Urban-Rural Linkages Impact Urban Health
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Urban-rural migration systems involve complex reciprocal relationships between urban and rural areas that are impacted by illness. Migrants in cities like Addis Ababa, Johannesburg, and Windhoek maintain ties to rural homes through remittances, forming interlinked livelihood systems. If urban migrants fall ill, most Johannesburg and Windhoek respondents would return home, while most in Addis Ababa would rely on family/community in the city. Sickness disrupts these interlinked systems through loss of remittance income and increased care burdens on rural networks.
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Urban-Rural Linkages Impact Urban Health
- 1. Urban – Rural Linkages: the role of an interlinked livelihood system and implications for urban health in Addis Ababa, Johannesburg and Windhoek Scott Drimie, Girma Kassie & Jo Vearey University of the Witwatersrand Forced Migration Studies Programme Health and Migration Initiative
- 4. SENDING RECEIVING 0 5 10 15 20 25 30 35 40 45 50 Addis Ababa: Receive JHB: Receive Namibia: Receive Relative frequency (%) Money Food Goods
- 6. Sickness and HIV in Johannesburg : if the individual in the city becomes too sick to work, the majority will return back home Support 54% 67% Importance of food Burden on the household back home. Urban livelihood that supports another household ‘back home’ would be affected. 65% informal 48% formal
- 7. Sickness and HIV in Johannesburg : if someone ‘back home’ becomes sick with HIV/AIDS Send money home Return home to provide care 33% 19% Nothing 34% Bring to JHB 14% 63% 11% 6% 21% Informal Formal n = 457 Chi-square = 40.796; p = <0.001
- 8. Sickness and HIV in Windhoek: if the individual in the city becomes too sick to work, the majority will return home 60%
Notas do Editor
- Majority will stay in the City. Under desperate health conditions, 93.1% of the sample population will stay in the city. GIRMA: if I look at the previous slide, your graph indicates that just under 70% will remain in Addis. If I add together the responses for who people rely on; it comes to 76.8% (which makes sense). But I’m not sure if it matches to the 93.1% you mention above? WHY? Was this asked in the survey? Or is this speculation? Girma suggested that this is due to : Migrants in the city are aware of the low level of medical infrastructure in the rural areas. Returning to the rural areas - even if there are relatives to lean on – is not viewed as an option.
- Majority will stay in the City. Under desperate health conditions, 93.1% of the sample population will stay in the city. GIRMA: if I look at the previous slide, your graph indicates that just under 70% will remain in Addis. If I add together the responses for who people rely on; it comes to 76.8% (which makes sense). But I’m not sure if it matches to the 93.1% you mention above? WHY? Was this asked in the survey? Or is this speculation? Girma suggested that this is due to : Migrants in the city are aware of the low level of medical infrastructure in the rural areas. Returning to the rural areas - even if there are relatives to lean on – is not viewed as an option.