didn’t want anything. You would
just go for registration using your proof of residence only … (These days),
if you have no papers, they will not tend to you. You may be sent back … If
I don’t have proper papers, they will not treat me … So, the situation now is
different from the beginning (Mberi, interview, Rabie Ridge, 24 March 2024).
Mberi’s narrative is proof that it is indeed possible for a migrant patient to get services
without a passport, as was the case during the period she calls “that time,” which is
around 2012 when she delivered her first baby. Backing this fact, some participants
stated how they were tended to without passports, proving that denial of services
based on passports may be more rooted in other intentions, other than the simple
registration of patients. In 2012 and 2021, Faith stated how she used her Zimbabwean
drivers’ license for registration:
I registered using a Zim driving license (Faith, interview, Rabie Ridge,16
March 2024).
Similarly, VaMasibanda managed to register at Rabie Ridge Clinic in 2019 without
any documentation, with the staff only relying on what she verbally provided:
The nurses treated me very well because the first time I went there, they only
asked my residential address and name. They asked me if I had a passport, and
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I said I didn’t have. They didn’t say anything (VaMasibanda, interview, Ivory
Park, 24 March, 2024).
Mai Precious was also able to register in 2023 without any form of documentation,
and she only verbally provided the information that was needed:
I have no papers that I use. I do not even have a passport … They served
me without it. I was just giving them the details they needed (Mai Precious,
interview, Ivory Park, 20 April 2024).
This is proof that while passports make the registration and classification of patients
easy, discretion and improvisation by staff can ensure no one is denied services on
account of not producing a passport. To prove that the requirement of passports is
not cast in stone and is dependent on attending staff, Mary recounted how she was
sent away at Tembisa Hospital in 2019 for failing to produce a passport, and was,
however, served the following day at the same facility by a different person under
similar circumstances:
They wanted an ID (identity document) or passport, and I didn’t have any, so
I went back home. I went there the following day and encountered a different
person, and I registered without a passport (Mary, interview, Rabie Ridge, 25
February 2024).
Gwaumbu also faced a situation mirroring Mary’s. She narrated how she was sent
away from Thuthukani Clinic in 2021 because she did not have “papers,” only to be
served at Halfway House Clinic:
I went to Thuthukani, and they chased me away because I did not have papers,
but at Midrand (Halfway House Clinic) they served me like that (Gwaumbu,
interview, Ivory Park, 20 April 2024).
From the above, it is clear that the demand for passports is not a standardized
practice, and it is dependent on the attending staff, perhaps their mood for the day,
and probably a candid expression of medical xenophobia. While the above narratives
are insufficient to categorically inform the conclusion that the emphasis on passports
is a manifestation of medical xenophobia, they tend to gravitate toward that direction,
especially when read in concert with observations elsewhere that an emphasis on
passports is a mechanism for denying migrants services based on their nationality
(Crush and Tawodzera, 2014; Chekero and Ross, 2018; White et al., 2020). A critical
lesson from the above narratives, which we also get from Vanyoro (2019), is that
healthcare providers are always innovative in finding means, sometimes against the
grain, to ensure that all patients, including migrants, receive services. This gives
83
credence to Foucault’s critiques who aver that his conceptualization of disciplinary
power limits the possibility of agency (Honneth and Roberts, 1986; Shapiro, 1986;
Butler, 1989; Hartsock, 1989; Diamond et al., 1990). In a context where the wisdom
of providing services to migrants is questioned in various platforms, some healthcare
providers draw on other forms of reasoning that go against the common narrative.
Therefore, in acknowledging medical xenophobia and how it is largely indicative of the
prevailing discourse, the limits of discourse in orienting practice must be appreciated.
CONCLUSION
This paper attempted to ascertain how practices termed “medical xenophobia”
draw from the broader anti-migrant discourse by drawing parallels between public
healthcare providers’ practices with the anti-migrant discourse outside the public
healthcare system. The migrant women in this study claimed that they encountered
physical and verbal abuse, an emphasis on passports, and the demand for user fees
– challenges that have been documented by many (Lefko-Everett, 2008; Vearey
and Nunez, 2010; Hunter-Adams and Rother, 2017; Makandwa and Vearey, 2017;
Chekero and Ross, 2018). Importantly, through a focus on some statements that the
participants attributed to healthcare providers that accompany these practices, it is
evident that some of these utterances are reflective and indicative of the anti-migrant
discourse that permeate the media, the political, and other platforms. This, the paper
argued, is proof that these platforms serve as systems of “knowledge” that provide
some templates for some bureaucrats in the public healthcare sector on how to make
sense of and interact with migrants. This dovetails with Foucault’s argument that
discourse in institutions of knowledge (bearers of discourse) discipline individuals
by training them how to react to and perceive the subjects of this “knowledge” or
discourse (Foucault, 1977, 1982; Kelly, 1994; Haugaard, 1997).
However, the paper also found that while anti-migrant discourse certainly
provides frames of reference for some bureaucrats, agency and discretion mediate
the practices of some nurses and frontline staff. This makes the public healthcare
bureaucracy not an entire echo chamber for what obtains in the media and the political
and other spaces. Thus, as Foucault’s critiques argue, disciplinary power is not always
overbearing, as agency and the moral dimensions of life can resist the superior norm
(Fraser, 1981; Honneth and Roberts, 1986; Shapiro, 1986; Butler, 1989). As seen in this
study, especially regarding the demand for passports, certain individual practices are
tangential to the standardized narratives. Be that as it may, most of the evidence in this
paperpointstomedicalxenophobia,andthediscourseaboutmigrantsthroughvarious
demeaning metaphorical representation in the media, in politicians’ utterances, and
in anti-migrant groupings find their way into the public healthcare bureaucracy, as
certain practices and statements of some bureaucrats are verbatim articulations of
the prevailing anti-migrant narrative in those spaces. The paper therefore concludes
that the practices that constitute medical xenophobia within the public healthcare
system are rearticulations and restaging of the anti-migrant discourse that has been
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popularized by the media, politicians, and certain anti-migrant groupings in the
community. Just as this discourse provides a blueprint for sections of the society in
the “othering” of the migrant, sometimes through violent confrontations, the same
discourse usually presents itself as a frame of reference regulating the behavior of
certain bureaucrats in the public healthcare system.
85
REFERENCES
Adjai, C., and Lazaridis, G. 2013. Migration, xenophobia and new racism in post-
apartheid South Africa. International Journal of Social Science Studies, 1.
https://doi.org/10.11114/ijsss.v1i1.102.
Alfaro-Velcamp, T. 2017. “Don’t send your sick here to be treated, our own people
need it more”: Immigrants’ access to healthcare in South Africa. International
Journal of Migration, Health and Social Care, 13(1): 53–68. https://doi.
org/10.1108/IJMHSC-04-2015-0012.
Banda, F., and Mawadza, A. 2015. “Foreigners are stealing our birth right”: Moral
panics and the discursive construction of Zimbabwean immigrants in South
African media. Discourse and Communication, 9(1): 47–64. https://doi.
org/10.1177/1750481314555263.
Blinder, S., and Jeannet, A.-M. 2018. The “illegal” and the skilled: Effects of
media portrayals on perceptions of immigrants in Britain. Journal of Ethnic
and Migration Studies, 44(9): 1444–1462. https://doi.org/10.1080/136918
3X.2017.1412253.
Bornman, J. 2018. The role of social media in immigrants’ response to xenophobic
violence in South Africa. African Centre for Migration and Society (ACMS),
University of the Witwatersrand. https://wiredspace.wits.ac.za/server/api/
core/bitstreams/54691c0a-d52b-4d5b-bf8f-09df664a169d/content.
Bornman, J. 2019a. Alarming surge in xenophobic language. The Mail & Guardian.
https://mg.co.za/article/2019-08-06-alarming-surge-in-xenophobic-
language/.
Bornman, J. 2019b. Mashaba’s xenophobic legacy. The Mail & Guardian. https://
mg.co.za/article/2019-11-07-00-mashabas-xenophobic-legacy/.
Bornman, J. 2024. The cynical tactic of politicians resorting to border wall politics
to win votes. City Press. https://www.news24.com/citypress/voices/jan-
bornman-the-cynical-tactic-of-politicians-resorting-to-border-wall-politics-
to-win-votes-20240428.
BusinessLive. 2019. Aaron Motsoaledi’s toxic xenophobia. BusinessLIVE. https://
www.businesslive.co.za/bd/opinion/editorials/2019-03-06-editorial--aaron-
motsoaledis-toxic-xenophobia/.
Butler, J. 1989. Foucault and the paradox of bodily inscriptions. Journal of Philosophy,
86(11): 601–607.
Carciotto, S. 2021. Making asylum seekers more vulnerable in South Africa: The
negative effects of hostile asylum policies on livelihoods. International
Migration, 59(5): 3–18. https://doi.org/10.1111/imig.12788.
Chaskalson,J.2017.Mashabahasincitedxenophobia,saysimmigrants’spokesperson.
February 23, GroundUp News. https://groundup.org.za/article/mashaba-has-
An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
86
AHMR African Human Mobility Review - Volume 10 No
2, MAY-AUGUST 2024
incited-xenophobia-says-immigrants-spokesperson/.
Chekero, T., and Morreira, S. 2020. Mutualism despite ostensible difference:
HuShamwari, kuhanyisana, and conviviality between Shona Zimbabweans
and Tsonga South Africans in Giyani, South Africa. Africa Spectrum, 55(1):
33–49. https://doi.org/10.1177/0002039720914311.
Chekero, T., and Ross, F.C. 2018. “On paper” and “having papers”: Zimbabwean
migrant women’s experiences in accessing healthcare in Giyani, Limpopo
province, South Africa. Anthropology Southern Africa, 41(1): 41–54. https://
doi.org/10.1080/23323256.2018.1442729.
Chiumbu, S., and Musemwa, M. 2015. Crisis! What crisis? The multiple dimensions
of the Zimbabwean crisis. HSRC Press. https://repository.hsrc.ac.za/
handle/20.500.11910/3309.
Coovadia, H., Jewkes, R., Barron, P., Sanders, D., and McIntyre, D. 2009. The health
and health system of South Africa: Historical roots of current public health
challenges. The Lancet, 374(9692): 817–834. https://doi.org/10.1016/S0140-
6736(09)60951-X.
Crush, J. 1992. Inflexible migrancy: New forms of migrant labour on the South
African gold mines. Labour, Capital and Society, 1(25): 46–71.
Crush, J. 2001. The dark side of democracy: Migration, xenophobia and human
rights in South Africa. International Migration, 38(6): 103–133. https://doi.
org/10.1111/1468-2435.00145.
Crush, J. 2008. The perfect storm: The realities of xenophobia in contemporary
South Africa. Migration Policy Series, No 50. Southern African Migration
Programme (SAMP). https://samponline.org/wp-content/uploads/2016/10/
Acrobat50.pdf.
Crush, J., and Chikanda, A. 2015. South–South medical tourism and the quest for
health in Southern Africa. Social Science and Medicine, 124, 313–320. https://
doi.org/10.1016/j.socscimed.2014.06.025.
Crush, J., and Pendleton, W. 2004. Regionalizing xenophobia? Citizen attitudes to
immigration and refugee policy in Southern Africa. Migration Policy Series,
No 50. Southern African Migration Programme (SAMP). https://scholars.wlu.
ca/cgi/viewcontent.cgi?referer=&httpsredir=1&article=1126&context=samp.
Crush, J., and Tawodzera, G. 2014. Medical xenophobia and Zimbabwean migrant
access to public health services in South Africa. Journal of Ethnic and Migration
Studies, 40(4): 655–670. https://doi.org/10.1080/1369183X.2013.830504.
Crush, J., and Tevera, D. S. 2010. Zimbabwe’s exodus: Crisis, migration, survival.
African Books Collective.
Crush, J., Chikanda, A., Maswikwa, B., and Southern African Migration Project.
2012. Patients without borders: Medical tourism and medical migration in
Southern Africa. Southern African Migration Programme (SAMP); IDASA;
87
Southern African Research Centre (SARC); Queen’s University.
Crush, J., James, W. G., Institute for Democracy in South Africa (IDASA), and
International Development Research Centre (IDRC) (eds.). 1995. Crossing
boundaries: Mine migrancy in a democratic South Africa. IDASA; IDRC.
Crush, J., Tawodzera, G., McCordic, C., and Ramachandran, S. 2017. Refugee
entrepreneurial economies in urban South Africa. Southern African Migration
Programme. https://doi.org/10.2307/j.ctvh8r07x
Danso, R., and McDonald, D. A. 2001. Writing xenophobia: Immigration and the print
media in post-apartheid South Africa. Indiana University Press.
Davis, R. 2019. Xenophobia is flaring pre-elections – but it’s not only politicians who
are to blame. Daily Maverick. https://www.dailymaverick.co.za/article/2019-
04-03-xenophobia-is-flaring-pre-elections-but-its-not-only-politicians-who-
are-to-blame/.
De Jager, J. W. 2009. Delivering quality service to in- and out-patients in a South
African public hospital. African Journal of Business Management, 7.
Diamond, I., Quinby, L., Benhabib, S., and Cornell, D. 1990. Feminism and Foucault:
Reflections on resistance. Hypatia, 5(3): 118–124.
Dratwa, B. 2023. “Put South Africans first”: Making sense of an emerging South
African xenophobic (online) community. Journal of Southern African Studies,
49(1): 85–103. https://doi.org/10.1080/03057070.2023.2170126.
Fogel, B. 2019. South Africa is ripe for right-wing populist movements. Mail &
Guardian. https://mg.co.za/article/2019-05-01-00-south-africa-is-ripe-for-
right-wing-populist-movements/.
Foucault, M. 1977. Discipline and punish: The birth of the prison. Pantheon Books.
Foucault, M. 1978. The history of sexuality: An introduction (vol. 1). Pantheon Books.
Foucault, M. 1982. The subject and power. Critical Inquiry, 8(4): 777–795. https://doi.
org/10.1086/448181.
Fraser, N. 1981. Foucault on modern power: Empirical insights and normative
confusions. PRAXIS International, 1(3): 272–287.
Gallagher, C. A. 2014. “Blacks, Jews, gays and immigrants are taking over”: How
the use of polling data can distort reality and perpetuate inequality among
immigrants. Ethnic and Racial Studies, 37(5): 731–737. https://doi.org/10.108
0/01419870.2014.887213.
Gauteng Department of Health (DOH). 2020. Circular No. 27 of 2020: Policy
implementation guidelines on patient administration and revenue
management. https://groundup.org.za/media/uploads/documents/
GautengDOH-Circular27-2020.pdf.
Harris, B. 2001. A foreign experience: Violence, crime and xenophobia during South
Africa’s transition (Vol. 5). Johannesburg: CSVR.
An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
88
AHMR African Human Mobility Review - Volume 10 No
2, MAY-AUGUST 2024
Hartsock, N. 1989. Foucault on power: A theory for women? In Nicholson, L. (ed.),
Feminism / Postmodernism. New York: Routledge.
Haugaard, M. 1997. The constitution of power: A theoretical analysis of power,
knowledge and structure. Manchester University Press.
Heleta, S. 2018. Are foreigners stealing your jobs and healthcare? Find out. Mail &
Guardian. https://mg.co.za/article/2018-11-20-00-immigrant-blame-game-
motsoaledi-remarks-immigrants-strain-on-health-system/.
Honneth, A., and Roberts, D. 1986. Foucault and Adorno: Two forms of
the critique of modernity. Thesis Eleven, 15(1): 48–59. https://doi.
org/10.1177/072551368601500104.
Human Rights Watch (HRW). 2024, May 6. South Africa: Toxic rhetoric endangers
migrants. https://www.hrw.org/news/2024/05/06/south-africa-toxic-rhetoric-
endangers-migrants.
Hunter-Adams, J., and Rother, H.-A. 2017. A qualitative study of language barriers
between South African healthcare providers and cross-border migrants. BMC
Health Services Research, 17(1): 97. https://doi.org/10.1186/s12913-017-2042-5.
Jewkes, R., Abrahams, N., and Mvo, Z. 1998. Why do nurses abuse patients?
Reflections from South African obstetric services. Social Science and Medicine,
47(11): 1781–1795. https://doi.org/10.1016/S0277-9536(98)00240-8.
Johnson, C. 2015. Failed asylum seekers in South Africa: Policy and practice. African
Human Mobility Review, 1(2): 201–228.
Johnston, D. 1991. Constructing the periphery in modern global politics. In Murphy, C.
N., and Tooze, R. (eds.). Lynne Rienner.
Kariithi, N. 2017. Media portrayal of immigration in the South African Media, 2011-
2015. Cape Town: SIHMA.
Kelly, M. 1994. Critique and power: Recasting the Foucault/Habermas debate.
Cambridge, MA: MIT Press.
Kgobotlo, B. 2024. ActionSA guns for businesses run by illegal foreigners in Pretoria.
Sunday World, 12 August. https://sundayworld.co.za/politics/actionsa-guns-
for-businesses-run-by-illegal-foreigners-in-pretoria/.
Khan, F., and Lee, M. 2018. Policy shifts in the asylum process in South Africa
resulting in hidden refugees and asylum seekers. African Human Mobility
Review, 4(2): 1205–1225.
Khumalo, T. 2023, April 23. Migrants welcome South Africa healthcare ruling. Voice
of America (VoA). https://www.voaafrica.com/a/migrants-welcome-south-
africa-healthcare-ruling/7060578.html.
Kruger, L., and Schoombee, C. 2010. The other side of caring: Abuse in a South
African maternity ward. Journal of Reproductive and Infant Psychology, 28(1):
84–101. https://doi.org/10.1080/02646830903294979.
89
Landau, L. B., and Wa Kabwe Segatti, A. 2009. Human development impacts of
migration: South Africa case study. https://mpra.ub.uni-muenchen.de/19182/.
Landau, L. B., Ramjathan-Keogh, K., and Singh, G. 2005. Xenophobia in South Africa
and problems related to it. Forced Migration Studies Programme, University of
the Witwatersrand.
Lefko-Everett, K. 2008. Voices from the margins: Migrant women’s experiences in
southern Africa. Migration Policy Series, No 46. Southern African Migration
Programme (SAMP).
Lilja, M., and Vinthagen, S. 2014. Sovereign power, disciplinary power and biopower:
Resisting what power with what resistance? Journal of Political Power, 7(1):
107–126. https://doi.org/10.1080/2158379X.2014.889403.
Machinya, J. 2022. Migration and politics in South Africa: Mainstreaming anti-
immigrant populist discourse. African Human Mobility Review, 8(1): 59–78.
Madia, T. 2018. Refugees must live in refugee camps – Lekota. News24. https://www.
news24.com/News24/refugees-must-live-in-refugee-camps-lekota-20180711.
Mailovich, C. 2018. SA needs “closed” borders, tighter immigration control, says DA.
BusinessLIVE. https://www.businesslive.co.za/bd/national/2018-10-15-sa-
needs-closed-borders-tighter-immigration-control-says-da/.
Makandwa, T., and Vearey, J. 2017. Giving birth in a foreign land: Exploring the
Maternal healthcare experiences of Zimbabwean migrant women living
in Johannesburg, South Africa. Urban Forum, 28(1): 75–90. https://doi.
org/10.1007/s12132-017-9304-5.
Malakoane, B., Heunis, J. C., Chikobvu, P., Kigozi, N. G., and Kruger, W. H. 2020.
Public health system challenges in the Free State, South Africa: A situation
appraisal to inform health system strengthening. BMC Health Services
Research, 20(1): 58. https://doi.org/10.1186/s12913-019-4862-y.
Maphumulo, W. T., and Bhengu, B. R. 2019. Challenges of quality improvement in
the healthcare of South Africa post-apartheid: A critical review. Curationis,
42(1): 1–9. https://doi.org/10.4102/curationis.v42i1.1901.
Maromo, J. 2017. Foreigners “causing havoc.” Daily News. https://www.iol.co.za/
dailynews/news/foreigners-causing-havoc-8824827.
Mashego, P., and Malefane, M. 2017. All illegal foreigners, leave my city—Herman
Mashaba. Sowetan Live. https://www.sowetanlive.co.za/news/2016-12-02-all-
illegal-foreigners-leave-my-city-herman-mashaba/.
Masweneng, K. 2022. Protesters turn back patients and migrants at Kalafong
Hospital. TimesLIVE. https://www.timeslive.co.za/news/south-africa/2022-
08-29-protesters-turn-back-patients-and-migrants-at-kalafong-hospital/.
Matlala, L. 2018. Foreign nationals are burdening SA health system—Motsoaledi.
SABC News. https://www.sabcnews.com/sabcnews/foreign-nationals-are-
An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
90
AHMR African Human Mobility Review - Volume 10 No
2, MAY-AUGUST 2024
burdening-sa-health-system-motsoaledi/.
Mawadza, A. 2012. The Zimbabwean threat: Media representations of immigrants in
the South African media. PhD Thesis, University of the Western Cape. https://
etd.uwc.ac.za:443/xmlui/handle/11394/4423.
Mawadza, A., and Crush, J. 2010. Metaphors of migration: Zimbabwean migrants in
the South African media. Cape Town and Ottawa: SAMP and IDRC. https://
idl-bnc-idrc.dspacedirect.org/bitstream/handle/10625/44852/IDL-44852.pdf.
Misago, J. P. 2016. Responding to xenophobic violence in post-apartheid South
Africa: Barking up the wrong tree? African Human Mobility Review, 2(2):
443–467.
Mlambo, S. 2023. Political analyst slams Patriotic Alliance for anti-foreigner
comments at birthday rally. IoL News. https://www.iol.co.za/news/politics/
political-analyst-slams-patriotic-alliance-for-anti-foreigner-comments-at-
birthday-rally-49fed07e-9313-4ab8-b71d-55a44b12ff71.
Moichela, K. 2023. “Illegal foreigners must go home, this is not home”—Gayton
McKenzie calls for deportation of illegal immigrants. IoL News. https://www.
iol.co.za/news/politics/illegal-foreigners-must-go-home-this-is-not-home-
gayton-mckenzie-calls-for-deportation-of-illegal-immigrants-00dcb883-
fe53-41a3-85fb-8da8d5a6c2d7.
Monama, T. 2022. “Xenophobic tendencies must be rejected”: Healthcare groups
say migrants have right to treatment in SA. News24. https://www.news24.
com/news24/southafrica/news/xenophobic-tendencies-must-be-rejected-
healthcare-groups-say-migrants-have-right-to-treatment-in-sa-20220827.
Moodley, K. 2018. South Africa: Minister Motsoaledi must not use refugees and
migrants as scapegoats for the failing health system. Amnesty International.
https://amnesty.org.za/south-africa-minister-motsoaledi-must-not-use-
refugees-and-migrants-as-scapegoats-for-the-failing-health-system/.
Moore, K., Gross, B., and Threadgold, T. (eds.). 2012. Migrations and the media.
Peter Lang.
Munyaneza, Y., and Mhlongo, E. M. 2019. Medical xenophobia: The Voices of
women refugees in Durban, Kwazulu-Natal, South Africa. bioRxiv. https://doi.
org/10.1101/603753.
Nadesan, M. H. 2008. Governmentality, biopower, and everyday life. Routledge.
https://doi.org/10.4324/9780203894620.
Nduru, M. 2005. SA doesn’t roll out welcome mat for all immigrants. Mail &
Guardian. https://mg.co.za/article/2005-08-22-sa-doesnt-roll-out-welcome-
mat-for-all-immigrants/.
Neocosmos, M. 2006. From “foreign natives” to “native foreigners”: Explaining
xenophobiainpost-apartheidSouthAfrica.Dakar:CouncilfortheDevelopment
of Social Science Research in Africa (CODESRIA).
91
Nhemachena, A., Mawere, M., and Mtapuri, O. 2022. Operation Dudula:
Xenophobic vigilantism and sovereignty in twenty-first century South Africa.
In Nhemachena, A., Mtapuri, O., and Mawere, M. (eds.), Sovereignty becoming
pulvereignty: Unpacking the dark side of slave 4.0 within industry 4.0 in twenty-
first century Africa, Langaa RPCIG, pp. 153–174.
Oosthuizen, S. J., Bergh, A.-M., Pattinson, R. C., and Grimbeek, J. 2017. It does matter
where you come from: Mothers’ experiences of childbirth in midwife obstetric
units, Tshwane, South Africa. Reproductive Health, 14(1): 151. https://doi.
org/10.1186/s12978-017-0411-5.
Polzer, T. 2008. Responding to Zimbabwean migration in South Africa: Evaluating
options. South African Journal of International Affairs, 15(1): 1–28. https://doi.
org/10.1080/10220460802217926.
Polzer, T., and Takabvirwa, K. 2010. “Just crime?”: Violence, xenophobia and crime:
Discourse and practice. South African Crime Quarterly, 33: 3–10. https://doi.
org/10.17159/2413-3108/2010/v0i33a878.
Pophiwa, N. 2009. Healthy migrants or health migrants? Accounting for the
healthcare utilisation patterns of Zimbabwean migrants living in South Africa.
PhD Thesis, University of the Witwatersrand. https://wiredspace.wits.ac.za/
items/4e6711f3-372b-49ff-9856-57a5399f80fa.
Republic of South Africa (RSA). 2004. National Health Act—No.61. Government
Gazette. https://www.up.ac.za/media/shared/12/ZP_Files/health-act.
zp122778.pdf.
Section27. 2022. Free healthcare services in South Africa: A case for all mothers
and children. https://section27.org.za/wp-content/uploads/2022/11/Free-
Healthcare-Final-2.pdf.
Shapiro, M. J. 1986. Charles Taylor’s moral subject. Political Theory, 14(2): 311–324.
Sides, J., and Citrin, J. 2007. European opinion about immigration: The role of
identities, interests and information. British Journal of Political Science, 37(3):
477–504. https://doi.org/10.1017/S0007123407000257.
Statistics South Africa (Stats SA). 2022. Statistical release P0301.4. Census 2022.
RepublicofSouthAfrica.https://census.statssa.gov.za/assets/documents/2022/
P03014_Census_2022_Statistical_Release.pdf.
Tarisayi, K. S., and Manik, S. 2020. An unabating challenge: Media portrayal of
xenophobia in South Africa. Cogent Arts and Humanities, 7(1): 1859074.
https://doi.org/10.1080/23311983.2020.1859074.
Tarisayi, K. S., and Manik, S. 2021. Affirmation and defamation: Zimbabwean migrant
teachers’ survival strategies in South Africa. Journal of International Migration
and Integration, 22(1): 183–204. https://doi.org/10.1007/s12134-019-00725-5.
Tshitereke, C. 1999. Xenophobia and relative deprivation. Crossings, 3(2). https://
samponline.org/wp-content/uploads/2016/10/CR3_2.pdf.
An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
92
AHMR African Human Mobility Review - Volume 10 No
2, MAY-AUGUST 2024
Vahed, G., and Desai, A. 2008. The May 2008 xenophobic violence in South Africa:
Antecedents and aftermath. Alternation Special Edition, 7: 145–175.
Valji, N. 2004. Race and reconciliation in a post-TRC South Africa in ten years of
democracy in South Africa. Conference presentation, Southern African Re-
search Centre, Queens University, Canada. https://citeseerx.ist.psu.edu/docu-
ment?repid=rep1andtype=pdfanddoi=79fa59f486535a79b3bf81c9e89730cd-
f8b89190.
Vanyoro, K. P. 2019. “When they come, we don’t send them back”: Counter-narratives
of “medical xenophobia” in South Africa’s public healthcare system. Palgrave
Communications, 5(1): 1–12. https://doi.org/10.1057/s41599-019-0309-7.
Vearey, J. 2012. Learning from HIV: Exploring migration and health in South
Africa. Global Public Health, 7(1): 58–70. https://doi.org/10.1080/1744169
2.2010.549494.
Vearey, J. 2014. Healthy migration: A public health and development imperative for
south(ern) Africa. South African Medical Journal, 104(10): 663. https://doi.
org/10.7196/SAMJ.8569.
Vearey, J., and Nunez, L. 2010. Migration and health in South Africa: A review of
the current situation and recommendations for achieving the World Health
Assembly resolution on the health of migrants. IOM, Pretoria.
Vearey, J., de Gruchy, T., Kamndaya, M., Walls, H. L., Chetty-Makkan, C. M., and
Hanefeld, J. 2018. Exploring the migration profiles of primary healthcare users
in South Africa. Journal of Immigrant and Minority Health, 20(1): 91–100.
https://doi.org/10.1007/s10903-016-0535-7.
Wacquant, L. J. D. 1989. Towards a reflexive sociology: A workshop with Pierre
Bourdieu. Sociological Theory, 7(1): 26–63. https://doi.org/10.2307/202061.
Wasserman, H. 2010. Tabloid journalism in South Africa. Indiana University Press.
White, J. A., and Rispel, L. C. 2021. Policy exclusion or confusion? Perspectives
on universal health coverage for migrants and refugees in South Africa.
Health Policy and Planning, 36(8): 1292–1306. https://doi.org/10.1093/
heapol/czab038.
White, J. A., Blaauw, D., and Rispel, L. C. 2020. Social exclusion and the perspectives
of healthcare providers on migrants in Gauteng public health facilities,
South Africa. PLoS ONE, 15(12): e0244080. https://doi.org/10.1371/journal.
pone.0244080.
Zihindula, G., Meyer-Weitz, A., and Akintola, O. 2017. Lived experiences of
Democratic Republic of Congo refugees facing medical xenophobia in Durban,
South Africa. Journal of Asian and African Studies, 52(4): 458–470. https://doi.
org/10.1177/0021909615595990.
The African Human Mobility Review (AHMR) is an interdisciplinary peer-reviewed
journal created to encourage and facilitate the study of all aspects of human mobility
in Africa, including socio-economic, political, legal, developmental, educational and
cultural aspects. Through the publication of original research, policy discussions and
evidence-based research papers, AHMR provides a comprehensive forum devoted
exclusively to the analysis of current migration trends, migration patterns and some
of the most important migration-related issues.
The journal is also accessible on-line at no charge at sihma.org.za.
AHMR is jointly owned by the Scalabrini Institute for Human Mobility in Africa (SIHMA)
and University of the Western Cape (UWC) and accredited by the Department of Higher
Education and Training (DHET) in South Africa.
ISSN 2410-7972 (online) ISSN 2411-6955 (print).

AHMR volume 10 number 2 May-August 2024 SIHMA UWC

  • 1.
    African Human MobilityReview AHMR VOLUME 10 NUMBER 2 MAY - AUGUST 2024 SIHMA Scalabrini Institute for Human Mobility in Africa
  • 2.
