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ANALYSIS: Are South Africa’s public hospitals ‘overburdened’ by foreign patients? - Africa Check

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class="block hero-social-icons-addtoany block-addtoany-block"> <span class="a2a_kit a2a_kit_size_30 addtoany_list" data-a2a-url="https://africacheck.org/fact-checks/blog/analysis-are-south-africas-public-hospitals-overburdened-foreign-patients" data-a2a-title="ANALYSIS: Are South Africa’s public hospitals ‘overburdened’ by foreign patients?"><a class="a2a_button_facebook"></a><a class="a2a_button_twitter"></a><a class="a2a_button_whatsapp"></a><a class="a2a_button_email"></a><a class="a2a_dd addtoany_share" href="https://www.addtoany.com/share#url=https%3A%2F%2Fafricacheck.org%2Ffact-checks%2Fblog%2Fanalysis-are-south-africas-public-hospitals-overburdened-foreign-patients&amp;title=ANALYSIS%3A%20Are%20South%20Africa%E2%80%99s%20public%20hospitals%20%E2%80%98overburdened%E2%80%99%20by%20foreign%20patients%3F"></a></span> </div> </div> </div> <div class="main-content grid-container"> <main role="main" class="grid-x grid-padding-x"> <a id="main-content" tabindex="-1"></a> <section class="cell"> <div class="region region-content"> <div data-drupal-messages-fallback class="hidden"></div><div id="block-mainpagecontent" class="block block-system block-system-main-block"> <article data-history-node-id="213" about="/fact-checks/blog/analysis-are-south-africas-public-hospitals-overburdened-foreign-patients" class="node node--type-rw-article article--type-blog node--promoted node--view-mode-full full is-en"> <div class="share-content-addtoany"> <span class="a2a_kit a2a_kit_size_30 addtoany_list" data-a2a-url="https://africacheck.org/fact-checks/blog/analysis-are-south-africas-public-hospitals-overburdened-foreign-patients" data-a2a-title="ANALYSIS: Are South Africa’s public hospitals ‘overburdened’ by foreign patients?"><a class="a2a_button_facebook"></a><a class="a2a_button_twitter"></a><a class="a2a_button_email"></a><a class="a2a_button_linkedin"></a><a class="a2a_dd addtoany_share" href="https://www.addtoany.com/share#url=https%3A%2F%2Fafricacheck.org%2Ffact-checks%2Fblog%2Fanalysis-are-south-africas-public-hospitals-overburdened-foreign-patients&amp;title=ANALYSIS%3A%20Are%20South%20Africa%E2%80%99s%20public%20hospitals%20%E2%80%98overburdened%E2%80%99%20by%20foreign%20patients%3F"></a></span> </div> <div class="grid-x grid-padding-x"> <div class="cell medium-8 article--main"> <div class="field-tags"> <div class="field field--name-field-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/infofinder/explore-facts?f%5B0%5D=pick_a_topic%3A106" hreflang="en">foreign nationals</a></div> <div class="field__item"><a href="/infofinder/explore-facts?f%5B0%5D=pick_a_topic%3A107" hreflang="en">public hospitals</a></div> <div class="field__item"><a href="/infofinder/explore-facts?f%5B0%5D=pick_a_topic%3A35" hreflang="en">South Africa</a></div> </div> </div> <h1 class="page-title"> <span class="field field--name-title field--type-string field--label-hidden">ANALYSIS: Are South Africa’s public hospitals ‘overburdened’ by foreign patients?</span> </h1> <footer class="node__meta"> <div class="node__submitted"> <div class="submitted"> <span class="published">Published on 29 January 2019</span> </div> </div> </footer> <div class="node__content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="legacy--content"><span style="font-weight: 400;">South Africa’s health system was “overburdened” by having to care for more people than it could afford, health minister</span><a href="https://www.iol.co.za/the-star/news/foreign-nationals-burdening-south-african-health-system-motsoaledi-18129406"> <span style="font-weight: 400;">Aaron Motsoaledi said</span></a><span style="font-weight: 400;"> at a nurses’ summit on 14 November 2018. </span><br> <br> <span style="font-weight: 400;">In an </span><a href="/wp-content/uploads/2019/01/safm_sunrise_15_nov_is_our_health_system_overburdened_by_foreign_nationals_medium.m4a"><span style="font-weight: 400;">interview</span></a><span style="font-weight: 400;"> with </span><a href="http://www.safm.co.za/"><span style="font-weight: 400;">SAfm</span></a><span style="font-weight: 400;">’s Stephen Grootes the next day, the minister blamed this on inadequate funding and “the issue of foreign nationals”. </span><br> <br> <span style="font-weight: 400;">Grootes asked if there were statistics on the share of foreign nationals using public healthcare. Motsoaledi said the</span><a href="http://www.health.gov.za/"> <span style="font-weight: 400;">health department</span></a> <span style="font-weight: 400;">did not officially collect this data as it was a “very sensitive matter”.</span><br> <br> <span style="font-weight: 400;">But he did say he had “a lot of anecdotal data”, such as the number of “not South African” babies born at three public hospitals - two in Gauteng province and one in Limpopo.</span><br> <br> <span style="font-weight: 400;">The minister said he “did not want to raise any debate or storm” but was “just mentioning the facts which nurses are dealing with every day”.