By James Gwati- Doctors Without Borders (MSF) in South Africa said they were worried about the ongoing xenophobic protests outside Kalafong Provincial Tertiary Hospital by Operation Dudula members who are preventing patients, including migrants, from accessing the facility.

MSF said these actions must be rejected and should trigger urgent action by health authorities and leaders to protect access to healthcare for all.

 Operation Dudula supporters have been protesting outside the hospital for three weeks, chanting threatening statements through loud hailers and preventing many from entering the facility. 

“Just this morning, several people were turned away by the protestors based on their appearance and accent,” says Sibusiso Ndlovu, health promotion supervisor for MSF in Tshwane, adding that the protestors are putting the hospital staff under immense pressure with demands that all foreigners be removed. 

“They have even demanded that critically ill patients who are migrants must be ‘unplugged’ and taken out,” she says. 

Hostility to serving migrants in South Africa’s health facilities has been intensifying, fuelled by inflammatory and political statements from government officials, including Limpopo Health MEC, Dr Phophi Ramathuba, who was recently recorded berating a Zimbabwean patient in a health facility, claiming that migrants are overburdening the health system. 

If migrants are fearful for their safety in entering or leaving health facilities, and if health workers are placed under pressure to behave as immigration officers, the consequences will be felt across the population. 

“One major concern as the politicisation of healthcare expands is that serious notifiable diseases could go unrecorded and untreated, which will inhibit the public healthcare system’s overall capacity and ability to contain infectious disease outbreaks,” says Dr Tasanya Chinsamy, medical activity manager for MSF in Tshwane. 

One of the patients denied care in Kalafong Hospital today was a 37-weeks pregnant migrant woman with high blood pressure, who instead had to seek help from a local clinic. “Clinics are not equipped to provide tertiary care for complex cases such as these which require access to a specialist and certain medications that are only available at hospital level,” Chinsamy says. 

“When patients are denied the appropriate level of care initially their conditions often worsen and they return as emergency patients. Their risk of becoming more ill or dying is thus greatly increased, as is the cost to the government. Nobody benefits and the most vulnerable suffer disproportionately regardless of their nationality or legal status,” says Chinsamy.