    AHMR Editorial Board _______________________________________________________ Editor-in-Chief ProfMulugeta F. Dinbabo, University of the Western Cape, South Africa Editors Dr Sergio Carciotto, University of the Western Cape, South Africa Prof Daniel Tevera, University of the Western Cape, South Africa Board members Prof Vivienne Lawack, University of the Western Cape, South Africa Prof Jonathan Crush, Balsillie School of International Affairs, Canada Prof Loren Landau, University of the Witwatersrand, South Africa Prof Simon Bekker, University of Stellenbosch, South Africa Prof Thomas Faist, Bielefeld University, Germany Prof Raul Delagdo Wise, Universidad Autónoma de Zacatecas, Mexico Prof Laurence Piper, University of the Western Cape, South Africa Prof Shimelis Gulema, Stony Brook University, New York, USA Prof Wilson Majee, University of Missouri, USA Prof Linda Oucho, African Migration and Development Policy Centre, Kenya Prof Razack Karriem, University of the Western Cape, South Africa Prof Ernest Angu Pineteh, University of Pretoria, South Africa Dr Delali Margaret Badasu, University of Ghana, Ghana Dr Edmond Agyeman, University of Education, Winneba, Ghana Dr Eria Serwajja, Makerere University, Uganda Dr Joseph Yaro, University of Ghana, Ghana Dr Lothar Smith, Radboud University, Netherlands
  • 3.
    1 AHMR is aninterdisciplinary peer-reviewed journal created to encourage and facilitate the study of all aspects of human mobility in Africa, including socio- economic, political, legal, developmental, educational and cultural aspects. Through the publication of original research, policy discussions and evidence-based research papers, AHMR provides a comprehensive forum devoted exclusively to the analysis of current migration trends, migration patterns and some of the most important migration-related issues. AHMR is jointly owned by the Scalabrini Institute for Human Mobility in Africa (SIHMA) and the University of the Western Cape (UWC). The Scalabrini Institute for Human Mobility in Africa (SIHMA) is a member of the Network of the Scalabrinian Centers for Migration Studies, with institutions in New York, Paris, Rome, Buenos Aires, Sao Paulo, and Manila. AHMR is accredited by the Department of Higher Education and Training (DHET) in South Africa. Articles and reviews in AHMR reflect the opinions of the contributors. AHMR allows the author/s to retain full copyright in their articles. ISSN 2410-7972 (online) ISSN 2411-6955 (print). Editing services provided by On Point Language Solutions AHMR © 2024 Creative Commons License CC-BY-4.0 SIHMA Physical address 47, Commercial St, 8001 Cape Town – South Africa Tel. 0027 021 461 4741 Email: [email protected] Webpage: www.sihma.org.za
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    2 AHMR ___________________________________________________________________________________ AHMR African HumanMobilty Review - Volume 10 No 2, May-August 2024 Contents 3 Editorial Mulugeta F. Dinbabo 7 Book review: Lifeworlds in Crisis: Making Refugees in the Chad–Sudan Borderlands Reviewed by Daniel Tevera 9 “When There Is No Migration, the Whole Region Has a Problem”: The Political Priorities of Migration Policies in West Africa Franzisca Zanker 29 Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime Gracsious Maviza and Divane Nzima 51 Does Climate Change Transfer Poverty from Rural to Urban Areas? Implications for Regional Sub-Saharan Research Agenda Thanyani Madzivhandila and Aklilu Asha 67 Institutionalizing Anti-Migrant Discourse in Public Healthcare: An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg Learnmore Mvundura
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    3 Editorial ___________________________________________________________________________________ Professor Mulugeta F.Dinbabo Editor-in-Chief, African Human Mobility Review (AHMR) University of the Western Cape Email: [email protected] We are delighted to announce the release of the second issue of 2024 of the African Human Mobility Review (AHMR). This issue features current, high-quality, and original research, including a book review and articles focusing on various aspects of human mobility in Africa. AHMR benefits from the expertise of a skilled editorial board, a global network of scholars, and an interdisciplinary approach, ensuring contributions that support evidence-based policymaking. We would like to extend our gratitude to all contributors, authors, the editorial board, the publisher, and anonymous reviewers, who have supported the journal. Our goal is to continually enhance the journal’s quality and achieve new milestones, positioning it more prominently within the international scientific community. This issue includes a book review and four articles, all promoting original research and policy discussions, while providing a comprehensive forum for examining contemporary trends, migration patterns, and key migration-related issues in Africa. The first section of this issue is a critical and academic appraisal by Daniel Tevera of a book entitled “Lifeworlds in Crisis: Making Refugees in the Chad–Sudan Borderlands,” authored by Andrea Behrends. The reviewer indicates that the book is divided into three parts. Part I, organized around the themes of displacement and emplacement, provides an exposition of how the war had shaken many lives, with some families losing almost everything and recovering very little. Part II focuses on the refugee camps and the everyday realities of people living in and around the camps in the borderlands. Part III provides a close analysis of the Chadian government’s intricate categorizations of the borderlands, such as delineating security zones and allocating resources. Tevera comments on the author’s discussion of the nuanced strategies that households and communities in the borderlands employ to navigate everyday situations of severe crisis and uncertainty. Furthermore, the reviewer notes the author’s detailed examination of the interventions of international, military, and non-governmental organizations that have reshaped the social landscapes of the borderlands. Tevera further indicates that the book is a richly textured discussion of refugee precarity and the permeability of borders in the Chad–Sudan borderlands. The first article by Franzisca Zanker is entitled “‘When There Is No Migration, the Whole Region Has a Problem’: The Political Priorities of Migration Policies in West Africa.” The paper is based on over 130 interviews with policymakers,
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    4 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 politicians, civil society activists, and academic experts in Niger, Nigeria, Senegal, and The Gambia in 2019. It adds to the literature on the agency of migration states in the Global South. The study’s findings revealed that the lack of prior political attention to migration governance becomes most evident when we consider that in Nigeria, Niger, The Gambia, and Senegal a National Migration Policy (NMP) was only developed and introduced following external funding for these schemes from the European Union (EU) and their member states. The juxtaposition of the lack of policy implementation and an everyday lived reality of mobility comes across clearly, considering the Economic Community of West African States (ECOWAS) framework. Addressing the political priorities of migration policies in West Africa is crucial. The second article by Gracsious Maviza and Divane Nzima is entitled “Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime.” The methodological approach employed in this research is qualitative research based on 12 in-depth interviews with key informants to explore how the prolonged socio-economic crisis has impacted the state’s ability to provide social protection to refugees in Zimbabwe. The author argues that although the refugee regime in Zimbabwe mandates the state to provide protection services to refugees, the macroeconomic reality is the major constraining factor. The author further indicates that even though the United Nations High Commissioner for Refugees (UNHCR) and its partners strive to offer protection, they often become overwhelmed by the extensive demands involved in providing housing, improving livelihoods, ensuring food security, and delivering water, sanitation services, and public health systems. The findings of this research uncover that socio-economic challenges in a shrinking economy affect the protection outcomes of refugees, regardless of the presence of a robust refugee regime in the country. The third article by Aklilu Asha and Thanyani Madzivhandila is entitled “Does Climate Change Transfer Poverty from Rural to Urban Areas? Implications for a Regional Sub-Saharan Research Agenda.” The research is based on an extensive review of existing literature using qualitative document analysis. The purpose of this article is to examine the role of climate change on rural-urban migration, which ultimately contributes toward the increase in urban poverty. Using a thorough literature review, the authors contend that the impacts of climate change are widespread, affecting agriculture, water resources, and biodiversity, and disproportionately burden vulnerable communities. Addressing climate change requires urgent action, including reducing greenhouse gas emissions, transitioning to renewable energy, and implementing sustainable practices. Overall, this paper provides a novel concept on the implications for a research agenda in the context of sub-Saharan Africa towards sustainable ways to respond to the challenges of climate- induced migration, urbanization, and poverty. The fourth article by Learnmore Mvundura is entitled “Institutionalizing Anti- Migrant Discourse in Public Healthcare: An analysis of Medical Xenophobia against
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    5 Editorial Zimbabwean Migrant Womenin Johannesburg.” The research broadly focuses on how Zimbabwean migrant women navigate maternal health inequities in South Africa. The narratives are from 13 Zimbabwean migrant women who have been in the country from as early as 2008. The paper focuses on the utterances and practices that the participants attribute to nurses and frontline staff in their interactions in healthcare facilities, drawing parallels with the anti-migrant discourse that populates certain platforms outside the healthcare facilities, especially in the conventional media, political discourse, and narratives from other anti-migrant platforms in the community and on social media platforms. The result of this study concludes that the practices that constitute medical xenophobia in the public healthcare system are rearticulations and restaging of the anti-migrant discourse that has been popularized by the media, politicians, and certain anti-migrant groupings in the community. Finally, I encourage more researchers, academics, and students to join us in exploring new and impactful research areas with significant social and practical applications across various disciplines. I also hope they will bring original and substantial research ideas to this journal.
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    6 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 SIHMA is part of the Scalabrini International Migration Network (SIMN), and joins an existing Network of Scalabrini Study Centres around the globe: CSER (Centro Studi Emigrazione Roma), established in 1964 in Rome (Italy) Journal: Studi Emigrazione www.cser.it CIEMI (Centre d’Information et Études sur les Migrations Internationales), established in 1971 in Paris (France) Journal: Migrations Société www.ciemi.org CMS (Center for Migration Studies of New York), established in 1969 in New York (USA) Journal: International Migration Review (IMR) and Journal on Migration and Human Security (JMHS) www.cmsny.org SMC (Scalabrini Migration Center), established in 1987 in Manila (Philippines) Journal: Asian and Pacific Migration Journal (APMJ) www.smc.org.ph CEM (Centro de Estudios Migratorios), established in 1985 in São Paulo (Brazil) Journal: Travessia www.missaonspaz.org CEMLA (Buenos Centro de Estudios Migratorios Latinoamericanos), established in 1985 in Buenos Aires (Argentina) Journal: Estudios Migratorios Latinoamericanos (EML) www.cemla.com Among our partners: CSEM (Centro Scalabriniano de Estudos Migratórios) in Brasilia (Brazil); Journal: Revista Interdisciplinar da Mobilidade Humana (REMHU); www.csem.org.br CEMLA, Buenos Aires CIEMI, Paris SMC, Manila CSER, Rome CEM, Sao Paolo CMS, New York SIHMA, Cape Town Scalabrini Network _______________________________________________________
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    7 Book review Behrends, Andrea,2024 Lifeworlds in Crisis: Making Refugees in the Chad– Sudan Borderlands London: C. Hurst & Company, 307 pages ISBN: 9781911723226 Lifeworlds in Crisis: Making Refugees in the Chad–Sudan Borderlands is an engaging book that addresses the gap in the literature on refugee precarity in the Chad–Sudan borderlands. The book pursues an intersectional approach to examine crises and gendered forms of migration and unpack the complex web of cross-border activities and the multifaceted experiences of refugees in the Chad–Sudan borderlands. Andrea Behrends engages with critical questions about borderland migration regimes and civil society responses to crises and precarious livelihoods. She provides a compelling account of the contexts and conditions of lifeworlds in crisis that illustrates how crises profoundly reshape refugees’ social and spatial worlds. Behrends discusses the nuanced strategies that households and communities in the borderlands employ to navigate everyday situations of severe crisis and uncertainty. Also, she examines the interventions of international, military, and non-governmental organizations that have reshaped the social landscapes of the borderlands. She assesses livelihoods before, during, and after the Darfur war and discusses how communities struggled to sustain their livelihoods when social and institutional arrangements were disrupted. The book is divided into three parts. Part I, organized around the themes of displacement and emplacement, provides an exposition of how the war had shaken many lives, with some families losing almost everything and recovering very little. Behrends highlights the resilience of the communities who reacted to violence, displacement, and everyday insecurity in the borderlands following the outbreak of war. Drawing on ethnographic data collected from participants in the study, Behrends expounds on the increased mobility brought about by the 2003 Darfur war, its negative impact on the established modes of subsistence in the borderlands, and the different responses of various communities. Part II focuses on the refugee camps and the everyday realities of people living in and around the camps in the borderlands. It discusses the tensions and dynamics in the borderlands, which had become an arena that embodied the struggles of displaced refugees engaged in precarious work. Behrends examines the socio- Book review - Lifeworlds in Crisis: Making Refugees in the Chad–Sudan Borderlands
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    8 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 spatial processes in the Chad–Sudan borderlands by exploring the dynamics that are influenced by the area’s socio-spatial features (space-dependent dynamics) and the dynamics that shaped the area’s physical-spatial structure (space-forming dynamics). This exploration sheds light on factors that determined whether refugee households returned to their former homes or remained in Chad. Behrends argues that despite the urgency and trauma of war in the Chad–Sudan borderlands, the fabric of daily life, in the form of routines, practices, and social interactions, survived in the face of forced mobility and displacement. Part III provides a close analysis of the Chadian government’s intricate categorizations of the borderlands, such as delineating security zones and allocating resources. Behrends shows how, because of the trauma of war in the Chad–Sudan borderlands, refugee livelihoods became difficult for all displaced people who did not have the capacity to access land, housing, food, work, and healthcare. The crisis described in the book highlights the highly dynamic ways of living in or near war zones. A compelling feature of the book is the richly textured discussion of refugee precarity and the permeability of borders in the Chad–Sudan borderlands. The book also provides nuanced insights into crises, migration, and migrant legal-status complexities. Behrends frames the Chad–Sudan borderlands as dynamic socio- spatial phenomena that require a critical and socially embedded understanding of the crisis and migration nexus. The author’s disentanglement of the socio-spatial processes in the borderlands not only highlights the materiality and permeability of borders but also helps to unpack the crisis and migration nexus. While the book has a shortcoming of limited data on official policies on refugees in the Chad–Sudan borderlands, it nevertheless addresses an important niche on borderlands. Prof Daniel Tevera, University of the Western Cape, South Africa
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    9 “When There IsNo Migration, the Whole Region Has a Problem”: The Political Priorities of Migration Policies in West Africa Franzisca Zanker1 Received 18 December 2023 / Accepted 19 July 2024 / Published 06 September 2024 DOI: 10.14426/ahmr.v10i2.2012 Abstract This paper considers the implications of migration to Europe for West African governments in relation to other forms of politically relevant mobilities. This helps to understand what governments in West Africa prioritize when it comes to migration policy. No doubt, there is an increasing European influence on the migration agenda. However,despitethisinfluence,therearestillotherWestAfricaninterestswhenitcomes to migration governance. These are diverse, covering development and humanitarian concerns, and include pro-active diaspora policies, restrictive immigration regimes due to economic protectionism and security concerns, as well as protecting migrants and displaced people. Thus, different countries in the region have varying sets of political priorities, though underlined by a broader unpolitical nature of migration of the everyday. The paper is based on over 130 interviews with policymakers, politicians, civil society activists, and academic experts in Niger, Nigeria, Senegal, and The Gambia in 2019. It adds to the literature on the agency of migration states in the Global South. Keywords: diaspora relations, ECOWAS, internally displaced people, irregular migration, migration states, Nigeria, Niger, refugees, Senegal, The Gambia. 1 Senior Researcher at the Arnold-Bergstraesser-Institute (ABI) in Freiburg, Germany.  [email protected] freiburg.de The Political Priorities of Migration Policies in West Africa
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    10 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 INTRODUCTION There has been growing research and policy focus on migration in West Africa. What has traditionally been deliberated on in terms of the predominant circular labor migration and the benefits and pitfalls for development (e.g., Adepoju, 2003, 2011; Awumbila et al., 2017) has increasingly become a discussion on the implications of irregular African migration toward Europe (e.g., Adam et al., 2020; Deridder et al., 2020; Gaibazzi et al., 2017; Mouthaan, 2019). This change in perspective is tied to an increasing focus in European policymaking on migration in their external policies, notably in West Africa. The first common framework on migration cooperation with so-called “third countries” – outside the European Union (EU) – is from 2005, adapted in 2011 to the Global Approach to Migration and Mobility (GAMM). One of the major outcomes of the GAMM was the possibility of mobility partnerships, which aim to improve direct coordination on migration, including legal pathways but also returns. The EU signed three out of nine such partnerships with African countries, namely Cape Verde (2008), Morocco (2013), and Tunisia (2014). Another format, with less commitment, but to signal a wish to advance cooperation on migration in the long run, was added through the Common Agenda for Migration and Mobility. To date, only two such agreements exist, both in Africa, namely in Nigeria and Ethiopia (both signed in 2015). From the onset of the so-called "migration crisis" in Europe, the cooperation attempts gathered even more speed. By the summer of 2015, an unexpectedly high number of refugees and other migrants arriving in the EU led to newfound urgency in migration cooperation partnerships with third countries, especially in Africa. According to figures from the United Nations High Commissioner for Refugees (UNHCR), 1,032,408 refugees and other migrants arrived via the Mediterranean in 2015,with3,771reportedasdeadormissing(UNHCR,2021b).Bytheendofthesame year, the very first summit between African and European heads of state dedicated to migration took place in Valetta, Malta. At the summit, an EU Emergency Trust Fund for Stability and Addressing Root Causes of Irregular Migration and Displaced Persons in Africa (EUTF for Africa) was launched. By 2021, when it formally ended, though projects are still running, it was worth nearly €5 billion, funded mostly from EU development funds (88%), in addition to contributions from EU member states (EU, 2020). The EUTF was not renewed after 2020 and has been replaced by the EU Neighbourhood, Development and International Cooperation Instrument (NDICI) (for a critical discussion, see Pope and Weisner, 2023). Not long after the launch of the EUTF, in 2016, the New Partnership Framework on Migration with Third Countries (NPF) was launched, in which all priority countries, chosen as a starting point for partnerships were in Africa (namely Ethiopia, Mali, Niger, Nigeria, and Senegal). The NPF aimed to create more tailored approaches through migration compacts, including migration policies addressing areas like aid, trade, energy, and security. Throughout all these policy initiatives, European interest in migration governance centers on regulating migration flows
  • 13.
    11 in the regiongenerally and stopping irregular migration to Europe in particular. This interest is pursued through institutional and legal capacity building on issues such as “smuggling” persons, human trafficking, border control, and (forced) return cooperation. All these interests were supported by the EUTF projects that seek to address the “root causes” of migration, including lack of employment and conflict. In West Africa, migration has both historically and post-independently been of vital importance to the region for regional development – for example, both Nigeria and Senegal have enshrined the right to migrate in their constitutions. Yet, the topic has also previously received little political attention, perhaps with the exception of periods of mass expulsions of immigrants from the region up to the 1980s, for example, in Nigeria and Ghana (Okyerefo and Setrana, 2018). This is because there is an everyday lived reality of migration that does not necessitate further policy development on migration governance (Arhin-Sam et al., 2022). Yet, as will be further explored below, the region has not been left untouched by the heightened attention and funds for migration policy development. In recent years, much has been written about the effects of European externalization policies in West Africa (Cham and Adam, 2021; Frowd, 2020; Jegen, 2023; Mouthaan, 2019; Opi, 2021; Strange and Oliveira Martins, 2019; Vives, 2017). Yet, what about other forms of migration and mobility in the region? What happens to West African policy interests in migration despite external influence from a very powerful actor? A small but growing body of research has started pointing to the agentic role of Global South states in migration governance (Fiddian-Qasmiyeh, 2020; Gazzotti et al., 2023; Zanker, 2023). The literature argues that despite the constraints and external influence from more powerful actors, like the EU, states are still managing to carve out their own responses – be it creatively or otherwise (El Qadim, 2014; Kandilige et al., 2023; Zanker and Altrogge, 2022). More than mere “passive recipients” of external policies, West African states show their domestic interests in pursuing certain migration policies – including the importance of remittances (e.g., Mouthaan, 2019), domestic legitimacy (Altrogge and Zanker, 2019), and how domestic interests interact with external interests (Adam et al., 2020; Frowd, 2020). Others have focused more on the micro-level adaptation to externalization responses (Deridder et al., 2020). What these critical works have in common is that they largely focus on the type of migration that is relevant for European stakeholders: irregular migration to Europe. While the amount of time, effort, and money that has gone into this objective no doubt has a political effect for countries in West Africa, there are also other forms of migration that play a role in the region. This includes involving diaspora abroad, which plays a significant role for the development of the countries in question, not least through their financial remittances (addressed by some; see, Adam et al., 2020; Mouthaan, 2019). Notwithstanding such diaspora interest, the current body of work does not engage with other forms of migration, such as the political dynamics of regional mobility (Okyerefo and Setrana, 2018) or the significant populations of displaced people. As of April 2024, there are 13.7 The Political Priorities of Migration Policies in West Africa
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    12 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 million forcibly displaced and stateless persons in West and Central Africa, including 8 million internally displaced persons (IDPs) (UNHCR, 2024). This paper seeks to consider the place of migration to Europe for West African governments in relation to other forms of politically relevant mobilities. Taking 2019 as a snapshot year for migration governance in the region (when the EU interest was at a peak and a first wave of EUTF projects were being implemented), the paper highlights how other forms of migration policymaking were also important for gaining political capital for countries in the region. In particular, this includes diaspora relations (top priority in Nigeria and Senegal) as well as humanitarian protection of displaced persons, which was second and third political priority in Niger and Nigeria, respectively. By showing the political capital related to migration policies varied, even in this year of massive EU interest in irregular migration, showcases the agency of Global South states in prioritizing their own interests when it comes to migration policymaking and that mobility speaks to a whole range of interests that go far beyond those making their way to Europe. In the first part, the paper introduces the influence of the European agenda on migration, to explain the high prioritization of irregular migration for many countries. The second part demonstrates that despite this influence, there are still West African interests when it comes to migration governance, including those related to development interests as well as protecting displaced people. The interests are not straightforward and go in different directions but highlight the importance of other forms of migration. The third section summarizes the different migration policy priorities for 2019 in Niger, Nigeria, The Gambia, and Senegal, highlighting that states consider various interests when looking at migration, which go far beyond irregular migration. A concluding section sums up the overall priorities, as well as notes the overall non-political nature of migration governance in the region. METHODOLOGY The paper draws on a research project on the political economy of migration governance in Nigeria, Niger, The Gambia, and Senegal, carried out in 2019. These four countries are all important source and transit countries of migration toward Europe, as well as playing a prominent role in regional migration. Moreover, the fact that the study includes both Anglo- and Francophone contexts as well as countries with varying sizes in population, is an indication of different types of political interests and stakes. They thus provide an interesting snapshot for balancing political priorities. The project was conducted in 2019 and this is also the time frame for the migration policy priorities under review. At the time, the European interest in trying to influence West African migration policies was at a peak, with many EUTF projects unfolding and intense political activities taking place to develop migration policies in Senegal, The Gambia, and to a lesser degree, in Niger. For the research project, the research team conducted fieldwork in different localities in all four countries:
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    13 Niamey, Abuja, Lagos,Benin City, Banjul, Dakar, and Tambacounda (and a small number of interviews in different European cities) and included interviews with 133 policymakers, politicians, civil society activists, and academic experts. The interviews generally asked about migration policies in the country, to understand how European-influenced agenda-setting compares to own interests in migration governance. The research design was participatory and resulted in open-access country case-study reports that were peer reviewed, mostly by experts from the countries themselves. The project team also presented the findings at dissemination events for further feedback and revisions in Abuja, Banjul, Niamey, and Dakar. Furthermore, we discussed our findings with academics and civil society activists from the four participating countries at a workshop in Accra during 2019. The paper draws on insights from these interviews, the reports from the project (Altrogge and Zanker, 2019; Arhin-Sam, 2019; Jegen, 2020a, 2020b), as well as an analysis of policies, reports, and newspaper analysis from the period under review.2 Regardingmigrationpolicies,thispaperacknowledgesthatacleardelineation between various definitions of movement at best obscures overlapping motivations and consequences and at worst speaks to certain political interests (see, e.g., Erdal and Oeppen, 2017; Mourad and Norman, 2020). However, states label a certain type of movement (and act on it) for a variety of reasons. Even if this does not speak to a clear-cut motivation, legal status, or journey of people on the move, it speaks to a policy agenda. Thus, the paper considers five types of migration policies. First, “irregular migration,” depicting policymaking around migration from West Africa to Europe affected by European policy interests. Second, “diaspora relations,” which include interests around remittances, “brain drain” and “brain gain” as well as migration-for-development discussions. Third, what I term “ECOWAS immigration,” includes interests related to regional labor migration, as well as tensions between migrant communities and political scapegoating in times of economic downturn within the region. Fourth, “displacement” concerns policymaking around internally displaced persons (IDPs). Fifth, “refugee hosting” considers policies related to refugees in the country. European influence on migration governance in West Africa: “Who pays, commands” No doubt, the increased interest by the EU and its member states has had a growing influence on migration governance in West Africa (Adam et al., 2020; Arhin-Sam et al., 2022; Jegen, 2023; Kandilige et al., 2023). The paper shows the prioritization of irregular migration policies for African states due to the influence and pressure from the EU. 2 I have included fieldwork data from Judith Altrogge (Gambia 2017, 2019), Kwaku Arhin-Sam (Nigeria, 2019) and Leo- nie Jegen (Niger, Senegal in 2019) in this paper, carried out in the framework of two projects under my supervision. These are a pilot study on the political stakes of migration governance in The Gambia (in 2017) and the project “The Political Economy of West African Migration Governance” (WAMIG), which was conducted as part of the Mercator Dialogue on Asylum and Migration (MEDAM) in 2019, funded by the Ministry for Science, Research and the Arts of Baden-Würt- temberg and the Mercator Foundation, respectively. My thanks to my project team for their hard work and collegiality. Thanks also to the reviewers for comments on earlier versions. All errors remain my own. The Political Priorities of Migration Policies in West Africa
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    14 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 The increased European interest and influence on African migration governance have affected the agenda setting in the region, dictating the priorities of migration policies. Increasing development aid for migration-related purposes makes it lucrative for governments to cooperate with the EU and its European interests. Taking the case of Senegal, our interviews showed wide agreement among respondents on competing for leadership in the field of migration governance on the political, institutional and civil society levels. More generally, there is a fragmented institutional landscape in which actors operate with partially overlapping and unclear mandates. This itself may make the determination of the best project partner for external partnerships difficult and has in part contributed to particular initiatives failing in their full implementation (Vives, 2017). It also leads to inter-institutional competition, which includes, for example, the development of the National Migration Policy (NMP) in Senegal. This competition is likely to be partly linked to the funding such development projects bring. One implementing actor commented in an interview: “Everyone wants to lead the projects, but why? Because of resources, it’s very simple, it’s nothing but a question of resources” (Interview, Dakar, July 2019).3 In the case of the NMP, a civil servant further noted: “The problem is that when the donor arrives, a competition is created” (Interview, Dakar, July 2019).4 The funds also affect the agenda of certain policy developments. While diaspora migration is a key interest of Senegalese policymakers, European donors have made irregular migration an increasingly important issue in the Senegalese context. As a result, dealing with irregular migration becomes the priority, to which one interlocutor, a civil society activist, noted, “Who pays, commands,” highlighting the continuing asymmetric dependencies between European and African states (Interview, Dakar, July 2019; Jegen and Zanker, 2019; Mouthaan, 2019; Vives, 2017).5 The influence of external actors on agenda-setting can further be exemplified by the NMP in Senegal. According to our interviewees, the initiative to elaborate the policy did not come from a high political level but from civil servants. This was done without the initial permission from a higher level, which was only granted once the funding was secured. The formulation of the document took place in the framework of an interministerial committee that was coordinated by the Ministry of Economy, Planning and Cooperation and financed by the International Organization for Migration (IOM). This raises questions about the exact (political) ownership of policies elaborated, given that the initiative to draft the policy may not have derived from a political priority but rather a funding possibility (see also, Camara, 2022). This may also explain why political adoption of the policy dragged on, even making EU budgetary support conditional upon the adoption of the policy, has so far proved unsuccessful (a National Strategy to Combat Irregular Migration was passed in 2023). A civil society actor stated that donors also have an impact on the policy 3 Original : « Chacun veut piloter; mais pourquoi? A cause des ressources [financières], c’est très simple! Ce n’est rien d’autre qu’une question de ressources. » Translation by author. 4 Original : « Mais le problème est que quand les bailleurs arrivent, une compétition se créée. » Translation by author. 5 Original : « Qui paie command. » Translation by author.