</span><br> &nbsp; <h2>Expectant mother turned away from Gauteng hospitals</h2> <br> <span style="font-weight: 400;">Motsoaledi’s first example was from </span><a href="http://www.gauteng.gov.za/government/departments/health/services/hospitals/Pages/Charlotte-Maxeke-Academic-Hospital.aspx"><span style="font-weight: 400;">Charlotte Maxeke Academic Hospital</span></a><span style="font-weight: 400;"> in Johannesburg. He said “two years ago” it was accused of being one of three hospitals that turned away a pregnant “Burundian woman”, who later gave birth at an inner city train station.</span><br> <br> <span style="font-weight: 400;">The incident was “in June that year”, the minister said. But in May the hospital “helped deliver 700 babies – and 400 of them were not South African at all”.</span><br> &nbsp;<figure role="group" class="caption caption-img alignright size-medium wp-image-21903 align-right"> <img alt="Census enumerators record the birth of a baby at the Chris Hani Baragwanath Hospital in Soweto in 2011. Photo: AFP/ALEXANDER JOE " data-entity-type="file" data-entity-uuid="57e0c1c8-0e15-4826-a2c8-6f90ee14701b" height="169" src="/sites/default/files/000_Hkg5446049-1-2-300x169.jpg" width="300" loading="lazy"> <figcaption>Census enumerators record the birth of a baby at the Chris Hani Baragwanath Hospital in Soweto in 2011. Photo: AFP/ALEXANDER JOE</figcaption> </figure> <br> <span style="font-weight: 400;">Lungiswa Mvumvu, a spokesperson for Charlotte Maxeke, told Africa Check that in May 2016, the hospital recorded “838 births, 200 of which were to non-South African citizens”.</span><br> <br> <span style="font-weight: 400;">But the incident the minister was referring to </span><a href="https://www.iol.co.za/news/south-africa/gauteng/mom-gives-birth-at-park-station-after-three-hospitals-turn-her-away-9552507"><span style="font-weight: 400;">took place in June 2017</span></a><span style="font-weight: 400;"> not June 2016, &nbsp;And the woman involved came from the Democratic Republic of the Congo, not Burundi. </span><br> <br> <span style="font-weight: 400;">In May 2017 the hospital said it listed 771 births, 381 of which were to mothers from outside South Africa. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><br> &nbsp; <h2>Many foreign mothers ‘don’t go for treatment’</h2> <br> <span style="font-weight: 400;">Motsoaledi then told Grootes that </span><span style="font-weight: 400;">“on Christmas, 60% of the babies” delivered at the </span><a href="https://www.sbah.org.za/"><span style="font-weight: 400;">Steve Biko Academic Hospital</span></a><span style="font-weight: 400;"> in Pretoria were “not South African”. </span><br> <br> <span style="font-weight: 400;">The minister meant Christmas Day in 2017, national health department spokesperson Popo Maja told Africa Check.</span><br> <br> <span style="font-weight: 400;">Maja said Steve Biko was a referral hospital, which took in patients suffering complications. For women giving birth, these complications could be a result of them not getting healthcare during their pregnancy.</span><br> <br> <span style="font-weight: 400;">“Most people sent to Steve Biko are usually in critical condition. Many are foreign nationals who do not go for prenatal treatment as they are undocumented and so they often have birthing complications.”</span><br> <br> <span style="font-weight: 400;">Steve Biko hospital spokesperson Lovey Mogapi told Africa Check that six babies were born in the hospital on 25 December 2017. Only one was to a foreign mother. </span><br> &nbsp; <h2>‘Foreign’ babies born in border hospitals</h2> <br> <span style="font-weight: 400;">Motsoaledi also said that when the head – or</span><a href="http://www.doh.limpopo.gov.za/profile/2"> <span style="font-weight: 400;">MEC</span></a><span style="font-weight: 400;"> – of Limpopo province’s</span><a href="http://www.doh.limpopo.gov.za/"> <span style="font-weight: 400;">health department</span></a><span style="font-weight: 400;"> visited Messina (also known as Musina) Hospital recently, “out of 10 babies that were delivered, seven were not South Africans”. </span><br> <br> <span style="font-weight: 400;">We have not been able to confirm the date of the MEC’s visit with her office. But “on average per week, the hospital delivers about 21 babies”, department spokesperson Neil Shikwambana told Africa Check.</span><br> <br> <span style="font-weight: 400;">“Out of those, 11 are foreign nationals and 10 are South Africans.” Shikwambana could not tell us how this average was calculated. </span><br> <br> <span style="font-weight: 400;">At face value, that means more than half the babies born at the hospital are “not South African”. This is lower than the 70% claimed by Motsoaledi.</span><br> <br> <span style="font-weight: 400;">We asked</span><a href="https://www.wits.ac.za/staff/academic-a-z-listing/n/lorenanunezcarrascowitsacza/"> <span style="font-weight: 400;">Lorena Nunez Carrasco</span></a><span style="font-weight: 400;">, an associate professor in the</span><a href="https://www.wits.ac.za/socialsciences/sociology/"> <span style="font-weight: 400;">department of sociology</span></a><span style="font-weight: 400;"> at</span><a href="https://www.wits.ac.za/about-wits/"> <span style="font-weight: 400;">Wits University</span></a><span style="font-weight: 400;">, if she could explain.