 Kamala mingimi Fernanda Armanu maboonda Sbendo amela aplazi ni kusibendi ipanahana Swim zambiki tobando muntufuni kusibendi nga nene sitafri The health sector in South Africa, we have very good policies I mean, generally our policies are very progressive However, the main challenge has been really putting what is in the constitution, what is in the health policy into practice South Africa is one of the countries that they are developing compared to our neighboring countries So it also attracts a lot of migrants from our neighboring communities When it comes to budgeting for the Department of Health it comes also a problem because they budget according to the population they have So if you are at a macro immigration corridor you cannot do your budget At local level they will tell you that they are not sure whether they are supposed to be giving migrant services if someone presents a TB and you treat them as whether they are migrant or non-migrant In terms of health that has no bearing because at the end of the day TB is communicable So if you do not treat them then the person is going to go back into the community and continue to spread the TB among the people that they live with We work in the farms where you have both locals and migrants So that part of our interventions was focused on making sure that they have access to TBCs and we would work with the primary health care clinics taking them to the farms We had within the farms a cater of change agents who were sort of the mobilizers So they will mobilize their peers so that the people feel safe So the clinics will provide a mobile unit on a regular basis and the change agents on that day of the mobile clinic visit they will then mobilize the farm workers At the clinic it is primary health care the normal one like if you got headache or maybe suffering from stomach ache high hypertension or to get ARVs or TB treatment for those who are on chronics and also to check the AST test like testing for HIV also checking for malaria as we are in a malaria area We realized if they just come to the work and work for 3-4 hours go off to the clinic get the medicines, come back with the paper if they back in time they can just fall in again for us it's much better because if they ill and they don't have the medicine they're not getting better and if we can make plan that they can get the medicines they become a much better worker for us in the farm we are now in a community we are working in a community we work in a community we have the money we have the money we have the money Now I can say a lot of migrants going to the clinics and even the mobile clinics when coming to the farms now they even like rushing to be the first one to go to the mobile because now they know that they are able to access services if they are migrants By the time they arrive in a particular settlement they've been through a gen which most of the time will include a whole lot of violations so I think it's very important that there's intentional effort to reach migrant communities without necessarily exceptionalizing them but simply because they will have additional vulnerabilities and I think also within that once you address migrants within that context automatically everybody benefits because it means you are improving your services to be more responsive so if not to migrants it will also be to other groups that may not necessarily have had access so I think it becomes an advantage but I think also is the right thing to do I think there's a whole lot of socio-economic benefits that as a country we are migrant so while we benefiting from them they should also benefit in terms of having their right to access health services is the right of everyone to have access to basic health services