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    15 content, for example,making border control a key issue. It is also notable that once the NMP was technically validated, a “lobbying” process followed to push for the adoption of the policy at the political level. While the political approval of the NMP only passed in late 2023, with no official declarations, the EU commenced funding the implementation of some of the policy’s proposals and exerted pressure for its implementation much earlier. Another illustration of undue influence on the migration agenda comes from Niger, a major country of interest due to its “transit” position to countries like Algeria and Libya, the final places for refugees and other migrants on their way toward Europe. The interest and focus on Niger have resulted in much funding for the country – by 2021, the end-period of the EUTF, there were 15 projects under the EUTF for Africa, amounting to over €272 million in development funds. The focus of many of these projects, as well as related ones on “anti-smuggling,” including the 2015 anti-smuggling law, has been widely discussed by a number of scholars (e.g. Frowd, 2020; Jegen, 2020a). Less known is the influence at a broader, more general level of migration policymaking. The EU quickly focused on funding the development of the National Strategy to Counter Irregular Migration, tied to the anti-smuggling law. In a record time of under a year, the International Centre for Migration Policy Development (ICMPD) drafted the strategy. This stands in strong contrast to the NMP. Niger launched its Interministerial Commission on Migration (Comité Interministériel Chargé de l’élaboration du Document de Politique Nationale de Migration – CIM) to develop an NMP already in 2007. For numerous reasons, mainly financial, but also due to a lack of strong leadership, this process was put on hold in 2014. The NMP process was only re-launched in 2017 with financial and technical support from the German development agency GIZ (Deutsche Gesellschaft für Internationale Zusammenarbeit). Besides the emphasis placed on specific interests (e.g., anti-smuggling in Niger, to stop persons moving beyond the Nigerien borders), the frameworks also limit the involvement of a wider section of the Nigerien community. Two civil society actors were closely involved in the CIM process, in addition to the national human rights council. The GIZ notes that this civil society involvement resulted in the founding of a Migration, Development, Human Rights network (Réseau Migration–Développement–Droits Humains – REMIDDH) in Niger (GIZ, 2017). A new national policy on migration 2020–2035 was adopted in September 2020. Yet, some interlocutors decried the political nature of inclusion in the consultation framework. Accordingly, only those civil society actors that reinforced a security-focused approach to migration governance were given a space to discuss and contribute to the new migration policy (see also, Jegen, 2023). In sum, the European agenda influences African policy development, excluding more critical voices that follow different interests. Yet, this Europeanized agenda pushing the interests with regard to irregular migrants to the forefront tells only part of the story. The Political Priorities of Migration Policies in West Africa
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    16 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 WEST AFRICAN POLITICAL INTERESTS IN MIGRATION GOVERNANCE Despite the European influence on West African migration governance, there are also national or regional political interests that come into play when considering migration governance (see also, Adam et al., 2020; Mouthaan, 2019; Zanker, 2023). Unsurprisingly,thesearenotstraightforwardinterestsandoftenstandincontradiction to each other but highlight that these countries also follow their own interests when it comes to migration policymaking. These interests include, broadly speaking, development interests – that play a role in diaspora and immigration governance – and humanitarian concerns, which primarily affect the protection measures toward refugees and internally displaced people. These are discussed in turn. Development interests: Diaspora and immigrants An important interest for African states in relation to migration is linked to remittances. These come from both within the region, where most migration occurs, as well as beyond. Remittances, especially those from abroad, make up a substantial part of local economies. For example, personal remittances made up 15.5% of The Gambia’s gross domestic product (GDP), 21.5% of Lesotho’s, and 34.4% of South Sudan’s in 2019 (World Bank, 2020). Due to this, the African Union (AU) has recognized the diaspora as the sixth “area” of Africa. The significance of remittances is reflected in the efforts at prioritizing diaspora relations in migration governance. For example, remittances to Nigeria continue to exceed official development assistance and foreign direct investment. Nigeria is the largest remittance recipient country in sub-Saharan Africa. By 2018, the country received more than US$ 24.3 billion in official remittances (an increase of $2 billion from 2017), representing 6.1% of Nigeria’s GDP (World Bank, 2019). Considering the huge impact of remittances, it is unsurprising that the Nigerian government’s priority clearly lies with diaspora migration policies (Arhin-Sam, 2019). Overall,Nigeriahasbeenactiveinitsmigrationpolicydevelopmentatleastsince2014, including an NMP from 2015, strategies on labor migration and diaspora matters, and a coordinating framework to further reform migration governance. The most pro active policies by far are the diaspora policies, which are far-reaching and include an office assisting the president on diaspora affairs, a senate committee on diaspora matters, a diaspora commission, and strong support for the Nigerians in Diaspora Organization. There are ongoing plans to set up a government-owned money transfer system for Nigerians abroad. As a diaspora representative noted, “Diasporas have a political stake in the affairs of Nigeria” (Interview, Hamburg, February 2019). This focus on diaspora is clearly prioritized over European interests in migration cooperation with the country. A substantial portion of funding for governing irregular migration in Nigeria comes from development partners and particularly the EU. Migration-related projects funded by the EU and member states in Nigeria have focused for the most part on irregular migration, trafficking, return,
  • 19.
    17 and reintegration. Thelow interest of the Nigerian government to work on this issue is mirrored by the funds provided. For example, the government reduced the annual funding of the primary agency for combating human trafficking and smuggling (NAPTIP) between 2015 and 2016 (see also, Arhin-Sam, 2019). In a similar manner, immigration is relevant as a political priority. Regional migration makes up around 80% of emigration from West Africa (Okyerefo and Setrana, 2018). This openness is also linked to a general culture of hospitality in the region. One localized version, summed up under the Wolof term, is Teranga (spoken in Senegal and The Gambia), which means a welcoming nature and hospitality (Gasparetti, 2011). As a Senegalese government official noted, “We are a country of teranga,it’snatural,it’sreallythispolicyofopennessthatwe’vehadsinceourancestors” (Interview, Dakar, August 2019).6 To a degree, the regional mobility is something that just happens and is not politically prioritized, “Immigrant communities in Lagos are very active … but they have no political stakes” (Interview with government official, Lagos, April 2019). However, it is also something that can be celebrated, like a “Senegambia Free Movement Day” that was implemented in The Gambia as “a kind of a celebration on ECOWAS Protocol,” according to a government official in The Gambia (Interview, Banjul, May 2019). A Senegalese counterpart noted, “We have no negative fixation on one aspect or another of the migration issue. This project [the planned NPM] is a policy that promotes both emigration and immigration, because the vision is positive by nature” (Interview, Dakar, July 2019).7 Despite this – and notwithstanding that regional mobility also adds to the remittances and therefore development potential in the region – immigration is also a topic that provides political capital through exclusion. Economic downturns have historically been met by exclusionary rhetoric toward immigrants as a threat to the local labor market. Migrants are scapegoated for economic and social challenges rather than the government addressing corruption, mismanagement, or other causes for such issues (Akinola, 2018). One of the first supplementary protocols to the Free Movement Protocols from 1979 contained additional stipulations for “illegal immigrants,” that is, “any immigrant citizen of the Community who does not fulfill the conditions stipulated in the different protocols.” This protocol came at a time when several countries throughout the region were expelling citizens from other Economic Community of West African States (ECOWAS) countries in response to economic downturns. For example, in the infamous “Ghana must go” campaign in Nigeria in 1983, over two million Ghanaians in Nigeria were affected by mass expulsions (Ikuteyijo and Olayiwola, 2018). This was no unique incident, but expulsions also took place from Ghana (1954 and 1969) and Côte d’Ivoire in 1958 (Tonah et al., 2017). Even today, this exception for “inadmissible immigrants” is applied as a matter 6 Original « Nous sommes un pays dit de la TERANGA… C’est naturel, c’est vraiment cette politique d’ouverture que nous avons depuis nos ancêtres. » Translation by author. 7 Original « C’est pour vous dire qu’on n’a pas un point de fixation négative sur un aspect ou autre sur la question mi- gratoire. Ce projet est une politique qui donne de l’intérêt aussi bien à l’émigration qu’à l’immigration parce que la vision étant par nature positive. » Translation by author. The Political Priorities of Migration Policies in West Africa
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    18 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 of routine across the region (Hamadou, 2020). One of our interviewees working for an international organization in The Gambia told us, “I think there is a previous misunderstanding of ECOWAS Free Movement Protocol. Just because they have them in place, does not mean that you don’t need to check the entry and exit records of people who are moving across borders” (Interview, Serrekunda, April 2019). This highlights that at least for some, the free circulation of movement in the region is also subject to securitization and checks. The security situation, in particular in the Sahel, has also led to an increasing salience of controlling immigration to be able to control terrorist organizations that are active across borders. Similarly, Aly Ngouille Ndiaye, the Senegalese Minister of the Interior, noted in 2019 that security questions necessitate having better information of who is in the country: “By putting this system in place, we will know, as all countries do, who is in our country. Because we don’t know right now” (Mine, 2019).8 Political capital can be drawn from excluding immigrants and controlling immigration for economic and security reasons. In this regard, immigration in the region, while important for regional development (Okyerefo and Setrana, 2018), is increasingly receiving (negative) political attention. This can be linked to economic protectionism and to securitization; thus, reduced mobility in the region cannot merely be explained by European influence in trying to reduce irregular migration. Beyond remittances and development (as well as a degree of political curtailment of immigration), the protection of migrants and displaced persons is also of political interest in the region. Protection interests: Humanitarian narratives and hosting displaced persons There is a widespread humanitarian concern for migrants on the move, and this is often repeated in political statements and speeches. Hosting displaced persons – both IDPs and refugees – does, however, also have political implications. In 2014, Yahya Jammeh, former president and dictator who brutally ruled The Gambia for over two decades, gave a speech at the United Nations (UN) General Assembly in which he argued that Westerners were racist and inhumane and that they were “deliberately causing boats carrying Black Africans to sink, only to select a few lucky ones to be rescued and sent to concentration camps, called Asylum Seekers’ Camps [sic]” (Hultin and Zanker, 2019). Though his own human rights records and protection of Gambian citizens were disastrous, the resonance of his provocative statement continues to this day. The danger of traversing various routes toward Europe has, if anything, worsened (UNHCR, 2021a). In response to an incident off the coast of Mauritania in 2019, current President Barrow said: “To lose sixty young lives at sea is a national tragedy and a matter of grave concern to my government” (Shaban, 2019). Similar sentiments were also expressed by a government representative in The Gambia, who noted in relation to migrants who are returned to The Gambia, 8 Original : « En mettant en place ce système, nous saurons, comme tous les pays le font, qui est chez nous. » Translation by author.
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    19 “[While I acceptthe] need for deportation, the question is how… some of them … are inhumane. You cannot treat humans like that. It has to follow a process. Give them the dignity to the human being” (Interview, Banjul, May 2019). The release of news channel CNN’s footage of African migrants and refugees being auctioned off in slave markets in Libya in November 2017 marked a major turning point, as outrage unfolded across the continent (Cascais, 2017). Coinciding with the EU–Africa Summit in Abidjan, also in November 2017, the footage revealed the plight of African migrants to many governments. The revelations led Burkina Faso to recall its ambassador to Libya, and Niger to summon the Libyan ambassador for talks. In Senegal, the chargé d’affaires of the Libyan Embassy in Senegal was summoned by the Foreign Minister, “to notify him of the ‘profound indignation’ of President Sall over the sale of Sub-Saharan African migrants on Libyan soil” (Bodian, 2018: 168). Furthermore, the International Organization for Migration (IOM) began to airlift migrants out of Libya, and countries like Nigeria also repatriated its citizens (Arhin-Sam, 2019; see also, Mouthaan, 2019). Another example of humanitarian interest is the Nigerien anti-smuggling law of 2015, which tries smuggling of migrants to Libya by further criminalizing the popular transportation business. By many accounts, the law was introduced in response to European pressure and funding (Frowd, 2020; Jegen, 2020a; Molenaar, 2017). But the very same law has also been shrouded in a humanitarian discourse by the Nigerien government, as a measure to protect migrants, referring to a tragedy in 2013, when a group of over 90 abandoned migrants died in the desert (Jegen and Zanker, 2019; see also, Lambert, 2020). Thus, although humanitarian concerns are by no means the sole priority, it is a political narrative that was relevant to leaders across the region. A Nigerien government official stated in an interview with us that Niger is “always a country of welcome, where we give hospitality to the people” (Interview, Niamey, March 2019).9 Hosting IDPs and refugees is also increasingly relevant in the region. While in 2009 there were 149,000 refugees and 500,000 IDPs, a decade later, the number of refugees had nearly quadrupled to 394,796 and the IDP figures were more than six times higher at 3,155,465 (UNHCR, 2010, 2021c). Refugee rights in the region are strong – they are protected mostly with prima facie recognition due to the 1969 Organisation of African Unity (OAU) Refugee Convention. Nonetheless, refugees and IDPs are not always fully protected. Niger faces a huge humanitarian situation with many IDPs due to the conditions in the Sahel (drought and excessive rain), terrorist conflicts, and thus, according to a Nigerien government official, “We are facing all possible risks; we have opened our borders to displaced populations and all the West African migrants” (Interview, Niamey, March 2019).10 Given the structural problems the country has to deal with, displacement and stark humanitarian situations have made the problem of displacement a priority for the country (Jegen, 2020a). 9 Original « Toujours un pays d’accueil où nous donnons l’hospitalité aux gens. » Translation by author. 10 Original « Nous faisons face à tous les risques possibles ; nous avons ouvert nos frontières aux populations déplacées et à tous les migrants d’Afrique de l’Ouest. » Translation by author. The Political Priorities of Migration Policies in West Africa
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    20 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 This scenario notwithstanding, states also politically contest protection measures, which are still considered a political priority, albeit in a different way. In Niger, the recent arrival of more Sudanese refugees has sparked strong contestation. The government and regional authorities view the arrival of Sudanese with suspicion, characterizing them as “criminals,” “fighters,” and “possible members of armed groups in Libya” (Lambert, 2020; Tubiana et al., 2018). As noted in one of our interviews, “In regard to the Sudanese, the people that come from other countries, maybe their practices are not well seen in the country,” which “poses problems of social cohesion” (Interview, International Organization, Niamey, March 2019). The Nigerien government certainly displayed reluctance to protect Sudanese refugees. In 2018, they deported 135 Sudanese asylum seekers back to Libya, which amounted to a breach of the non-refoulement principle (Lambert, 2020). The UNHCR had to lobby the Nigerien government to allow for the registration of Sudanese asylum seekers in the first place and to accept the opening of the humanitarian center outside the city of Agadez, which could host them (ibid). The Nigerien government has demanded the resettlement of Sudanese refugees and more aid to deal with the situation. Some respondents highlighted that a few resettlements took place. Living conditions in the humanitarian center are dire, with a lack of education, healthcare facilities, and security (Reidy, 2019). The unacceptable behavior toward Sudanese refugees and asylum seekers is evident in scapegoating them for potential job losses and causing other immigration-related tensions. They have become a target for exclusion, mainly because they do not come from the region (Jegen, 2020a; Lambert, 2020). An inverse political interest is seeking to repatriate refugees from another context in order to highlight the strength of the country. For example, the repatriation of Nigerian refugees in Cameroon back home by the Nigerian government is a sign of improved security in Nigeria, even if this comes at the cost of refugee protection. To highlight their own stability, the government has tried several times to repatriate Nigerian refugees within the Lake Chad Basin. It was politically preferable to repatriate Nigerian refugees, bring them into IDP camps, and label them as IDPs to avoid the embarrassment of having refugees abroad. As argued by Whitaker (2017), it is often in the interest of states to label migrants as “migrants” rather than “refugees,” since the producing states can avoid political embarrassment and receiving states can avoid providing them with the refuge they seek. However, even in the migrants’ home countries, the governance of IDPs can signal certain political interests. In Nigeria, for example, the IDP situation is of importance due to the personal connection the (now former) President has to the region of displacement. According to one interlocutor working for a research organization, “They [northerners] are his [then President Buhari] people. He understands that context better than the irregular migration in the south, which is in the interest of the EU to stop it” (Interview, Abuja, April 2019). For a policy consultant, this means: “They [the government] are more interested in the IDP issue than in the rising scale of irregular migration” (Interview, Abuja, April 2019). This implies that the President is “spending a lot of political capital
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    21 in the northon the plight of the IDPs” (Interview, researcher, Abuja, April 2019). Notably, former President Buhari also politically instrumentalized IDPs to show military strength, especially in the ongoing military operation against the terrorist group Boko Haram (Arhin-Sam, 2019), not least to fulfill his political promises. During the 2015 election, after Goodluck Jonathan’s administration had exhausted all means of defeating Boko Haram, the then-presidential candidate Muhammadu Buhari, who is also a former military man, campaigned heavily on having what it takes to defeat Boko Haram and stabilize the region. However, after four years and the rising number of IDPs, the situation continues to put political pressure on the government (Carsten and Kingimi, 2018). Considering the rising numbers of IDPs, dealing with IDPs has become a major feat to show military strength. Thus, Buhari declared the northeast region to be in a “post-conflict stabilization phase” in June 2018 (Arhin-Sam, 2019). In the same month, the army asked 2,000 IDPs to return to their home district of Guzamala, adding to the 1,200 IDPs who were also asked to return to the city of Bama in Borno state in April 2018 (Orji, 2018; Urowayini, 2018). Many international actors, including the UN, criticized these desperate political moves, noting the volatile situation of the region in the face of intensified bombings by Boko Haram. This shows that protection interests are diverse and contested, but all the same are a significant political priority often overlooked. MIGRATION POLICY PRIORITIES The paper shows what effects external interests from the EU and their member states can have on agenda setting. However, using 2019 as a snapshot, it shows that interests in migration policies are numerous and states have their own interests, and even different priorities. The external push to adopt and implement measures targeting irregular migration toward Europe resulted in “irregular migration” becoming a top priority in Niger and The Gambia in comparison to other mobility-related policy issues; “irregular migration” emerged as the second priority in Nigeria and Senegal (see Figure 1). The Political Priorities of Migration Policies in West Africa
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    22 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 Figure 1: Migration Policy Priorities in Nigeria, Senegal, Niger and The Gambia Source: Author's own elaboration As shown, however, other interests like development and humanitarian concerns also play a role. Diaspora relations are top political priorities in Nigeria and Senegal – at least during the research phase in 2019 – and the second priority in The Gambia.11 Regional mobility, in what I termed “ECOWAS immigration,” was the third priority in Niger and Senegal in 2019, fourth in The Gambia, and last in Nigeria. This highlights that at least in 2019 not much capital was made out of it and shows the non-political nature of mobility. For Niger, displacement was a second priority in the country, unsurprisingly, given the high number of displaced people at the time, and third in Nigeria, for similar reasons and as explained above. On the whole, “refugee hosting” was a relatively low priority for the countries in question. The order of priorities – based on our research and interviews – shows a rough estimation of how different countries in the region politically prioritize migration governance. It is perhaps no surprise that the smaller countries are seemingly more influenced by external agendas (The Gambia and Niger) and 11 Since there are very few Nigeriens abroad and the diaspora community is rather small, this was a very low priority for the Nigerien government. Nigeria diaspora relations irregular migration IDPs refugee hosting (ECOWAS) immigration Senegal diaspora relations irregular migration (ECOWAS) immigration IDPs refugee hosting Niger irregular migration IDPs (ECOWAS) immigration refugee hosting diaspora relations The Gambia irregular migration diaspora relations refugee hosting (ECOWAS) immigration IDPs
  • 25.
    23 the larger countriesprioritize diaspora relations (Senegal and Nigeria). Perhaps it is also telling that regional migration is politically more prominent in the two francophone countries. Regional migration is safeguarded not only through the ECOWAS Free Movement Protocols but the West African Economic and Monetary Union (WAEMU), comprising the eight states that share the Franc CFA currency to have their own rules on free movement. This may have strengthened the political importance of regional free movement. CONCLUSION: MIGRATION AS A WAY OF LIFE The influence on migration priorities has been problematic in many different ways, widely documented in a growing literature (see, e.g., Barry, 2023; Camara, 2022; Deridder et al., 2020; Jegen, 2023; Opi, 2021). One of the most significant examples of this was the Nigerien 2015 anti-smuggling law. One of our interviewees noted: “In the moment when there is no migration, the whole region has a problem” (Interview, civil society activist, Niamey, March 2019).12 Fast forward to 2024, and there has been a series of coups across the region, and Niger, among other countries, has withdrawn from ECOWAS and abrogated the controversial 2015 law. How migration priorities will develop in the future, is yet to be seen. It is relevant to note that for governments in the region, migration and mobility are traditionally not a significant political topic. In other words, it is so central to governments and their citizens that it is not politically questioned. In other words, despite more recent framing, migration and mobility are generally not considered a threat or problem in the West African context, but rather are considered a common partofeverydaylife.Cross-bordermobilityisveryestablished,withregionalvariations on the freedom of movement, and includes non-formalized border crossings (see Okyerefo and Setrana, 2018). Indeed, it is in part remarkably normalized due to high informal border crossing that transforms determined territorial borders into artificial borders, dividing communities who maintain close social, economic, and cultural cross-border ties (Arhin-Sam et al., 2022). The lack of prior political attention to migration governance becomes most evident when we consider that in Nigeria, Niger, The Gambia, and Senegal an NMP wasonlydevelopedandintroducedfollowingexternalfundingfortheseschemesfrom the EU and their member states. The juxtaposition of lack of policy implementation and an everyday lived reality of mobility comes across clearly, considering the ECOWAS framework. As one Nigerien interlocutor told us, “Migration is a tradition; it is a way of life”13 (Interview, Niamey, March 2019). This way of life is a fundamental aspect to understanding where political priorities in migration governance may lie. 12 Original : « Au moment où il n’y a pas de migration, toute la région a un problème. » Translation by author. 13 Original : « La migration, c’est une tradition; c’est une mode de vie. » Translation by author. The Political Priorities of Migration Policies in West Africa
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    24 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 REFERENCES Adam, I., Trauner, F., Jegen, L. and Roos, C. 2020. West African interests in (EU) migration policy: Balancing domestic priorities with external incentives. Journal of Ethnic and Migration Studies, 46(15): 3101–3118. https://doi.org/10 .1080/1369183X.2020.1750354. Adepoju, A. 2003. Migration in West Africa. Development, 46(3): 37–41. Adepoju, A. 2011. Reflections on international migration and development in sub-Saharan Africa. African Population Studies, 25(2): 298–318. https://doi. org/10.11564/25-2-233. Akinola, A.O. 2018. Introduction: Understanding xenophobia in Africa. In A.O. Akinola (ed.), The political economy of xenophobia in Africa, 1–9. Cham, Switzerland: Springer. Altrogge, J. and Zanker, F. 2019. The political economy of migration governance in the Gambia. Freiburg: Arnold Bergstraesser Institute. https://www.arnold- bergstraesser.de/sites/default/files/medam_gambia_report_altrogge_ zanker.pdf. Arhin-Sam, K. 2019. The political economy of migration governance in Nigeria. Freiburg: Arnold Bergstraesser Institute. Arhin-Sam, K., Bisong, A., Jegen, L., Mounkaila, H. and Zanker, F. 2022. The (in) formality of mobility in the ECOWAS region: The paradoxes of free movement. South African Journal of International Affairs, 29:187–205. https://doi.org/10.1 080/10220461.2022.2084452. Awumbila, M., Teye, J.K. and Yaro, A.J. 2017. social networks, migration trajectories and livelihood strategies of migrant domestic and construction workers in Accra, Ghana. Journal of Asian and African Studies, 52(7): 982–996. Barry, C. 2023. Externalisation et racisme en Afrique: Réflexions panafricaines. Plein Droit, 139: 39–42. Bodian, M. 2018. Senegal (Vol 14, 2017). In Mehler, A., Melber, H. and Van Walraven, K. (eds.), Africa Yearbook Volume 14: Politics, economy and society south of the Sahara in 2017. Leiden: Brill. https://brill.com/abstract/title/38125. Camara, N. 2022. Analyse critique du document de politique nationale de migration du Sénégal. Germany: Rosa Luxemburg Stiftung. Carsten, P. and Kingimi, A. 2018. As Nigeria elections loom, refugees ordered back to unsafe region. Reuters. https://www.reuters.com/article/us-nigeria- security/as-nigeria-elections-loom-refugees-ordered-back-to-unsafe-region- idUSKCN1LE18K. Cascais, A. 2017. Slave trade in Libya: Outrage across Africa. Deutsche Welle, 22 November 2017. https://www.dw.com/en/slave-trade-in-libya-outrage-across- africa/a-41486013.
  • 27.
    25 Cham, O.N. andAdam, I. 2021. The politicization and framing of migration in West Africa: Transition to democracy as a game changer? Territory, Politics, Governance, 11(4): 638–657. https://doi.org/10.1080/21622671.2021.1990790. Deridder, M., Pelckmans, L. and Ward, E. 2020. Reversing the gaze: West Africa performing the EU migration-development-security nexus. Anthropologie & Développement, 51: 9–32. https://doi.org/10.4000/anthropodev.938. El Qadim, N. 2014. Postcolonial challenges to migration control: French–Moroccan cooperation practices on forced returns. Security Dialogue, 45(3): 242–261. Erdal, M.B. and Oeppen, C. 2017. Forced to leave? The discursive and analytical significance of describing migration as forced and voluntary. Journal of Ethnic and Migration Studies, 0(0): 1–18. https://doi.org/10.1080/136918 3X.2017.1384149. European Union (EU). 2020. The EU Emergency Trust Fund for Africa. Brussels: European Commission. https://trust-fund-for-africa.europa.eu/index_en. Fiddian-Qasmiyeh, E. 2020. Introduction: Recentering the south in studies of migration. Migration and Society, 3(1): 1–18. https://doi.org/10.3167/ arms.2020.030102. Frowd, P.M. 2020. Producing the “transit” migration state: International security intervention in Niger. Third World Quarterly, 41(2): 340–358. https://doi.org/ 10.1080/01436597.2019.1660633. Gaibazzi, P., Bellagamba, A. and Dünnwald, S. 2017. Introduction: An Afro- Europeanist perspective on EurAfrican borders. In EurAfrican borders and migration management. Palgrave Series in African Borderlands Studies. Palgrave Macmillan, New York, pp. 3–28. https://doi.org/10.1057/978-1-349- 94972-4_1. Gasparetti, F. 2011. Relying on Teranga: Senegalese migrants to Italy and their children left behind. Autrepart, 57-58(1): 215–232. Gazzotti, L., Mouthaan, M. and Natter, K. 2023. Embracing complexity in “southern” migration governance. Territory, Politics, Governance, 11(4): 625–637. https:// doi.org/10.1080/21622671.2022.2039277. GIZ. 2017. Migration policy advice in Niger: 2017–2020. https://www.giz.de/en/ worldwide/58037.html. Hamadou, A. 2020. Free movement of persons in West Africa under the strain of COVID-19. AJIL Unbound, 114: 337–341. https://doi.org/10.1017/aju.2020.66. Hultin, N. and Zanker, F. 2019. Responding to the backway. In Fynn Bruey, V. and Bender, S.W. (eds.), Deadly Voyages: Migrant Journeys across the Globe. Rowman & Littlefield Publishers. The Political Priorities of Migration Policies in West Africa
  • 28.
    26 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 Ikuteyijo, L. and Olayiwola, P. 2018. Migration and xenophobia in Africa. In The Palgrave Handbook of African Politics, Governance and Development. Springer, pp. 307–319. Jegen, L. 2020a. The political economy of migration governance in Niger. Freiburg: Arnold Bergstraesser Institute. Jegen, L. 2020b. The political economy of migration governance in Senegal. Freiburg: Arnold Bergstraesser Institute. Jegen, L. 2023. “Migratising” mobility: Coloniality of knowledge and externally funded migration capacity building projects in Niger’. Geoforum, 146: 103862. https://doi.org/10.1016/j.geoforum.2023.103862. Jegen, L. and Zanker, F. 2019. European dominance of migration policy in Niger: “On a fait les filles avant la mère.” 2019/3. MEDAM Policy Brief. Kiel. Kandilige, L., Teye, J., Talleraas, C. and Gopsill, A. 2023. National and international migration policy in Ghana. EFFEXT background papers. Bergen: Chr. Michelsen Institute. https://www.cmi.no/publications/8795-national-and- international-migration-policy-in-ghana. Lambert, L. 2020. Who is doing asylum in Niger? State bureaucrats’ perspectives and strategies on the externalization of refugee protection. Anthropologie & Développement, 51: 85–101. Mine, D. 2019. “Pourquoi nous voulons ramener le visa pour les étrangers” [Why we want to bring back the visa for foreigners.] IGFM. https://www.igfm.sn/ Pourquoi-nous-voulons-ramener-le-visa-pour-les-etrangers. Molenaar, F. 2017. Irregular migration and human smuggling networks in Niger’. CRU Report. The Hague, Netherlands: The Clingendael Institute. Mourad, L. and Norman, K.P. 2020. Transforming refugees into migrants: Institutional change and the politics of international protection. European Journal of International Relations, 26(3): 687–713. Mouthaan, M. 2019. Unpacking domestic preferences in the policy – “Receiving” state: The EU’s migration cooperation with Senegal and Ghana. Comparative Migration Studies, 7(1): 1–20. Okyerefo, M.P.K. and Setrana, B.M. 2018. Internal and international migration dynamics in Africa. In Triandafyllidou, A. (ed.), Handbook of Migration and Globalisation. Cheltenham: Edward Elgar Publishing. Opi, B. 2021. Borders Recolonised: The impacts of the EU externalisation policy in Africa. Journal of Decolonising Disciplines, 3. https://doi.org/10.35293/jdd. v3i1.3718. Orji, S. 2018. Boko Haram – IDP returns and political calculations in Nigeria: Why are IDPs being urged to return to unsafe areas in Nigeria’s northeast? Aljazeera News, 4 July.
  • 29.
    27 Pope, S. andWeisner, Z. 2023. From development to deterrence? Migration spending under the EU Neighbourhood Development and International Cooperation Instrument (NDICI). Oxfam International. https://policy-practice.oxfam.org/ resources/from-development-to-deterrence-migration-spending-under-the- eu-neighbourhood-de-621536/. Reidy, E. 2019. One year after deportations, Sudanese left in Niger see no way out. The New Humanitarian, 7 May. https://www.thenewhumanitarian.org/ news/2019/05/07/deportations-sudanese-left-niger-see-no-way-out-migration. Shaban, A.R.A. 2019. Gambia probes “national tragedy” as 60 nationals drown in Mauritania’.Africanews,8December.https://www.africanews.com/2019/12/08/ gambia-probes-national-disaster-as-60-nationals-drown-in-mauritania/. Strange, M. and Oliveira Martins, B. 2019. Claiming parity between unequal partners: How African counterparts are framed in the externalisation of EU migration governance. Global Affairs, 5(3): 235–246. https://doi.org/10.1080/23340460.2 019.1691932. Tonah, S., Setrana, M.B. and Arthur, J.A. 2017. Migration and development in Africa: Trends, challenges and policy implications. Lanham: Lexington Books. Tubiana, J., Warin, C. and Saeneen, G.M. 2018. Multilateral damage. CRU Report. The Hague, Netherlands: Clingendael. https://www.clingendael.org/pub/2018/ multilateral-damage/. United Nations High Commissioner for Refugees (UNHCR). 2010. 2009 Global Trends: Refugees, asylum-seekers, returnees, internally displaced and stateless persons. UNHCR. https://www.unhcr.org/4c11f0be9.pdf. United Nations High Commissioner for Refugees (UNHCR). 2021a. Mounting death toll in the central Mediterranean calls for urgent action. UNHCR. 23 April 2021. https://www.unhcr.org/news/press/2021/4/6083054d4/mounting- death-toll-central-mediterranean-calls-urgent-action.html. United Nations High Commissioner for Refugees (UNHCR). 2021b. Mediterranean situation. Operational data portal. https://data2.unhcr.org/en/situations/ mediterranean. United Nations High Commissioner for Refugees (UNHCR). 2021c. UNHCR West and Central Africa update. https://reporting.unhcr.org/sites/default/ files/UNHCR%20West%20and%20Central%20Africa%20Regional%20 operational%20Update%20-%20December%202020%20-%20January%20 2021.pdf. UnitedNationsHighCommissionerforRefugees(UNHCR).2024.UNHCRWestand Central Africa update. https://reporting.unhcr.org/west-and-central-africa- forcibly-displaced-and-stateless-population-and-trends-2018-2023-6526. Urowayini, W. 2018. Boko Haram: 2000 IDPs return to Guzamala LGA to celebrate Eid-el-Fitr 6 years after – Army. The Vanguard, 17 June. The Political Priorities of Migration Policies in West Africa
  • 30.
