Based on research work among cross-border migrant women who sell sex in South Africa, this paper examines the ways in which the label ‘victim’ of human trafficking ignores the complex realities of human mobility. We argue here that as state legislative and policy measures, in relation to human trafficking, justify the securitisation of borders and the curtailment of migrant rights, an accompanying hegemonic discourse serves to deny the agency of migrant women sex workers. As a result, the linkages between human trafficking and migration are experienced by migrant women sex workers through new layers of vulnerability and insecurity.

In South Africa, the conflation of sex work with human trafficking means that migrant/mobile sex workers are often framed as victims of trafficking while arguments for the decriminalisation of sex work are discounted due to claims about the risks of increased trafficking. This is despite the lack of clear evidence that trafficking, including in the sex industry, is a widespread problem. Sex worker organisations have called for an evidence-based approach whereby migration, sex work, and trafficking are distinguished and the debate moves beyond the polarised divisions over sex work. This paper takes up this argument by drawing on research with sex workers and a sex worker organisation in South Africa, as well as reflections shared at two Sex Workers’ Anti-trafficking Research Symposiums. In so doing, the authors propose the further development of a Sex Work, Exploitation, and Migration/Mobility Model that takes into consideration the complexities of the quotidian experiences of migration and selling sex. This, we suggest, could enable a more effective and productive partnership between sex worker organisations and other stakeholder groups, including anti-trafficking and labour rights organisations, trade unions, and others to protect the rights and well-being of all those involved in sex work.

Purpose: In South Africa, the majority of the population struggles to access care and support for mental health challenges. Drawing on challenges faced by asylum seekers and refugees in the urban margins of Johannesburg, this paper aims to explore the relationship between migration and mental health through a lens of heightened vulnerability, precarious urban spaces and unmet basic needs. Design/methodology/approach: Remote interviews were conducted with respondents working in the mental health-care sector (public and private) and with migrant communities in Johannesburg. Respondents were identified via purposive sampling and interviews were conducted in English. Key findings were identified using thematic analysis. Findings: Effective responses to asylum seekers and refugees facing mental health challenges are based on an understanding of context, of crisis and of the need to meet basic needs such as paying rent, finding employment and providing for families. These “daily stressors” not only compound “extreme traumatisation” but are a form of trauma in and of itself. Originality/value: This paper shows how alternative responses determined by an understanding of context, of crisis and of the need to meet basic needs provide critical and potentially far-reaching interventions. Locating trauma in the unmet needs, precarious urban spaces and marginalisation opens up space to further question the ways that migration and mental health shape and reshape one another.

This article explores the intersecting vulnerabilities of non-national migrant mothers who sell sex in Johannesburg, South Africa – one of the most unequal cities in the world. Migrants who struggle to access the benefits of the city live and work in precarious peripheral spaces where they experience intersecting vulnerabilities associated with gender norms, race, and nationality. These vulnerabilities manifest as abuse, discrimination, criminalisation, and multiple levels of structural and direct violence. Migrant women who sell sex also face stigma and moralising associated with the illegal sale of sex, being foreign, and being a single parent. Drawing on ethnographic work with non-national migrant mothers who sell sex in Johannesburg, and from ongoing work exploring research, policy and programmatic responses to migration, sex work and health, we use an analytical lens of intersectionality to explore the daily challenges associated with encountering and negotiating intersecting vulnerabilities. We consider how these vulnerabilities form entanglements (drawing on Munoz, 2016) and are (re)produced and embodied in everyday practice in the city. We explore how they shift in significance and impact depending on context and social location, and argue for a nuanced approach to understanding migration and the sale of sex that recognises these intersecting vulnerabilities – and entanglements.

The Sustainable Development Goals commit states to Universal Health Coverage (UHC) for all; yet displaced populations—including asylum seekers, refugees, internally displaced persons (IDPs), and undocumented migrants—remain systematically excluded from national health systems across southern and eastern Africa. This paper applies a whole-of-route, rights-based framework to examine how legal status, policy implementation, and structural governance shape healthcare access for displaced populations across South Africa, Kenya, Somalia, and the Democratic Republic of Congo (DRC). Drawing on 70 key informant interviews and policy analysis conducted between 2020 and 2025, the study finds that despite formal commitments to health equity, access remains constrained by restrictive legal regimes, administrative discretion, and fragmented service delivery models. Critical gaps persist in migration-sensitive planning, gender-responsive care, and mental health integration. The findings highlight the limitations of rights-based rhetoric in the absence of legal coherence, intersectoral coordination, and political will. To realise UHC in displacement contexts, health systems must move beyond citizen-centric models and embed migration-aware, inclusive, and sustainable approaches across all stages of displacement. Without such structural reforms, displaced populations will remain at the margins of national health agendas—and the promise of health for all will remain unmet.