“It felt like a weight was being taken off of my shoulders”: findings from an intervention to support migrant adolescents and young people in KwaZulu-Natal, South Africa

In South Africa, many young people relocate from rural to urban areas for education, attending day schools while residing in rented accommodation. Migration exposes them to risk, including alcohol and drug abuse, sexual exploitation and violence. We developed and assessed a support system for young...

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Main Authors: Nondumiso Dlamini, Siphesihle Hlongwane, Carina Herbst, Maryam Shahmanesh, Nothando Ngwenya, Sarah Bernays, Janet Seeley
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:SSM - Mental Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666560325000611
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author Nondumiso Dlamini
Siphesihle Hlongwane
Carina Herbst
Maryam Shahmanesh
Nothando Ngwenya
Sarah Bernays
Janet Seeley
author_facet Nondumiso Dlamini
Siphesihle Hlongwane
Carina Herbst
Maryam Shahmanesh
Nothando Ngwenya
Sarah Bernays
Janet Seeley
author_sort Nondumiso Dlamini
collection DOAJ
description In South Africa, many young people relocate from rural to urban areas for education, attending day schools while residing in rented accommodation. Migration exposes them to risk, including alcohol and drug abuse, sexual exploitation and violence. We developed and assessed a support system for young migrants, aged 14-24 in KwaZulu-Natal, South Africa. Five trained peer navigators conducted needs assessments for 283 young internal migrants between June 2021 and October 2022. The intervention included mobile phone support and streamlined referrals through a call centre, connecting young migrants to a study social worker, local healthcare facilities, and peer assistance. To assess the intervention, we conducted repeat in-depth interviews with 20 participants and 5 interviews with peer navigators, in-person and by telephone. Most young migrants rented rooms in unsafe areas to be near their schools, which presented physical, psychological, and mental challenges during the transition from living with parents/carers. The young migrants valued the intervention, including access to sexually transmitted infection treatment, psychosocial support from the social worker, and assistance from peer navigators in tackling general challenges. They appreciated that the peers provided a confidential space to engage and share openly with little fear of being judged. Our findings show that protection for young migrants can be provided through supportive structures such as peer-led interventions.
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institution Kabale University
issn 2666-5603
language English
publishDate 2025-06-01
publisher Elsevier
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series SSM - Mental Health
spelling doaj-art-0674fb949b9d4cf7859401a0822e2b362025-08-20T03:25:54ZengElsevierSSM - Mental Health2666-56032025-06-01710044910.1016/j.ssmmh.2025.100449“It felt like a weight was being taken off of my shoulders”: findings from an intervention to support migrant adolescents and young people in KwaZulu-Natal, South AfricaNondumiso Dlamini0Siphesihle Hlongwane1Carina Herbst2Maryam Shahmanesh3Nothando Ngwenya4Sarah Bernays5Janet Seeley6Africa Health Research Institute, 719 Umbilo Road, Durban, 4001, KwaZulu-Natal, South AfricaAfrica Health Research Institute, 719 Umbilo Road, Durban, 4001, KwaZulu-Natal, South AfricaAfrica Health Research Institute, 719 Umbilo Road, Durban, 4001, KwaZulu-Natal, South AfricaAfrica Health Research Institute, 719 Umbilo Road, Durban, 4001, KwaZulu-Natal, South Africa; School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa; Institute for Global Health, University College London, Gower Street, London, WC1E 6BT, UKAfrica Health Research Institute, 719 Umbilo Road, Durban, 4001, KwaZulu-Natal, South Africa; School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa; Institute for Global Health, University College London, Gower Street, London, WC1E 6BT, UKLondon School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK; School of Medicine, University of Sydney, Sydney, AustraliaAfrica Health Research Institute, 719 Umbilo Road, Durban, 4001, KwaZulu-Natal, South Africa; London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK; School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa; Corresponding author. London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.In South Africa, many young people relocate from rural to urban areas for education, attending day schools while residing in rented accommodation. Migration exposes them to risk, including alcohol and drug abuse, sexual exploitation and violence. We developed and assessed a support system for young migrants, aged 14-24 in KwaZulu-Natal, South Africa. Five trained peer navigators conducted needs assessments for 283 young internal migrants between June 2021 and October 2022. The intervention included mobile phone support and streamlined referrals through a call centre, connecting young migrants to a study social worker, local healthcare facilities, and peer assistance. To assess the intervention, we conducted repeat in-depth interviews with 20 participants and 5 interviews with peer navigators, in-person and by telephone. Most young migrants rented rooms in unsafe areas to be near their schools, which presented physical, psychological, and mental challenges during the transition from living with parents/carers. The young migrants valued the intervention, including access to sexually transmitted infection treatment, psychosocial support from the social worker, and assistance from peer navigators in tackling general challenges. They appreciated that the peers provided a confidential space to engage and share openly with little fear of being judged. Our findings show that protection for young migrants can be provided through supportive structures such as peer-led interventions.http://www.sciencedirect.com/science/article/pii/S2666560325000611AdolescentsYouthMigrationEducationRiskSouth Africa
spellingShingle Nondumiso Dlamini
Siphesihle Hlongwane
Carina Herbst
Maryam Shahmanesh
Nothando Ngwenya
Sarah Bernays
Janet Seeley
“It felt like a weight was being taken off of my shoulders”: findings from an intervention to support migrant adolescents and young people in KwaZulu-Natal, South Africa
SSM - Mental Health
Adolescents
Youth
Migration
Education
Risk
South Africa
title “It felt like a weight was being taken off of my shoulders”: findings from an intervention to support migrant adolescents and young people in KwaZulu-Natal, South Africa
title_full “It felt like a weight was being taken off of my shoulders”: findings from an intervention to support migrant adolescents and young people in KwaZulu-Natal, South Africa
title_fullStr “It felt like a weight was being taken off of my shoulders”: findings from an intervention to support migrant adolescents and young people in KwaZulu-Natal, South Africa
title_full_unstemmed “It felt like a weight was being taken off of my shoulders”: findings from an intervention to support migrant adolescents and young people in KwaZulu-Natal, South Africa
title_short “It felt like a weight was being taken off of my shoulders”: findings from an intervention to support migrant adolescents and young people in KwaZulu-Natal, South Africa
title_sort it felt like a weight was being taken off of my shoulders findings from an intervention to support migrant adolescents and young people in kwazulu natal south africa
topic Adolescents
Youth
Migration
Education
Risk
South Africa
url http://www.sciencedirect.com/science/article/pii/S2666560325000611
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