HIV patients go weeks without medicines after US aid cut

HIV patients go weeks without medicines after US aid cut

A US-funded health facility in Pretoria shut its doors for over two weeks after an executive order by President Trump paused funding. A beneficiary of the centre, who is HIV-positive, said that he hadn’t taken his ARVs in roughly two weeks due to the closure. Many were in the same predicament. The health centre reopened on 13 February after funding resumed.

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ANC and its ministers reject reports of NHI ‘concessions’

ANC and its ministers reject reports of NHI ‘concessions’

Recent media reports over the future of NHI have been contradictory and hard to make sense of. Chris Bateman chased up those in a position to know where things stand – it seems the ANC has not in fact made any major concessions on NHI. There is however agreement that medical schemes won’t be phased out in the next few years, something that likely wouldn’t have happened in any case given the poor state of the economy and the long timeline for NHI implementation.

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No clear government plan yet to confront US aid cuts

No clear government plan yet to confront US aid cuts

South Africa’s National Department of Health is still to outline a clear contingency plan as a US funding freeze puts lives at risk, spells job losses, and presents threats to keeping HIV and TB under control. Ufrieda Ho reports.

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Over 15 000 South African health workers’ jobs are at risk as US cuts aid

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.

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SA health research facing catastrophic financing cuts

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.

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Which of the breakthrough weight loss medicines can you get in SA?

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.

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Good governance in SA’s health system is ‘patchy’ – experts unpack report on how to fix it

Good governance in SA’s health system is ‘patchy’ – experts unpack report on how to fix it

A timely report on governance in South Africa’s healthcare sector released last year identified several serious shortcomings. As the political and administrative wheels again start turning in 2025, Elri Voigt unpacks the report and asks if government is paying attention.

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Stopping health funding in Africa weakens America

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.

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Gauteng MEC threatens schoolgirls’ bodily autonomy with compulsory implant

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. 

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Pressure grows for NHI compromise ahead of Cabinet lekgotla

Pressure grows for NHI compromise ahead of Cabinet lekgotla

Whether or not the ANC and DA can find common ground on the future of medical schemes is set to be a major test of South Africa’s Government of National Unity. Ahead of a Cabinet lekgotla where the issue is expected to be on the agenda, momentum has been gathering behind a compromise option. Chris Bateman reports.

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Health in 2025: Spotlight’s top 4 questions for the year ahead

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.

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Analysis: SA one of only two countries to meet TB research spending target in 2023

Analysis: SA one of only two countries to meet TB research spending target in 2023

In 2023, tuberculosis was again the top infectious disease killer on the planet, having temporarily been overtaken by COVID-19. Even so, investment in TB research is far below what United Nations agencies estimate is needed. Catherine Tomlinson unpacks a new report on global TB research funding, zooming in on the situation in South Africa.

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