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Over 15 000 South African health workers’ jobs are at risk as US cuts aid
A coalition of health service organisations has warned that patients will lose access to life-saving treatment if the US withdraws health funding to South Africa. Certain HIV and TB-related health services are continuing for now under a limited waiver. But the waiver has failed to cover organisations that provide services, including HIV care, specifically to LGBTI people and people who inject drugs. Two PEPFAR-funded harm reduction centres have already closed their doors, as have health service organisations that support LGBTI people.
SA health research facing catastrophic financing cuts
Cuts to United States funding of health research could have “catastrophic” consequences, says Professor Ntobeko Ntusi, who is at the helm of the country’s primary health research funder. He says the South African Medical Research Council is “heavily exposed” to the cuts, with around 28% of its budget coming from US federal agencies. Catherine Tomlinson reports.
Which of the breakthrough weight loss medicines can you get in SA?
The remarkable efficacy of new diabetes and weight loss medicines like Ozempic and Mounjaro have been one of the biggest health stories of recent years. Despite rising rates of diabetes and obesity, access to these medicines remain limited in South Africa. Catherine Tomlinson asks which of the GLP-1 agonists are available here and at what price.
Stopping health funding in Africa weakens America
Following President Donald Trump’s decision to suspend foreign aid, President Cyril Ramaphosa can display great leadership by meeting with leaders of wealthy countries and convincing them to increase spending to support the health systems of poorer countries, write Nathan Geffen and Marcus Low.
Gauteng MEC threatens schoolgirls’ bodily autonomy with compulsory implant
The bodily autonomy of young women and girls is under threat as Gauteng Health and Wellness MEC Nomantu Nkomo-Ralehoko intends to make the contraceptive implanon compulsory for learners as long as their parents consent. This approach to addressing teenage pregnancy is misguided and unlawful, argues Khuselwa Dyantyi.
Why including pregnant women in a TB study in SA was a big deal
Pregnant women are typically excluded from clinical trials of new TB medicines. This has led to a lack of solid scientific evidence on how best to treat women who fall ill with TB while they are expecting. Tiyese Jeranji asked local TB experts about the problem and puts the spotlight on a recent study that broke the mould by opening its doors to pregnant women.
Health in 2025: Spotlight’s top 4 questions for the year ahead
From the ongoing political and legal battles over NHI, to the far-reaching health impacts of political change in the United States, it is set to be another tumultuous year for healthcare in South Africa and around the globe. Here’s Spotlight’s top four healthcare questions for 2025.
Pretoria company aims to lead SA in making key TB drug ingredients
Though several South African companies are producing HIV and TB medicines, the active ingredients that go into these medicines are usually imported from India or China. Now, a local company is planning to break new ground by making the active ingredients for two important TB medicines in Pretoria. Catherine Tomlinson zooms in on the company’s efforts and outlines some of the obstacles to getting such local production off the ground.
Growing the beta variant – young scientist remembers the day they danced in the lab
During South Africa’s COVID-19 hard lockdown, rising star scientist Dr Sandile Cele spent his Christmas holidays in a laboratory. Soon the 35-year-old became the first to successfully grow the beta variant of SARS-CoV-2 in the lab. Biénne Huisman spoke to Cele about how he did this, the string of accolades he received since, and his leap from a modest upbringing to the global scientific stage.

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Episode 1: Sexual and reproductive health rights
Aug 23, 2018 • 23:42
In this first episode of the Spotlight podcast host Nomatter Ndebele speaks to Dr Daphney Conco of Wits about what SRHR is and why it matters. We also hear from Vuyokazi Gonyela of TAC about their SRHR work in provinces. Finally, Nomatter chats to Spotlight guest editor Thuthu Mbatha about…
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Episode 2: Life Esidimeni revisited
Aug 28, 2018 • 1:00:42
In episode 2 we catch up with the processes around the Life Esidimeni tragedy. Christine Nxumalo discusses what further action the families are hoping for. Tendai Mafuma provides fascinating insights into the prospects for criminal liability. Mark Heywood gives his views on the politics surrounding the case and what that…
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Episode 3: Sasha Stevenson on what NHI and HMI means for healthcare reform in South Africa
Oct 5, 2018 • 00:18:53
At a recent civil society meeting jointly hosted by SECTION27 and Spotlight, Sasha Stevenson, head of health at SECTION27, presented on the implications of NHI and HMI for access to healthcare in South Africa. We now make her informative and thought-provoking presentation available as a podcast. (We apologise for the…
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Episode 4: Marijuana, health and the law in South Africa
Dec 7, 2018 • 18:41
Host Nomatter Ndebele chats to Dr Michael Herbst of the Cancer Association of South Africa about the landmark Constitutional Court judgement on the possession and use of marijuana and the judgement’s implications for the health of people in South Africa.
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Episode 5: Dr Fareed Abdullah on South Africa’s AIDS response
Dec 14, 2018 • 22:26
Dr Fareed Abdullah of the SA MRC, previously CEO of SANAC, recently addressed the TAC’s 20-year celebrations. Listen what he had to say about the history of South Africa’s AIDS response and where we are now.
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Episode 6: Justice Edwin Cameron addresses the TAC 20-year celebrations
Dec 14, 2018 • 13:14
Justice Edwin Cameron of South Africa’s Constitutional Court recently addressed attendees at the TAC’s 20-year celebrations. We bring you a recording of what he had to say to TAC members, supporters and allies.
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Episode 7: Lotti Rutter on PEPFAR funding and why we need a People’s COP
Jul 25, 2019 • 24:10
Nomatter Ndebele chats to Lotti Rutter of HealthGAP about what the People’s COP is and why it matters.
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Episode 8: How South Africa is performing against key NSP indicators
Jul 25, 2019 • 19:30
Host Nomatter Ndebele chats to Spotlight editor Marcus Low about South Africa’s progress against key NSP indicators.
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Episode 9: Rensburg on healthcare reform in South Africa
Jul 25, 2019 • 27:36
Host Nomatter Ndebele chats to RHAP director Russell Rensburg about the major reforms underway in the South African healthcare system.
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Episode 10: Siphiwe Mhlangana on the Treatment Action Campaign’s treatment literacy work
Jul 25, 2019 • 21:15
Host Nomatter Ndebele chats to Siphiwe Mhlangana of the TAC about his treatment literacy work and why treatment literacy still matters.

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