SA is failing the rights of children’s access to education and health
What’s clear is that SA’s current school admission policy has a serious effect on the access to basic education of both children who are SA citizens and those who are foreign nationals or stateless.
Is SA regularly denying children their right to access education as well as healthcare on the grounds either of petty bureaucracy or by a misinterpretation of the country’s laws and international obligations?
The answer is yes.
The country places limitations on children’s access to education and affordable healthcare. This is particularly true of migrant children. These limitations are, in my view, unconstitutional and in violation of SA’s international obligations. For example, SA is bound by the International Covenant on Economic, Social and Cultural Rights. In the interpretation of this convention, the UN committee on economic social and cultural rights has emphasised that “all children within a state, including those with an undocumented status, have a right to receive education and access to adequate food and affordable healthcare”.
However, SA isn’t living up to this promise. What’s clear is that SA’s current school admission policy has a serious effect on the access to basic education of both children who are SA citizens and those who are foreign nationals or stateless.
The challenges for those who are not SA citizens and don’t have the required permits are compounded by section 39 of the Immigration Act 13 of 2002. This states that a “learning institution” may not provide “training or instruction” to an “illegal foreigner”. Principals of schools that enrol a child who is an “illegal foreigner” can be charged and may face penalties.
Children who are not SA citizens often also struggle to access affordable health care through what’s been called “medical xenophobia”.
A recent Constitutional Court ruling gives some hope that the requirements of birth certificates and study permits for children to enrol in school will eventually be relaxed. However, litigation is still ongoing and, as with access to affordable healthcare, there’s often a discrepancy between what the law provides and the actual situation on the ground.
Denial of rights
On December 10 2018, the Grahamstown high court gave an order dismissing an urgent application by the Centre for Child Law that 37 children should be admitted to a public school pending final determination of a case instituted by the Centre in 2017, in which the applicants, among others, requested an order that: “no learner may be excluded from a public school on the basis that he or she does not have an identity number, permit or passport.”
The 37 children were among the many whose guardians have not managed to secure the paperwork needed to be allowed to register in a school under the 1998 Admission Policy for Ordinary Public Schools.
The SA constitution provides that ‘a child’s best interests are of paramount importance in every matter concerning the child. A child is defined as anyone below the age of 18’
On February 15 2019, the Constitutional Court granted leave of appeal against the high court order and overturned it, ordering that the children be admitted and enrolled in school by March 1. However, this order does not finally decide the issue of requirements for enrolling in school as the case instituted in 2017 is still pending before the high court. The right to healthcare is provided for in article 27 of the constitution. The National Health Act, 61 of 2003 provides for free healthcare at public facilities for children under six years old, unless a child is covered by private medical insurance.
According to the Uniform Patient Fee Schedule all non-SA citizens — except those with permanent or temporary residence and citizens of the member states of Sadc who “enter the [the republic] illegally” — are classified as full-paying patients. Children without the required permits who are over six years old, who lack medical insurance and are not from a Sadc member state therefore lack access to subsidised health care.
The Global Compact for Safe, Orderly and Regular Migration was adopted in December 2018 with SA’s support. Among other things, the global compact calls on states to adopt child-sensitive migration policies. It also promotes international legal obligations in relation to the rights of the child, and upholds the principle of the best interests of the child at all times.
The principle of the best interest of the child was first set out in an international treaty 30 years ago in the UN convention on the rights of the child. It was reiterated in the African Charter on the Rights and Welfare of the Child. SA is party to both these treaties. In addition, the SA constitution provides that “a child’s best interests are of paramount importance in every matter concerning the child. A child is defined as anyone below the age of 18.”
The right-holder in the bill of rights in the constitution is, with few exceptions, “everyone”. Clearly this includes not only SA citizens but everyone who is in the country. Most rights are not absolute and may be limited under section 36 in terms of law of general application to the extent that the limitation is reasonable and justifiable in an open and democratic society based on human dignity, equality and freedom.
The Immigration Act is a “law of general application”. However, the child’s best interest is “of paramount importance”.
In my view, the rights of children to basic education and affordable healthcare in SA can’t be limited and “everyone” must be read to include every child, irrespective of their immigration status. When it comes to access to healthcare the situation is even clearer as there are no limitations set out in the country’s laws. The health department’s Uniform Patient Fee Schedule should therefore be revised to provide for subsidised healthcare for all children whose guardians cannot afford medical insurance.
• Killander is a professor at the Centre for Human Rights in the Faculty of Law, University of Pretoria.
• This article first appeared in The Conversation