</span><br> <br> <span style="font-weight: 400;">“It makes sense,” she said. “If you need to give birth and there is a better service right there, a few kilometres away, but it belongs to another country, then you would go.” </span><br> <br> <a href="https://goo.gl/maps/dJQNEaVoewL2"><span style="font-weight: 400;">Messina Hospital</span></a><span style="font-weight: 400;"> in northern Limpopo is just</span><a href="https://goo.gl/maps/8jQmfYFEys92"> <span style="font-weight: 400;">15 kilometres</span></a><span style="font-weight: 400;"> from the Zimbabwe border. It’s also within reach of people from Mozambique to the east, and Botswana to the west. </span><br> &nbsp; <h2>Do foreign mothers ‘flood’ South Africa to give birth?</h2> <br> <span style="font-weight: 400;">Carrasco said there was “no rationality behind this idea that women are flooding the country to give birth”. Her areas of study include how social and cultural factors affect health.</span><br> <br> <span style="font-weight: 400;">There might be “a few cases”, but these were only in border cities. And, she said, the people who did migrate were often the physically strongest and often have family or some other connection to South Africa.</span><br> <br> <span style="font-weight: 400;">“You don’t have many frail or sick people migrating… migrants don’t make irrational decisions.</span> <span style="font-weight: 400;">To travel at eight or nine months pregnant is risky and costly.”</span><br> <br> <span style="font-weight: 400;">What of Motsoaledi’s examples from the two Gauteng hospitals? These were “not extraordinary” and</span><a href="https://www.thelancet.com/action/showPdf?pii=S0140-6736%2818%2932114-7#page=5"><span style="font-weight: 400;"> in line with global averages</span></a><span style="font-weight: 400;">, Carrasco said.</span><br> <br> <span style="font-weight: 400;">“One has to first take into account the size of the migrant population in South Africa. It varies from three to five percent of the total population.”</span><br> <br> <span style="font-weight: 400;">Gauteng was home to over a quarter</span><a href="http://www.statssa.gov.za/publications/P0302/P03022018.pdf#page=4"> <span style="font-weight: 400;">(25.4%</span></a><span style="font-weight: 400;">) of South Africa’s population, so most migrants were likely to live there, Carrasco said.</span><br> &nbsp; <h2>Identifying ‘foreign’ babies</h2> <br> <span style="font-weight: 400;">But how do officials know a baby is “not South African”?</span><br> <br> <span style="font-weight: 400;">Patients were identified as foreign nationals if they were unable to produce identification or proof of residence, or could not speak English or other local languages, the national health department’s Maja said. &nbsp;</span><br> <br> <span style="font-weight: 400;">But there were weaknesses in this approach, Jo Hunter-Adams, a researcher at the</span><a href="http://www.uct.ac.za/"> <span style="font-weight: 400;">University of Cape Town</span></a><span style="font-weight: 400;">’s</span><a href="http://www.publichealth.uct.ac.za/phfm_health-economics-unit-heu"> <span style="font-weight: 400;">Health Economics Unit</span></a><span style="font-weight: 400;">, told Africa Check.</span><br> <br> <span style="font-weight: 400;">“Hospital staff would not necessarily recognise all South African languages and those who are ill may not be able to communicate.”</span><br> &nbsp; <table> <tbody> <tr> <td><b>Does being born in South Africa make you a citizen?</b><br> <br> <span style="font-weight: 400;">In</span><a href="https://www.gov.za/sites/default/files/gcis_document/201409/act88of1995.pdf#page=5"> <span style="font-weight: 400;">South African law</span></a><span style="font-weight: 400;">, there are three ways a person can become a citizen: birth, descent or naturalisation. The basic idea is that a child gets the citizenship of their parents. If one parent is a South African citizen, the child will be a South African citizen by birth. </span><br> <br> <span style="font-weight: 400;">But unlike in the United States, “you are not, by virtue of your birth, automatically entitled to South African citizenship”, </span><a href="http://www.wylie.co.za/lawyers/page/4/"><span style="font-weight: 400;">Jennifer Woker</span></a><span style="font-weight: 400;">, a partner at </span><a href="http://www.wylie.co.za/"><span style="font-weight: 400;">Shepstone and Wylie Attorneys</span></a><span style="font-weight: 400;">, told Africa Check. </span><br> <br> <span style="font-weight: 400;">Woker’s expertise includes family and immigration law.</span><br> <br> <span style="font-weight: 400;">A notice of birth will be issued, which may then be taken to the country of origin or relevant embassy for a birth certificate or passport. The notice of birth, however, is not the same as a South African birth certificate.