‘We have been completely immersed in frustration and trauma’: ambivalence in informal migrant care systems in South Africa

Migrants assuming caregiving roles for other migrants require care themselves. We report on how migrants in South Africa navigate the dual responsibilities of caregiving and self-care. 15 semistructured interviews were conducted with migrant caregivers between January and June 2023. Data were thematically analysed and interpreted through a narrative lens. Findings highlight the critical role migrant caregivers play in offering support to their communities. Despite systemic challenges, including language barriers, exclusion and personal trauma, they foster community cohesion and emotional well-being. At the heart of acts of care exists an ambivalence between identity management and the experience of trauma and exclusion.

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Publication Details

Journal
Medical Humanities
Published
2026-02-16
DOI
https://doi.org/10.1136/medhum-2025-013390
Primary Topic
Migration, Health and Trauma
Type
article
Field-Weighted Citation Impact
0.00
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article

‘We have been completely immersed in frustration and trauma’: ambivalence in informal migrant care systems in South Africa

Rowan Madzamba, Christine Anthonissen, Mike Moesko, Asithandile Nozewu et al.
Medical Humanities
Migration, Health and Trauma
article

‘We have been completely immersed in frustration and trauma’: ambivalence in informal migrant care systems in South Africa

Rowan Madzamba, Christine Anthonissen, Mike Moesko, Asithandile Nozewu, Kitso Setswe, Leslie Swartz
article en

Abstract

Migrants assuming caregiving roles for other migrants require care themselves. We report on how migrants in South Africa navigate the dual responsibilities of caregiving and self-care. 15 semistructured interviews were conducted with migrant caregivers between January and June 2023. Data were thematically analysed and interpreted through a narrative lens. Findings highlight the critical role migrant caregivers play in offering support to their communities. Despite systemic challenges, including language barriers, exclusion and personal trauma, they foster community cohesion and emotional well-being. At the heart of acts of care exists an ambivalence between identity management and the experience of trauma and exclusion.

Medical Humanities
Universität Hamburg (DE), Stellenbosch University (ZA), University Medical Center Hamburg-Eppendorf (DE), Hochschule Magdeburg-Stendal (DE)
Reduced inequalities
Openalex Percentile: Top 57%
Migration, Health and Trauma
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