In-depth: This is how health departments (mis)spend public funds

In-depth: This is how health departments (mis)spend public funds

The recently released audit outcomes for the 2019/2020 financial year paints a grim picture of wastage and mismanagement of public funds in provincial health departments. Spotlight Deputy Editor Alicestine October unpacks and examines the Auditor General’s findings.

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Hope in the Eastern Cape: A doctor reflects on the turnaround at Madwaleni Hospital

Hope in the Eastern Cape: A doctor reflects on the turnaround at Madwaleni Hospital

At Madwaleni Hospital in the rural Eastern Cape, vaccinations of health workers were set to start this week. However, steering this rural hospital to this point through a global pandemic, had its challenges. Bienne Huisman spoke to one doctor about how they made it through the first and second waves of the pandemic.

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After setbacks, rollout of new TB prevention pills to start in six districts

After setbacks, rollout of new TB prevention pills to start in six districts

After various delays and setbacks, a new, less toxic, short-course tuberculosis preventive therapy called 3HP is finally being launched in six districts in South Africa. Tiyese Jeranji reports.

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Analysis: The politics and promise behind a proposed pandemic treaty

Analysis: The politics and promise behind a proposed pandemic treaty

25 heads of state, including South Africa’s President Cyril Ramaphosa, have called for the creation of an international pandemic treaty to strengthen global capacity to predict and respond to pandemic threats. But what should we make of this development, given that existing treaties have often been ignored during the COVID-19 crisis and recent efforts toward a research and development treaty for health products have floundered, asks Catherine Tomlinson.

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HIV and cervical cancer: Behind SA’s extraordinarily high numbers

HIV and cervical cancer: Behind SA’s extraordinarily high numbers

A study recently published in The Lancet found that women living with HIV made up an astonishing 63.4% of new cervical cancer cases in South Africa in 2018. Elri Voigt spoke to local experts about the links between HIV and cervical cancer in South Africa and how cervical cancer is prevented, tested for, and treated in the public sector.

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Editorial: Pieces finally slotting into place for mass vaccination in SA

Editorial: Pieces finally slotting into place for mass vaccination in SA

Within the next month or so we will be switching gears from the comparatively small-scale trial run of Sisonke to a full-on mass vaccination programme. As with the onset of a new wave of infections, this presents a dramatic shift in the pandemic and our response to it – although in this case, the shift is finally a good thing, writes Spotlight editor Marcus Low.

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SA piloting mobile X-rays to improve TB detection

SA piloting mobile X-rays to improve TB detection

South Africa’s first National Tuberculosis Prevalence Survey found that many people without TB symptoms nevertheless have TB disease that can be detected using chest X-rays. Accordingly, new mobile X-ray screening programmes are being piloted in a number of provinces. Tiyese Jeranji reports.

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SA missing childhood immunisation catch-up targets

SA missing childhood immunisation catch-up targets

Following a decline in childhood immunisations during the COVID-19 hard lockdown last year, a nationwide catch-up drive was launched in November. Government is not sharing all the data on how the drive is going, but the data that we have been able to access shows that some important catch-up targets are being missed.

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Opinion: Longer HIV treatment supplies can support better long term adherence

Opinion: Longer HIV treatment supplies can support better long term adherence

One of the biggest challenges now facing South Africa’s HIV response is how to support many more people living with HIV to engage or re-engage and then stay on treatment. One way to make it easier for people living with HIV to adhere to treatment is to provide a longer supply of medicines, argues Ndivhuwo Rambau & Simphiwe Xaba.

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COVID-19: Second wave was “like a tsunami”, reflects Tygerberg doctor

COVID-19: Second wave was “like a tsunami”, reflects Tygerberg doctor

Spotlight first interviewed physician and infectious diseases specialist Dr Arifa Parker in May last year as South Africa’s first wave of COVID-19 was building up. Eleven very difficult months later, Bienne Huisman checks in with Parker to hear how things are going on the frontlines at Tygerberg Hospital.

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