Latest
Early treatment helps protect the brains of people living with HIV
Antiretroviral therapy has shifted HIV from a fatal to a chronic condition. But neuropsychiatrists say it is imperative for people living with the virus to start treatment immediately as the “duration of untreated exposure” may cause irreversible brain damage and impact long-term cognitive health. Biénne Huisman reports.
In the Spotlight
In the Spotlight | Why government should provide more free HIV self-tests
It is estimated that around half a million people living with HIV in South Africa don’t know they are living with the virus. One way to help these people is by offering them the means to test themselves in the privacy of their own homes. As Catherine Tomlinson explains in this #InTheSpotlight special briefing, such self-screening tests are part of our HIV response on paper, but in reality, the tests are massively underutilised.
In the Spotlight | Amid all the noise, how well is SA’s immunisation programme actually doing
Childhood immunisation programmes have saved many millions of lives and prevented much suffering. Yet, immunisation programmes have lost momentum over the last decade or so. In this #InTheSpotlight special briefing, Elri Voigt unpacks the available data and considers how immunisation efforts might be revitalised.
Opinions
Russell Rensburg | Consolidate the funding of South Africa’s district health system: why reform can’t wait
District managers in South Africa’s public healthcare system currently have to juggle funding from multiple government budget lines, each with different strings attached. To improve district health services, we urgently need to simplify and integrate these funding flows, argues Russell Rensburg.
Spotlight’s top 9 health stories to watch in 2026
From the limited rollout of a new HIV prevention jab to developments with new weight loss medicines, to high-stakes court cases relating to National Health Insurance (NHI), 2026 is set to be another tumultuous year in healthcare. Here are nine stories that Spotlight will keep a close eye on.
Clinic blockades: It is the state’s obligation to remove every barrier to health services
Vigilantes have unlawfully prevented people they deemed to be foreign nationals from accessing public healthcare services. SECTION27 health activists map out the implications of a Gauteng High Court judgment delivered at the end of last year, explaining that it obliges the state to take active and coordinated steps to remove barriers hindering people’s access to healthcare.
InsideTheBox
Inside The Box with Dr Andy Gray | Where are we on the road to more coherent cannabis regulation?
There has been much confusion and misunderstandings about how cannabis and associated products are regulated in South Africa, with government’s own missteps adding to the uncertainty. In his last Inside The Box column for the year, Dr Andy Gray clearly sets out the current legal and regulatory situation and where we’re heading.
Inside The Box with Dr Andy Gray | Public participation in medicines selection and regulation – lacking?
In several countries, the public is given an opportunity to share their views with regulators before new medicines are registered or to engage with those choosing essential medicines. In South Africa, however, opportunities for such public participation remains limited. In his latest Inside The Box column, Dr Andy Gray takes a look at how public participation is handled elsewhere and how it could be improved here.
TB
SA and Indonesia team up on massive asymptomatic TB study
Over the last decade, there’s been growing evidence that people can have TB without having any symptoms. But there is still much uncertainty over how such asymptomatic TB functions in the body and how infectious it is. An ambitious study, set to be conducted in South Africa and Indonesia, is trying to find some answers. Elri Voigt reports.
High hopes for major TB vaccine study recently launched in Paarl
The world desperately needs an effective TB vaccine to reduce the illness and death still being caused by the centuries’ old bacterium. Chris Bateman visited a study site in Paarl where a promising experimental TB vaccine is now being tested as part of a large multi-country clinical trial.
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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.