Background and Objective: South Africa have the highest number of migrants within the Sub-Saharan region of Africa. Feminisation of migration has become more and more prevalent over the last decades. Female migrants are reported to be particularly vulnerable and face many adversities during their migration process. The aim of the study was to investigate the experiences and challenges of female documented/undocumented migrants in accessing primary health care services through clinics and hospitals. Environmental and social drivers were also assessed. Methods: The study was conducted at an informal settlement located in Pretoria, which falls under Greater Tshwane Metropolitan Municipality, located in the Gauteng Province, South Africa. An exploratory qualitative design was used for the study. Face to face in depth interviews were conducted with 18 female migrants using an interview guide. Results: Through the interviews the following themes emerged from the analysis of the data, namely 1) Reasons for migration (social, political, economic, and environmental), 2) Migration and environment, 3) Migration process, 4) Living in the host country, 5) Access to health system (health challenges), 6) Right to health, 7) Utilisation of services, 8) Communication, 9) Discrimination and lastly, 10) the impact of riots against migrants at health facilities in the previous year. Conclusions: This study adds to a growing body of knowledge about challenges faced by female migrants not only in South Africa but globally. The results may assist authorities in developing migrant sensitive policies to lower access barriers to health services in South Africa. The study intends to raise awareness for migrants health and processes of integration into host nations. Keywords: female migrants, South Africa, access to healthcare services