Childhood vaccine coverage in SA declined in 2023, finds WHO report

Childhood vaccine coverage in SA declined in 2023, finds WHO report

New data from the World Health Organization and UNICEF show that globally childhood immunisation coverage stalled in 2023, while in South Africa it decreased. Elri Voigt unpacks the new data and asks local experts to put it in context.

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Medicines stockouts persist in North West as tide turns slowly

Medicines stockouts persist in North West as tide turns slowly

Despite some improvement over the past three years, the North West province continues to experience medicine shortages, according to a survey by a community clinic monitoring initiative. Nthusang Lefafa unpacks the latest findings and asks why shortages persist in the province.

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“Not being afraid to speak out, it does get me into trouble quite often,” says Prof Shabir Madhi

“Not being afraid to speak out, it does get me into trouble quite often,” says Prof Shabir Madhi

Amid the uncertainty of the early days of the COVID-19 pandemic, Professor Shabir Madhi often stood out for his clarity of thought in making sense of rapidly evolving scientific evidence. Biénne Huisman chatted to Madhi about vaccines, ongoing challenges with the Gauteng health department, and being outspoken about issues such as the war in Gaza.

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“We were the first ones to do it”: Innovative SA study takes TB testing to people’s homes

“We were the first ones to do it”: Innovative SA study takes TB testing to people’s homes

Most tuberculosis (TB) tests still require a trip to the clinic. Now, new technology has made it possible to test people at home. This could be a big deal for South Africa, where much TB goes undiagnosed. Tiyese Jeranji unpacks the findings and implications of a recent study into such TB home testing.

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How ‘NHI on wheels’ is bringing life-changing healthcare to young people in rural Eastern Cape

How ‘NHI on wheels’ is bringing life-changing healthcare to young people in rural Eastern Cape

The Keready project uses mobile clinics to take healthcare services to rural areas. Sue Segar spent time with the project as they took eye, dental, and other healthcare services to communities in the Eastern Cape.

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Codeine addiction in SA: New guideline aims to curb abuse

Codeine addiction in SA: New guideline aims to curb abuse

Rehab centres in South Africa have been admitting an increasing number of codeine users in recent years. Now, the country’s medicines regulator has published a draft guideline as part of a broader effort to track suspicious codeine sales. Spotlight’s Jesse Copelyn unpacks the details.

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Nomantu Nkomo-Ralehoko’s comeback as Gauteng health MEC sparks mixed reactions

Nomantu Nkomo-Ralehoko’s comeback as Gauteng health MEC sparks mixed reactions

ANC support in Gauteng dipped below 40% in the recent provincial elections and an ANC-lead minority government is now at the helm. Among those in Premier Panyaza Lesufi’s new Cabinet is Nomantu Nkomo-Ralehoko who’s been reappointed as MEC for health and wellness. Spotlight’s Ufrieda Ho rounds up some responses to her return.

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Twice-yearly HIV prevention shot succeeds in pivotal trial, but questions loom over future access

Twice-yearly HIV prevention shot succeeds in pivotal trial, but questions loom over future access

An HIV prevention injection that provides six months of protection per shot has been shown to be highly effective in a pivotal trial largely conducted in South Africa. There are however some concerns as to when the injection will become available and how widely. Thabo Molelekwa and Marcus Low report.

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Cutting edge robotic surgery: Beacons of excellence at two Cape Town public hospitals

Cutting edge robotic surgery: Beacons of excellence at two Cape Town public hospitals

Within South Africa’s beleaguered public health sector – unsettled by budget cuts, understaffing, and divisive NHI legislation – cutting edge surgical robots that have been used to perform more than 600 surgeries at two Cape Town public hospitals are beacons of excellence that offer a glimmer of hope. Spotlight’s Biénne Huisman visited Dr Tim Forgan at Tygerberg Hospital to learn more.

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HPV vaccination switching to single-dose and private schools to get government supply

HPV vaccination switching to single-dose and private schools to get government supply

A decade into South Africa’s HPV vaccination programme, the health department is switching from a two-dose to a single dose vaccine regimen and girls in private schools are set to start receiving government subsidised jabs. The vaccine provided, GlaxoSmithKline’s Cervarix, will remain the same. The move is backed by evidence showing one-dose regimens provide similar protection against HPV infection as multi-dose regimens. Catherine Tomlinson reports.

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Why a major finding on HIV and statins may not be that relevant in SA

Why a major finding on HIV and statins may not be that relevant in SA

One of the biggest stories in HIV in the last year was that a class of medicines called statins could help reduce cardiovascular disease in people living with the virus. In response, treatment guidelines in the United States were quickly updated, but the picture is more complicated in South Africa. Spotlight’s Elri Voigt explores why the case for widespread use of statins by people living with HIV is less compelling in South Africa than in some other countries.

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In the Spotlight | HIV prevention injections exist, but hardly anyone can get them

In the Spotlight | HIV prevention injections exist, but hardly anyone can get them

HIV prevention injections have been registered for use in South Africa, but their high price and limited supply means that for the next few years, while awaiting more affordable generics, very few people will be able to get the jabs. In this Spotlight special briefing, Catherine Tomlinson looks at the difficult choices facing the country if we want to offer the injection to more people more quickly. The calls we make could have global implications.

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