</span><br> <br> <span style="font-weight: 400;">“As a general rule, in the event that the child’s parents are foreigners on a work or similar visa, the child will have to apply for an accompanying visa to his/her parents’ visas, wait for a period of five years and thereafter be capable of applying for permanent residency,” Woker said. </span><br> <br> <span style="font-weight: 400;">“Once that’s obtained it’s a further 10 years before they can apply for citizenship.” </span><br> <br> <span style="font-weight: 400;">The same applies to children of registered refugees. The issue, Woker said, is when undocumented foreigners give birth in South Africa. Their children couldn’t be given a notice of birth, making it difficult for them to apply for a passport or leave the country.</span></td> </tr> </tbody> </table> &nbsp; <h2>What impact do migrants have on the health system?</h2> <br> <span style="font-weight: 400;">“At a national level, very little,” Jo Veary, associate professor with the </span><a href="http://www.migration.org.za/"><span style="font-weight: 400;">African Centre for Migration &amp; Society</span></a><span style="font-weight: 400;">, told Africa Check. Among her research works is how </span><a href="http://documents.worldbank.org/curated/en/943521468101356700/pdf/644110PUB0Cont00public00BOX361536B0.pdf#page=145"><span style="font-weight: 400;">health development in South Africa is affected by migration</span></a><span style="font-weight: 400;">.</span><br> <br> <span style="font-weight: 400;">South Africa did have progressive laws, Veary said. But in practice migrants from elsewhere in Africa were not attracted to South Africa for the quality of its healthcare system. &nbsp;</span><br> <br> <span style="font-weight: 400;">“Individuals know that the system is not functioning at the level it should be, and people know that the treatment received as foreign nationals is poor.”</span><br> <br> <span style="font-weight: 400;">Hunter-Adams agreed that many migrants found it difficult to get public healthcare in South Africa. &nbsp;</span><br> <br> <span style="font-weight: 400;">She said there was a “national discourse” that encouraged “medical xenophobia”.</span><br> <br> <span style="font-weight: 400;">“The narrative that foreign nationals are a ‘burden’ to the South African health system seems to be an example of scapegoating, where migrants are blamed for broader systemic problems with the health system.”</span><br> &nbsp;</div> </div> <div class="article_Newsletter_CTA" style="display: none"></div> <div class="webform-content"> <h3> Republish our content for free </h3> <span id="webform-submission-content-sharing-node-213-form-ajax-content"></span><div id="webform-submission-content-sharing-node-213-form-ajax" class="webform-ajax-form-wrapper" data-effect="fade" data-progress-type="throbber"><form class="webform-submission-form webform-submission-add-form webform-submission-content-sharing-form webform-submission-content-sharing-add-form webform-submission-content-sharing-node-213-form webform-submission-content-sharing-node-213-add-form js-webform-details-toggle webform-details-toggle" data-drupal-selector="webform-submission-content-sharing-node-213-add-form" action="/fact-checks/blog/analysis-are-south-africas-public-hospitals-overburdened-foreign-patients" method="post" id="webform-submission-content-sharing-node-213-add-form" accept-charset="UTF-8"> <div id="edit-processed-text" class="js-form-item form-item js-form-type-processed-text form-type-processed-text js-form-item- form-item- form-no-label"> <p><strong>We believe that everyone needs the facts.</strong></p> <p>You can republish the text of this article free of charge, both online and in print. 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</div> <h4>Cayley Clifford &amp; Lloyd Hazvineyi</h4> <span></span> </a> </div> <div class="related-content"> <h3>Further Reading</h3> <div class="block block-africa-check-article block-related-spot-checks-block"> <div class="clear-both block block-"> <div class ="views-view-grid horizontal cols-3 clearfix"> <div> <div> <article data-history-node-id="201" about="/fact-checks/blog/comment-statistician-general-clarifies-south-africas-migrant-estimates" class="node node--type-rw-article node--promoted node--view-mode-teaser-mini teaser-mini"> <div class="node__content"> <div class="teaser-mini-image"> <a href="/fact-checks/blog/comment-statistician-general-clarifies-south-africas-migrant-estimates"> <div class="field field--name-field-media-image-ref field--type-entity-reference field--label-hidden field__item"><article class="media media--type-image media--view-mode-landscape-nano"> <div class="field field--name-field-media-image field--type-image field--label-hidden field__item"> <picture> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=Biu9TXjE 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=Biu9TXjE 2x" media="all and (min-width: 1440px)" type="image/webp" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=Biu9TXjE 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=Biu9TXjE 2x" media="all and (min-width: 1200px)" type="image/webp" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=Biu9TXjE 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=Biu9TXjE 