Human Rights Violations and Mistrust among Refugees in South Africa: Implications for Public Health during the COVID Pandemic

Despite the open policy of integration, refugees in South Africa have been experiencing increasing exclusion and discrimination in socio-economic development and from social services. State-sanctioned discrimination contributes to mistrust among marginalized groups toward the government and its inst...

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Main Authors: Aron Tesfai, Michaela Hynie, Anna Meyer-Weitz
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Social Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-0760/12/4/224
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author Aron Tesfai
Michaela Hynie
Anna Meyer-Weitz
author_facet Aron Tesfai
Michaela Hynie
Anna Meyer-Weitz
author_sort Aron Tesfai
collection DOAJ
description Despite the open policy of integration, refugees in South Africa have been experiencing increasing exclusion and discrimination in socio-economic development and from social services. State-sanctioned discrimination contributes to mistrust among marginalized groups toward the government and its institutions. However, public trust towards healthcare authorities and government institutions is critical during pandemic outbreaks to ensure the population’s willingness to follow public health initiatives and protocols to contain the spread of a pandemic. Eleven key informants, including refugee community leaders and refugee-serving NGOs, were virtually interviewed about refugees’ access to healthcare in South Africa during the COVID-19 pandemic and the consequences of inconsistent access and discrimination on their trust of public healthcare initiatives. Interviews were analyzed using critical thematic analysis. The results suggest that refugees’ access to public healthcare services were perceived as exclusionary and discriminatory. Furthermore, the growing mistrust in institutions and authorities, particularly the healthcare system, and misperceptions of COVID-19 compromised refugees’ trust and adherence to public health initiatives. This ultimately exacerbates the vulnerability of the refugee community, as well as the wellbeing of the overall population.
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spelling doaj.art-74851c439d344f5da0c23f68c89b4d2e2023-11-17T21:22:02ZengMDPI AGSocial Sciences2076-07602023-04-0112422410.3390/socsci12040224Human Rights Violations and Mistrust among Refugees in South Africa: Implications for Public Health during the COVID PandemicAron Tesfai0Michaela Hynie1Anna Meyer-Weitz2Discipline of Psychology, School of Applied Human Sciences, College of Humanities, Howard College Campus, University of Kwa-Zulu-Natal, Durban 4041, South AfricaDepartment of Psychology, Centre for Refugee Studies, York University, 4700 Keele St., Toronto, ON M3J 1P3, CanadaDiscipline of Psychology, School of Applied Human Sciences, College of Humanities, Howard College Campus, University of Kwa-Zulu-Natal, Durban 4041, South AfricaDespite the open policy of integration, refugees in South Africa have been experiencing increasing exclusion and discrimination in socio-economic development and from social services. State-sanctioned discrimination contributes to mistrust among marginalized groups toward the government and its institutions. However, public trust towards healthcare authorities and government institutions is critical during pandemic outbreaks to ensure the population’s willingness to follow public health initiatives and protocols to contain the spread of a pandemic. Eleven key informants, including refugee community leaders and refugee-serving NGOs, were virtually interviewed about refugees’ access to healthcare in South Africa during the COVID-19 pandemic and the consequences of inconsistent access and discrimination on their trust of public healthcare initiatives. Interviews were analyzed using critical thematic analysis. The results suggest that refugees’ access to public healthcare services were perceived as exclusionary and discriminatory. Furthermore, the growing mistrust in institutions and authorities, particularly the healthcare system, and misperceptions of COVID-19 compromised refugees’ trust and adherence to public health initiatives. This ultimately exacerbates the vulnerability of the refugee community, as well as the wellbeing of the overall population.https://www.mdpi.com/2076-0760/12/4/224refugeesCOVID-19access to public healthcareexclusiondiscriminationpolitical mistrust
spellingShingle Aron Tesfai
Michaela Hynie
Anna Meyer-Weitz
Human Rights Violations and Mistrust among Refugees in South Africa: Implications for Public Health during the COVID Pandemic
Social Sciences
refugees
COVID-19
access to public healthcare
exclusion
discrimination
political mistrust
title Human Rights Violations and Mistrust among Refugees in South Africa: Implications for Public Health during the COVID Pandemic
title_full Human Rights Violations and Mistrust among Refugees in South Africa: Implications for Public Health during the COVID Pandemic
title_fullStr Human Rights Violations and Mistrust among Refugees in South Africa: Implications for Public Health during the COVID Pandemic
title_full_unstemmed Human Rights Violations and Mistrust among Refugees in South Africa: Implications for Public Health during the COVID Pandemic
title_short Human Rights Violations and Mistrust among Refugees in South Africa: Implications for Public Health during the COVID Pandemic
title_sort human rights violations and mistrust among refugees in south africa implications for public health during the covid pandemic
topic refugees
COVID-19
access to public healthcare
exclusion
discrimination
political mistrust
url https://www.mdpi.com/2076-0760/12/4/224
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