319 Health-seeking practices and access to health care by migrant parents/caregivers with under-five-year-old children in the Western Province in South Africa

Abstract EP2.4, e-Poster Terminal 2, September 4, 2025, 11:35 - 12:55 Aim To explore the experiences and health-seeking practices of migrant parents/caregivers in accessing health care services for their under-five-year-old children in the city of Cape Town, South Africa. Methods A qualitative approach was used to conduct in-depth interviews with migrant parents/caregivers with under-five-year-old children. A total of 40 interviews were conducted in local languages with these migrant parents from Lesotho, Malawi, Mozambique, and Zimbabwe living in Cape Town with their under-five-year-old children. The data was recorded, transcribed verbatim, and translated into the English language. Data were analysed thematically using Atlas.ti version 25. Results The main themes identified from the study included (1) sources of information about child health and care, which improved (2) awareness of childhood illnesses and timely (3 healthcare seeking practices, as well as the (4)use of preventive healthcare. Other key themes included (5)barriers and (6) facilitators to accessing healthcare, which were mostly driven by language, the attitude of healthcare workers, documentation status, financial status, the safety of the area they lived in, support from neighbours and friends, and waiting time, among others, as sub-themes. Generally, participants showed a sense of agency to identify child illnesses and seek help if necessary. Many indicated that they start with home remedies (both modern and traditional) before deciding to take their child to a health facility. Experience of the healthcare system varied among participants; some reported harsh treatment from nurses (especially when they missed appointments), yet others reported good experiences. Experiences varied among participants depending on their location of residence. Some health facilities seemed to treat everyone equally, but other facilities discriminate against migrants. Conclusion This study explored the health-seeking practices and access to healthcare services among migrant parents/caregivers of children under five years. The findings highlight a complex interplay between cultural practices, structural barriers, and interpersonal dynamics within the healthcare system.