2x" media="all and (min-width: 1025px)" type="image/webp" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=vrkzu1al 1x, /sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=vrkzu1al 2x" media="all and (min-width: 641px)" type="image/webp" width="640" height="480"/> <source srcset="/sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=vrkzu1al 1x, /sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=vrkzu1al 2x" type="image/webp" width="640" height="480"/> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=Biu9TXjE 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=Biu9TXjE 2x" media="all and (min-width: 1440px)" type="image/png" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=Biu9TXjE 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=Biu9TXjE 2x" media="all and (min-width: 1200px)" type="image/png" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=Biu9TXjE 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=Biu9TXjE 2x" media="all and (min-width: 1025px)" type="image/png" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=vrkzu1al 1x, /sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=vrkzu1al 2x" media="all and (min-width: 641px)" type="image/png" width="640" height="480"/> <source 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href="/fact-checks/blog/comment-statistician-general-clarifies-south-africas-migrant-estimates"> COMMENT: Statistician-general clarifies South Africa’s migrant estimates </a> </h3> </div> </div> </article> </div> <div> <article data-history-node-id="150" about="/fact-checks/blog/analysis-what-do-we-really-know-about-international-migration-south-africa" class="node node--type-rw-article node--promoted node--view-mode-teaser-mini teaser-mini"> <div class="node__content"> <div class="teaser-mini-image"> <a href="/fact-checks/blog/analysis-what-do-we-really-know-about-international-migration-south-africa"> <div class="field field--name-field-media-image-ref field--type-entity-reference field--label-hidden field__item"><article class="media media--type-image media--view-mode-landscape-nano"> <div class="field field--name-field-media-image field--type-image field--label-hidden field__item"> <picture> <source 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src="/sites/default/files/styles/standard_med/public/media/images/2021-01/AfricaCheck-logo-inverse-Eng.jpg?h=a2a4fbe4&amp;itok=ciCsdEjl" width="640" height="480" alt="AC inverse logo" typeof="foaf:Image" /> </picture> </div> </article> </div> </a> </div> <div class="teaser-mini-section"> <div class="field-tags"> <a href="/fact-checks/blog/analysis-what-do-we-really-know-about-international-migration-south-africa" class="gallery-link"> <i class="fas fa-external-link-square-alt"></i> </a> <div class="field field--name-field-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item">Migration</div> </div> </div> <h3> <a href="/fact-checks/blog/analysis-what-do-we-really-know-about-international-migration-south-africa"> ANALYSIS: What do we really know about international migration to &amp; from South Africa? </a> </h3> </div> </div> </article> </div> <div> <article data-history-node-id="2604" about="/fact-checks/reports/claim-13-million-international-migrants-live-sa-wildly-incorrect" class="node node--type-rw-article node--promoted node--view-mode-teaser-mini teaser-mini"> <div class="node__content"> <div class="teaser-mini-image"> <a href="/fact-checks/reports/claim-13-million-international-migrants-live-sa-wildly-incorrect"> <div class="field field--name-field-media-image-ref field--type-entity-reference field--label-hidden field__item"><article class="media media--type-image media--view-mode-landscape-nano"> <div class="field field--name-field-media-image field--type-image field--label-hidden field__item"> <picture> <source srcset="/sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=F8m6hnmG 1x, /sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=F8m6hnmG 2x" media="all and (min-width: 1440px)" type="image/webp" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=F8m6hnmG 1x, /sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=F8m6hnmG 2x" media="all and (min-width: 1200px)" type="image/webp" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=F8m6hnmG 1x, /sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=F8m6hnmG 2x" media="all and (min-width: 1025px)" type="image/webp" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=kyhgcr5S 1x, /sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=kyhgcr5S 2x" media="all and (min-width: 641px)" type="image/webp" width="640" height="480"/> <source srcset="/sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=kyhgcr5S 1x, /sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=kyhgcr5S 2x" type="image/webp" width="640" height="480"/> <source srcset="/sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=F8m6hnmG 1x, /sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=F8m6hnmG 2x" media="all and (min-width: 1440px)" type="image/jpeg" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=F8m6hnmG 1x, /sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=F8m6hnmG 2x" media="all and (min-width: 