The Declining Health Status as Fuelled by Illusory Internal Migration in Sub-Saharan Africa: Is there Any Future?

This study reveals that despite the negative effects of migration, the Tanzanian government has not done enough to address migration-related health issues. This is owing to inadequate data or information about effects of migration in the country. Dodoma region, the focus of this study, is selected for its migration-inducing factors as they relate to the declining health status of its inhabitants. Harsh climatic conditions causing irregular and inadequate rainfall and prolonged drought have led to a severe decline of the health of the poor. The region is entirely dependent on subsistence agriculture and livestock production. The small-scale production is locally practiced at household level. Extreme poverty motivates rural people to migrate to cities with the main migrant groups being middle school (about 13 to 15 years old) and high school dropouts (15 to 18 years old), and youth including young parents (18 to 35 years old). The rural-urban migration conjoined with harsh climatic conditions significantly downsizes local population, available agricultural labor force, and further endangers food security. More importantly, however, due to exposure to HIV in the cities, most migrants who are unable to find city jobs return home terminally ill with HIV/AIDS, which further adds to impoverishment of rural families and to downsizing of rural population.