Vigilantes Block Migrants from South African Clinics

November 20, 2025

2 minutes read

south

Public hospitals in South Africa have become a battleground. Members of the vigilante group “Operation Dudula” are physically blocking foreign nationals from accessing healthcare.

This organized crackdown disrupts routine medical visits. Vigilantes dressed in military-style fatigues station themselves at clinic entrances in Gauteng province.

They demand South African identity documents. Consequently, those without IDs including pregnant women and the elderly are turned away.

Healthcare Under Siege

Operation Dudula, whose name translates to “force out,” is defying the law. The Johannesburg High Court recently declared their intimidation tactics unlawful.

Despite this, the scenes at facilities remain desperate. Witnesses report that vigilantes deny entry to mothers carrying sick infants. They tell these patients to seek help at private hospitals. However, private care is often too expensive.

Tholakele Nkwanyana, a Dudula member, clarified the group’s stance. She stated their goal is to reserve public resources strictly for citizens.

“We Are Not Immigration Officers”

The blockade has drawn sharp condemnation. Human rights groups and the government oppose these actions. Health officials argue that medical ethics require them to treat any patient in need.

“We are healthcare professionals,” the Health Minister insisted. “We don’t turn patients away because they don’t have documentation.”

Rights activists warn against this precedent. They argue that private citizens cannot act as immigration officers. Furthermore, many native citizens also lack proper IDs. Therefore, these checkpoints risk hurting the very people the group claims to protect.

Economic Desperation Fuels the Fire

Deep economic frustration drives this tension. South Africa is the continent’s most industrialized nation. It draws migrants from Zimbabwe, Mozambique, and beyond.

However, local unemployment soars above 31%. Consequently, groups like Operation Dudula argue that undocumented migrants drain jobs and public services.

The government faces a difficult challenge. They have deployed security to some clinics. Additionally, police arrested members who stormed a maternity ward in Soweto. Yet, law enforcement remains overstretched by high crime rates.

Driven to the Edge

For vulnerable migrants, the fear is real. Blessing Tizirai, a Zimbabwean national, fled Pretoria. She left after vigilantes repeatedly blocked her from clinics.

Now four months pregnant, she relocated to the border town of Musina. She moved there simply to access prenatal care away from the group’s stronghold. Her story highlights a dehumanizing reality. Desperate people must travel hundreds of kilometers just to see a doctor safely.


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