1200px)" type="image/jpeg" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=F8m6hnmG 1x, /sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=F8m6hnmG 2x" media="all and (min-width: 1025px)" type="image/jpeg" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=kyhgcr5S 1x, /sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=kyhgcr5S 2x" media="all and (min-width: 641px)" type="image/jpeg" width="640" height="480"/> <source srcset="/sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=kyhgcr5S 1x, /sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=kyhgcr5S 2x" type="image/jpeg" width="640" height="480"/> <img loading="lazy" src="/sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=kyhgcr5S" width="640" height="480" alt="Asylum seekers at the newly renovated Marabastad Refugees Reception Centre, which was renamed the Desmond Tutu Refugees Reception Centre in February 2017. Photo: Elmond Jiyane, GCIS" title="Asylum seekers at the newly renovated Marabastad Refugees Reception Centre, which was renamed the Desmond Tutu Refugees Reception Centre in February 2017. Photo: Elmond Jiyane, GCIS" typeof="foaf:Image" /> </picture> </div> </article> </div> </a> </div> <div class="teaser-mini-section"> <div class="field-tags"> <a href="/fact-checks/reports/claim-13-million-international-migrants-live-sa-wildly-incorrect" class="gallery-link"> <i class="fas fa-external-link-square-alt"></i> </a> <div class="field field--name-field-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item">Migration</div> <div class="field__item">statistics</div> </div> </div> <h3> <a href="/fact-checks/reports/claim-13-million-international-migrants-live-sa-wildly-incorrect"> Claim that 13 million international migrants live in SA wildly incorrect </a> </h3> </div> </div> </article> </div> </div> </div> </div> </div> </div> </aside> <div class="cell medium-8 article--main--after"> </div> <div class="cell article--after" id="unstick-anchor"> <div class="node__content"> <section class="field field--name-field-comments field--type-comment field--label-hidden comment-wrapper"> <h2 class="title comment-form__title">Add new comment</h2> <form class="comment-default-comments-form comment-form" data-drupal-selector="comment-form" action="/comment/reply/node/213/field_comments" method="post" id="comment-form" accept-charset="UTF-8"> <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-name form-item-name"> <label for="edit-name--4"> <span>Your name</span> </label> <input data-drupal-default-value="Anonymous" data-drupal-selector="edit-name" type="text" id="edit-name--4" name="name" value="" size="30" maxlength="60" class="form-text" /> </div> <input data-drupal-selector="form-dviunsiqohazjaskojju0fgm3v0v4ryynr-abhh24eo" type="hidden" name="form_build_id" value="form-dViunSiQOhazJaSKOJjU0Fgm3V0v4Ryynr-aBhh24Eo" /> <input data-drupal-selector="edit-comment-default-comments-form" type="hidden" name="form_id" value="comment_default_comments_form" /> <input data-drupal-selector="edit-honeypot-time" type="hidden" name="honeypot_time" value="Jt7I3axCI3OInhwn57alAmIFY0imGhKqj74D3k2mdME" /> <div class="field--type-text-long field--name-comment-body field--widget-text-textarea js-form-wrapper form-wrapper" data-drupal-selector="edit-comment-body-wrapper" id="edit-comment-body-wrapper"> <div class="js-text-format-wrapper text-format-wrapper js-form-item form-item"> <div class="js-form-item form-item js-form-type-textarea form-type-textarea js-form-item-comment-body-0-value form-item-comment-body-0-value"> <label for="edit-comment-body-0-value" class="js-form-required form-required"> <span>Comment</span> </label> <div class="form-textarea-wrapper"> <textarea class="js-text-full text-full maxlength_js_enforce maxlength form-textarea required resize-vertical" data-entity_embed-host-entity-langcode="en" data-maxlength="600" maxlength_js_label="Content limited to @limit characters, remaining: &lt;strong&gt;@remaining&lt;/strong&gt;" #maxlength_js_enforce data-media-embed-host-entity-langcode="en" data-drupal-selector="edit-comment-body-0-value" aria-describedby="edit-comment-body-0--description" id="edit-comment-body-0-value" name="comment_body[0][value]" rows="3" cols="60" placeholder="" required="required" aria-required="true"></textarea> </div> </div> <div class="js-filter-wrapper filter-wrapper js-form-wrapper form-wrapper" data-drupal-selector="edit-comment-body-0-format" id="edit-comment-body-0-format"><div class="filter-help js-form-wrapper form-wrapper" data-drupal-selector="edit-comment-body-0-format-help" id="edit-comment-body-0-format-help"><a href="/filter/tips" target="_blank" data-drupal-selector="edit-comment-body-0-format-help-about" id="edit-comment-body-0-format-help-about">About text formats</a></div> <div class="js-filter-guidelines filter-guidelines js-form-wrapper form-wrapper" data-drupal-selector="edit-comment-body-0-format-guidelines" id="edit-comment-body-0-format-guidelines"><div data-drupal-format-id="restricted_html" class="filter-guidelines-item filter-guidelines-restricted_html"> <h4 class="label">Restricted HTML</h4> <ul class="tips"> <li>Allowed HTML tags: &lt;a href hreflang&gt; 