They arrive under the harsh winter sun, carrying what remains of their lives in plastic bundles and battered suitcases.

Since April, a wave of nearly 100 000 Zimbabweans has washed back across the Limpopo, driven by what the International Medical Corps has describeds as "escalating anti-migrant sentiments and localised violence in South Africa."

 As the gates of the Beitbridge Border Post swing open, a sobering reality emerges that the face of this crisis is overwhelmingly female.

In the “Zimbabwean Returnee Influx Situation Report #1,” released on July 15, the International Medical Corps revealed a staggering demographic shift, saying "women and children account for 70% of the returnees."

 For these thousands of mothers, daughters, and young girls, the journey home is not just a logistical hurdle—it is a harrowing escape from trauma into a reception system currently stretched to its breaking point.

The stories filtering through the registration desks are a grim testament to the volatility south of the border.

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The International Medical Corps noted that many of these women are returning because they have experienced "harassment, forced evictions, violence, detention and loss of livelihoods while in South Africa."

For many, the lives they spent years building were liquidated in an instant, leaving them undocumented and vulnerable as they sought passage back to Zimbabwe.

While the government activated national emergency response mechanisms in late June, the sheer volume of arrivals has created a bottleneck of human suffering.

According to the report, more than 20 000 Zimbabweans are currently huddled at diplomatic missions and assembly points across South Africa, waiting for transportation support to join the masses who have already crossed.

At the Beitbridge Reception Centre, the struggle for dignity is constant. The facility is experiencing "severe congestion due to the high volume of arrivals," with existing accommodation capacity long since exceeded. For women and girls, this overcrowding is more than an inconvenience, but  a direct threat to their safety.

The International Medical Corps has raised the alarm over infrastructure failures, stating that "inadequate lighting continues to heighten risks concerning violence against women and girls, and protection."

 In a crowded camp where temporary shelters are overflowing into nearby spaces, the shadows are dangerous.

This lack of security is compounded by a sanitation crisis that hits women the hardest.

Currently, there are "only 30 toilets... available, half the amount that is needed" to meet the basic needs of the population.

This shortage has led to reports of open defecation, which not only increases the risk of communicable diseases but also forces women and girls to seek privacy in unlit, isolated areas, further exposing them to the risk of assault.

The report explicitly warned that "poor lighting around sanitation areas further increases both public health and protection risks.".

The health of returning mothers is under "increasing pressure as arrivals continue."

 Beyond the common ailments of respiratory infections and musculoskeletal pain caused by the arduous journey, there is a desperate need for mental health services.

The trauma of being uprooted by xenophobic violence has left many in need of urgent psychosocial support.

Loss of civil documentation is another silent crisis among the returnees. The International Medical Corps reported that "many returnees have lost identity documents, limiting access to public services, education and other reintegration opportunities."

Without these documents, mothers face a future where their children are barred from the very systems meant to help them restart their lives.

Perhaps most heartbreaking is the presence of "eight unaccompanied children" identified at the reception centre.

These minors, separated from their guardians during the chaos of the influx, represent the most extreme vulnerability of this migration, requiring immediate family tracing and reunification efforts.

The International Medical Corps is currently leading the response around water, sanitation, and hygiene (WASH) needs at the border.

 Recognising that clean water and safety go hand-in-hand, they have so far provided safe drinking water to 15,792 returnees.

Crucially, the organisation has taken direct steps to light up the night for vulnerable women.

To date, they have "installed two high-capacity floodlights to improve site safety and security."

 While they have also rehabilitated two ablution blocks and installed five mobile toilets, the report emphasizes that "additional... sanitation facilities are urgently required" to meet the demand.

As the government continues to provide three meals a day, food stocks remain under immense pressure as arrivals increase.

The International Medical Corps concludes that the humanitarian situation remains "fluid," and they expect the influx to continue in the coming weeks.

For the women of the Beitbridge influx, the "reintegration" promised by the state feels like a distant hope.

Their immediate reality is a fight for hygiene, a search for lost documents, and a nightly prayer for safety in a crowded tent.

The report makes it clear that the crisis is bound to escalate with more arrivals at the border.

 "Continued pressure on reception capacity, health services, WASH infrastructure and transportation systems is likely unless additional resources are mobilised,” it added.