Yolande sits quietly in our office, tears welling up in her eyes. Her eight-month-old baby has been really sick, but she fears going to the hospital only to be turned away. Yolande is an asylum seeker in South Africa. She is currently enrolled in JRS’ livelihoods program and lives with her husband and two other children.
Yolande gave birth to Divine at a public hospital in Pretoria. Unfortunately, Yolande had health complications related to the delivery and remained in hospital for several weeks. She was not informed of the new policy being implemented at public hospitals regarding maternity services for foreign patients. On discharge, she was told to pay R120000 for the delivery and in-patient services—an
impossible amount for most in South Africa. Yolande could obviously not pay.
Yolande has since received calls from the hospital about her outstanding payment and fears getting in trouble. There seems to be no way for her to resolve the matter.
In the last few weeks, Divine has been sickly and struggled with breathing. Yolande has saved up money to take him to a private doctor, but this is untenable. She is worried about going to the public hospital and being turned away or told to pay more money.
According to the law, Yolande and Divine have the right to access free medical treatment for maternal and reproductive services because Divine is under six years old. However, austerity, maladministration, and corruption have meant that public health facilities have implemented contravening provincial policies to bridge financial gaps. The consequences of these strategies fall on the vulnerable,
making them even more vulnerable.
Quietly reflect on this story. Can you imagine Yolande, what strikes you? Is there something that you return to in this story or have a question about? Are you angry or saddened?
Think for a moment about being a hospital administrator, nurse or doctor, knowing that a mother fears bringing her sick eight-month-old for treatment? How might this cause you to respond differently or advocate for someone’s rights?