    28 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 Vives, L. 2017. The European Union–West African sea border: Anti-immigration strategies and territoriality. European Urban and Regional Studies, 24(2): 209– 224. https://doi.org/10.1177/0969776416631790. Whitaker, B.E. 2017. Migration within Africa and beyond. African Studies Review, 60(2): 209–220. https://doi.org/10.1017/asr.2017.49. World Bank. 2019. World Development Indicators – DataBank. https://databank. worldbank.org/reports.aspx?source=2&series=BX.TRF.PWKR.DT.GD. ZS&country=#. World Bank. 2020. Annual remittances data. September. https://www.worldbank. org/en/topic/labormarkets/brief/migration-and-remittances. Zanker, F. and Altrogge, J. 2022. Protective exclusion as a postcolonial strategy: Rethinking deportations and sovereignty in the Gambia. Security Dialogue, 53(5): 475–493. Zanker, F. 2023. A typology of resistance: The “hot potato” of European return in West Africa. Territory, Politics, Governance, 1–20. https://doi.org/10.1080/216 22671.2023.2198579.
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    29 Dynamics of Protectionin a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime Gracsious Maviza1 and Divane Nzima2 Received 09 February 2024 / Accepted 09 July 2024 / Published 06 September 2024 DOI: 10.14426/ahmr.v10i2.2056 Abstract Zimbabwe has consistently experienced an influx of refugees despite its shrinking economy. This places a heavy burden on the state to provide social protection to refugees. There are limited studies that focus on the dynamics of refugee protection in resource-constrained countries like Zimbabwe, often characterized as being only immigrant-sending countries. We use data from 12 in-depth interviews with key informants to explore how the prolonged socio-economic crisis has impacted the state’s ability to provide social protection to refugees in Zimbabwe. The study also explores the relationship between the state and other stakeholders in hosting refugees in Zimbabwe. The findings suggest that socio-economic challenges in a shrinking economy affect the protection outcomes of refugees regardless of the presence of a robust refugee regime in the country. Keywords: migration, refugees, shrinking economies, social protection, COVID-19, Zimbabwe 1 Alliance of Bioversity International and CIAT and Department of Sociology, University of the Free State, South Africa. 2 Department of Sociology, University of the Free State, South Africa. Corresponding author  [email protected] Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
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    30 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 INTRODUCTION The number of refugees continues to increase globally. Much of the increase is attributed to pervasive persecution, conflicts, violence, human rights violations, and similar events that significantly disturb national and global peace and public order (UNHCR, 2021). According to the UNHCR (2023), these disturbances have seen the global statistics of refugees reaching 43.3 million by the end of 2023, registering a notable increase compared to numbers at the end of 2022. This increasing global challenge has become a significant strain on host countries, especially in light of the social protection mandate levied on host countries by the international protocols on refugees (Andrade et al., 2021; Kool and Nimeh, 2021). In international law, refugees have a legal right to flee from hostile and dangerous conditions and seek safety in any country where their rights will be upheld (Kool and Nimeh, 2021; UNHCR, 2021). In line with conventions and protocols on refugee governance, the host countries are responsible for protecting the refugees while they remain in their jurisdiction (Klaaren and Rutinwa, 2004). However, although refugees are a priority on the global agenda (Micinski, 2020), the issue of protection has become complicated (Kool and Nimeh, 2021; Seyfert and Quarterman, 2021). Much of the complication stems from the fact that many host governments that are supposed to receive these populations have reached elevated levels of fatigue. For example, in the Global South, countries such as South Africa, Uganda, and Zimbabwe continue to welcome refugees and asylum seekers while the opposite holds for countries in the Global North (Spiegel and Mhlanga, 2022). In the Global South, much of the influx is spurred by proximity to the countries with ongoing and increasing protracted conflicts, growing economic challenges, and the ever- tightening mobility restrictions to the Global North (Spiegel and Mhlanga, 2022). Host countries that would ordinarily welcome and host refugees gradually reach fatigue (UIA, 2020) due to the increased influx of people, a phenomenon that has been termed compassion fatigue (Raney, 2019). The willingness and capacity of Global North countries to assist, especially considering the current economic stagnation and the aftermath of the COVID-19 pandemic, have been intensely tested by the continued influx of refugees. Notably, the ever-increasing number of displaced persons seeking refuge in other countries has led governments in the West to devise policies that contain xenophobic connotations (Coen, 2021; Crawley, 2021). Some countries impose strict border controls that constrain the flow of refugees into their countries, most of which are contrary to the inclusionary fundamentals espoused in the Global Compact for Refugees (GCR) (Spiegel and Mhlanga, 2022). For countries in the Global South, such as South Africa, the fatigue and resentment have increased, as they are overwhelmed by the double burden of having to offer protection to their citizens and to the refugee populations (Spiegel and Mhlanga, 2022; Wamara et al., 2022). Given the economic crises typical of most economies in the Global South, the influx of refugees often triggers conflicts between host communities and refugee populations, as they compete for scarce resources. Hence, most countries have
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    31 resorted to theencampment policy to reduce conflicts (Spiegel and Mhlanga, 2022). In refugee protection, the encampment policy refers to a system where host countries accommodate refugees in refugee camps where there is little to no integration with host communities. Conversely, some countries, like South Africa, have devised immigration policies that allow refugees to reside within local communities and thus integrate with the local population. The fatigue in the Global North is epitomized by the now overturned multimillion-dollar deal recently signed between the United Kingdom (UK) and Rwanda (Kampmark, 2022; Limb, 2022; Oxford Analytica, 2022). The deal was a culmination of the UK’s plan to tackle the challenge of illegal migration by transferring irregular immigrants (arriving on small boats or smuggled in lorries) to Rwanda to process their asylum and refugee claims (Limb, 2022). According to officials from both countries, the deal was seen as a migration and economic development partnership (Soy, 2022). The former Conservative UK government had anticipated that it would be a move to eliminate the irregular migration syndicates involved in criminal smuggling. That policy sparked controversy because the refugees and asylum seekers whose claims were accepted would be resettled in Rwanda with the support of the UK government. Although other countries have made similar arrangements, for example, Australia and its offshore detention centers in 2001, as well as Israel and Denmark, accusations have been leveled against the UK. For instance, Limb (2022: 1) proffers that “the UK stands widely accused of trading refugees as commodities to a repressive state, trashing legal obligations, and undermining international protections of refugees.” Rights groups also criticized the proposed plans as irresponsible and inhumane because similar approaches implemented elsewhere have failed, leading to humanitarian catastrophes and loss of lives (Kampmark, 2022; Limb, 2022). Moreover, the UNHCR had also condemned the deal, noting that it “evades international obligations, and is contrary to the letter and spirit of the Refugee Convention” (UNHCR, 2022a). Deals such as the proposed UK–Rwanda scheme emanate from the challenges experienced by the host countries in offering protection to refugees. Besides the costs incurred, refugee protection is problematic, as it causes conflicts and resentment in communities (Neis et al., 2018). The increased competition for employment and services and the ever-increasing rent and food prices are significant drivers of increased tensions within host communities (Kool and Nimeh, 2021). Therefore, in most instances, the conflicts result from disgruntled citizens who view refugees as competitors who receive services and goods that locals do not receive. Thus, if the influx of refugees causes many challenges in these already established economies, the situation can only be worse in resource-constrained countries. Given the anti-refugee sentiments in the Global North, many non-European refugees and asylum seekers end up in neighboring countries that are resource constrained (Kool and Nimeh, 2021; UNHCR, 2021). This means that if refugees make their way to the nearest possible place, they will most likely end up in these Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
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    32 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 shrinking economies. This paper explores why refugees end up in these resource- constrained countries and addresses the critical question of protection dynamics in some of these countries with shrinking economies. Its main aim is to gain a theoretical grounding on refugee protection in countries with ailing economies. Undeniably, taking care of refugees’ basic needs such as food, education, shelter, and health is very costly. This paper addresses the question of who bears the refugee protection costs, since the encamped refugees do not contribute to the economy but benefit from the host country’s resources. Clearly, there are inherent tensions in what would be considered the ideal situations for refugee protection. Using the case of Zimbabwe, this paper addresses the most critical question of the dynamics of protection when the conditions are far from ideal. The paper aims to assess the impact of the prolonged socio-economic and political crises on the country’s ability to provide the required protection and welfare services to the refugees it hosts. Furthermore, the paper seeks to understand the relationship between the state and other stakeholders in hosting refugees in Zimbabwe. This country presents a unique case because it is characterized by protracted macroeconomic challenges that have persisted for over two decades. Its economy is characterized by hyperinflation and limited economic productivity. In essence, the economy has shrunk over the years due to deindustrialization. Despite this scenario, the country continues to host refugees from different countries and there continues to be a steady increase in the number of refugees. ZIMBABWE’S EXPERIENCE WITH REFUGEES Migration scholarship has long portrayed Zimbabwe as a major emigrant and refugee sender due to the protracted economic meltdown and political challenges stretching over the past three decades (Crush and Tevera, 2010; Crush et al., 2015; McGregor and Pasura, 2010; McGregor and Primorac, 2010; Mlambo, 2010). It is well documented that due to the economic and political challenges, the country transitioned from being a major receiver of migrants to being one of the biggest senders in the region (Crush and Tevera, 2010; Ncube, 2010). However, what has received less attention is the scholarship focusing on the refugee movements into Zimbabwe and the country’s experiences in hosting refugees and asylum seekers (Chikanda and Crush, 2016; Takaindisa, 2021). Undeniably, Zimbabwe has hosted refugees since the 1980s (Chikanda and Crush, 2016; Matseketsa and Mhlanga, 2020; Sidzumo-Mazibuko, 1998). However, while the subject of refugees has gained considerable attention from migration scholarship in sub-Saharan Africa, there are knowledge gaps about Zimbabwe’s ability to meet its refugee population’s protection and welfare needs, considering the ongoing economic challenges. The first refugees in Zimbabwe were from war-torn Mozambique in the early 1980s. They fled the protracted war between the Liberation Front of Mozambique (FRELIMO) and the Mozambican National Resistance (RENAMO), which pitted opposition ideologies and regions against each other (Chikanda and Crush, 2016; Emerson, 2014). Throughout the 1980s, the country also received trickles of refugees
  • 35.
    33 from South Africacomprising of political activists fleeing the repressive rule of the apartheid government (Chikanda and Crush, 2016). Although there was a notable flow from South Africa, Mozambique remained the major source. Between 1983 and 1994 Zimbabwe hosted over 200,000 Mozambican refugees (Emerson, 2014; Matseketsa and Mhlanga, 2020). This increased flow of refugees in the 1980s can be linked to the political disturbances in its neighboring countries (Chikanda and Crush, 2016). Notably, much of Zimbabwe’s generosity was driven by the spirit of comradeship spurred by the need to protect fellow neighbors who had sheltered Zimbabwe’s freedom fighters and its refugees during the war for independence (Munguambe, 2020). Responding to the growing influx of refugees, the Government of Zimbabwe adopted an encampment policy by establishing four rural refugee camps in 1984, namely Tongogara, Chambuta, Nyan’ombe, and Nyamatiki (Matseketsa and Mhlanga, 2020; Mutsvara, 2015) and the fifth in 1990 known as the Mazowe River Bridge (Chikanda and Crush, 2016; Sidzumo-Mazibuko, 1998). The encampment policy restricted refugees’ mobility and their ultimate integration into local communities (Spiegel and Mhlanga, 2022; Wamara et al., 2022). To date, the Zimbabwean government restricts all refugees to camps, with limited freedom to explore economic options (Matseketsa and Mhlanga, 2020; Wamara et al., 2022). Given the high inflow of Mozambicans fleeing the war in their country, these camps were often overcrowded (Chikanda and Crush, 2016). For example, the state established the Tongogara Refugee Camp (TRC) in 1984, with a carrying capacity of 10,000 refugees, but in 1993 it had a population of 52,000 refugees (Chikanda and Crush, 2016). Similarly, the Mazowe River Bridge Camp’s maximum capacity was 5,000, but in 1993 it housed over 34,000 refugees, almost six times its capacity (Chikanda and Crush, 2016; Sidzumo-Mazibuko, 1998; UNHCR, 1994). Duringthisperiod,thecampswerealmostexclusivelyoccupiedbyMozambican refugees (Chikanda and Crush, 2016). In 1994, FRELIMO and RENAMO signed a peace treaty known as the Rome Agreement (see Emerson, 2014). This resulted in a huge reduction in the number of refugees in the country and the closure of some refugee camps in 1994, leaving the TRC as the only operational camp in the country (Chikanda and Crush, 2016; Matseketsa and Mhlanga, 2020). To date, the TRC remains the only functional camp and is home to approximately 14,413 refugees and asylum seekers (Matseketsa and Mhlanga, 2020; Mhlanga, 2020). Although the end of the war in Mozambique led to a significant decline in the number of refugees in Zimbabwe, the growing incidence of wars and internal conflicts on the African continent saw a gradual increase in the numbers and sources of refugees in Zimbabwe (Matseketsa and Mhlanga, 2020; Mutsvara, 2015). In the 1990s, there was a notable diversification in the origins of refugee flows in the country, with the source patterns showing a global character (Chikanda and Crush, 2016). Notably, most of the source countries both in and outside Africa were characterized by internal strife and political disturbances (Sidzumo-Mazibuko, 1998). For example, Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
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    34 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 Rwanda was experiencing genocide while the Democratic Republic of the Congo (DRC)wasengagedinwar(MatseketsaandMhlanga,2020;Mhlanga,2020;Mutsvara, 2015). By the end of the 1990s, the DRC, Burundi, and Rwanda were the major origin countries for refugees in Zimbabwe (Chikanda and Crush, 2016; Sidzumo- Mazibuko, 1998). Part of the increase in the influx of refugees from the Great Lakes region, mostly Rwandans, during this time was caused by the fact that they had been debarred from Tanzania’s Ngara refugee camp (Mutsvara, 2015). According to Jakachira (2003), these refugees did not want to return to their country because they feared retribution from their government. Moreover, the en masse influx of refugees into Zimbabwe was also spurred by the emergence of terrorists in Nigeria, Central African Republic, and Mali, growing ethnic conflicts in Ethiopia, and the perpetual insecurities in Somalia and the DRC (Chikanda and Crush, 2016; Matseketsa and Mhlanga, 2020). With the return of stability in some regions, for example, the Great Lakes, peace in countries like Burundi and Rwanda led to a significant decrease in the number of refugees in Zimbabwe. This was further exacerbated by the economic demise that the country experienced in the early 2000s, climaxing in 2008, making Zimbabwe an unattractive destination for refugees. Notwithstanding this scenario, episodes of instability in some countries like the DRC led to a continued presence of refugees in the country (Chikanda and Crush, 2016). Zimbabwe’s economic outlook continues to be characterized by high uncertainty. However, amidst all these socio-economic challenges characteristic of the country, Zimbabwe has remained host to refugees and asylum seekers from the Great Lakes region since 1998 (WFP and UNHCR, 2019). This influx of refugees presents population pressures that strain the already distressed government resources, compromising its effective service provision to the country’s population. RESEARCH METHODS The research site for this study was the TRC in Zimbabwe. The refugee camp is located in the Chipinge district, 600 km southeast of the Harare Metropolitan Province (Mhlanga and Zengeya, 2016). This is the only refugee camp that is currently operational in Zimbabwe. Therefore, any study that seeks to understand refugee dynamics in Zimbabwe is likely to gain rich insights by using this refugee camp as a case study. This paper followed a qualitative research methodological approach. This approach was the most appropriate to employ, given the need to gain an in-depth understanding of refugee protection dynamics in a refugee center with multiple actors. To gain an insider perspective, there was a need for a more explorative approach that enabled the researchers to gather diverse narratives on the different roles played by different actors and how they collectively worked toward providing protection in a shrinking economy. The research team gathered qualitative data through in-depth semi-structured interviews with key informants who represented different stakeholders at the TRC in Zimbabwe. The researchers purposively drew a
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    35 sample of 12key informants from different organizations operating at the TRC. These included officials from the Ministry of Public Service, Labour, and Social Welfare (MoPSLSW), United Nations High Commissioner for Refugees (UNHCR), World Vision Zimbabwe, Doctors Without Borders (MSF), and other non-governmental organizations (NGOs) operating in the camp. To achieve representative diversity, it was crucial for the researchers to use purposive sampling to select representatives of key actors who played a role in the continued functioning of the refugee camp. The research team conducted all the interviews in this study in English; hence, therewasnoneedfortranslations,asallparticipantsunderstoodandspokethelanguage fluently. In conducting this study, researchers applied due ethical consideration for dealing with human subjects in research and followed the ethical standards and principles as detailed in the Helsinki Declaration. In addition, the Institutional Review Board (IRB) of the Alliance of Biodiversity International and the International Centre for Tropical Agriculture (CIAT) evaluated the ethical considerations of the study, and it wasapprovedunderclearancenumber2023‐IRB72.Priortotheinterviews,theresearch team developed an informed consent sheet that advised participants about different aspects of the study, including envisaged risks and benefits, voluntary participation, the right to withdraw from the study at any given moment, and participants’ consent for audio recording the interviews. All those who participated in the study signed the consent form as an indication that they voluntarily agreed to participate in this study. In the process of data analysis, the research team coded all the interview transcripts for ease of identification and assigned the codes according to the order of the interviews. For example, the first interview was coded as Informant 1 up to the last interview that was coded as Informant 12. After this first coding round, researchers coded the transcripts according to emerging themes and then analyzed them thematically. Maxwell and Chmiel (2013) define coding as a strategy used to organize qualitative data. The process entails the identification of distinct concepts and themes in the data, which then form master headings that become the basic units of analysis (Flick, 2013; Gibbs, 2007). In this study, researchers applied coding inductively based on the emerging themes from the data. Furthermore, they derived first-order codes from the emerging key themes that directed analysis of the refugee regime in Zimbabwe and the social protection initiatives at the TRC. The themes developed formed subheadings under which the research team presented and discussed findings supported by direct excerpts from the interviews. FINDINGS AND DISCUSSION The state and its obligations of refugee protection There are three main elements of social protection that vulnerable people such as refugees need: social assistance in the form of access to basic needs; livelihoods support and capacity development; and labor market interventions (Andrade et al., 2021; Barrientos and Santibáñez 2009). The participants of this study agreed that Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
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    36 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 the state has the responsibility to provide comprehensive protection services to the refugees they host. Commenting on the general obligations of the state at law, some key informants reported as follows: The Refugee Act mandates the government to ensure non-discrimination, non-penalization, and adherence to the non-return policy for refugees (Informant 1, September 2022). The government should ensure that every recognized refugee is entitled to rights and [is] subject to duties contained in the 1951 Convention and the 1969 OAU Convention Governing the Specific Aspects of Refugee Problems in Africa (Informant 5, September 2022). According to the UNHCR (undated), the first obligation to ensure basic human rights and physical security of citizens lies with governments. However, when people are displaced and driven out of their countries for whatever reason and become refugees or asylum seekers, this safety net ceases to exist. Considering this, global treaties, conventions, and compacts mandate host countries to uphold and protect the basic human rights of these displaced persons (Barnett, 2002; Chikanda and Crush, 2016). It is from this point of departure that the participants of this study correctly identified the Government of Zimbabwe as responsible for providing protection to all refugees and displaced persons who make their way to Zimbabwe. The findings of this study show that while the Zimbabwean state provides protection to refugees, it faces resource constraints that limit its capacity. As a result, the state becomes overly dependent on the support of partner organizations. In Zimbabwe, this study found that the Office of the Commissioner for Refugees in the Department of Social Development (MoPWLSW) is largely funded by the UNHCR, including staff salaries, vehicles, and expenses for the programmes implemented in the camp. Therefore, regarding social assistance and access to basic needs, submissions from key informants suggest that although the state has a bigger mandate, it mainly provides services that cannot be delegated to other partners. These include registration, status determination, and provision of security. Some key informants explained: TRC is wholly established and owned by the government of Zimbabwe and the government of Zimbabwe has the obligation to provide peace and security, shelter, food, education, health, and all other basic needs and social amenities for refugees (Informant 9, September 2022). ThesettlementhasaZimbabweRepublicPolicebasemannedbyfivepoliceofficers to provide security and protection services (Informant 7, September 2022).
  • 39.
    37 In line withthe Zimbabwe Refugee Act, the government takes the lead in the refugee status determination, issuance of refugee identity cards, birth, marriage and death certificates, and travel documents through the Registrar General’s Office. It also issues temporary passes for refugees through the Immigration Department (Informant 3, September 2022). The above excerpts suggest that resource-intense protection services have been delegated to the partners, with the UNHCR as the main partner. However, while this can be confused with the state negating its obligations, consideration must be given to the state’s resource constraints. Zimbabwe has a documented history of economic turmoil that has persisted for over two decades (Kanyenze et al., 2017; Mhlanga and Ndhlovu, 2021; Raftopoulos, 2006). According to Mhlanga and Ndhlovu (2021), while southern African countries experienced broad-based economic expansion in the past 20 years, Zimbabwe remained an exception, largely owing to its poor economic policies and haphazard land reform program. Kanyenze et al. (2017) point out that between 1999 and 2008, Zimbabwe experienced a 52% decline in its gross domesticproduct(GDP).Todate,thereisstillskepticismaroundtheofficialeconomic indicators due to years of hyperinflation and currency failures that decimated the formal sectors. Therefore, the country is a classic case of a shrinking economy that still hosts refugees, despite its limitations. What stands out from the findings of this study is that while the country is poorly resourced, this has not stopped the state from facilitating processes that result in those in need of protection accessing it, even if this means allowing capacitated partners such as the UNHCR to contribute significant resources to keep the program running. In addition, documentation is a widespread problem in refugee management globally, yet this does not seem to be the case in Zimbabwe, where processes are well coordinated to ensure that refugees’ needs in this regard are met. In a shrinking economy, strategic partnerships appear to be the sustaining factor in ensuring that vulnerable groups such as refugees access some relief. Refugee protection services through strategic partnerships The findings of this study show that at the TRC in Zimbabwe, the UNHCR is the leading strategic partner that works with several partner organizations to complement government efforts in the provision of different protection services to refugees. Table 1 shows the different partners who work together in ensuring that refugees receive the protection they need. While several of these strategic partners are non-state actors, there are some state actors, such as the MoPWLSW. Each partner provides unique support while at times consolidating their efforts to meet the most urgent needs. Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
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    38 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 Table 1: Partners at TRC and the protection services offered Partner Protection services offered Department of Social Development (MoPWLSW) Registration, camp coordination and management, shelter, refugee status determination UNHCR Registration, durable solutions, shelter, water and sanitation, livelihoods, food security, refugee status determination WFP Cash transfers Terres des Hommes (Italy) Education, health, child protection, food security, GBV prevention, mitigation and response, life-skills training World Vision Zimbabwe WASH and livelihoods Jesuit Refugee Service Education, vocational training, pastoral services Childline Child protection MSF (Doctors Without Borders) Community mental health services (non- clinical) Zimbabwe Council of Churches Peace, justice, and conflict resolution Zimbabwe Red Cross Society ICT, tracing and restoring family links, livelihoods Source: Authors' work As observed in Table 1, the services provided through the strategic partnerships include social assistance, access to basic services, livelihoods support, and capacity development. Commenting on social assistance and access to basic services, some of the key informants offered the following narrations: WeprovidepsychosocialsupportservicestotherefugeesattheTRC.Ourneeds assessment indicated a gap in terms of mental healthcare needs for the camp population and we believe our mental health program will build resilience and community coping skills, which will ultimately improve the well-being of the camp population (Informant 12, September 2022). The host community [at the ward, district, and provincial levels] is essential in ensuring the peaceful co-existence of refugees and communities (Informant 4, September 2022). The above excerpts demonstrate that refugee protection and assistance is a priority that the collective efforts of strategic partners and surrounding communities strive
  • 41.
    39 for, despite theshrinking economy of Zimbabwe. However, the findings of this study suggest that assistance to refugees must go beyond protection and aim toward finding durable solutions that will allow refugees to rebuild their lives. As a result, providing livelihood support and promoting economic inclusion for refugees have been highlighted as notable contributions from strategic partners. In this regard, some refugees were offered opportunities to embark on self-reliance and economic- empowermentprogramstoenhancetheirlivelihoods.Despitethescarcityofresources and an ailing Zimbabwean economy, these strategic partnerships demonstrate the concerted efforts to provide refugees with better life experiences at the TRC. The following interview excerpts acknowledge these efforts: Some partners at the TRC offer self-reliance and livelihoods programs to help refugees in rebuilding their lives. Different actors offer different services that are an attempt to provide durable solutions to refugees at the camp (Informant 1, September 2022). The UNHCR and other partners work with the government to provide community empowerment, self-reliance, and livelihoods assistance to refugees in line with the state, regional, and international obligations (Informant 3, September 2022). Moreover, these interview excerpts corroborate a report by the UNHCR (2022b) that states that this multilateral institution and its partners have managed to support a number of livelihoods programs at the TRC. Examples cited include a hydroponics agricultural project where refugees managed to produce vegetables for consumption and income generation. In addition, there is an income-generating poultry project where refugees have close to 500 hens that produce eggs (UNHCR, 2022b). Some partners offered capacity development programs, albeit limited in their scope, aimed at equipping refugees with skills suitable for the labor market. An informant confirmed the efforts aimed at skills development: Partners have been trying to build refugee capacity through vocational skills training. The goal has been to improve the skills base of the refugees so that they may be fit to join the labor market (Informant 2, September 2022). Notwithstanding the partners’ efforts, the macroeconomic environment in the country has been detrimental to the protection efforts of the different stakeholders at TRC. Scholars have documented Zimbabwe’s currency crisis and hyperinflation that made it difficult to earn and secure livelihoods (Kudzai, 2023; Lieto, 2023). This has also affected social-protection efforts, as it made it very difficult to plan and budget in the local currency, leading to an over-reliance on foreign currency that is difficult to come by (Lieto, 2023). Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
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    40 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 The shrinking economy and its implications for refugee protection The Zimbabwean economy has been experiencing prolonged challenges that have persisted from the early 1990s to date (Kanyenze et al., 2017; Mhlanga and Ndhlovu, 2021). These were worsened by the fast-track land reform program that led to economic sanctions, which isolated Zimbabwe from the global economic system for decades (Nzima and Gumindega, 2023). During the period between 2019 and 2020, Zimbabwe experienced severe external shocks, namely cyclone Idai, protracted drought, and the COVID-19 pandemic (Spiegel and Mhlanga, 2022). These shocks, compounded by flawed policies during the same period, culminated in a significant recession and peak inflation of 837% (UNDP, 2020). The trends have continued to date, with significant implications for the ability of the TRC stakeholders to provide effective protection services to refugees. Kudzai (2023) maintains that the macroeconomic conditions continue to erode the state’s revenue base, compromising its ability to provide meaningful social protection to its citizenry, such as providing social safety nets. If the state struggles to provide social protection to citizens, the situation can only be worse for refugees and asylum seekers. A key informant reported the following: The government does not have resources, and the pervasive macroeconomic challenges continue to cripple the government and further diminish its ability to provide protection to refugees (Informant 1, September 2022). Resource scarcity resulting from the diminishing economic conditions in the country has negatively affected the state’s ability to provide effective protection to refugees (Spiegel and Mhlanga, 2022). This is exacerbated by the continued arrival of new refugees putting an additional strain on the government’s ability to provide adequate protection. Nearly all key informants expressed these sentiments. An informant from one of the partner organizations said the following: The continued influx of refugees and asylum seekers results in increased annual resource needs for shelter and classrooms as well as increased teacher- pupil ratios (Informant 9, September 2022). The findings of this study suggest that the prevailing macroeconomic conditions at both the national and global levels have led to a scarcity of donor funding (UNDP, 2020). Donor funding has been dwindling and in the recent past, the COVID-19 pandemic and the war in Ukraine resulted in the diversion of funds to focus on these issues, significantly reducing funding for refugee protection, as seen in the following excerpt:
  • 43.
    41 The government doesnot have resources, and the pervasive socio-economic challenges continue to cripple the government and further diminish its ability to provide protection to refugees (Informant 1, September 2022). The economic reality in Zimbabwe has created significant challenges for the state and its strategic partners due to resource constraints and an ever-increasing demand for services (Spiegel and Mhlanga, 2022; UNDP, 2020). As a result, partners face the dilemma of having to do more with less, as the refugee population at the camp continues to increase. The following interview excerpts provide further insight: It has been difficult for partners to provide sustainable and durable livelihood projects to refugees and asylum seekers. Also, markets for the produce have been difficult to find and sustain (Informant 9, September 2022). The hyperinflationary environment in the country complicates partner interventions as it erodes the value of the assistance they give (Informant 11, September 2022). The UNHCR operation has low budgets due to its small caseload and has had to prioritize lifesaving interventions. Again, the high cost of goods locally has pushed the organization to consider international procurement for value for money and accountability, but global supply-chain breaks mean delays, more so in the context of the COVID-19 pandemic … The COVID-19 pandemic and the war in Ukraine have resulted in a diversion of funds to focus on these issues, significantly reducing funding for refugee protection (Informant 3, September 2022). The findings of this study suggest that the ongoing shrinking of the Zimbabwean economy does not only constrain the state’s ability to fulfill its mandate, but strategic partners are also affected, and this limits their capacity to provide adequate protection to refugees. The difficult economic environment has led to the erosion of safety nets for improved livelihoods as donor funding continues to dry up. This means that refugees are left in a state of perpetual dependency on aid and handouts, a situation that renders them perpetually vulnerable. Notably, the COVID-19 pandemic and other shocks have had significant impacts on the effective provision of protection services to refugees. COVID-19 and the provision of protection services at the TRC The COVID-19 pandemic caused a disruption in the provision of basic services globally. A fuller understanding of the impact of the COVID-19 pandemic on refugees in Zimbabwe requires a holistic appreciation of the shocks that have rocked their realities in the recent past. According to Alio et al. (2020), refugees across the Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
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    42 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 globe are heterogeneously affected by various shocks, including pandemics, conflicts, climate-induced disasters, and poverty. Before the pandemic, refugees already existed in precarious and cramped conditions with adverse public health conditions that could easily facilitate the rapid spread of diseases (Alio et al., 2020; Spiegel and Mhlanga, 2022). Although the effects of the pandemic were almost universal and similar, not all populations were affected equally. Crawley (2021) asserts that the pandemic amplified and deepened existing inequalities, with refugees and other stateless persons being the most adversely affected, because they are often the poorest with precarious livelihoods and are most deprived in terms of protection. As such, the pandemic affected them on many levels. The findings of this study show that at the TRC, the pandemic crippled basic service delivery. It impacted both the availability of resources and the actual service provision. The pandemic forced partners to divert resources to ensure compliance with the sanitary regulations to curb the spread of the virus. This meant resources initially earmarked for the provision of protection services to refugees were channeled towards addressing the COVID-19 pandemic. Informants from partner organizations confirmed this unfortunate reality: The COVID-19 pandemic meant diversion of resources by governments and partners to ensure compliance with the sanitary guidelines and procure medication. Moreover, the donor countries experienced shocks leading to reduced donations (Informant 3, September 2022). Lockdown restrictions meant reduced earning capacity for many, including refugees (Informant 11, September 2022). Inaddition,thefindingsofthisstudyshowthattheresultantlockdownsandmobility restrictions had an adverse effect on the livelihoods and economic empowerment initiatives implemented at the camp. Refugees could not move around to sell their products, and this crippled their ability to earn. This occurred against a backdrop that refugees are generally in a marginalized socio-economic position (Crawley, 2021), and restrictions on their economic activities plunged them into deeper precarity. Moreover, the restrictions affected the repatriation and resettlement of refugees. The suspension of the asylum procedures due to COVID-19 left refugees in conditions of protracted uncertainty while exacerbating their already dire living conditions (Crawley, 2021; Ghezelbash and Feith Tan, 2020). The restrictions further affected children’s access to education and the camp population’s ability to access healthcare services beyond the camp. Other studies note similar findings, detailing the effects of the pandemic on education and health services (Matsilele, 2021; Mbunge et al., 2020; Murewanhema and Makurumidze, 2020). Some key informants reported the following:
  • 45.
