Moonlighting, money and morals in a looted health system

Moonlighting, money and morals in a looted health system

The Department of Health allows some public sector doctors and nurses to moonlight in the private sector, but the relevant policy and its implementation caused much controversy over the years. Set against the wider management dysfunction in several provincial health departments, the issue is now coming to a head. Joan van Dyk reports.

Read More

What the law actually says about migrants’ right to access healthcare in SA

What the law actually says about migrants’ right to access healthcare in SA

The media has reported several incidents where people were turned away at public healthcare facilities because they did not possess South African identity documents. As related cases slowly grind through the courts, Teri Brown and Thembi Mahlathi of SECTION27 connect the dots between what the law says and what people are experiencing.

Read More

Flu season is here, with experts keeping a close eye on new flu strain

Flu season is here, with experts keeping a close eye on new flu strain

Many regions in the Northern Hemisphere experienced a slightly earlier start to their flu season, driven in some part by a novel variant of influenza A(H3N2). As our flu season also kicks off slightly earlier than usual, Elri Voigt reports on detection of this variant in South Africa and what we might expect from this year’s flu season.

Read More

Inside The Box with Dr Andy Gray | Are there appropriate sanctions for non-compliance with medicines legislation in South Africa?

Inside The Box with Dr Andy Gray | Are there appropriate sanctions for non-compliance with medicines legislation in South Africa?

The sale of illegal medicines is a significant threat to public safety. In his latest Inside The Box column, Dr Andy Gray asks whether the South African Health Products Regulatory Authority has the necessary tools at hand to provide protection in this area.

Read More

Tiny tots and big science: Inside Brooklyn Chest Hospital’s decade old paediatric TB hub

Tiny tots and big science: Inside Brooklyn Chest Hospital’s decade old paediatric TB hub

Soft toys, giggly kisses, and bright wards buzzing with excited children meet a driven team of staff and researchers producing world class work at Brooklyn Chest Hospital’s paediatric TB research hub. Biénne Huisman visits the wards and the Desmond Tutu TB Centre’s clinical site as it celebrates ten years and gets early insight of a cutting-edge new treatment trial.

Read More

To eliminate TB, we need to make testing more accessible and affordable

To eliminate TB, we need to make testing more accessible and affordable

New TB tests have massive potential for South Africa’s struggle to get to grips with the age-old disease. Making the most of these new tests will require both ambition and smart implementation, argue Gaurang Tanna and Dr Yogan Pillay.

Read More

NHI pause should be used to build stronger healthcare foundations

NHI pause should be used to build stronger healthcare foundations

Universal health coverage cannot succeed with fragmented systems, weak data, and largely symbolic participation. A recent court-ordered pause to NHI implementation offers a chance to build the foundations properly, argue Dr Haseena Majid and Professor Mogie Subban.

Read More

A quiet crisis: Babies born with hearing loss often diagnosed too late in SA

A quiet crisis: Babies born with hearing loss often diagnosed too late in SA

Despite the proven benefits of newborn hearing screening and early intervention, universal screening is not yet mandated in South Africa and is only available at a few public hospitals.

Read More

Early treatment helps protect the brains of people living with HIV

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.

Read More

As another Rare Diseases Day swings by, is SA ready to take it more seriously?

As another Rare Diseases Day swings by, is SA ready to take it more seriously?

Individual rare diseases impact only a very small fraction of people, but collectively they are estimated to affect over three million in South Africa. As we mark International Rare Disease Day on 28 February, Elna Schütz assesses the state of play with rare diseases in the country.

Read More

Obesity medicines are needed in SA’s public sector. Can our government provide them?

Obesity medicines are needed in SA’s public sector. Can our government provide them?

In South Africa, access to weight loss medicines like Ozempic and Mounjaro remains limited to those who can shell out a few thousand Rand a month. In the second article of a Spotlight special series, Catherine Tomlinson looks at the medical need for these medicines in the country and what it would take for government to provide them in the public sector.

Read More

Russell Rensburg | Consolidate the funding of South Africa’s district health system: why reform can’t wait

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.

Read More