Health impacts of social transistion: A study of female temporary migration and its impact on child mortality in rural South Africa

Date
2008-05-15T06:40:58Z
Authors
Collinson, Mark Andrew
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Abstract
ABSTRACT: Temporary migration, especially men moving to their place of work, was an intrinsic feature of the former Apartheid system in South Africa. Since the demise of Apartheid an increasing proportion of women have also been migrating to their place of work, and oscillating between work place and home. Temporary migration can be defined as oscillating migration between a home base and at least one other place, usually for work, but also for other reasons like education. This study demonstrates that in the Agincourt study population, in the rural northeast of South Africa, adult female temporary migration is an increasing trend. By conducting a survival analysis, the study evaluates the mortality outcomes, specifically infant and child mortality rates, of children born to female temporary migrants compared with children of non-migrant women. Based on the findings presented we accept the null hypothesis that there is presently no discernable impact (positive or negative) of maternal temporary migration on infant and child mortality. There seems to be a slight protective factor associated with mother’s migration when tested at a univariate level. However, through multivariate analysis, it is shown that this advantage relates to the higher education status of migrating mothers. When women become tertiary educated there is a survival advantage to their children and these women are also more likely to migrate. The study highlights greater child mortality risks associated with settled Mozambicans (former refugees) and unmarried mothers. Both of these risk factors reflect the impact of high levels of social deprivation.
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Keywords
female labour migration, temporary migration, child mortality, Agincourt demographic surveillance system
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