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/sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=Biu9TXjE 2x" media="all and (min-width: 1025px)" type="image/webp" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=vrkzu1al 1x, /sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=vrkzu1al 2x" media="all and (min-width: 641px)" type="image/webp" width="640" height="480"/> <source srcset="/sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=vrkzu1al 1x, /sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.webp?h=52f9f97f&amp;itok=vrkzu1al 2x" type="image/webp" width="640" height="480"/> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=Biu9TXjE 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=Biu9TXjE 2x" media="all and (min-width: 1440px)" type="image/png" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=Biu9TXjE 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=Biu9TXjE 2x" media="all and (min-width: 1200px)" type="image/png" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=Biu9TXjE 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=Biu9TXjE 2x" media="all and (min-width: 1025px)" type="image/png" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=vrkzu1al 1x, /sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=vrkzu1al 2x" media="all and (min-width: 641px)" type="image/png" width="640" height="480"/> <source srcset="/sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=vrkzu1al 1x, /sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=vrkzu1al 2x" type="image/png" width="640" height="480"/> <img loading="lazy" src="/sites/default/files/styles/standard_med/public/media/images/2021-08/stats%20sa.png?h=52f9f97f&amp;itok=vrkzu1al" width="640" height="480" alt="stats sa" typeof="foaf:Image" /> </picture> </div> </article> </div> </a> </div> <div class="teaser-mini-section"> <div class="field-tags"> <a href="/fact-checks/blog/comment-statistician-general-clarifies-south-africas-migrant-estimates" class="gallery-link"> <i class="fas fa-external-link-square-alt"></i> </a> <div class="field field--name-field-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item">Migration</div> </div> </div> <h3> <a href="/fact-checks/blog/comment-statistician-general-clarifies-south-africas-migrant-estimates"> COMMENT: Statistician-general clarifies South Africa’s migrant estimates </a> </h3> </div> </div> </article> </div> <div> <article data-history-node-id="150" about="/fact-checks/blog/analysis-what-do-we-really-know-about-international-migration-south-africa" class="node node--type-rw-article node--promoted node--view-mode-teaser-mini teaser-mini"> <div class="node__content"> <div class="teaser-mini-image"> <a href="/fact-checks/blog/analysis-what-do-we-really-know-about-international-migration-south-africa"> <div class="field field--name-field-media-image-ref field--type-entity-reference field--label-hidden field__item"><article class="media media--type-image media--view-mode-landscape-nano"> <div class="field field--name-field-media-image field--type-image field--label-hidden field__item"> <picture> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-01/AfricaCheck-logo-inverse-Eng.webp?h=a2a4fbe4&amp;itok=lwYFdEqO 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-01/AfricaCheck-logo-inverse-Eng.webp?h=a2a4fbe4&amp;itok=lwYFdEqO 2x" media="all and (min-width: 1440px)" type="image/webp" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-01/AfricaCheck-logo-inverse-Eng.webp?h=a2a4fbe4&amp;itok=lwYFdEqO 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-01/AfricaCheck-logo-inverse-Eng.webp?h=a2a4fbe4&amp;itok=lwYFdEqO 2x" media="all and (min-width: 1200px)" type="image/webp" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-01/AfricaCheck-logo-inverse-Eng.webp?h=a2a4fbe4&amp;itok=lwYFdEqO 1x, 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srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-01/AfricaCheck-logo-inverse-Eng.jpg?h=a2a4fbe4&amp;itok=lwYFdEqO 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-01/AfricaCheck-logo-inverse-Eng.jpg?h=a2a4fbe4&amp;itok=lwYFdEqO 2x" media="all and (min-width: 1440px)" type="image/jpeg" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-01/AfricaCheck-logo-inverse-Eng.jpg?h=a2a4fbe4&amp;itok=lwYFdEqO 1x, /sites/default/files/styles/standard_lg/public/media/images/2021-01/AfricaCheck-logo-inverse-Eng.jpg?h=a2a4fbe4&amp;itok=lwYFdEqO 2x" media="all and (min-width: 1200px)" type="image/jpeg" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/media/images/2021-01/AfricaCheck-logo-inverse-Eng.jpg?h=a2a4fbe4&amp;itok=lwYFdEqO 1x, 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src="/sites/default/files/styles/standard_med/public/media/images/2021-01/AfricaCheck-logo-inverse-Eng.jpg?h=a2a4fbe4&amp;itok=ciCsdEjl" width="640" height="480" alt="AC inverse logo" typeof="foaf:Image" /> </picture> </div> </article> </div> </a> </div> <div class="teaser-mini-section"> <div class="field-tags"> <a href="/fact-checks/blog/analysis-what-do-we-really-know-about-international-migration-south-africa" class="gallery-link"> <i class="fas fa-external-link-square-alt"></i> </a> <div class="field