In-depth: Critical medicine priced out of reach for people with cryptococcal meningitis

In-depth: Critical medicine priced out of reach for people with cryptococcal meningitis

Cryptococcal meningitis is the second top killer of people living with HIV in South Africa. In the second of a two-part series on access to treatment for the condition, Catherine Tomlinson puts the Spotlight on the drug liposomal amphotericin B (part one looked at flucytosine).

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In-depth: Is pain management in SA up to scratch?

In-depth: Is pain management in SA up to scratch?

Many people in South Africa unnecessarily suffer from chronic pain due to system failures, poor access to expensive medicines, and lack of sufficient medical education on pain management. What’s worse is that even though morphine is cheap and easy to administer – those who do need palliative care often don’t receive it. Elsabé Brits takes an in-depth look at how we deal with pain in South Africa.

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Ten years later: Reflecting on the successes and challenges at Khayelitsha Hospital

Ten years later: Reflecting on the successes and challenges at Khayelitsha Hospital

This month, the Khayelitsha District Hospital will celebrate ten years since it opened its doors. Tiyese Jeranji visited the hospital and spoke to the CEO, some staff members, patients, and health stakeholders about the services the hospital provides, its successes and continuing challenges.

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In-depth: SA company gearing up to make API

In-depth: SA company gearing up to make API

While various medicines are produced in South Africa, the active pharmaceutical ingredients going into these medicines are mostly still imported. Catherine Tomlinson reports on a local company that is trying to change that – starting with active pharmaceutical ingredients for tuberculosis and COVID-19 medicines.

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OPEN LETTER: It takes more than a march to remedy systemic challenges to abortion access

OPEN LETTER: It takes more than a march to remedy systemic challenges to abortion access

On 17 February, Deputy Health Minister Dr Sibongiseni Dhlomo led a march against unsafe abortions in Rustenburg, North West, but a march alone cannot eliminate barriers that prevent women and girls from accessing safe abortions in the public health system. Much more is needed, argue Sibusiwe Ndlela, Khanyisa Mapipa and Thokozile Mtsolongo in an open letter.

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OPINION: Despite some positives, budget is not up to our health challenges

OPINION: Despite some positives, budget is not up to our health challenges

As we transition towards a different strategy in the management of the COVID-19 pandemic and look to build up better, there was an expectation that the budget tabled this week, would provide insight into the government’s response and strategy to address the gaps left by COVID. Russel Rensburg looks at some of the budget’s hits and misses as it relates to healthcare.

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EpiPens: People in South Africa often can’t access this lifesaving allergy treatment

EpiPens: People in South Africa often can’t access this lifesaving allergy treatment

Epinephrine auto-injectors, often known by the commercial name EpiPen, can be life-savers for people suffering severe allergic reactions, but the treatments are difficult to find in South Africa and expensive.

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In-depth: Landmark survey of key populations confirms scale of problems

In-depth: Landmark survey of key populations confirms scale of problems

People who belong to key populations, such as men who have sex with men, often report that it is difficult for them to access health services – for example, due to negative healthcare worker attitudes. Now, a large survey published last week by community healthcare monitoring group Ritshidze provides important statistics that not only confirm that such experiences are widespread but also help in pinning down some specific issues. Tiyese Jeranji reports.

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Frustration and confusion following North West hospital closure

Frustration and confusion following North West hospital closure

The sudden closure of Thusong District Hospital in the North West has left healthcare workers and patients confused and frustrated with some patients still turning up at the hospital gates, not knowing where to go for medication and other healthcare services. Nthusang Lefafa reports.

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Health in 2021: Another tumultuous year in under a thousand words

Health in 2021: Another tumultuous year in under a thousand words

It wasn’t rocket science when we predicted at the start of 2021 that South Africa’s biggest challenge this year would be to get COVID-19 shots into as many arms as possible. But the way it has played out with multiple setbacks and scrambling problem-solving is not something anyone could have predicted. In fewer than a thousand words, Spotlight editor Marcus Low takes a look back at a tumultuous year in health in South Africa.

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In-depth: New licenses could spark manufacture of COVID-19 pills in Africa

In-depth: New licenses could spark manufacture of COVID-19 pills in Africa

Pharmaceutical companies Merck and Pfizer recently announced early results from clinical trials showing that two new antiviral medicines are highly effective in reducing COVID-19 deaths and hospitalisation. The Medicines Patent Pool then announced licensing deals with both companies that will allow for generic versions of the two drugs to be produced. Catherine Tomlinson unpacks the licenses and asks whether generic versions of these pills might now be made in Africa.

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How well is SA’s chronic medicines distribution system working?

How well is SA’s chronic medicines distribution system working?

Having to collect one’s medicines at overcrowded public sector clinics with long queues can be time-consuming, disruptive, and, these days, may expose one to a risk of contracting SARS-CoV-2. Thabo Molelekwa takes stock of South Africa’s centralised chronic medicines dispensing and distribution programme, the Department of Health’s system for allowing more people to collect their chronic medicines closer to their homes or workplaces.

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