The South African Human Rights Commission (SAHRC) has expressed concern over the denial of healthcare services to undocumented foreign nationals at public clinics and hospitals across South Africa, warning that such practices could exacerbate the spread of diseases like tuberculosis and HIV. The SAHRC emphasized that denying access based on nationality or documentation status is unlawful and inconsistent with South African constitutional and international human rights obligations. The Department of Health has condemned actions by local groups, including Operation Dudula and the March and March movement, that block foreign nationals from accessing healthcare facilities, describing these protests as unethical and illegal. These groups argue that the strained public healthcare system should prioritize South African citizens and have been actively preventing undocumented migrants from entering clinics in cities such as Johannesburg, Durban, and areas like Rosettenville and Hillbrow. Gauteng Health MEC Nomantu Nkomo-Ralehoko stated that healthcare facilities cannot turn away foreign nationals and warned that officials could be held accountable if patients are denied medical attention resulting in death. She also noted that some countries have agreements with South Africa to cover healthcare costs for their nationals. ActionSA politicians have criticized the government's provision of healthcare to illegal foreigners, suggesting that healthcare workers should report undocumented patients to immigration authorities after treatment. Meanwhile, civil society groups and legal experts have condemned the blocking of foreigners from clinics as xenophobic and unconstitutional. Recent protests have led to clashes between anti-migrant groups and community organizations, highlighting deepening divisions over immigration and access to public services. Operation Dudula has organized marches to the SAHRC offices in Durban and Johannesburg, accusing the commission and other NGOs of protecting the rights of undocumented migrants at the expense of South African citizens. The ongoing tension reflects broader public frustration over healthcare system pressures and immigration policy debates in South Africa.