field--name-field-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item">Migration</div> </div> </div> <h3> <a href="/fact-checks/blog/analysis-what-do-we-really-know-about-international-migration-south-africa"> ANALYSIS: What do we really know about international migration to &amp; from South Africa? </a> </h3> </div> </div> </article> </div> <div> <article data-history-node-id="2604" about="/fact-checks/reports/claim-13-million-international-migrants-live-sa-wildly-incorrect" class="node node--type-rw-article node--promoted node--view-mode-teaser-mini teaser-mini"> <div class="node__content"> <div class="teaser-mini-image"> <a href="/fact-checks/reports/claim-13-million-international-migrants-live-sa-wildly-incorrect"> <div class="field field--name-field-media-image-ref field--type-entity-reference field--label-hidden field__item"><article class="media media--type-image media--view-mode-landscape-nano"> <div class="field field--name-field-media-image field--type-image field--label-hidden field__item"> <picture> <source srcset="/sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=F8m6hnmG 1x, /sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=F8m6hnmG 2x" media="all and (min-width: 1440px)" type="image/webp" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=F8m6hnmG 1x, /sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=F8m6hnmG 2x" media="all and (min-width: 1200px)" type="image/webp" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=F8m6hnmG 1x, /sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=F8m6hnmG 2x" media="all and (min-width: 1025px)" type="image/webp" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=kyhgcr5S 1x, /sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=kyhgcr5S 2x" media="all and (min-width: 641px)" type="image/webp" width="640" height="480"/> <source srcset="/sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=kyhgcr5S 1x, /sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.webp?h=67a35e07&amp;itok=kyhgcr5S 2x" type="image/webp" width="640" height="480"/> <source srcset="/sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=F8m6hnmG 1x, /sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=F8m6hnmG 2x" media="all and (min-width: 1440px)" type="image/jpeg" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=F8m6hnmG 1x, /sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=F8m6hnmG 2x" media="all and (min-width: 1200px)" type="image/jpeg" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=F8m6hnmG 1x, /sites/default/files/styles/standard_lg/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=F8m6hnmG 2x" media="all and (min-width: 1025px)" type="image/jpeg" width="1024" height="768"/> <source srcset="/sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=kyhgcr5S 1x, /sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=kyhgcr5S 2x" media="all and (min-width: 641px)" type="image/jpeg" width="640" height="480"/> <source srcset="/sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=kyhgcr5S 1x, /sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=kyhgcr5S 2x" type="image/jpeg" width="640" height="480"/> <img loading="lazy" src="/sites/default/files/styles/standard_med/public/2017/02/32569957810_1a78851420_o.jpg?h=67a35e07&amp;itok=kyhgcr5S" width="640" height="480" alt="Asylum seekers at the newly renovated Marabastad Refugees Reception Centre, which was renamed the Desmond Tutu Refugees Reception Centre in February 2017. Photo: Elmond Jiyane, GCIS" title="Asylum seekers at the newly renovated Marabastad Refugees Reception Centre, which was renamed the Desmond Tutu Refugees Reception Centre in February 2017. Photo: Elmond Jiyane, GCIS" typeof="foaf:Image" /> </picture> </div> </article> </div> </a> </div> <div class="teaser-mini-section"> <div class="field-tags"> <a href="/fact-checks/reports/claim-13-million-international-migrants-live-sa-wildly-incorrect" class="gallery-link"> <i class="fas fa-external-link-square-alt"></i> </a> <div class="field field--name-field-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item">Migration</div> <div class="field__item">statistics</div> </div> </div> <h3> <a href="/fact-checks/reports/claim-13-million-international-migrants-live-sa-wildly-incorrect"> Claim that 13 million international migrants live in SA wildly incorrect </a> </h3> </div> </div> </article> </div> </div> </div> </div> </div> </div> </div> <footer id="footer" role="contentinfo" class="footer"> <div class="grid-container"> <div class="grid-x grid-padding-x"> <div class="region region-footer-first cell large-4"> <div id="block-ifcnprinciplesblock" class="block block-africa-check block-ifcnprinciples-block"> <div class="clear-both"> <h3>We hold public figures accountable</h3> <div class="description-wrapper"> <a id="ifcn_link" href="https://ifcncodeofprinciples.poynter.org/profile/africa-check" title="IFCN signatory" target="_blank"> <img src="/themes/custom/africacheck/images/45D71308-B37B-2610-B6B1-52FC70D37A71.png" alt="IFCN Code of Principles"> </a> <p>For democracy to function, public figures need to be held to account for what they say. 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