International urban migrants: linkages between access to ART and survivalist livelihood strategies in the City of Johannesburg, South Africa
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This document summarizes research on international urban migrants in Johannesburg, South Africa and their access to antiretroviral therapy (ART). It finds that most migrants come to Johannesburg for economic opportunities and rely on the informal economy for livelihoods. While migrants have a right to healthcare including ART, many face barriers accessing it from public sector facilities and end up relying on NGOs instead. Ensuring all migrants' access to ART, especially early access, is important as it allows people to maintain or regain livelihoods to support themselves and others. The document calls for uniform ART policies across the public health sector and recognition of the informal economy's importance for migrant livelihoods.
![International urban migrants: linkages between access to ART and survivalist livelihood strategies in the City of Johannesburg, South Africa Jo Vearey PhD Student, School of Public Health Doctoral Research Fellow, Forced Migration Studies Programme University of the Witwatersrand [email_address] http://migration.org.za 29 th May 2008](https://image.slidesharecdn.com/jveareyhivworkplace29may2008-100106065126-phpapp01/85/International-urban-migrants-linkages-between-access-to-ART-and-survivalist-livelihood-strategies-in-the-City-of-Johannesburg-South-Africa-1-320.jpg)
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International urban migrants: linkages between access to ART and survivalist livelihood strategies in the City of Johannesburg, South Africa
- 1. International urban migrants: linkages between access to ART and survivalist livelihood strategies in the City of Johannesburg, South Africa Jo Vearey PhD Student, School of Public Health Doctoral Research Fellow, Forced Migration Studies Programme University of the Witwatersrand [email_address] http://migration.org.za 29 th May 2008
- 9. Urban migrant livelihoods African Cities Survey, 2006
- 12. Like South Africans, these migrants are most likely to test only when sick (Chi-squared; P = 0.122)
- 16. A revised sustainable livelihoods framework for urban migrants
Editor's Notes
- The theoretical framework for this intervention drew on work done on urban livelihoods, Paulo Friere’s adult learning, social anthropology and the reflect methodology. Sustainable Livelihoods is a people-centred, participatory and responsive approach to development. SL based programmes starts from where individuals, households and communities currently are, in relation to their livelihoods, and builds from there. This ensures that people - and their current, existing strengths (assets) - are built upon. Stresses are chronic – they include hunger, the fear of violence, unemployment Shocks , are acute - such as shack fires, evictions, rape, theft. Assets – whether they are financial (grants or microfinance loans), physical (a house that does not leak), social (community groups), act as buffers - they enable an individual, household or community to cope with , and recover from , stresses and shocks A SL approach involves assisting individuals to obtain additional assets (strengths) and build these in order to access and obtain additional resources. By continuously building and developing this asset base, an individual is better able to cope with shocks and stresses encountered on a daily basis. ---------------------------- Need to be imaginitave, creative Multi-disciplinary Adult educations Participatroy rural appraisals Reflect Social anth Livelihoods Understand and draw to create a strong theoretical framework Adjusted from various literature etc S ustainable livelihoods (SL) is a people-centred, participatory and responsive approach to development. A sustainable livelihood is “ a livelihood that can cope with and recover from stresses and shocks and maintain or enhance its capabilities and assets both now and in the future…. ” (Carney, 1998)