How anti-immigrant vigilantes are profiting from public healthcare in South Africa

In Gauteng, groups linked to Operation Dudula have been stopping immigrants at clinic gates, demanding identity documents and turning away those without valid papers. While a court has ruled that such actions are unlawful, affected patients say the practice has continued, sometimes with the involvement of clinic security staff.

Several immigrants told local media that after being denied entry, they were later offered access to the same clinics through backdoor arrangements. In some cases, clinic staff allegedly shared private contact details, offering HIV medication, chronic drugs, baby immunisations and prenatal care in exchange for cash payments.

“As immigrants, we feel vulnerable, because clinic staff and Operation Dudula members are now taking advantage of our desperate need for chronic medication to make money. They should be stopped,” an immigrant is quoted by the Citizen.

Patients described being charged between R200 and R300 (approx. US$10 – 16) for antiretroviral drugs that are meant to be free. Others said they were allowed into clinics but deliberately left unattended, making them vulnerable to extortion by intermediaries who claimed to have connections inside.

South Africa’s health department says it is not aware of organised extortion but has condemned any such actions as illegal. “If this is true, it is unlawful, and we condemn it with the strongest terms it deserves. We request anyone with evidence to share it with the department or law enforcement agencies so they can swiftly investigate,” said Foster Mohale, spokesperson for the national health department.