    43 COVID-19 negatively affectedaccess to education for children in TRC because they were out of school for prolonged periods without access to e-learning facilities. This has resulted in low pass rates among the refugee population (Informant 10, September 2022). Refugees rely on the national healthcare system and during hard lockdown, services at some major referral centers were suspended due to the pandemic and this negatively affected refugees in need of health services (Informant 12, September 2022). This study also found that officials from partner organizations could not move freely to implement some of the programs at the camp, which left refugees with limited assistance and increased vulnerability. Moreover, the inability of the Zimbabwe Refugee Committee to meet and process status determination meant that during the COVID-19 pandemic, many refugees remained entirely undocumented. The findings confirm Crawley’s (2021) assertion that one of the biggest consequences of the pandemic has been the stalling of status determination, which in some instances compromised refugees’ access to rights, work opportunities, healthcare, and education. To augment this, some of the key informants indicated the following: Service delivery in many government departments that serve refugees and asylum seekers was disrupted at the height of the pandemic (Informant 9, September 2022). The Zimbabwe Refugee Committee used to meet monthly for refugee status determination, that is, conducting interviews for asylum seekers to determine whether their cases warrant a refugee status. Due to COVID-19, the committee has not been meeting and there is now a backlog in cases (Informant 3, September 2022). Although there were challenges, some positive innovations emerged that improved service delivery. Partners devised strategies to circumvent the effects of restrictions around COVID-19. Key informants further narrated that COVID-19 led to innovations in service provision such as online lessons, WhatsApp surveillance and reporting for child protection and gender-based violence. Partners will continue the implementation of these strategies in the post-COVID-19 era. Therefore, the pandemic significantly affected the provision of protection services to refugees, further exacerbating inequality and precarity in their living conditions. Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
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    44 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 CONCLUSIONS AND RECOMMENDATIONS Thispaperconcludesthatsocio-economicchallengesinfragileeconomiessignificantly affect the welfare and protection outcomes of refugees, regardless of the presence of a robust refugee regime in the country. In addition, accepting refugees remains a political statement of sovereignty, and the macroeconomic instability in shrinking economies may easily mar regional solidarity and the success of the ambitions. In Zimbabwe, the protracted socio-economic crisis has rendered refugee protection a challenge for the state and its partner organizations (Spiegel and Mhlanga, 2022). Shocks such as Cyclone Idai, the COVID-19 pandemic, and the war between Russia and Ukraine have worsened this precarious situation. Additionally, these shocks have worsened the country’s macroeconomic environment, significantly shrinking the economy (Spiegel and Mhlanga, 2022; UNDP, 2020). Macroeconomic instability activates subtle inequalities between different population groups in a country (Crawley, 2021; Spiegel and Mhlanga, 2022). Given that Zimbabwe’s deep economic crisis has been protracted, it has gradually eroded the state’s ability to provide social protection to its citizens by crippling economic production and growth and decreased public budgets, plunging the country into a deep quandary characterized by high unemployment rates (Chikanda and Crush, 2016; Spiegel and Mhlanga, 2022). In the process, refugees and other persons of concern are relegated to the margins of protection (Crawley, 2021), usually left to depend on the benevolence of donors and humanitarian partners to provide services. This demonstrates the struggles around mobility justice in the state’s responses to shocks and the influx of refugees and asylum seekers. Macroeconomic instability and the resultant shrinking of economies complicate the dynamics of protection by compromising the ability to provide the requisite services to the populations in question. The state and its partners thus fail to provide comprehensive protection in the form of social assistance and access to basic services, livelihoods support, as well as building refugees’ capacity for labor-market readiness. Although the refugee regime in Zimbabwe mandates the state to provide protection services to refugees, the macroeconomic reality is the major constraining factor. In essence, shrinking economies adversely affect the provision of protection to refugees, as partners do not have adequate resources to provide durable solutions for the refugees. The economic realities leave effective protection elusive with limited to no solutions in sight (Spiegel and Mhlanga, 2022). Although the UNHCR and its partners may make efforts to provide protection, they become overwhelmed by the needs load that entails provision of housing, enhancing livelihoods, ensuring food security, provision of water and sanitation services as well as public health systems. These are resource-intensive needs that may not be fully sustained through donor funding. Thus, the inability of the state to contribute resources toward the protection of refugees complicates the dynamics of protection, leaving refugees in perpetual vulnerability and partners operating in emergency mode. Thus, even though Zimbabwe’srefugeeregimeaccordstheprotectionmandatetothestate,theprotracted
  • 47.
    45 economic crisis inthe country has crippled the state’s ability to do so. Therefore, this study recommends that the government increases its efforts in seeking humanitarian international assistance with favorable conditions. In addition, the government and its strategic partners must explore innovative financing mechanisms to ensure the sustainability of protection efforts. Lastly, the government and its strategic partners must increase their efforts toward programs and bilateral agreements that promote regional cooperation to ensure better protection outcomes for refugees in the region. DISCLOSURE STATEMENT The authors report that there are no competing interests to declare. ACKNOWLEDGMENTS ThisworkwasconductedwithsupportfromtheConsultativeGrouponInternational Agricultural Research (CGIAR) Initiative on Climate Resilience (ClimBeR), and the CGIAR Initiative on Fragility, Conflict, and Migration. We would like to thank all funders who supported this research through their contributions to the CGIAR Trust Fund. Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
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    46 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 REFERENCES Alio, M., Alrihawi, S., Milner, J., Noor, A., Wazefadost, N., and Zigashane, P. 2020. By refugees, for refugees: Refugee leadership during COVID-19, and beyond. International Journal of Refugee Law, 32(2): 370–373. https://doi.org/10.1093/ ijrl/eeaa021. Andrade, M., Sato, L., and Hammad, M. 2021. Improving social protection for migrants, refugees and asylum seekers in Egypt: An overview of international practices. Research Report, No. 57, International Policy Centre for Inclusive Growth (IPC-IG), Brasilia. https://hdl.handle.net/10419/234898. Barnett, L. 2002. Global governance and the evolution of the international refugee regime. International Journal of Refugee Law, 14(2_and_3): 238–262. https:// doi.org/10.1093/ijrl/14.2_and_3.238. Barrientos, A. and Santibáñez, C. 2009. New forms of social assistance and the evolution of social protection in Latin America. Journal of Latin American Studies, 41(1): 1–26. https://doi.org/10.1017/S0022216X08005099. British Broadcasting Corporation (BBC). 2022. Which other countries send asylum seekers overseas? https://www.bbc.com/news/uk-61106231. Chikanda, A. and Crush, J. 2016. The geography of refugee flows to Zimbabwe. African Geographical Review, 35(1): 18–34. https://doi.org/10.1080/19376812 .2014.933706. Coen, A. 2021. Can’t be held responsible: Weak norms and refugee protection evasion. International Relations, 35(2): 341–362. https://doi. org/10.1177/0047117819884613. Crawley, H. 2021. The politics of refugee protection in a (post)COVID-19 world. Social Sciences, 10(3): 81. https://doi.org/10.3390/socsci10030081. Crush, J. and Tevera, D.S. (eds.). 2010. Zimbabwe’s exodus: Crisis, migration, survival. Cape Town: SAMP; and Ottawa: IDRC. Crush, J., Chikanda, A., and Tawodzera, G. 2015. The third wave: Mixed migration from Zimbabwe to South Africa. Canadian Journal of African Studies/Revue Canadienne des Études Africaines, 49(2): 363–382. https://doi.org/10.1080/00 083968.2015.1057856. Emerson, S.A. 2014. The battle for Mozambique: The Frelimo–Renamo struggle, 1977–1992. England: Helion and Company; and South Africa: 30 Degrees South Publishers. Flick, U. 2013. The SAGE handbook of qualitative data analysis. Thousand Oaks, CA: SAGE. Ghezelbash, D. and Feith Tan, N. 2020. The end of the right to seek asylum? COVID-19 and the future of refugee protection. International Journal of Refugee Law, 32(4): 668–679. https://doi.org/10.1093/ijrl/eeab002.
  • 49.
    47 Gibbs, G. 2007.Analyzing qualitative data. Thousand Oaks, CA: SAGE. https://doi. org/10.4135/9781849208574. Jakachira, K. 2003. Zimbabwe: Country hit by influx of refugees. The Daily News. https://allafrica.com/stories/200302170294.html. Kampmark, B. 2022. Britain-Rwanda refugee deal obscene. Green Left Weekly, 1343: 16. Kanyenze, G., Chitambara, P., and Tyson, J. 2017. The outlook for the Zimbabwean economy. London: Supporting Economic Transformation (SET). https:// set.odi.org/wp-content/uploads/2017/08/SET-Outlook-for-Zimbabwe- Economy_Sep2017.pdf. Klaaren, J. and Rutinwa, B. 2004. Towards the harmonization of immigration and refugee law in SADC. MIDSA Report, No. 1. Cape Town: IDASA; and Canada: Queen’s University. Kool, T.A. and Nimeh, Z. 2021. Refugees and social protection. In Schüring, E. and Loewe, M. (eds.), Handbook on social protection systems. London: Edward Elgar Publishing. Kudzai, T. 2023. The impact of the Zimbabwe government’s fiscal policy on the destruction of the country’s economy. Indonesian Journal of Islamic Economics and Finance, 3(1): 11–18. https://doi.org/10.37680/ijief.v3i1.2424. Lieto, A.J. 2023. Impact of Zimbabwe’s currency crisis on youth employment: Case of youths in the informal sector. Journal of Social Studies, 9(4): 1–10. Limb, M. 2022. UK-Rwanda migration plan fails to safeguard refugees’ medical care, say campaigners. BMJ, 377: o1087. https://doi.org/10.1136/bmj.o1087. Matseketsa, B. and Mhlanga, J. 2020. Self-reliance and refugee empowerment programmes in Zimbabwe: A national security approach. African Journal of Terrorism and Insurgency Research, 1(2): 5–20. http://dx.doi. org/10.31920/2732-5008/2020/v1n2a1. Matsilele, T. 2021. The implications of Covid-19 on institutions of higher learning: A case of Zimbabwe and South Africa. In Education in Africa: Perspectives, opportunities and challenges. New York: Nova Science Publishers, pp. 93–115. Maxwell, J.A. and Chmiel, M. 2013. Notes toward a theory of qualitative data analysis. In Flick, U. (ed.), The SAGE handbook of qualitative data analysis (1st ed.). Thousand Oaks, CA: SAGE. Mbunge, E., Fashoto, S., Akinnuwesi, B., Gurajena, C., Metfula, A., and Mashwama, P. 2020. COVID-19 pandemic in higher education: Critical role of emerging technologies in Zimbabwe. https://papers.ssrn.com/sol3/papers.cfm?abstract_ id=3743246. McGregor, J. and Pasura, D. 2010. Diasporic repositioning and the politics of re- engagement: Developmentalising Zimbabwe’s diaspora? The Round Table, 99(411): 687–703. https://doi.org/10.1080/00358533.2010.530413. Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
  • 50.
    48 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 McGregor, J. and Primorac, R. 2010. Zimbabwe’s new diaspora: Displacement and the cultural politics of survival (Vol. 31). Oxford, UK: Berghahn Books. Mhlanga, D. and Ndhlovu, E. 2021. Socio-economic and political challenges in Zimbabwe and the development implications for Southern Africa. Journal of African Foreign Affairs, 8(2): 75–98. https://hdl.handle.net/10520/ejc-aa_jafa- v8-n2-a6. Mhlanga, J. 2020. Refugee protection in the era of complex migratory flows: A reflection on ubuntu and social work practice. African Journal of Social Work, 10(1): 41–45. Mhlanga, J. and Zengeya, R.M. 2016. Social work with refugees in Zimbabwe. African Journal of Social Work, 6(1): 22–29. Micinski, N.R. 2020. Migration and development in the UN Global Compacts. In Browne, S. and Weiss, T.G. (eds.), The Routledge handbook on the UN and development. London: Routledge, pp. 135–148. Mlambo, A.S. 2010. A history of Zimbabwean migration to 1990. In Crush, J. and Tevera, D.S. (eds.), Zimbabwe’s exodus: Crisis, migration, survival (Article 52). African Books Collective. Munguambe, C.V.L. 2020. Nationalism and exile in an age of solidarity: Frelimo– ZANU relations in Mozambique (1975–1980). In Alexander, J., McGregor, J., and Tendi, B.M. (eds.), Transnational histories of Southern Africa’s liberation movements. London: Routledge, pp. 157–174. https://doi. org/10.4324/9780367854935. Murewanhema, G. and Makurumidze, R. 2020. Essential health services delivery in Zimbabwe during the COVID-19 pandemic: Perspectives and recommendations. The Pan African Medical Journal, 35(Suppl. 2): 143. https:// doi.org/10.11604%2Fpamj.supp.2020.35.143.25367. Mutsvara, S. 2015. To what extent does Zimbabwe comply with its international obligations for the protection of unaccompanied and separated refugee children? Unpublished Doctoral Dissertation, University of the Western Cape. Ncube, G. 2010. Migrant remittances, household livelihood strategies and local development: A case study of Village 2 in Ward 19 of Tsholotsho District in Zimbabwe. Unpublished MA Thesis, Institute of Social Studies of Erasmus University, the Netherlands. Neis, H.J., Meier, B., and Furukawazono, T. 2018. Welcome city: Refugees in three German cities. Urban Planning, 3(4): 101–115. https://doi.org/10.17645/ up.v3i4.1668. Nzima, D. and Gumindega, G.C. 2023. Exploring the politics of Jecharism in Zimbabwe’s Second Republic. In Moyo, G. and Helliker, K. (eds.), Making politics in Zimbabwe’s Second Republic: The Formative Project by Emmerson Mnangagwa. Cham, Switzerland: Springer Nature, pp. 107–123.
  • 51.
    49 Oxford Analytica. 2022.Politics may underpin UK–Rwanda asylum deal. Expert briefings. https://doi.org/10.1108/OXAN-DB270150. Raftopoulos, B. 2006. The Zimbabwean crisis and the challenges for the left. Journal of Southern African Studies, 32(2): 203–219. https://doi. org/10.1080/03057070600655988. Raney, R. 2019. Compassion fatigue: A side effect of the immigration crisis. American Psychological Association (APA). https://www.apa.org/members/content/ compassion-fatigue. Seyfert, K. and Quarterman, L. 2021. Social protection for migrants and refugees. Social Protection Approaches to COVID-19: Expert Advice Service (SPACE), DAI Global, UK. https://socialprotection.org/sites/default/files/ publications_files/SPACE_Social%20protection%20for%20migrants%20 and%20refugees.pdf. Sidzumo-Mazibuko, D.T.D. 1998. The impact of refugee assistance on the elderly: A socio-economic and demographic study of elderly women and men at Tongogara, Mazowe River Bridge and Chambuta camps in Zimbabwe, 1983– 1992. Unpublished Doctoral Thesis, University of Manitoba. http://hdl.handle. net/1993/2013. Soy, A. 2022. UK–Rwanda asylum seekers’ deal: Good news for Kigali hotels. BBC. https://www.bbc.com/news/world-africa-61496397. Spiegel, S.J. and Mhlanga, J. 2022. Refugee policy amidst global shocks: Encampment, resettlement barriers and the search for “durable solutions.” Global Policy, 13(4): 427–441. https://doi.org/10.1111/1758-5899.13084. Takaindisa, J. 2021. The political stakes of displacement and migration in/from Zimbabwe. Arnold Bergstraesser Institut. https://www.arnold-bergstraesser. de/sites/default/files/displacement_zimbabwe_takaindisa.pdf. Union of International Associations (UIA). 2020. The Encyclopedia of World Problems & Human Potential: Refugee fatigue. http://encyclopedia.uia.org/ en/problem/136690. United Nations Development Programme (UNDP). 2020. The next frontier: Human development and the anthropocene. UN Human Development Report Office, UNDP. https://policycommons.net/artifacts/2116225/the-next- frontier/2871523/. United Nations High Commissioner for Refugees (UNHCR). 1994. UNHCR activities financed by voluntary funds: Report for 1993–1994 and proposed programmes and budget for 1995. Part 1 – Africa, Section 24 – Zimbabwe. UNHCR. United Nations High Commissioner for Refugees (UNHCR). 2021. Mid-year trends 2021. UNHCR. United Nations High Commissioner for Refugees (UNHCR). 2022a. UN refugee agency opposes UK plan to export asylum. UNHCR – Africa. https://www. Dynamics of Protection in a Shrinking Economy: A Peak into Zimbabwe’s Refugee Regime
  • 52.
    50 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 unhcr.org/news/press/2022/4/62585e814/un-refugee-agency-opposes-uk- plan-export-asylum.html. United Nations High Commissioner for Refugees (UNHCR). 2022b. Zimbabwe monthly operational update. UNHCR. United Nations High Commissioner for Refugees (UNHCR). 2023. Five takeaways from the 2023 UNHCR Global Trends Report. https://www. unrefugees.org/news/five-takeaways-from-the-2023-unhcr-global- trends-report/#:~:text=Five%20Takeaways%20from%20the%202023%20 UNHCR%20Global%20Trends,high-to-extreme%20exposure%20to%20 climate-related%20hazards.%20...%20More%20items. United Nations High Commissioner for Refugees (UNHCR). Undated. Africa – Protection. https://www.unhcr.org/afr/protection.html. Wamara, C.K., Muchacha, M., Ogwok, B. and Dudzai, C. 2022. Refugee integration and globalization: Ugandan and Zimbabwean perspectives. Journal of Human Rights and Social Work, 7(2): 168–177. https://doi.org/10.1007/s41134-021- 00189-7. World Food Programme (WFP) and United Nations High Commissioner for Refugees (UNHCR). 2019. Tongogara refugee camp, Zimbabwe – Joint Assessment Mission Report. WFP and UNHCR.
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    51 Does Climate ChangeTransfer Poverty from Rural to Urban Areas? Implications for Regional Sub-Saharan Research Agenda Thanyani Madzivhandila1 and Aklilu Asha2 Received 23 July 2024 / Accepted 20 August 2024 / Published 06 September 2024 DOI: 10.14426/ahmr.v10i2.2305 Abstract There is growing recognition that climate change is a worldwide phenomenon with far- reaching effects and that it is linked to an increase in the frequency of extreme weather occurrences. In rural areas of most of the sub-Saharan countries and other developing countries in the world, the frequent occurrences of extreme weather events such as flooding, heat waves, and drought have significantly destroyed livelihood activities of poor communities. Unfavorable geographic characteristics, a lack of resources, and a higher reliance on climate-sensitive sources of income among many community members in poor nations all contribute to the impact. These include livelihood activities associated with land use and agricultural practices. Sadly, the population’s capacity and incentive to stay in rural areas have been altered because of climate change and its detrimental impacts on agricultural output, income, and subsistence living; as a result, many rural dwellers are migrating to urban areas. Rural populations migrate to urban areas in search of economic opportunities to earn a living. It is evident that the expected opportunities in urban areas are not always available; thus, most of the rural migrants are stuck in informal settlements, shanty towns, and slums without access to services. Consequently, it is evident that climate change is somehow transferring poverty from rural to urban areas. This study adopted the push/pull theory as a theoretical framework to guide the discussion and analysis. Based on an extensive review of the existing literature using qualitative document analysis, the purpose of this article is to examine the role of climate change on rural–urban migration, which ultimately contributes to the increase in urban poverty. The article concludes by reviewing the current (limited) research on climate change and poverty and argues for a research agenda in the context of sub-Saharan Africa toward sustainable ways to respond to the challenges of climate-induced migration, urbanization, and poverty. Keywords: climate change, rural–urban migration, urbanization, poverty, sub-Saharan Africa 1 Turfloop Graduate School of Leadership, University of Limpopo, South Africa. 2 Department of Development Planning and Management, University of Limpopo, South Africa. Corresponding author  [email protected] Does Climate Change Transfer Poverty from Rural to Urban Areas?
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    52 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 INTRODUCTION Sub-Saharan Africa, the region located below the Sahara Desert, comprises 90% of the African nations. Despite its diverse cultural, historical, and socio-political contexts, the region commonly confronts formidable challenges and complexities, such as pervasive poverty and malnutrition, rapid and uncontrolled urbanization (related to rural-urban migration), political volatility, and environmental degradation (Szirmai, 2015). The region, much like other developing nations worldwide, is also characterized by fast urbanization (Blekking et al., 2022), and it is expected to be predominantly urban; by 2043, half of sub-Saharan Africa’s population will live in urban areas (Jobarteh, 2024). Rural–urban migration is particularly significant in large developing countries undergoing urbanization, such as those in sub-Saharan Africa and South Asia, where rural populations remain disproportionately large (Brueckner and Lall, 2015; Selod and Shilpi, 2021). The rapid increase in the urban population size is attributable to the natural population growth of existing urban settlements, the reclassification of rural settlements to urban settlements, and rural– urban migration (Jobarteh, 2024). The primary drivers include higher urban incomes, better amenities, climate change, conflicts, and the need for insurance against risks (Selod and Shilpi, 2021). This migration pattern is also significantly influenced by economic factors, population size, housing availability, and environmental conditions (Chaplitskaya et al., 2024). The impacts of climate change, therefore, are pivotal in exacerbating conditions that drive rural–urban migration. This is particularly evident in how climate change adversely affects rural livelihoods, which are predominantly dependent on agricultural practices. Kumar (2018) notes that this region, particularly the drought-prone areas, suffers from one of the lowest levels of agricultural productivity, primarily as a result of water stress during crop growth. The author further indicates that the region is plagued by conflicts, political instability, poor governance, corruption, politics of exclusion, high rural poverty, and weak human resource capacities (Kumar, 2018). Unlike other regions, the main drivers of rural–urban migration in sub-Saharan Africa include dissatisfaction with public services in rural areas, changing weather patterns, land pressures, natural disasters, and conflict (Jobarteh, 2024). Thus, this pattern of migration poses an imminent burden on urban governance (Bawakyillenuo et al., 2018). The most pressing issue is the readiness of urban governance to address the ever-escalating urban poverty associated with climate-induced rural–urban migration. Sub-Saharan Africa has encountered frequent climate crises, including extreme weather events and natural disasters. Ayanlade et al. (2022) argue that the impacts of climate change are growing more intense and frequent, with the observed effects of climate extremes on sub-Saharan Africa on the rise. Climate change shocks are increasingly common in sub-Saharan Africa (Blekking et al., 2022), for example, the Southern African drought (2015–2016), the East African drought (2016–2017), the Cape Town water crisis (2017–2018), the Ethiopian drought (2019), and the ongoing drought in the Sahel region. To effectively address the climate crisis, sub-Saharan
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    53 African nations needto act responsibly, sensibly, and sustainably, despite the absence of specific climate change legislation in most of these countries. These nations continue to combat climate change by deploying and using various measures aimed at mitigating and adapting to its effects. They are also advancing the United Nations Sustainable Development Goals (SDGs) for 2030. There are several studies investigating the relationship between climate change, migration, and urbanization, particularly how extreme weather and climatic changes promote urbanization (Barrios et al., 2006; Henderson et al., 2017; Dia and Beaudelaire, 2021). However, there are limited studies regarding how climate change exacerbates urbanization and poverty (Henderson et al., 2017). Thus, drawing upon an extensive review of the existing literature, this article aims to examine whether climate-induced rural–urban migration exacerbates the already severe poverty conditions in urban areas of sub-Saharan Africa. This region, already grappling with extreme poverty, provides a critical context for examining the intersection of climate change, urbanization, and poverty. THEORETICAL BACKGROUND Migration, in general, is a complex phenomenon influenced by a variety of driving factors. The motivations behind migration are often context-dependent, including a rangeofsocio-economic,environmental,andpoliticaldrivers.Toexplainthiscomplex process of migration, different theoretical perspectives have been applied to explore the rationale behind individuals’ or groups’ decisions to migrate from one geographic area to another, particularly to urban centers. For example, the dual sector theory (Lewis model) on urban–rural migration argues that labor migrates from the rural areas considered underemployed, traditional, agricultural, and subsistence sectors to the urban areas perceived as high-productivity, modern industrial sectors (Knight, 2021). Another example is the Harris–Todaro model, which assumes that expected differences between rural income and urban income or a higher urban wage lead to rural–urban migration (Busso et al., 2021; Bhattacharya, 2024). However, these theories of migration focus mainly on economic dimensions of human migration and development. This study adopted the push/pull theory, which suggests that people migrate as a result of several push/pull drivers (Al-Khudairy, 2024). Different researchers adopted the push/pull theory to investigate migration, particularly rural–urban migration (Eshetu and Beshir, 2017; Mlambo, 2018; Hoffmann et al., 2019; Nguyen, 2019; Khalid and Urbański, 2021). Applied from a socio-economic perspective, this theory emphasizes that people migrate because of push factors (e.g., unemployment, lack of service, and poverty) in rural areas and pull factors (e.g., better employment opportunities, services, and relatively good living conditions) in urban areas. On the other hand, from an environmental change perspective, the push/pull theory stresses that people migrate because of climate change-related push factors from rural areas to urban areas where they perceive better living and economic conditions. In the context ofsub-SaharanAfrica,manypeoplemigratefromruralunderdevelopedareastourban Does Climate Change Transfer Poverty from Rural to Urban Areas?
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    54 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 areas for various reasons, including climate change impacts. This study, therefore, employed the push/pull theory, as it is relevant for exploring how climate-induced migration can transfer poverty, as migrants may not find sufficient opportunities in urban areas as expected, leading to increased urban poverty challenges. METHODOLOGY This study employed a qualitative research approach, which is acclaimed for its significanceinprovidingdeepinsightsintocomplexissuesandfosteringthegeneration of novel research ideas (Maree, 2020). The study used a document review method that involved the systematic analysis of existing documents. This technique is vital in this research to capture rich contextual data in a cost-effective manner (Lim, 2024). It relied on secondary data collection to examine the dynamics of climate change and its impact on transferring poverty from rural to urban areas. According to Maree (2020), secondary sources are materials that synthesize previously published works, which are integral to conducting a thorough literature review. In line with this, the secondary data was drawn from a wide range of existing literature, including peer- reviewed journals, books, and other reputable sources, ensuring a comprehensive analysis of climate change, rural-urban migration, and urban poverty (Lim, 2024). Data collection involved using databases such as Google Scholar and Science Direct, focusing on recent and relevant publications.The study followed qualitative research and document review to explore the complex relationship between climate change and poverty transfer from rural to urban areas. The study provides a comprehensive analysis that contributes to a broader understanding of the impact of climate change on migration by using secondary data from a wide array of credible sources. Thus, the application of the approach underscores the importance of secondary qualitative methods in unraveling the climate-induced rural-urban migration factors that influence urbanization and urban poverty challenges. IMPACT OF CLIMATE CHANGE ON RURAL AREAS Global abnormal natural disasters have significantly increased in recent decades. Ali and Erenstein (2017) explain that between 1980 and 2008 erratic natural hazards moved from an average of 125 per year to more than 500 events. The most common disastrous hazards of global magnitude that impact large numbers of populations, include flooding, drought, heat waves, sea-level rising, and desertification (Araos et al., 2016; Dumenu and Obeng, 2016; Alam et al., 2017; Ali and Erenstein, 2017; Sekkat, 2017; Lucci et al., 2018; Delazeri et al., 2022). Unfortunately, episodes of unprecedented hazards are not slowing down and are impacting different spheres of life, including how communities secure food and other sustenance. In other words, climate-related disasters are continuing to be disruptive to poor households in rural areas whose livelihoods are determined by environmental factors. Activities such as subsistence and small-scale farming are mostly affected. The observable effects of
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    55 climate change arebecoming more pronounced in terms of variations in temperature, precipitation, and wind. Ali and Erenstein (2017: 184) note that “approximately 2.5 billion people who derive their livelihood in part or in full from agricultural production systems” are impacted by climate change-related stressors. Ironically, the most affected communities, who are in developing countries, contribute less than 10% of the world’s yearly emissions of carbon dioxide, which is blamed for the fast-paced manifestation of climate change (Ali and Erenstein, 2017). Even though these people contribute an insignificant portion of the emissions, their over-reliance on the climate and environmentally inclined activities expose them to the risks associated with climate change. Maskrey et al. (2007) anticipate that the poor who reside in agricultural communities in developing nations will be the most impacted by these climate changes. In fact, because of their unfavorable geographic location, scarcity of resources, and increased reliance on climate-sensitive sources of income, most impoverished rural and agricultural populations suffer the most from climate change (World Bank, 2009). Because of the large number of impoverished people and the large populations that continue to rely mostly on rural economies based on agriculture, most African and South Asian countries are especially affected. Agriculture is a climate-sensitive sector; thus, rural livelihoods dependent on this sector are more susceptible to the damages of climate change-related hazards (Dube and Phiri, 2013; Husain, 2015; Nawrotzki et al., 2015; Tacoli et al., 2015; Araos et al., 2016; Dumenu and Obeng, 2016). For example, in the sub-Saharan region, temperatures are increasing, precipitation has dropped on average, and rainfall patterns have become less predictable, making rural livelihoods in nations like South Africa, Malawi, Zimbabwe, and Zambia more susceptible. In the tropical countries, such as those in South America and the Caribbean, livelihoods have been exposed to hazards associated with increases in sea levels, storm activity, and flooding. The issue of infrastructure is the other underlying component contributing to the effects of climate change. Because of inadequate infrastructure, such as sea walls, and a lack of funding for the development of technological protection, poor and less-developed nations are disproportionately affected by climate change (Tacoli et al., 2015; Araos et al., 2016; Dumenu and Obeng, 2016; Alam et al., 2017). For instance, Pakistan has experienced significant financial losses resulting from infrastructure and property damage, decreased agricultural productivity, and the high cost of restoring and reconstructing areas devastated by natural disasters (Husain, 2015). There is evidence that the detrimental consequences of climate change are threatening to undo the development gains made with transformation since sub-Saharan Africa’s independence in other regions of the continent. Frequent unpredictable weather events, such as floods, droughts, cyclonic storm surges, riverbank erosion, saline intrusion, and water logging, have a negative impact on food, water, health, and energy security, as well as many people’s lives and livelihoods, especially the impoverished (Alam et al., 2017). According to Ali and Erenstein (2017), recent extreme weather occurrences in the region – such as flash floods – Does Climate Change Transfer Poverty from Rural to Urban Areas?
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    56 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 are thought to be directly related to climate change and are trapping impoverished communities in nations like Pakistan and India. The disappearance of the flora and wildlife, which the majority of the impoverished rely on for the development and sustainability of their livelihoods, threatens their access to food. Although many adaptation tactics are used by rural communities, such as crop diversification, taking on non-farm secondary occupations, and expanding farm sizes, not everyone can afford these options because they need significant financial resources. The only way out of rural poverty caused by these difficulties has been to migrate from rural to urban areas. The movement of poor people from rural to urban areas has always been there and is influenced by many factors. However, the most common cause has been the lack of income-earning opportunities in rural areas. Dumenu and Obeng (2016) argue that the absence of employment prospects for economically active family members is the main reason why most rural households encourage their young energetic members to migrate to urban areas in search of employment to support the households. With agriculture being the most relied on form of employment and livelihoods in rural areas, it makes sense that the volume of those migrating to urban areas has increased (Nawrotzki et al., 2015; Tacoli et al., 2015). In many developing countries, rural small- scale farming and agricultural livelihoods have been struggling because of climate change. As a result, what remains in agricultural production systems is increasingly centered around large-scale and mechanized farming. These large-scale activities can cope with and adapt to climate change, as they have financial support. The ability of small-scale farmers to respond to climate variability and droughts is hampered by their limited access to technology and credit. In the end, this forces people living in rural areas to migrate to cities in pursuit of employment. With so many people living in urban areas worldwide, it is critical to analyze how climate variability and change will affect urban migration trends. This is a critical area of policy concern. The relationship between climate change, rural–urban migration and the transfer of poverty is at the center of the complex manifestation of climate change and perpetuation of poverty in many developing countries. THE LINK BETWEEN CLIMATE CHANGE, RURAL-URBAN MIGRATION, AND POVERTY TRANSFER In the last ten years or so, the scientific community has been increasingly interested in the connection between population mobility and climate change. The interest has also extended to how these movements manifest into poverty transfer from rural to urban areas. This is undoubtedly not an easy process to understand. Delazeri et al. (2022: 2159) state that the “interactions between climate-induced environmental changes and migration are complex and highly context-specific, mediated not only by the type and severity of climate drivers but also by the heterogeneity and vulnerability of affected societies.” Currently, poverty and urban concentration are two of the main issues facing many emerging nations. How much climate change contributes to this
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    57 process, is thequestion that needs to be asked. According to estimates by the United Nations Human Settlements Programme (UN-Habitat), 881 million people, or 30% of the urban population in developing nations, reside in slums (Lucci et al., 2018). This urban concentration, which is constantly expanding in many emerging nations, poses significant hurdles to the process of development. Bearing in mind that climate change-related hazards are not slowing down, more people will continue to leave rural areas to search for survival opportunities in urban areas. As a result, although most people in the developing world currently reside in rural areas, the percentage of those in urban areas will soon climb and surpass that of people living in rural areas. Delazeri et al. (2022) highlight that the reason the numbers of migrants from rural to urban areas are drastically increasing, is that whereas climate change is a contributor, it is adding to other more common pull and push factors. Migration is significantly influenced by several variables, including social, financial, and human capital. These include amenities such as better services. However, in countries like Sudan and Guinea, “socio-economic factors such as high illiteracy level, heavy dependence on climate-sensitive livelihoods, less diversification of income sources and limited access to climate change information contributed to the high vulnerability of the rural population,” fueling their desire to move to urban areas (Dumenu and Obeng, 2016: 208). Households therefore use migration as a tactic to diversify their sources of income and to insure themselves against the risks associated with climate catastrophes. Unfortunately, there have been many challenges associated with the movement of people from rural to urban areas. For instance, high levels of urban concentration have received unwelcome attitudes by officials and other well-off urban residents (Dube and Phiri, 2013; Husain, 2015; Nawrotzki et al., 2015; Tacoli et al., 2015; Araos et al., 2016). Different groups “point to claimed negative externalities of geographically concentrated poverty and irreversibility resulting from the costs of migration, which can mean that migrants to urban areas cannot easily return to their former standard of living in rural areas” (Ravallion et al., 2007: 667). Sekkat (2017) also notes that the concentration in cities leads to traffic jams and environmental deterioration, which lower productivity and raise poverty. Although not all immigrants live in poverty, they are frequently held responsible for the rise in urban poverty. Other challenges include the inability of the migrants, particularly the poor ones, to find adequate housing and to access services. Because most low-income and informal settlements lack basic infrastructure, most of these individuals who live in informal settlements work long hours in low-paying, unstable, and dangerous employment, and are exposed to a variety of environmental risks. Lucci et al. (2018: 297) highlight that “whereas urban poverty may be underestimated, it has implications for targeting interventions and allocating resources in the 2030 Agenda for Sustainable Development.” The other dilemma is that poor urban populations, such as those living in informal settlements, are often undercounted, and the indicators used to measure basic deprivations do not provide policymakers with the information they need to formulate and implement policies Does Climate Change Transfer Poverty from Rural to Urban Areas?
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    58 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 to tackle urban scarcities (Lucci and Bhatkal, 2014). To develop suitable policies to address the actual problems encountered by the impoverished urban population, it is crucial to increase awareness and comprehension of deprivation in urban situations. MITIGATION AND ADAPTATION STRATEGIES While it is known globally that rural vulnerabilities and poverty are more severe than urban ones, there is evidence of growing levels of helplessness and despair in urban areas. Put differently, the notion that most of the extreme poverty in the developing countries occurs in rural areas is an assumption of development policymaking, although this has significantly changed in the last several years (Ravallion et al., 2007). In fact, some experts think that urban poverty is becoming a bigger issue than rural poverty. With climate change as one of the reinforcers of these changes, emphasizing the need for assessing the susceptibility of local communities to climate change and highlighting the necessity of area-specific measures and policies to mitigate vulnerability and improve adaptation in both urban and rural regions are crucial (Alam et al., 2017; Ali and Erenstein, 2017; Sekkat, 2017; Lucci et al., 2018; Delazeri et al., 2022). However, what is more important for the climate response strategies to work is to ensure that those affected are involved from the beginning of any intervention. The effectiveness of climate change plans hinges on comprehending the perspectives of all stakeholders, including those in rural and urban areas. These include the policymakers, community members, farmers, and nongovernmental civil society organizations, to mention a few. Since climate change adaptation tactics vary over time, from place to place, and even within cultures, a variety of players must be included for any program to be successful (Tacoli et al., 2015; Araos et al., 2016; Dumenu and Obeng, 2016; Alam et al., 2017). It is not surprising that any development-related interventions, including those targeting the impact of climate change, are likely to be met with challenges. High levels of vulnerability to factors beyond climate change make it difficult to have a specific climate-related response without first addressing other social ills. For instance, in urban areas it is difficult to address climate change without considering urban poverty, particularly in slums or informal settlements, where the majority of the poorest people are found in cities of the developing world. When we conceptualize the poor as being vulnerable, we imply that they are either unable to adapt to the negative impacts of poverty, inequality, and other social problems such as extremes and variability in the climate, or that they are susceptible to them. Thus, the intervention to assist such people requires a thorough consideration of “the complex combinations of socio-economic, political and environmental factors that act and interact to influence vulnerability to climate change, the magnitude of the resultant impact and the set of coping or adaptation strategies that are developed in response to the impacts” (Dumenu and Obeng, 2016: 209). It is evident that these vulnerable populations do not have the necessary adaptive capacity to deal with the effects of climate change (Tacoli et al., 2015). However, what is important is to assist
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    59 them to sufficientlyrespond to the challenges they are facing. Some of the main issues that need urgent attention to succeed, include the approaches to addressing social vulnerability. Equivalent to the system’s capacity, social vulnerability is primarily influenced by socio-economic variables such as income distribution, asset ownership, gender, ethnicity, poverty, and source of income. Overcoming the challenges associated with social vulnerability is crucial in alleviating the added pressure from climate-related stressors to both urban and rural poor communities. Initiatives and programs that acknowledge the many needs of diverse households and individuals, including migrants, and that are inclusive of all low-income groups have a greater chance of successfully eliminating poverty in both urban and rural areas, when considering various locations and circumstances. In urban areas, “policies to address issues related to climate-induced migration must focus on both facilitating migration and assisting vulnerable segments of the population who remain in place, as the less-educated rural population whose livelihoods depend on the agricultural activity” (Delazeri et al., 2022: 2159). Access to information to facilitate a participatory approach toward these initiatives should be encouraged. Strategic communication and an aggressive dissemination effort aimed at addressing both urban and rural populations should be employed to improve access to climate change knowledge. Such data should be packaged and disseminated using context-specific methods and technologies. For example, targeted radio broadcasts, local-language pamphlets, and door-to-door awareness visits could be used to maximum effect in rural areas. In urban areas, targeted television broadcasts, social media, and billboards could be used. The creation of information hubs and the use of mobile communications services could potentially enable communities in both urban and rural areas to better meet their needs to access climate change information. This indicates that more financial resources need to be invested in educating communities about climate change and how it affects both rural and urban livelihoods. All these efforts play a major part in enhancing urban and rural climate change adaptation.Incontrasttomitigation,whichallowsforthemeasurementofgreenhouse gas emissions to assess the efficacy of policy measures, adaptation lacks comparable “off-the-shelf” measurements (Araos et al., 2016). It is challenging to determine the impact of these efforts when the targeted communities continue to experience unaddressed poverty. Also, the fast-paced impact of climate change on small-scale agriculture and food production that ultimately leads to food insecurity, makes it even more difficult to measure the success of adaptation. Whereas commercial and more- established farmers are adapting to climate change, their small-scale counterparts are facing lower food production security levels, resulting in higher levels of poverty. The small-scale farmers have low adaptive capacity compared to the commercial and large-scale farmers. The latter can promote local adaptation efforts and so increase the resilience of farming practices by having access to financing and information about suitable strategies. According to Alam et al. (2017), for small-scale farmers to Does Climate Change Transfer Poverty from Rural to Urban Areas?
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    60 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 succeed, it is critical that they have local-level knowledge of adaptation to strengthen the resilience of vulnerable households against risks and to deal with climate change and variability. The Intergovernmental Panel on Climate Change (IPCC, 2007) has centered discussions on developing adaptation solutions based on local knowledge about adaptation. This underscores the importance of developing and integrating adaptation strategies alongside local knowledge and systems that communities have been using for years. GOVERNMENT POLICY RESPONSES TO THE IMPACT OF CLIMATE CHANGE Thenexusbetweenclimatechangeandrural–urbanmigrationfeaturesabroadersocio- economic dimension of climate impacts. For example, in sub-Saharan Africa, climate change poses a severe threat to rainfed agricultural systems, which are essential for the livelihoods of a significant portion of the rural population (Serdeczny et al., 2017). The disruption caused by climate variability is not only jeopardizing food security but also triggering a notable increase in rural–urban migration. This migration exacerbates urbanization pressures and contributes to rising poverty levels in cities (2017). According to the World Bank (2015), in 2015 the sub-Saharan African region had the highest proportion of people living below the poverty line in relation to all world regions. This means that as climate-induced pressures drive people from rural areas to urban spaces, cities face increased demands on infrastructure and services. In recognition of the impacts of climate change, governments are adopting a range of climate laws aimed at reducing emissions, promoting renewable energy, and enhancing adaptation measures (Akpuokwe et al., 2024). Within Africa, regions such as North and Southern Africa, including countries like Morocco, Cape Verde, and Ghana, have demonstrated commendable performance in climate policy implementation (Epule et al., 2021). The authors argue that these regions’ showcasing of effective integration of climate change considerations suggests that the potential for success is great when strong policy frameworks and governance structures are in place. The post- Paris Agreement era has also seen a wave of legislative reforms across African nations aimed at enhancing climate governance. In this regard, Kenya’s Climate Change Act of 2016 and the new South African Climate Change Act 22 of 2024 exemplify efforts to integrate both mitigation and adaptation strategies into national frameworks (Rumble, 2019). These legislative measures are designed to establish comprehensive mechanisms for addressing climate impacts, from greenhouse gas reduction to resilience building. Effective governance structures and coordinated climate actions are pivotal in translating these legislative efforts into tangible outcomes. Regionally, efforts in East Africa to develop gender-responsive climate policies illustrate a commitment to inclusive and equitable climate action. However, these policies face significant implementation hurdles, primarily because of inadequate resource allocation and insufficient attention to the root causes of climate challenges. For instance, Uganda’s focus on clean energy and Kenya’s Climate Change Act, which
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    61 promoterenewableenergy,reflectpositivesteps(Namanya,2016).Nonetheless,without robust support andeffective execution, these initiatives may fall short of achieving their intended impact. This underscores a critical need for enhancing resource mobilization and addressing systemic issues in policy implementation. Likewise, most West African countries have also developed climate policies that comprehensively address various sectors, including agriculture, energy, water resource management, and health (Sorgho et al., 2020). These authors further argued that given agriculture’s high vulnerability to climate change, it receives particular emphasis. This sectoral approach reflects a broader recognition of the need for diverse and targeted strategies to mitigate climate impacts and enhance resilience across different facets of society. The integration of climate considerations into multiple sectors is crucial for building a robust and adaptive response to climate challenges. CLIMATE CHANGE RESEARCH AGENDA The climate change condition is paradoxical in Africa because the continent contributes minimally to global anthropogenic emissions but faces severe and multifaceted impacts from climate change, including changes in hydroclimate, biodiversity, and wildfire dynamics that are already prevalent across Africa (Al- zu’bi et al., 2022; Overland et al., 2022). This discrepancy highlights a significant injustice in the global climate narrative and the impacts are exacerbated by the continent’s limited capacity to respond effectively because of economic constraints and underdeveloped infrastructure (Ogega et al., 2022). OneoftheprimarychallengesinAfricaisthelimitedcapacityforclimatechange research, with less than 0.5% of the mean gross domestic product (GDP) invested in research and development (Ogega et al., 2022). Strengthening this capacity is crucial, especially in sub-Saharan Africa, which is particularly vulnerable to climate impacts. Adequate resourcing and investment in research infrastructure are essential to build a robust knowledge base and develop effective adaptation and mitigation strategies. Other challenges include insufficient use of modern technologies, models, climate change scenarios, and earth observation products (Kapuka et al., 2022). Funding trends show that there was no significant increase in climate-related research funding for Africa from developed countries after 2015, which is concerning, given the growing need for mitigation research to support a low-carbon, climate-resilient future (Overland et al., 2022). However, as Africa’s population, economy, and energy consumption grow, there is an urgent need for research that focuses on mitigation strategies alongside adaptation, particularly to investigate the nexus between climate crisis, migration, and urbanization in the context of sub-Saharan Africa. Nonetheless, the lack of funding undermines the continent’s ability to contribute to and benefit from global climate solutions. A wide range of climate change research has been conducted in different parts of Africa in key thematic areas, including equitable urban transitions, the resilience of smallholder farmers, and the management of hydroclimate extremes (Al-Zu’bi et Does Climate Change Transfer Poverty from Rural to Urban Areas?
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    62 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 al., 2022). There is also a focus on just energy transitions, the intersection of climate with diversity and ecosystem services, and health impacts of aerosol mitigation (Overland et al., 2022). This diversity in research topics reflects the multifaceted nature of climate impacts in Africa, necessitating an inclusive approach to climate research that encompasses environmental, social, and economic dimensions. Further research is needed in terms of the extent to which climate change policies and strategies integrate gender issues, including promoting gender mainstreaming and budgeting in the context of rural–urban migration (Ampaire et al., 2020). Namanya (2016) also points out that detailed analysis is needed to provide deeper insight on the relevance and effectiveness of climate change policy and legal frameworks in energy, agriculture, infrastructure, and water resource management. Furthermore, Sorgho et al. (2020) stress that evaluating the implementation of climate change action in individual countries is paramount. CONCLUSION This article demonstrates that climate impacts livelihoods in rural areas, prompting rural–urban migration. Climate change hurts agricultural outputs, rural jobs and income, and subsistence living, compelling people to move to towns and cities. The primary drivers and patterns of migration from rural to urban areas because of climate change are diverse, and contextual. Broadly, the main reasons why people move from rural areas include: lack of income-earning opportunities; less diversification of income and livelihoods; resource scarcity; higher urban incomes; and access to basic services in urban areas. However, the influx of rural migrants as a result of climate change affects poverty levels and socio-economic conditions in urban areas. The expected opportunities are not always available in urban areas, and such migration contributes to rapid urbanization, causing challenges and pressure on housing, service delivery, and the mushrooming of informal illegal settlements. To address the problem of climate change, governments are adopting different climate change adaptation and mitigation strategies, including laws and fiscal measures, to reduce emissions. Furthermore, in view of supporting government responses, research in climate change mitigation should be enhanced in sub-Saharan Africa through strengthening capacity and resource allocations.
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    63 REFERENCES Akpuokwe, C.U., Adeniyi,A.O., Bakare, S.S. and Eneh, N.E. 2024. Legislative responses to climate change: A global review of policies and their effectiveness. International Journal of Applied Research in Social Sciences, 6(3): 225-239. Alam, G.M.M., Alam, K. and Mushtaq, S. 2017. Climate change perceptions and local adaptation strategies of hazard-prone rural households in Bangladesh. Climate Risk Management, 7: 52-63. Ali, A. and Erenstein, O. 2017. Assessing farmer use of climate change adaptation practices and impacts on food security and poverty in Pakistan. Climate Risk Management, 16: 183-194. Al-Khudairy, S.I. 2024. Theories of migration: Sociological and conceptual dilemmas. European Journal of Sustainable Development, 13(1): 31-31. Al-zu’bi, M., Dejene, S.W., Hounkpè, J., Kupika, O.L., Lwasa, S., Mbenge, M., Mwongera, C., Ouedraogo, N.S. and Touré, N.E. 2022. African perspectives on climate change research. Nature Climate Change, 12(12): 1078-1084. Ampaire, E.L., Acosta, M., Huyer, S., Kigonya, R., Muchunguzi, P., Muna, R. and Jassogne, L. 2020. Gender in climate change, agriculture, and natural resource policies: Insights from East Africa. Climatic Change, 158(1): 43-60. Araos, M., Berrang-Ford, L., Ford, J.D., Austin, S.E., Biesbroek, B. and Lesnikowski, A. 2016. Climate change adaptation planning in large cities: A systematic global assessment. Environmental Science and Policy, 66: 375-382. Ayanlade, A., Oluwaranti, A., Ayanlade, O.S., Borderon, M., Sterly, H., Sakdapolrak, P., Jegede, M.O, Weldemariam, L.F. and Ayinde, A.F.O. 2022. Extreme climate events in sub-Saharan Africa: A call for improving agricultural technology transfer to enhance adaptive capacity. Climate Services, 27: 100311. Barrios, S., Bertinelli, L. and Strobl, E. 2006. Climatic change and rural–urban migration: The case of sub-Saharan Africa. Journal of Urban Economics, 60(3): 357-371. Bawakyillenuo, S., Olweny, M., Anderson, M. and Borchers, M. 2018. Sustainable energy transitions in sub-Saharan African cities: The role of local government. In Droege, P. (ed.), Urban energy transition (2nd ed.). United Kingdom: Elsevier, pp. 529-551. Bhattacharya, P. 2024. A test of two rival migration models. In Bhattacharya, P., Informal sector, migration, and the beginnings of structural transformation. Cham: Palgrave Macmillan, pp. 37-55. https://doi.org/10.1007/978-3-031- 61085-1_4. Blekking, J., Giroux, S., Waldman, K., Battersby, J., Tuholske, C., Robeson, S.M. and Siame, G. 2022. The impacts of climate change and urbanization on food Does Climate Change Transfer Poverty from Rural to Urban Areas?
  • 66.
    64 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 retailers in urban sub-Saharan Africa. Current Opinion in Environmental Sustainability, 55: 101169. Brueckner, J.K. and Lall, S.V. 2015. Cities in developing countries: Fueled by rural– urban migration, lacking in tenure security, and short of affordable housing. In Duranton, G., Henderson, J.V. and Strange, W.C. (eds.), Handbook of regional and urban economics, Vol. 5. Elsevier, pp. 1399-1455. Busso, M., Chauvin, J.P. and Herrera, N., 2021. Rural-urban migration at high urbanization levels. Regional Science and Urban Economics, 91: 1-21. Chaplitskaya, A., Tassinari, G., Heijman, W. and Van Ophem, J. 2024. Rural-urban migration within Russia: Prospects and drivers. Regional Science Policy and Practice, 16(9): 100053. https://doi.org/10.1016/j.rspp.2024.100053. Delazeri, L.M.M., Cunha, D.A.D. and Oliveira, L.R. 2022. Climate change and rural– urban migration in the Brazilian Northeast region. Geographical Journal, 87: 2159-2179. Dia, K.B and Beaudelaire, D.W. 2021. Climate variability and urbanisation in sub- Saharan Africa: Mitigating the effects on economic growth. AERC Working Paper Series, African Economic Research Consortium, Nairobi, Kenya. Dube, T. and Phiri, K. 2013. Rural livelihoods under stress: The impact of climate change on livelihoods in Southwestern Zimbabwe. American International Journal of Contemporary Research, 3(5): 11-25. Dumenu, W.K. and Obeng, E.A. 2016. Climate change and rural communities in Ghana: Social vulnerability, impacts, adaptations and policy implications. Environmental Science and Policy, 55: 208-217. Epule, T.E., Chehbouni, A., Dhiba, D., Moto, M.W. and Peng, C. 2021. African climate change policy performance index. Environmental and Sustainability Indicators, 12: 100163. Eshetu, F. and Beshir, M. 2017. Dynamics and determinants of rural–urban migration in Southern Ethiopia. Journal of Development and Agricultural Economics, 9(12): 328-340. Henderson, J.V., Storeygard, A. and Deichmann, U. 2017. Has climate change driven urbanization in Africa? Journal of Development Economics, 124: 60-82. Hoffmann, E.M., Konerding, V., Nautiyal, S. and Buerkert, A. 2019. Is the push- pull paradigm useful to explain rural–urban migration? A case study in Uttarakhand, India. PloS One, 14(4): 1-22. Husain, T. 2015. Pakistan bears the worst of climate change effects. The Express Tribune, 13 December. Available at: http://tribune.com.pk/story/1009340/pakistan- bears-the-worst-of-climate-change-effects/. Accessed on 15 June 2024. Intergovernmental Panel on Climate Change (IPCC). 2007. Climate change 2007: Impacts, adaptation and vulnerability. Contribution of Working Group
  • 67.
    65 II to theFourth Assessment Report of the IPCC. Cambridge: Cambridge University Press. Jobarteh, M. 2024. Sub-Saharan Africa: Geographic futures. African Futures and Innovation Programme. Available at: https://futures.issafrica.org/geographic/ regions/sub-saharan-africa/.Accessed on 16 August 2024. Kapuka, A., Hlásny, T. and Helmschrot, J. 2022. Climate change research in southern Africa in recent two decades: Progress, needs, and policy implications. Regional Environmental Change, 22(1): 18. Khalid, B. and Urbański, M. 2021. Approaches to understanding migration: A multi- country analysis of the push and pull migration trend. Economics & Sociology, 14(4): 242-267. Knight, J., 2021. A tale of two countries and two stages: South Africa, China and the Lewis model. South African Journal of Economics, 89(2): 143-172. Kumar, M.D. 2018. Water policy making: What other developing economies can learn from India. In Kumar, M.D. (ed.), Water policy science and politics. United Kingdom: Elsevier, pp. 259-280. Lim, W.M. 2024. What is qualitative research? An overview and guidelines. Australasian Marketing Journal, 00(0): 1-31. Lucci, P., and Bhatkal, T. 2014. Monitoring progress on urban poverty: Are indicators fit for purpose? London: ODI. Lucci, P., Bhatkal, T. and Khan, A. 2018. Are we underestimating urban poverty? World Development, 103: 297-310. Maree K. (ed.). 2020. First steps in research (3rd ed.). Pretoria: Van Schaik. Maskrey, A., Buescher, G., Peduzzi, P., Schaerpf, C. 2007. Disaster risk reduction: 2007 global review (Consultation edition). Geneva: Global Platform for Disaster Risk Reduction. Mlambo, V. 2018. An overview of rural–urban migration in South Africa: Its causes and implications. Archives of Business Research, 6(4): 63-70. Namanya, B. 2016. Towards harmonisation of the East African Community (EAC) climate change policies, laws and institutions. Paper for presentation at the 3rd Global Climate Policy Conference, Dar es Salaam, Tanzania.13–14 July. Nawrotzki, R.J., Hunter, L.M., Runfola, D.M. and Riosmena, F. 2015. Climate change as a migration driver from rural and urban Mexico. Environmental Research Letters, 10(11): 114023. Nguyen, D.T. 2019. Applying the “pull–push” theory in the study of the current free labour migration from rural to urban areas for jobs in Vietnam. VNU Journal of Science: Policy and Management Studies, 35(3): 79-88. Ogega, O.M., Lakey, G., Opisa, R. and Gyampoh, B.A., 2022. Strengthening climate research capacity in Africa: Lessons from the “Climate Impact Research Does Climate Change Transfer Poverty from Rural to Urban Areas?
  • 68.
    66 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 Capacity Leadership Enhancement” project. Regional Environmental Change, 22(4): 135. Overland, I., Fossum Sagbakken, H., Isataeva, A., Kolodzinskaia, G., Simpson, N.P., Trisos, C. and Vakulchuk, R. 2022. Funding flows for climate change research on Africa: Where do they come from and where do they go? Climate and Development, 14(8): 705-724. Ravallion, M., Chen, S. and Sangraula, P. 2007. New evidence on the urbanization of global poverty. Population and Development Review, 3(4): 667-701. Rumble, O. 2019. Climate change legislative development on the African continent. In Kameri-Mbote, P., Paterson, A., Ruppel, O.C., Orubebe, B.B. and Kam Yogo, E.D. (eds.), Law, Environment, Africa. Germany: Nomos Verlagsgesellschaft, pp. 31-60. Sekkat, K. 2017. Urban concentration and poverty in developing countries. Growth and Change, 48(3): 435-458. Selod, H. and Shilpi, F. 2021. Rural–urban migration in developing countries: Lessons from the literature. Regional Science and Urban Economics, 91(1): 13. Serdeczny, O., Adams, S., Baarsch, F., Coumou, D., Robinson, A., et al. 2017. Climate change impacts in sub-Saharan Africa: From physical changes to their social repercussions. Regional Environmental Change, 17(6): 1585-1600. Sorgho, R., Quiñonez, C.A.M., Louis, V.R., Winkler, V., Dambach, P., Sauerborn, R. and Horstick, O. 2020. Climate change policies in 16 West African countries: A systematic review of adaptation with a focus on agriculture, food security, and nutrition. International Journal of Environmental Research and Public Health, 17(23): 8897. Szirmai,A.2015.Socio-economicdevelopment(2nded.).UnitedKingdom:Cambridge University Press. Tacoli, C., McGranahan, G. and Satterthwaite, D. 2015. Urbanisation, rural–urban migration and urban poverty. London: International Institute for Environment and Development. World Bank. 2009. South Asia: Shared views on development and climate change. Washington, DC: World Bank, South Asia Region, Sustainable Development Department. World Bank. 2015. Regional dashboard: Poverty and equity – sub-Saharan Africa. Available at: http://povertydata.worldbank.org/poverty/region/SSA. Accessed on 18 July 2024.
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    67 An Analysis ofMedical Xenophobia against Zimbabwean Migrant Women in Johannesburg Institutionalizing Anti-Migrant Discourse in Public Healthcare: An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg Learnmore Mvundura1 Received 07 February 2024 / Accepted 30 August 2024 / Published 06 September 2024 DOI: 10.14426/ahmr.v10i2.2211 Abstract TheprovisionofhealthcareservicestoAfricanmigrantswithintheSouthAfricanpublic healthcare system has been characterized as marred by medical xenophobia. While the literatureonxenophobiainthecountrydrawsconnectionsbetweenxenophobicviolence and how the migrant is characterized through demeaning metaphors in the media and the political space, medical xenophobia literature somewhat remains with the burden of categorically connecting specific practices that constitute medical xenophobia with the broader anti-migrant discourse. Drawing on the narratives of Zimbabwean migrant women seeking antenatal care services within the public healthcare system in Johannesburg, this paper analyzes the utterances and practices of some healthcare providers to draw connections with the anti-migrant narratives obtaining in the media, the political space, and certain anti-migrant formations (bearers of discourse). Like studies before it, this paper observes medical xenophobia and relying on Foucault’s disciplinary power as a conceptual tool, it argues that the utterances by some public healthcare professionals are indeed unabridged rearticulations of the normalized anti- migrantdiscourseinvarioussitesbearinganti-migrantdiscourse.Whileacknowledging that some bureaucrats’ practices are tangential to the anti-migrant discourse, which decouples their individual actions from the discursive norm, the paper maintains that the standardized anti-migrant discourse for the large part provides frames of reference for some healthcare providers on how to perceive and treat the migrant patient, as their utterances are a restage of this discourse, usually with little to no annotations. Keywords: medical xenophobia, discourse, Zimbabwean, South Africa, migrants, public healthcare 1 African Center for Migration and Society, University of the Witwatersrand, South Africa.  [email protected]
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    68 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 INTRODUCTION The provision of healthcare services to African migrants within the South African public healthcare sector is characterized as marred by “medical xenophobia,” which Crush and Tawodzera (2014) define as the discrimination of the migrant “others” based on their non-national presence. The challenges that migrants face when seeking care are documented by many. These include verbal and physical abuse, language barriers, and in some cases the demand for documentation and user fees (Lefko-Everett, 2008; Vearey and Nunez, 2010; Hunter-Adams and Rother, 2017; Makandwa and Vearey, 2017). Some characterize these as medical xenophobia (Crush and Tawodzera, 2014; Zihindula et al., 2017; Chekero and Ross, 2018; Munyaneza and Mhlongo, 2019). The characterization of these challenges as medical xenophobia has not gone unchallenged. Crush and Tawodzera (2014) caution against a broad application of the term, citing how locals also face challenges within the public healthcare system, a fact that has been observed by many (Jewkes et al., 1998; Vearey, 2012, 2014; Oosthuizen et al., 2017; Maphumulo and Bhengu, 2019). Vanyoro (2019) also critiques the idea of medical xenophobia or the indiscriminate exclusion of migrants, documenting how public healthcare providers, as street-level bureaucrats, draw upon other philosophies like “therapeutic citizenship” and “bureaucratic incorporation” to ensure that migrants get access to medical help. Another key consideration in the interrogation of the idea of medical xenophobia is the health system itself that is characterized by significant systemic challenges. Thus, while medical xenophobia indeed exists, as some challenges that migrants face are very specific to them and stem from their nationality, some studies argue that the context of service provision should be considered. The South African public health sector faces significant challenges that include brain drain, heavy workloads, understaffing, and the burden of communicable diseases like HIV and AIDS, which incapacitates the system to satisfactorily meet the needs of all health help-seekers (Jewkes et al., 1998; de Jager, 2009; Kruger and Schoombee, 2010; Maphumulo and Bhengu, 2019; Malakoane et al., 2020). However, while the considerations of these factors should be key in understanding the complex terrain of health help-seeking in the public healthcare sector, they should not be the premise for bundling the experiences of migrants with those of citizens. Anti-migrant attitudes mediate the experiences of migrants when they seek healthcare. The studies that highlight medical xenophobia observe that healthcare providers harbor anti-migrant sentiments, which are manifested in how they deal with migrant patients (Crush and Tawodzera, 2014; Zihindula et al., 2017; Munyaneza and Mhlongo, 2019). However, while the literature argues – mostly in a cursory fashion – that these anti-migrant sentiments are reflective of the broader sentiments that permeate sections of the society, it is mostly preoccupied with the excavation of specific practices that constitute medical xenophobia (the “what” aspect of the issue). While we have literature that discuss general xenophobia in
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    69 the republic (Crush,2001, 2008; Crush and Pendleton, 2004; Landau et al., 2005; Neocosmos, 2006; Misago, 2016) and literature that draws connections between this xenophobia and how migrants are characterized in the media and other spaces (Danso and McDonald, 2001; Mawadza and Crush, 2010; Mawadza, 2012; Banda and Mawadza, 2015; Tarisayi and Manik, 2020), migration and health literature, especially on medical xenophobia, remains saddled with the burden of clearly drawing links between the discursive framing of the migrant (in the media and other spaces) and this medical xenophobia. This paper feeds into medical xenophobia literature, edifying it by attempting to draw clear links between the xenophobic practices in the public healthcare space and the discursive framing of migrants, especially in various forms of the media and the political space. By focusing on specific utterances and practices of some nurses and frontline staff, the paper argues that just as the portrayal of migrants by the media and some politicians largely informs xenophobic practices in sections of the wider society (Danso and McDonald, 2001; Mawadza and Crush, 2010; Banda and Mawadza, 2015; Tarisayi and Manik, 2020), the same discursive framing of the migrant provides a template for certain nurses and frontline staff on how to perceive and interact with migrant patients. The paper argues that discourse informs practice, and certain practices in the public healthcare bureaucracy are indeed almost a mirror image of the discourse obtaining in the media and the political spaces, as this discourse is rearticulated with little to no annotations. MIGRATION AND HEALTH IN SOUTH AFRICA South Africa is a popular destination for migrants in the region, dating from the migrant labor regime under apartheid (Crush, 1992; Crush et al., 1995) to the present day where migration is now more a result of people seeking better livelihoods and fleeing conflict and environmental hazards (Landau and Wa Kabwe Segatti, 2009; Crush et al., 2017; Stats SA, 2022). The number of foreign-born populations in the country has increased over the years. The 2022 census recorded 2,4 million migrants, which is a considerable increase from 800,000 in 1996 (Stats SA, 2022). Most of the migrants are young adults between the ages of 20 and 44 years, which partly explains why the establishing of families in the country is becoming a norm (Polzer, 2008; Crush and Tevera, 2010). As migrants establish themselves in the country, the need for healthcare services arises. It must, however, be noted that healthcare is not the primary reason why migrants are in the country. While a handful of migrants are indeed in the country for medical reasons (Pophiwa, 2009; Crush et al., 2012; Vearey et al., 2018), for many, the need for healthcare only arises once they are in the country. South Africa has a two-tier health system – the private health system that offers world- class services to those who afford, and the state-funded public health system relied upon by large sections of the population (Crush and Tawodzera, 2014). The citizens must therefore share services with migrants within the public system, most of whom An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
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    70 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 do not afford the private sector. This system that these populations rely on grapples with many systemic challenges that incapacitates it to satisfactorily meet the needs of its own citizens (Coovadia et al., 2009; de Jager, 2009; Crush and Tawodzera, 2014; Maphumulo and Bhengu, 2019; Malakoane et al., 2020). The system is therefore met with an additional task of providing services to an increasing migrant population, which is coupled with often unclear and confusing policies regarding migrants’ access to healthcare services in the sector. On the surface, the country’s policy on migrants’ access to health services is progressive. The National Health Act of 2003 guarantees access to basic health services for all, and it guarantees free access for all pregnant and lactating women, and for children under the age of six (RSA, 2004). Section 27 (g) of the 1998 Refugees Act also guarantees refugees the same access to treatment as citizens. However, sub- national policies are vague on these provisions. In Gauteng province, where this study was conducted, the Hospitals Ordinance 14 of 1958 does not mention free services for all pregnant and lactating women and children under six (Section27, 2022). The 2020 Gauteng Department of Health’s Circular 27, Policy Implementation Guidelines on Patient Administration and Revenue Management (Gauteng DOH, 2020), sections of which were deemed illegal by the Johannesburg High Court after litigation (Khumalo, 2023), classified all non-citizens as full-paying patients, and it has been argued how these gray areas in policy usually lead to the disenfranchisement of migrant patients, as some medical staff manipulate this schism in policy to deny migrant patients services (Section27, 2022). This partly explains why some boldly characterize the practices of some nurses and frontline staff as medical xenophobia (Crush and Tawodzera, 2014; Zihindula et al., 2017; Munyaneza and Mhlongo, 2019). This paper, while acknowledging the systemic challenges within the public healthcare system and the attendant confusing policy, supports the medical xenophobia explanation. However, to fully understand the premise of medical xenophobia, it is critical to locate it within the broader xenophobia literature. METAPHORICAL FRAMING OF MIGRANTS AND XENOPHOBIA IN SOUTH AFRICA Intolerance against African immigrants is as old as the democratic dispensation itself. The failure by the democratic government in alleviating poverty and delivering on electoral promises has left many citizens disgruntled (Tshitereke, 1999; Crush, 2008; Adjai and Lazaridis, 2013). This disgruntlement is often directed at African migrants with whom they share space and limited resources in the once “forbidden cities” (Landau et al., 2005). Migrants are perceived as hindering the full enjoyment of the fruits of democracy, and consequently, there have been periodic and sustained violent attacks against migrants in the republic (Crush, 2001, 2008; Crush and Pendleton, 2004; Neocosmos, 2006; Adjai and Lazaridis, 2013; Misago, 2016).
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    71 The media hasbeen seriously implicated in the negative characterization of migrants through demeaning metaphors that are drawn upon by certain sections of the population in their attacks of migrants (Mawadza and Crush, 2010; Polzer and Takabvirwa, 2010; Mawadza, 2012; Adjai and Lazaridis, 2013; Banda and Mawadza, 2015; Tarisayi and Manik, 2021). For example, aquatic metaphors like “waves,” “tides,” “flowing,” “pouring,” which exaggerate the numbers of migrants in the country are frequently used (Mawadza and Crush, 2010). These cast migrants as invaders and a burden on the country. Indeed, migrants have been blamed for “stealing” jobs, abusing the system by living at the expense of taxpayers, and for overwhelming and swamping the healthcare and other systems (Tshitereke, 1999; Banda and Mawadza, 2015). The global literature has observed how this framing of migrants through this crisis lens constructs individual perceptions of the social order (Sides and Citrin, 2007; Moore et al., 2012; Gallagher, 2014; Blinder and Jeannet, 2018). In South Africa, tabloid and other forms of media, which have also been accused of overly focusing on undocumented migrants, refugees, and asylum seekers, while ignoring skilled migrants (Tarisayi and Manik, 2021), have been implicated in being responsible for how the general news consumers perceive and respond to immigration and migrants (Wasserman, 2010; Kariithi, 2017). As argued by Moore et. al (2012), these narratives have a political thrust, as political parties with anti-migrant agenda pursue them. The recent election cycles in South Africa have been marked with various political parties drawing on the anti-migrant discourse for political expediency (Mashego and Malefane, 2017; Bornman, 2018, 2019b, 2019a, 2024; Madia, 2018; Mailovich, 2018; Davis, 2019; Fogel, 2019; Machinya, 2022). For example, in 2018, the then Minister of Health, Dr Aaron Motsoaledi was on record for accusing migrants of flooding South Africa and overburdening the public health system (Heleta, 2018; Moodley, 2018). In 2017, the then Minister of Police, Fikile Mbalula, was also on record for blaming ex-Zimbabwean soldiers residing in the country for violent crimes (Maromo, 2017). Across the opposition political aisle, in 2017, Herman Mashaba, former mayor of Johannesburg and now leader of the Action SA party, was recorded blaming illegal immigrants for holding the country to ransom and for causing unemployment (Chaskalson, 2017). At the time of writing, he was canvasing people to “investigate” spaza shops run by migrants, which he blames for acting as fronts for criminal activities (Kgobotlo, 2024). Gayton Mackenzie, the leader of the Patriotic Alliance party, has also become popular on the political scene with his anti-migrant rhetoric. For example, at the launch of his 2024 national elections’ manifesto in Orlando Stadium in Soweto, he was quoted accusing “illegal” foreigners as devils sent to sell drugs to South Africans, and he went on to blame migrants for unemployment in the country (Moichela, 2023; HRW, 2024). If elected, he threatened, he was going to go to Rahima Moosa Hospital to switch off the oxygen supply for foreigners (Mlambo, 2023). While the efficacy of these narratives on substantive electoral gains is yet to be established, politicians still cling to the anti-migrant discourse. An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
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    72 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 Besides the political space, certain formations in society also harness and reinforce these anti-migrant narratives. Of note is the Put South Africans First (PSAF) movement, which is a social media formation that became popular around 2019 by mobilizing the citizens around hashtags like “All foreigners must leave,” “We want our country back,” and “Clean South Africa” (Dratwa, 2023), and these messages found articulation on the ground through Operation Dudula, a militant group that queries the membership and presence of foreign nationals in the country (Nhemachena et al., 2022). The media and politicians are thus very central in framing the narratives around immigration, and these draw from and influence the other. These narratives, Neocosmos (2006) argues, are coopted into various government departments. For example, the Department of Home Affairs has been accused of being xenophobic in its dealing with asylum-permit applications for refugees and other visas (Adjai and Lazaridis, 2013; Johnson, 2015; Khan and Lee, 2018; Carciotto, 2021). Similarly, the South African Police Services (SAPS) is also known for abusing and preying on especially undocumented migrants from whom they occasionally demand bribes (Harris, 2001; Valji, 2004; Nduru, 2005; Vahed and Desai, 2008; Polzer and Takabvirwa, 2010; Adjai and Lazaridis, 2013). Those who allude to medical xenophobia base their arguments on the institutionalization of anti-migrant narratives in the public health system. The literature on medical xenophobia (Crush and Tawodzera, 2014; Zihindula et al., 2017; Munyaneza and Mhlongo, 2019), including those who sparingly allude to this term (Alfaro-Velcamp, 2017; Hunter-Adams and Rother, 2017; Makandwa and Vearey, 2017; White et al., 2020), argue that the institutionalization of the anti-migrant discourse is in the public healthcare space. However, it still remains to be categorically ascertained how the practices of healthcare providers (nurses and frontline staff) are specifically indicative and reflective of the discursive norm on migrants. This article, while far from being a comprehensive discussion on this topic, feeds into the above literature, arguing that medical xenophobia indeed exists. Moreover, the utterances and practices of some healthcare providers seem to prove that the anti-migrant discourse that populate the media and the political and other platforms is co-opted by some public healthcare bureaucrats in its raw form, and it provides a mental roadmap for perceiving and dealing with migrants. CONCEPTUAL FRAMEWORK: DISCIPLINARY POWER This paper uses the concept disciplinary power, particularly nibbling on the notions of the discursive norm or normalization (Foucault, 1977, 1978, 1982), to articulate how the dominant forms of “knowledge” about migration from various forms of the media and the political space assumes the authority of truth. It also shows how this “knowledge” is materially enacted and embodied in the practices of some public healthcare professionals toward migrant patients. In a profound shift in the understanding of how power operates in modern societies, Michel Foucault (1977, 1982) coined the term disciplinary power to represent more subtle and pervasive
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    73 mechanisms of control(opposed to spectacular forms found in sovereign power). These control mechanisms are embedded in everyday life, shaping individuals and populations through a complex web of institutions, norms, and practices. Shifting focus from the body as the primary site of power, Foucault argues that disciplinary power targets the mind, behavior, and identity of individuals. More specifically, it is concerned with the regulation of daily life, the management of time, space, activity, and the creation of a self-regulating subject who internalizes the superior norm and discourse that permeate the society (Haugaard, 1997; Lilja and Vinthagen, 2014). Foucault provides the mechanisms for such form of power, one of them being normalization (standardization/universalization), which is a process by which standardsofbehaviorareestablished,againstwhichindividualsaremeasured,judged, and corrected. This is facilitated by systems of knowledge (institutions) that claim to know the individual, or any communication and representation (verbal or otherwise) that enables activity or limits it (Johnston, 1991; Nadesan, 2008; Lilja and Vinthagen, 2014). According to Foucault (1977, 1978, 1982), individuals are manufactured and reconstituted (subjectification) through these systems of knowledge that provide fields of comparisons and frames of reference for individuals on how to perceive and respond to the political and social order. Thus, to Foucault, “analyzing power must then embrace an analysis of how subjects are gradually, progressively, really and materially constituted through a multiplicity of organizations, forces, energies, material desires, thoughts etc.” (Kelly, 1994: 35). This paper harnesses these thoughts, arguing that the anti-migrant discourse in platforms like the media, the political space, and other societal formations constitutes systems of knowledge that shape how some healthcare providers perceive and interact with the migrant patient. Of course, Foucault has been criticized for this focus on the microphysics of power. Some, coming from a Marxist perspective, critique Foucault’s analytics of power for negating economic and material dimensions of life (Fraser, 1981; Wacquant, 1989). Others, coming from a humanist position of a free and rational subject, criticize Foucault’s conceptualization of power for limiting the possibility of agency, democratic participation, resistance and social transformation, and the moral dimensions of everyday life (Fraser, 1981; Honneth and Roberts, 1986; Shapiro, 1986; Butler, 1989; Hartsock, 1989; Diamond et al., 1990). Indeed, a laser focus on microphysics of power does not envision that people, while being subjects of discourse, exercise agency, and they may draw from other philosophies that either inadvertently or overtly stage resistance against dominant narratives. As this paper observes, and as has been observed elsewhere (Vanyoro, 2019), some healthcare providers exercise agency and discretion in their encounter with migrant patients, which certainly decouple their practices from the dominant anti-migrant discourse. Thus, while acknowledging the above shortfalls of disciplinary power, the paper nevertheless maintains that the concept is useful in the understanding of how individual behavior is not autonomous of dominant and prevailing forms of knowledge. Using this concept, the paper draws attention to how the practices and An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
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    74 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 utterances of some healthcare providers are reflective and indicative of the anti- migrant discourse that has been standardized and normalized in the media, the political space, and certain societal formations. This discourse, the paper posits, shapes the perceptions and practices of certain healthcare providers, as their utterances are largely a rearticulation of this discourse in its exact form. METHODS This paper is part of the author’s PhD project, which broadly focuses on how Zimbabwean migrant women navigate maternal health inequities in South Africa, therefore the narratives are from 13 Zimbabwean migrant women (see Table 1) who have been in the country from as early as 2008. The paper focuses on the utterances and practices that the participants attribute to nurses and frontline staff in their interactions in healthcare facilities. Furthermore, the paper attempts to draw parallels with the anti-migrant discourse that populates certain platforms outside the healthcare facilities, especially in the conventional media, political discourse, and narratives from other anti-migrant platforms in the community and on social media platforms. Table 1: Study population Participant Years in South Africa Stated Age Residence Nyasha 8 35 Ebony Park Samantha 12 Undisclosed Ivory Park Faith 7 30 Rabie Ridge Mai Brenda 9 32 Ivory Park Seda 11 37 Ivory Park Mberi 12 40 Rabie Ridge Jessica 16 38 Ebony Park Chipo 11 39 Ivory Park Octavia 15 42 Ebony Park VaMasibanda 6 29 Ivory Park Mai Precious 5 Undisclosed Ivory Park Mary 7 Undisclosed Rabie Ridge Gwaumbu 6 26 Ivory Park Source: Author's own work The author conducted the study in Ivory Park, Ebony Park, and Rabie Ridge, suburbs located in Midrand, which is situated in the north of Johannesburg and encompasses suburbs around the N1 highway north of the Jukskei River. I should therefore make
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    75 it clear thatthe analysis in the paper largely applies to this context, though through extrapolation, the findings may be useful in understanding other contexts as the narratives of the participants here corroborate those in studies outside this context. The suburbs in this study, which are adjacent to each other, fall under the Johannesburg Metropolitan Municipality and are all adjacent to the township of Tembisa, which is under the Ekurhuleni Municipality. Therefore, participants in this study use various healthcare facilities in both municipalities, especially Tembisa Hospital, which is the only referral hospital closer to where the participants live. Also, while some participants may reside in Ivory Park, it is usually convenient for them to use facilities in Tembisa, as some of these facilities are much closer to them than the ones situated in Ivory Park. Within these suburbs, Black Africans constitute almost 99% of the population (Stats SA, 2022). While data on the number of migrants within the space is unavailable in census reports, the author, through regular prior visits to a relative in Ivory Park, observed that the suburbs host a significant number of African migrants, especially Zimbabweans, which made the place a convenient site for the author’s PhD project. The focus on Zimbabwean nationals was justified by the fact that Zimbabwe contributes a large portion of migrants in the country as a result of the deteriorating political and economic situation in that country (Polzer, 2008; Crush and Tevera, 2010; Chiumbu and Musemwa, 2015). The recent South African 2022 census report records Zimbabweans in the country as a little over 1 million, which is 45% of the migrant population (Stats SA, 2022: 31). However, owing to border porosity and inadequate record keeping by the government, these official statistics may not be an accurate reflection of the actual numbers of immigrants in the country (Chekero and Ross, 2018; Chekero and Morreira, 2020). The study used purposive and snowballing sampling to recruit participants, and the author benefited from existing networks in Ivory Park to recruit more participants. Interviews ranged between 30 and 75 minutes; all participants consented to the recording of the interviews and pseudonyms were used throughout the study. The researcher obtained ethics (non-medical) approval from the University of the Witwatersrand. Obtaining data from women was not an easy task, especially considering that the researcher is a man. For women, especially the married or those living with intimate partners, the author provided a leeway for the partners to be joint participants in the interviews. The interviews, which were semi-structured, were conducted in Shona, the native language of most of the participants and the author. The interview audios were transcribed into English and the author repeatedly listened to and read them to generate themes; this was done using thematic content analysis. Three main themes were discovered: physical and verbal abuse, the demand for user fees, and the demand for passports. The author observed that the utterances accompanying these practices were in most cases a mirror image of anti-migrant articulations in the media, the political space, and certain anti-migrant formations gaining considerable popularity in the community. An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
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    76 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 RESULTS AND DISCUSSION Verbal and physical abuse: Rearticulation of the numbers and burden nomenclature The characterization of migrants as a burden and coming in numbers into the country to swamp the public healthcare system permeates the media and the political space (Mawadza and Crush, 2010; Banda and Mawadza, 2015; Matlala, 2018; Moodley, 2018; Tarisayi and Manik, 2020). In this study, these same characterizations were rearticulated, with no annotations, by some nurses whose verbal and physical abuse of migrant patients was accompanied by these characterizations. For example, Samantha, who delivered her baby in 2022 at Esangweni Clinic in Tembisa, narrated how she was verbally abused by attending nurses who were complaining about how foreign nationals come into the republic to burden them with work. According to her, some of the nurses were shouting at her, saying how they wished for Operation Dudula to come and take all the foreigners away: That day, I was assisted by a male midwife. Another woman came … to assist the man. The man was okay, he was never rough with me, but the woman was rough. I had stitches done on me, and she did it without giving me an injection. She did it live. She said for me not to make any movement, and if I did and smear her with my blood, things were not going to be good for me. The man had the injection to administer, but the woman objected to it. … She actually said that foreigners come all the way here to burden them with work. She asked why I did not go back to Zimbabwe to deliver instead of burdening them with work. … They were casually saying, “Call you father, Mugabe, from the grave to help you,” because I was pushing before eight centimeters (cervix dilation). I was feeling that I should push, but they were objecting. I pushed anyway and the child came out, yet they were saying I shouldn’t. … They will be saying that foreigners are coming to burden them with work. The day I went for three days (postnatal follow-up visit) to the clinic with this child, … they were saying they wish for Dudula to come and take us all because we were coming to burden them ... They will be saying, “Go back to your country, don’t you have hospitals there?” (Samantha, interview, Ivory Park, 6 April 2024). The casual references to Operation Dudula, an anti-migrant group known for crude and violent attacks against African migrants (Masweneng, 2022; Nhemachena et al., 2022) directly locates some of the nurses’ utterances in the discourse of anti- migrant formations that popularize anti-migrant discourse. Participants in this study continued to narrate their ill-treatment in public healthcare facilities, with the healthcare professionals constantly blaming them for inundating the system. Nyasha, who also delivered her baby at Esangweni Clinic in 2017, narrated how the nurses were shouting at her, citing how Zimbabweans are bothering them and how the
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    77 people with thename “Nyasha” were many and becoming a problem, implying that Zimbabweans are many and crippling the system: I gave birth there, but it was not easy there. They were always shouting at us saying, “Your doctors are doing nothing in Zimbabwe, while you are busy bothering us here in South Africa. I have just helped another patient by the name Nyasha. You Nyashas are troublesome. The Nyashas are becoming a problem here” (Nyasha, interview, Ebony Park, 24 February 2024). Similarly, Faith explained how she was ill-treated at Tembisa Hospital in 2021. She cited verbal abuse from nurses, whom she claimed were blaming Zimbabweans for being too many and for coming into the country for their maternal health needs: I was ill-treated at Tembisa Hospital. They don’t like foreigners, especially those from Zimbabwe. They will be shouting at us saying, “You Zimbabweans are coming in numbers to deliver here … you are delivering here in numbers,” and many other things they were saying (Faith, interview, Rabie Ridge, 16 March 2024). Mai Brenda, who delivered through cesarean-section (C-section) at Tembisa Hospital in 2022, also cited ill-treatment from nurses. She narrated how the nurses were uncouth and shouting, blaming migrants for coming to South Africa to deliver and to trouble them: I delivered the same day through C-Section. So, after I was operated on, when it comes to them giving you your baby, they throw it at you … they will be shouting at you saying, “Foreigners, you are troublesome. Your habit is to come and deliver here instead of your country. Did you not hear that you should go back home?” (Mai Brenda, interview, Ivory Park, 24 February 2024). While migration for health help-seeking is indeed a present phenomenon in South Africa (Crush et al., 2012; Crush and Chikanda, 2015), it should not be overstated. I argue that the exaggeration of this phenomenon is directly connected to how migrants are generally characterized with regards to healthcare seeking in various spaces (Banda and Mawadza, 2015; Heleta, 2018; Matlala, 2018; Moodley, 2018). The utterance against Mai Brenda, “Did you not hear that you should go back home?” is arguably a clear indication that the specific nurse benefits from the narratives of Operation Dudula and other political figures who are on record calling for the mass deportation of foreign nationals (Mashego and Malefane, 2017; Nhemachena et al., 2022). According to Foucault, knowledge systems discipline individuals to think and act in specific ways (Foucault, 1977; Kelly, 1994; Lilja and Vinthagen, 2014). In our case, it is quite evident that the anti-migrant discourse as a system of knowledge An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
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    78 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 in the media, the political space and other societal formations disciplines, train certain individuals, and provide frames of reference for behavior, as this discourse is rearticulated in almost similar ways. Demand of user fees: Policy implementation with undertones of popular anti-migrant discourse As stated earlier, the policy regarding the payment of user fees is very confusing. While the National Health Act (NHA) No. 61 of 2003 precludes all pregnant and lactating women from paying user fees, the Gauteng Department of Health Circular 27 of 2020 categorized all non-citizens as full-paying patients. This has “enabled hospitals to interpret its provisions to deny pregnant women and children access to free services if they are asylum seekers [and] undocumented persons” (Section27, 2022: 8). While it is quite a simplistic view that demanding user fees is indicative of medical xenophobia, sometimes the utterances accompanying the process of demand justify this judgment. As this study observed, the statements by some frontline staff closely dovetailed with some narratives to the effect that migrants should pay for services (White et al., 2020; White and Rispel, 2021). Seda, a participant in this study, narrated how in 2020 when she used Thuthukani Clinic and Tembisa Hospital for antenatal care, she had to pay. Additionally, the frontline staff said that migrants are too many and should therefore pay – a narrative that has close links with the discourse elsewhere that migrants are abusing the system and “stealing” the birth rights of citizens (Crush and Tawodzera, 2014; Banda and Mawadza, 2015; White and Rispel, 2021): When I was pregnant with the first one in 2016, it was good, but for the second one (2020) it was different. There were problems now. The difference was that on every checkup they required us to pay money (R395 – approximately 22 USD). So, if you go to Tembisa for checkup, they would require money from you as a foreigner. If you don’t have money, they do not tend to you … they record that you have a debt. So, it was now different. In 2016 I did not pay any money, but back in 2020 I paid lots of money, from registering until I delivered. You will not get a card without paying money. So, the difference was huge. It was very tough. … I paid R700 (approximately 38 USD) for the card. Without paying that money, you wouldn’t get any help … They were saying we foreigners are too many and we are a burden, so we should pay” (Seda, interview, Ivory Park, 6 April 2024). Considering the livelihood strategies of most participants in this study (scrap collection, house help, and small market stalls), these amounts of money are relatively significant. While the demand for payment was implementation of policy, statements related to the volumes of migrants and the burden they impose on the system highlight
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    79 how some membersof staff draw on prevailing anti-migrant discourse, and the schism in policy may sometimes serve as a platform for the articulation of such discourse. Mberi, another participant in this study, also narrated how payment is indeed required. She narrated how the frontline workers accompany the demand for payment with the narrative that if migrants do not want to pay, they should trek back home for services, which is a discourse largely situated in utterances by politicians. For example, the then (2022) Limpopo Health Member of the Executive Council, Dr. Phophi Ramathuba was recorded ranting to a Zimbabwean patient that the province did not have a budget for migrants (Monama, 2022). This rhetoric has been very popular with politicians in the past years, and it is creeping to the public healthcare sector where these narratives are repeated. Mberi narrated: With the current situation, … if I get ill, they will not tend to me if I don’t have money to open a file … It’s either I produce money, and even if I do, they will give a prescription for me to get medication elsewhere … I was told that migrants should get services back home, and if I want services here, I should pay (Mberi, interview, Rabie Ridge, 24 March 2024). This was the case with many participants in this study. Jessica and Chipo also claimed that it is now impossible to get attended to without payment, and that frontline staff tell migrant patients that its either they pay or go back home for services – utterances that are reflective of the dominant discourse: Nowadays, it requires money. To register you need money. On delivery you cannot be discharged until you pay. Those days it was good. It’s only becoming a problem these days … These days, people are complaining a lot. They are told that nothing is for free and if they can’t stand it, they should get a bus back home. Money. Money is now required more (Jessica, interview, Ebony Park, 16 March 2024). It is now getting very tough these days. During the time I first gave birth (2014), it was not as tough as it is now. It is now getting very tough. The person who was registering me clearly told me that there are no free services for those who don’t pay tax ...There is huge change now as compared from the beginning. When we gave birth, there was no money required. The only money that was required was for the card and the stamp. Now the monies that are required are a lot. The money can be as high as R621 (Chipo, interview, Ivory Park, 25 February 2024). The reference to paying tax draws from the prevailing narratives, mainly by politicians who argue that migrant patients are overwhelming the system, which has no budget for foreign nationals (Banda and Mawadza, 2015; Heleta, 2018; BusinessLive, 2019; An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
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    80 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 Monama,2022).Thus,thisdiscourseaccompaniestheimplementationofpoliciesthat are, of course, already confusing. Yet, as confusing as the policies are, these utterances seem to prove that implementation of policy is accompanied by broader discourse regarding the number of migrants in the country and the supposed burden they impose on the system. Other participants, while not specifically noting any phrases from the healthcare staff that mirror the universalized norms on the characterization of migrants, nevertheless narrated an over-emphasis on the demand for payments: On this one (second child delivered in 2021), I paid around R600. They gave me the card, but I had to pay to get a stamp so the baby would go to clinic. The stamp needed, I think, R652 or R632. Locals don’t pay. I also delivered through operation (C-section), and when I went for the removal of the stitches, I paid money. It was around R300. It doesn’t exceed R400, it’s almost like at a private hospital … at Tembisa, they treat you bad even after paying, because you are a foreigner (Faith, interview, Rabie Ridge,16 March 2024). …at Tembisa, on the second child in 2019, I paid. It was foreigners only … I remember when I was getting in labor, I paid R150. When I was due to be discharged, they said the money was not enough. I remember I paid R300. If you haven’t paid, they will not give you the baby’s card, the one you use to go to scale (postnatal checkups) with … [the reason was being] a foreigner. They will say you have no papers … you have no proper documentation. But even if you had a passport, they made you pay (Mai Octavia, interview, Ebony Park, 23 March 2024). When Mai Octavia and Chipo delivered in 2019, the Gauteng Circular 27 of 2020 that categorized migrants as full-paying patients was not yet in effect. It potentially highlights the fact that frontline staff can draw upon the normalized discourse about immigrants and implement it as policy, even in advance of its inclusion in official directives. Therefore, while we should definitely consider the confusing policy terrain that healthcare staff work under (White et al., 2020; White and Rispel, 2021), we should also consider that the disjuncture in policy is tantamount to manipulation (Section27, 2022). Moreover, it can serve as a platform for the rearticulation of popular anti-migrant discourse. To some degree, then, anti-migrant discourse creeps into the public health system as it is reflected in some frontline staff’s utterances. Resultantly, the public health bureaucracy becomes somewhat of an echo chamber of this harmful discourse. As Foucault argues, discourse is critical in agenda setting (Foucault, 1977, 1982), and as seen above, some politicians’ utterances seem to have become the “superior norm” that sets the tone for the policy implementation environment in the public health system.
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    81 Demand for passports:A blatant form of exclusion or clerical requirement? Of the documentation required for the registration of patients, especially in Gauteng province, the Gauteng Department of Health specifically requires proof of identification, which can be a passport, identity document, refugee permit, among other identifying documents, including proof of residential address (Gauteng DOH, 2020). While these requirements should be for the purposes of registration and the classification of patients, when migrants are seeking care, they encounter challenges from frontline staff that overemphasize the need for passports (White and Rispel, 2021). This potentially indicates that other agendas may be at play, because above a wide array of documents needed for registering patients, utility bills and proof of residence can also serve the same purpose and some migrants indeed use these (Crush and Tawodzera, 2014). In Messina, Limpopo province, it has already been documented how frontline staff can simply use the information that the migrants verbally provide (Vanyoro, 2019). However, in this study, some participants narrated how the overemphasis on passports has led to them being outrightly sent away from facilities. For example, Mberi, like many other participants in the study, noted that it can be difficult to get services if one is not in possession of the “proper papers” – a synonym for an up-to-date passport: During that time (in the past), nothing like that was happening. Even when opening a file for treatment or checkups, they didn’t want anything. You would just go for registration using your proof of residence only … (These days), if you have no papers, they will not tend to you. You may be sent back … If I don’t have proper papers, they will not treat me … So, the situation now is different from the beginning (Mberi, interview, Rabie Ridge, 24 March 2024). Mberi’s narrative is proof that it is indeed possible for a migrant patient to get services without a passport, as was the case during the period she calls “that time,” which is around 2012 when she delivered her first baby. Backing this fact, some participants stated how they were tended to without passports, proving that denial of services based on passports may be more rooted in other intentions, other than the simple registration of patients. In 2012 and 2021, Faith stated how she used her Zimbabwean drivers’ license for registration: I registered using a Zim driving license (Faith, interview, Rabie Ridge,16 March 2024). Similarly, VaMasibanda managed to register at Rabie Ridge Clinic in 2019 without any documentation, with the staff only relying on what she verbally provided: The nurses treated me very well because the first time I went there, they only asked my residential address and name. They asked me if I had a passport, and An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
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    82 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 I said I didn’t have. They didn’t say anything (VaMasibanda, interview, Ivory Park, 24 March, 2024). Mai Precious was also able to register in 2023 without any form of documentation, and she only verbally provided the information that was needed: I have no papers that I use. I do not even have a passport … They served me without it. I was just giving them the details they needed (Mai Precious, interview, Ivory Park, 20 April 2024). This is proof that while passports make the registration and classification of patients easy, discretion and improvisation by staff can ensure no one is denied services on account of not producing a passport. To prove that the requirement of passports is not cast in stone and is dependent on attending staff, Mary recounted how she was sent away at Tembisa Hospital in 2019 for failing to produce a passport, and was, however, served the following day at the same facility by a different person under similar circumstances: They wanted an ID (identity document) or passport, and I didn’t have any, so I went back home. I went there the following day and encountered a different person, and I registered without a passport (Mary, interview, Rabie Ridge, 25 February 2024). Gwaumbu also faced a situation mirroring Mary’s. She narrated how she was sent away from Thuthukani Clinic in 2021 because she did not have “papers,” only to be served at Halfway House Clinic: I went to Thuthukani, and they chased me away because I did not have papers, but at Midrand (Halfway House Clinic) they served me like that (Gwaumbu, interview, Ivory Park, 20 April 2024). From the above, it is clear that the demand for passports is not a standardized practice, and it is dependent on the attending staff, perhaps their mood for the day, and probably a candid expression of medical xenophobia. While the above narratives are insufficient to categorically inform the conclusion that the emphasis on passports is a manifestation of medical xenophobia, they tend to gravitate toward that direction, especially when read in concert with observations elsewhere that an emphasis on passports is a mechanism for denying migrants services based on their nationality (Crush and Tawodzera, 2014; Chekero and Ross, 2018; White et al., 2020). A critical lesson from the above narratives, which we also get from Vanyoro (2019), is that healthcare providers are always innovative in finding means, sometimes against the grain, to ensure that all patients, including migrants, receive services. This gives
  • 85.
    83 credence to Foucault’scritiques who aver that his conceptualization of disciplinary power limits the possibility of agency (Honneth and Roberts, 1986; Shapiro, 1986; Butler, 1989; Hartsock, 1989; Diamond et al., 1990). In a context where the wisdom of providing services to migrants is questioned in various platforms, some healthcare providers draw on other forms of reasoning that go against the common narrative. Therefore, in acknowledging medical xenophobia and how it is largely indicative of the prevailing discourse, the limits of discourse in orienting practice must be appreciated. CONCLUSION This paper attempted to ascertain how practices termed “medical xenophobia” draw from the broader anti-migrant discourse by drawing parallels between public healthcare providers’ practices with the anti-migrant discourse outside the public healthcare system. The migrant women in this study claimed that they encountered physical and verbal abuse, an emphasis on passports, and the demand for user fees – challenges that have been documented by many (Lefko-Everett, 2008; Vearey and Nunez, 2010; Hunter-Adams and Rother, 2017; Makandwa and Vearey, 2017; Chekero and Ross, 2018). Importantly, through a focus on some statements that the participants attributed to healthcare providers that accompany these practices, it is evident that some of these utterances are reflective and indicative of the anti-migrant discourse that permeate the media, the political, and other platforms. This, the paper argued, is proof that these platforms serve as systems of “knowledge” that provide some templates for some bureaucrats in the public healthcare sector on how to make sense of and interact with migrants. This dovetails with Foucault’s argument that discourse in institutions of knowledge (bearers of discourse) discipline individuals by training them how to react to and perceive the subjects of this “knowledge” or discourse (Foucault, 1977, 1982; Kelly, 1994; Haugaard, 1997). However, the paper also found that while anti-migrant discourse certainly provides frames of reference for some bureaucrats, agency and discretion mediate the practices of some nurses and frontline staff. This makes the public healthcare bureaucracy not an entire echo chamber for what obtains in the media and the political and other spaces. Thus, as Foucault’s critiques argue, disciplinary power is not always overbearing, as agency and the moral dimensions of life can resist the superior norm (Fraser, 1981; Honneth and Roberts, 1986; Shapiro, 1986; Butler, 1989). As seen in this study, especially regarding the demand for passports, certain individual practices are tangential to the standardized narratives. Be that as it may, most of the evidence in this paperpointstomedicalxenophobia,andthediscourseaboutmigrantsthroughvarious demeaning metaphorical representation in the media, in politicians’ utterances, and in anti-migrant groupings find their way into the public healthcare bureaucracy, as certain practices and statements of some bureaucrats are verbatim articulations of the prevailing anti-migrant narrative in those spaces. The paper therefore concludes that the practices that constitute medical xenophobia within the public healthcare system are rearticulations and restaging of the anti-migrant discourse that has been An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
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    84 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 popularized by the media, politicians, and certain anti-migrant groupings in the community. Just as this discourse provides a blueprint for sections of the society in the “othering” of the migrant, sometimes through violent confrontations, the same discourse usually presents itself as a frame of reference regulating the behavior of certain bureaucrats in the public healthcare system.
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    85 REFERENCES Adjai, C., andLazaridis, G. 2013. Migration, xenophobia and new racism in post- apartheid South Africa. International Journal of Social Science Studies, 1. https://doi.org/10.11114/ijsss.v1i1.102. Alfaro-Velcamp, T. 2017. “Don’t send your sick here to be treated, our own people need it more”: Immigrants’ access to healthcare in South Africa. International Journal of Migration, Health and Social Care, 13(1): 53–68. https://doi. org/10.1108/IJMHSC-04-2015-0012. Banda, F., and Mawadza, A. 2015. “Foreigners are stealing our birth right”: Moral panics and the discursive construction of Zimbabwean immigrants in South African media. Discourse and Communication, 9(1): 47–64. https://doi. org/10.1177/1750481314555263. Blinder, S., and Jeannet, A.-M. 2018. The “illegal” and the skilled: Effects of media portrayals on perceptions of immigrants in Britain. Journal of Ethnic and Migration Studies, 44(9): 1444–1462. https://doi.org/10.1080/136918 3X.2017.1412253. Bornman, J. 2018. The role of social media in immigrants’ response to xenophobic violence in South Africa. African Centre for Migration and Society (ACMS), University of the Witwatersrand. https://wiredspace.wits.ac.za/server/api/ core/bitstreams/54691c0a-d52b-4d5b-bf8f-09df664a169d/content. Bornman, J. 2019a. Alarming surge in xenophobic language. The Mail & Guardian. https://mg.co.za/article/2019-08-06-alarming-surge-in-xenophobic- language/. Bornman, J. 2019b. Mashaba’s xenophobic legacy. The Mail & Guardian. https:// mg.co.za/article/2019-11-07-00-mashabas-xenophobic-legacy/. Bornman, J. 2024. The cynical tactic of politicians resorting to border wall politics to win votes. City Press. https://www.news24.com/citypress/voices/jan- bornman-the-cynical-tactic-of-politicians-resorting-to-border-wall-politics- to-win-votes-20240428. BusinessLive. 2019. Aaron Motsoaledi’s toxic xenophobia. BusinessLIVE. https:// www.businesslive.co.za/bd/opinion/editorials/2019-03-06-editorial--aaron- motsoaledis-toxic-xenophobia/. Butler, J. 1989. Foucault and the paradox of bodily inscriptions. Journal of Philosophy, 86(11): 601–607. Carciotto, S. 2021. Making asylum seekers more vulnerable in South Africa: The negative effects of hostile asylum policies on livelihoods. International Migration, 59(5): 3–18. https://doi.org/10.1111/imig.12788. Chaskalson,J.2017.Mashabahasincitedxenophobia,saysimmigrants’spokesperson. February 23, GroundUp News. https://groundup.org.za/article/mashaba-has- An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
  • 88.
    86 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 incited-xenophobia-says-immigrants-spokesperson/. Chekero, T., and Morreira, S. 2020. Mutualism despite ostensible difference: HuShamwari, kuhanyisana, and conviviality between Shona Zimbabweans and Tsonga South Africans in Giyani, South Africa. Africa Spectrum, 55(1): 33–49. https://doi.org/10.1177/0002039720914311. Chekero, T., and Ross, F.C. 2018. “On paper” and “having papers”: Zimbabwean migrant women’s experiences in accessing healthcare in Giyani, Limpopo province, South Africa. Anthropology Southern Africa, 41(1): 41–54. https:// doi.org/10.1080/23323256.2018.1442729. Chiumbu, S., and Musemwa, M. 2015. Crisis! What crisis? The multiple dimensions of the Zimbabwean crisis. HSRC Press. https://repository.hsrc.ac.za/ handle/20.500.11910/3309. Coovadia, H., Jewkes, R., Barron, P., Sanders, D., and McIntyre, D. 2009. The health and health system of South Africa: Historical roots of current public health challenges. The Lancet, 374(9692): 817–834. https://doi.org/10.1016/S0140- 6736(09)60951-X. Crush, J. 1992. Inflexible migrancy: New forms of migrant labour on the South African gold mines. Labour, Capital and Society, 1(25): 46–71. Crush, J. 2001. The dark side of democracy: Migration, xenophobia and human rights in South Africa. International Migration, 38(6): 103–133. https://doi. org/10.1111/1468-2435.00145. Crush, J. 2008. The perfect storm: The realities of xenophobia in contemporary South Africa. Migration Policy Series, No 50. Southern African Migration Programme (SAMP). https://samponline.org/wp-content/uploads/2016/10/ Acrobat50.pdf. Crush, J., and Chikanda, A. 2015. South–South medical tourism and the quest for health in Southern Africa. Social Science and Medicine, 124, 313–320. https:// doi.org/10.1016/j.socscimed.2014.06.025. Crush, J., and Pendleton, W. 2004. Regionalizing xenophobia? Citizen attitudes to immigration and refugee policy in Southern Africa. Migration Policy Series, No 50. Southern African Migration Programme (SAMP). https://scholars.wlu. ca/cgi/viewcontent.cgi?referer=&httpsredir=1&article=1126&context=samp. Crush, J., and Tawodzera, G. 2014. Medical xenophobia and Zimbabwean migrant access to public health services in South Africa. Journal of Ethnic and Migration Studies, 40(4): 655–670. https://doi.org/10.1080/1369183X.2013.830504. Crush, J., and Tevera, D. S. 2010. Zimbabwe’s exodus: Crisis, migration, survival. African Books Collective. Crush, J., Chikanda, A., Maswikwa, B., and Southern African Migration Project. 2012. Patients without borders: Medical tourism and medical migration in Southern Africa. Southern African Migration Programme (SAMP); IDASA;
  • 89.
    87 Southern African ResearchCentre (SARC); Queen’s University. Crush, J., James, W. G., Institute for Democracy in South Africa (IDASA), and International Development Research Centre (IDRC) (eds.). 1995. Crossing boundaries: Mine migrancy in a democratic South Africa. IDASA; IDRC. Crush, J., Tawodzera, G., McCordic, C., and Ramachandran, S. 2017. Refugee entrepreneurial economies in urban South Africa. Southern African Migration Programme. https://doi.org/10.2307/j.ctvh8r07x Danso, R., and McDonald, D. A. 2001. Writing xenophobia: Immigration and the print media in post-apartheid South Africa. Indiana University Press. Davis, R. 2019. Xenophobia is flaring pre-elections – but it’s not only politicians who are to blame. Daily Maverick. https://www.dailymaverick.co.za/article/2019- 04-03-xenophobia-is-flaring-pre-elections-but-its-not-only-politicians-who- are-to-blame/. De Jager, J. W. 2009. Delivering quality service to in- and out-patients in a South African public hospital. African Journal of Business Management, 7. Diamond, I., Quinby, L., Benhabib, S., and Cornell, D. 1990. Feminism and Foucault: Reflections on resistance. Hypatia, 5(3): 118–124. Dratwa, B. 2023. “Put South Africans first”: Making sense of an emerging South African xenophobic (online) community. Journal of Southern African Studies, 49(1): 85–103. https://doi.org/10.1080/03057070.2023.2170126. Fogel, B. 2019. South Africa is ripe for right-wing populist movements. Mail & Guardian. https://mg.co.za/article/2019-05-01-00-south-africa-is-ripe-for- right-wing-populist-movements/. Foucault, M. 1977. Discipline and punish: The birth of the prison. Pantheon Books. Foucault, M. 1978. The history of sexuality: An introduction (vol. 1). Pantheon Books. Foucault, M. 1982. The subject and power. Critical Inquiry, 8(4): 777–795. https://doi. org/10.1086/448181. Fraser, N. 1981. Foucault on modern power: Empirical insights and normative confusions. PRAXIS International, 1(3): 272–287. Gallagher, C. A. 2014. “Blacks, Jews, gays and immigrants are taking over”: How the use of polling data can distort reality and perpetuate inequality among immigrants. Ethnic and Racial Studies, 37(5): 731–737. https://doi.org/10.108 0/01419870.2014.887213. Gauteng Department of Health (DOH). 2020. Circular No. 27 of 2020: Policy implementation guidelines on patient administration and revenue management. https://groundup.org.za/media/uploads/documents/ GautengDOH-Circular27-2020.pdf. Harris, B. 2001. A foreign experience: Violence, crime and xenophobia during South Africa’s transition (Vol. 5). Johannesburg: CSVR. An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
  • 90.
    88 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 Hartsock, N. 1989. Foucault on power: A theory for women? In Nicholson, L. (ed.), Feminism / Postmodernism. New York: Routledge. Haugaard, M. 1997. The constitution of power: A theoretical analysis of power, knowledge and structure. Manchester University Press. Heleta, S. 2018. Are foreigners stealing your jobs and healthcare? Find out. Mail & Guardian. https://mg.co.za/article/2018-11-20-00-immigrant-blame-game- motsoaledi-remarks-immigrants-strain-on-health-system/. Honneth, A., and Roberts, D. 1986. Foucault and Adorno: Two forms of the critique of modernity. Thesis Eleven, 15(1): 48–59. https://doi. org/10.1177/072551368601500104. Human Rights Watch (HRW). 2024, May 6. South Africa: Toxic rhetoric endangers migrants. https://www.hrw.org/news/2024/05/06/south-africa-toxic-rhetoric- endangers-migrants. Hunter-Adams, J., and Rother, H.-A. 2017. A qualitative study of language barriers between South African healthcare providers and cross-border migrants. BMC Health Services Research, 17(1): 97. https://doi.org/10.1186/s12913-017-2042-5. Jewkes, R., Abrahams, N., and Mvo, Z. 1998. Why do nurses abuse patients? Reflections from South African obstetric services. Social Science and Medicine, 47(11): 1781–1795. https://doi.org/10.1016/S0277-9536(98)00240-8. Johnson, C. 2015. Failed asylum seekers in South Africa: Policy and practice. African Human Mobility Review, 1(2): 201–228. Johnston, D. 1991. Constructing the periphery in modern global politics. In Murphy, C. N., and Tooze, R. (eds.). Lynne Rienner. Kariithi, N. 2017. Media portrayal of immigration in the South African Media, 2011- 2015. Cape Town: SIHMA. Kelly, M. 1994. Critique and power: Recasting the Foucault/Habermas debate. Cambridge, MA: MIT Press. Kgobotlo, B. 2024. ActionSA guns for businesses run by illegal foreigners in Pretoria. Sunday World, 12 August. https://sundayworld.co.za/politics/actionsa-guns- for-businesses-run-by-illegal-foreigners-in-pretoria/. Khan, F., and Lee, M. 2018. Policy shifts in the asylum process in South Africa resulting in hidden refugees and asylum seekers. African Human Mobility Review, 4(2): 1205–1225. Khumalo, T. 2023, April 23. Migrants welcome South Africa healthcare ruling. Voice of America (VoA). https://www.voaafrica.com/a/migrants-welcome-south- africa-healthcare-ruling/7060578.html. Kruger, L., and Schoombee, C. 2010. The other side of caring: Abuse in a South African maternity ward. Journal of Reproductive and Infant Psychology, 28(1): 84–101. https://doi.org/10.1080/02646830903294979.
  • 91.
    89 Landau, L. B.,and Wa Kabwe Segatti, A. 2009. Human development impacts of migration: South Africa case study. https://mpra.ub.uni-muenchen.de/19182/. Landau, L. B., Ramjathan-Keogh, K., and Singh, G. 2005. Xenophobia in South Africa and problems related to it. Forced Migration Studies Programme, University of the Witwatersrand. Lefko-Everett, K. 2008. Voices from the margins: Migrant women’s experiences in southern Africa. Migration Policy Series, No 46. Southern African Migration Programme (SAMP). Lilja, M., and Vinthagen, S. 2014. Sovereign power, disciplinary power and biopower: Resisting what power with what resistance? Journal of Political Power, 7(1): 107–126. https://doi.org/10.1080/2158379X.2014.889403. Machinya, J. 2022. Migration and politics in South Africa: Mainstreaming anti- immigrant populist discourse. African Human Mobility Review, 8(1): 59–78. Madia, T. 2018. Refugees must live in refugee camps – Lekota. News24. https://www. news24.com/News24/refugees-must-live-in-refugee-camps-lekota-20180711. Mailovich, C. 2018. SA needs “closed” borders, tighter immigration control, says DA. BusinessLIVE. https://www.businesslive.co.za/bd/national/2018-10-15-sa- needs-closed-borders-tighter-immigration-control-says-da/. Makandwa, T., and Vearey, J. 2017. Giving birth in a foreign land: Exploring the Maternal healthcare experiences of Zimbabwean migrant women living in Johannesburg, South Africa. Urban Forum, 28(1): 75–90. https://doi. org/10.1007/s12132-017-9304-5. Malakoane, B., Heunis, J. C., Chikobvu, P., Kigozi, N. G., and Kruger, W. H. 2020. Public health system challenges in the Free State, South Africa: A situation appraisal to inform health system strengthening. BMC Health Services Research, 20(1): 58. https://doi.org/10.1186/s12913-019-4862-y. Maphumulo, W. T., and Bhengu, B. R. 2019. Challenges of quality improvement in the healthcare of South Africa post-apartheid: A critical review. Curationis, 42(1): 1–9. https://doi.org/10.4102/curationis.v42i1.1901. Maromo, J. 2017. Foreigners “causing havoc.” Daily News. https://www.iol.co.za/ dailynews/news/foreigners-causing-havoc-8824827. Mashego, P., and Malefane, M. 2017. All illegal foreigners, leave my city—Herman Mashaba. Sowetan Live. https://www.sowetanlive.co.za/news/2016-12-02-all- illegal-foreigners-leave-my-city-herman-mashaba/. Masweneng, K. 2022. Protesters turn back patients and migrants at Kalafong Hospital. TimesLIVE. https://www.timeslive.co.za/news/south-africa/2022- 08-29-protesters-turn-back-patients-and-migrants-at-kalafong-hospital/. Matlala, L. 2018. Foreign nationals are burdening SA health system—Motsoaledi. SABC News. https://www.sabcnews.com/sabcnews/foreign-nationals-are- An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
  • 92.
    90 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 burdening-sa-health-system-motsoaledi/. Mawadza, A. 2012. The Zimbabwean threat: Media representations of immigrants in the South African media. PhD Thesis, University of the Western Cape. https:// etd.uwc.ac.za:443/xmlui/handle/11394/4423. Mawadza, A., and Crush, J. 2010. Metaphors of migration: Zimbabwean migrants in the South African media. Cape Town and Ottawa: SAMP and IDRC. https:// idl-bnc-idrc.dspacedirect.org/bitstream/handle/10625/44852/IDL-44852.pdf. Misago, J. P. 2016. Responding to xenophobic violence in post-apartheid South Africa: Barking up the wrong tree? African Human Mobility Review, 2(2): 443–467. Mlambo, S. 2023. Political analyst slams Patriotic Alliance for anti-foreigner comments at birthday rally. IoL News. https://www.iol.co.za/news/politics/ political-analyst-slams-patriotic-alliance-for-anti-foreigner-comments-at- birthday-rally-49fed07e-9313-4ab8-b71d-55a44b12ff71. Moichela, K. 2023. “Illegal foreigners must go home, this is not home”—Gayton McKenzie calls for deportation of illegal immigrants. IoL News. https://www. iol.co.za/news/politics/illegal-foreigners-must-go-home-this-is-not-home- gayton-mckenzie-calls-for-deportation-of-illegal-immigrants-00dcb883- fe53-41a3-85fb-8da8d5a6c2d7. Monama, T. 2022. “Xenophobic tendencies must be rejected”: Healthcare groups say migrants have right to treatment in SA. News24. https://www.news24. com/news24/southafrica/news/xenophobic-tendencies-must-be-rejected- healthcare-groups-say-migrants-have-right-to-treatment-in-sa-20220827. Moodley, K. 2018. South Africa: Minister Motsoaledi must not use refugees and migrants as scapegoats for the failing health system. Amnesty International. https://amnesty.org.za/south-africa-minister-motsoaledi-must-not-use- refugees-and-migrants-as-scapegoats-for-the-failing-health-system/. Moore, K., Gross, B., and Threadgold, T. (eds.). 2012. Migrations and the media. Peter Lang. Munyaneza, Y., and Mhlongo, E. M. 2019. Medical xenophobia: The Voices of women refugees in Durban, Kwazulu-Natal, South Africa. bioRxiv. https://doi. org/10.1101/603753. Nadesan, M. H. 2008. Governmentality, biopower, and everyday life. Routledge. https://doi.org/10.4324/9780203894620. Nduru, M. 2005. SA doesn’t roll out welcome mat for all immigrants. Mail & Guardian. https://mg.co.za/article/2005-08-22-sa-doesnt-roll-out-welcome- mat-for-all-immigrants/. Neocosmos, M. 2006. From “foreign natives” to “native foreigners”: Explaining xenophobiainpost-apartheidSouthAfrica.Dakar:CouncilfortheDevelopment of Social Science Research in Africa (CODESRIA).
  • 93.
    91 Nhemachena, A., Mawere,M., and Mtapuri, O. 2022. Operation Dudula: Xenophobic vigilantism and sovereignty in twenty-first century South Africa. In Nhemachena, A., Mtapuri, O., and Mawere, M. (eds.), Sovereignty becoming pulvereignty: Unpacking the dark side of slave 4.0 within industry 4.0 in twenty- first century Africa, Langaa RPCIG, pp. 153–174. Oosthuizen, S. J., Bergh, A.-M., Pattinson, R. C., and Grimbeek, J. 2017. It does matter where you come from: Mothers’ experiences of childbirth in midwife obstetric units, Tshwane, South Africa. Reproductive Health, 14(1): 151. https://doi. org/10.1186/s12978-017-0411-5. Polzer, T. 2008. Responding to Zimbabwean migration in South Africa: Evaluating options. South African Journal of International Affairs, 15(1): 1–28. https://doi. org/10.1080/10220460802217926. Polzer, T., and Takabvirwa, K. 2010. “Just crime?”: Violence, xenophobia and crime: Discourse and practice. South African Crime Quarterly, 33: 3–10. https://doi. org/10.17159/2413-3108/2010/v0i33a878. Pophiwa, N. 2009. Healthy migrants or health migrants? Accounting for the healthcare utilisation patterns of Zimbabwean migrants living in South Africa. PhD Thesis, University of the Witwatersrand. https://wiredspace.wits.ac.za/ items/4e6711f3-372b-49ff-9856-57a5399f80fa. Republic of South Africa (RSA). 2004. National Health Act—No.61. Government Gazette. https://www.up.ac.za/media/shared/12/ZP_Files/health-act. zp122778.pdf. Section27. 2022. Free healthcare services in South Africa: A case for all mothers and children. https://section27.org.za/wp-content/uploads/2022/11/Free- Healthcare-Final-2.pdf. Shapiro, M. J. 1986. Charles Taylor’s moral subject. Political Theory, 14(2): 311–324. Sides, J., and Citrin, J. 2007. European opinion about immigration: The role of identities, interests and information. British Journal of Political Science, 37(3): 477–504. https://doi.org/10.1017/S0007123407000257. Statistics South Africa (Stats SA). 2022. Statistical release P0301.4. Census 2022. RepublicofSouthAfrica.https://census.statssa.gov.za/assets/documents/2022/ P03014_Census_2022_Statistical_Release.pdf. Tarisayi, K. S., and Manik, S. 2020. An unabating challenge: Media portrayal of xenophobia in South Africa. Cogent Arts and Humanities, 7(1): 1859074. https://doi.org/10.1080/23311983.2020.1859074. Tarisayi, K. S., and Manik, S. 2021. Affirmation and defamation: Zimbabwean migrant teachers’ survival strategies in South Africa. Journal of International Migration and Integration, 22(1): 183–204. https://doi.org/10.1007/s12134-019-00725-5. Tshitereke, C. 1999. Xenophobia and relative deprivation. Crossings, 3(2). https:// samponline.org/wp-content/uploads/2016/10/CR3_2.pdf. An Analysis of Medical Xenophobia against Zimbabwean Migrant Women in Johannesburg
  • 94.
    92 AHMR African HumanMobility Review - Volume 10 No 2, MAY-AUGUST 2024 Vahed, G., and Desai, A. 2008. The May 2008 xenophobic violence in South Africa: Antecedents and aftermath. Alternation Special Edition, 7: 145–175. Valji, N. 2004. Race and reconciliation in a post-TRC South Africa in ten years of democracy in South Africa. Conference presentation, Southern African Re- search Centre, Queens University, Canada. https://citeseerx.ist.psu.edu/docu- ment?repid=rep1andtype=pdfanddoi=79fa59f486535a79b3bf81c9e89730cd- f8b89190. Vanyoro, K. P. 2019. “When they come, we don’t send them back”: Counter-narratives of “medical xenophobia” in South Africa’s public healthcare system. Palgrave Communications, 5(1): 1–12. https://doi.org/10.1057/s41599-019-0309-7. Vearey, J. 2012. Learning from HIV: Exploring migration and health in South Africa. Global Public Health, 7(1): 58–70. https://doi.org/10.1080/1744169 2.2010.549494. Vearey, J. 2014. Healthy migration: A public health and development imperative for south(ern) Africa. South African Medical Journal, 104(10): 663. https://doi. org/10.7196/SAMJ.8569. Vearey, J., and Nunez, L. 2010. Migration and health in South Africa: A review of the current situation and recommendations for achieving the World Health Assembly resolution on the health of migrants. IOM, Pretoria. Vearey, J., de Gruchy, T., Kamndaya, M., Walls, H. L., Chetty-Makkan, C. M., and Hanefeld, J. 2018. Exploring the migration profiles of primary healthcare users in South Africa. Journal of Immigrant and Minority Health, 20(1): 91–100. https://doi.org/10.1007/s10903-016-0535-7. Wacquant, L. J. D. 1989. Towards a reflexive sociology: A workshop with Pierre Bourdieu. Sociological Theory, 7(1): 26–63. https://doi.org/10.2307/202061. Wasserman, H. 2010. Tabloid journalism in South Africa. Indiana University Press. White, J. A., and Rispel, L. C. 2021. Policy exclusion or confusion? Perspectives on universal health coverage for migrants and refugees in South Africa. Health Policy and Planning, 36(8): 1292–1306. https://doi.org/10.1093/ heapol/czab038. White, J. A., Blaauw, D., and Rispel, L. C. 2020. Social exclusion and the perspectives of healthcare providers on migrants in Gauteng public health facilities, South Africa. PLoS ONE, 15(12): e0244080. https://doi.org/10.1371/journal. pone.0244080. Zihindula, G., Meyer-Weitz, A., and Akintola, O. 2017. Lived experiences of Democratic Republic of Congo refugees facing medical xenophobia in Durban, South Africa. Journal of Asian and African Studies, 52(4): 458–470. https://doi. org/10.1177/0021909615595990.
  • 95.
    The African HumanMobility Review (AHMR) is an interdisciplinary peer-reviewed journal created to encourage and facilitate the study of all aspects of human mobility in Africa, including socio-economic, political, legal, developmental, educational and cultural aspects. Through the publication of original research, policy discussions and evidence-based research papers, AHMR provides a comprehensive forum devoted exclusively to the analysis of current migration trends, migration patterns and some of the most important migration-related issues. The journal is also accessible on-line at no charge at sihma.org.za. AHMR is jointly owned by the Scalabrini Institute for Human Mobility in Africa (SIHMA) and University of the Western Cape (UWC) and accredited by the Department of Higher Education and Training (DHET) in South Africa. ISSN 2410-7972 (online) ISSN 2411-6955 (print).