Mireille Wenger was recently appointed to the Western Cape’s top health job. Biénne Huisman chatted to Wenger about health policy, child health, and the challenge of providing quality public health services at a time of shrinking budgets.
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.
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.
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.
Gender-affirming healthcare for transgender youth has sparked intense debate globally. In South Africa, we need to significantly improve accessibility throughout the country, ensure services are well-resourced, include trained healthcare providers skilled in gender affirming care, and offer comprehensive care that integrates mental health and social services, write Jenna-Lee de Beer-Procter and Pierre Brouard, on behalf of fellow board members of the Professional Association for Transgender Health South Africa.
Dr Moherndran Archary’s research has helped shape South African health policy, most notably the rollout of better HIV treatments for children and babies. Spotlight’s Biénne Huisman chatted to him about the state of HIV treatment for kids and some exciting prospects on the horizon.
The question as to the best approach to providing care for children and young people with gender dysphoria or gender incongruence is complex, contested, and controversial, both in South Africa and globally. Following the release of a major new report in the United Kingdom, it is clear that a change of course is needed in South Africa, argue doctors Janet Giddy, Allan Donkin, and associate professor Reitze Rodseth.
Spotlight visits Rahima Moosa Mother and Child Hospital and sees progress for the struggling hospital but also the reality that there’s a long road ahead to undo what a health ombud report suggests has been years of neglect and poor management.
The 2024 national budget offer some glimmers but allocations for direct health benefits fall short of making a difference to people’s health and wellbeing. These include a ring-fenced allocation to crack down on corruption in health to inspire trust for the National Health Insurance, taxing accessories for e-cigarettes, a jacked up child-support grant, clarity on plans dealing with climate change and its impacts on human health, and finally greater investment to enhance women’s capabilities alongside the Covid-19 grant, researchers from the South African Medical Research Council write exclusively for Spotlight.
The modernist five-storey Mowbray Maternity Hospital sits on a swathe of Cape Town’s earliest contested colonial farm land, earmarked by Jan Van Riebeeck in 1657. Biénne Huisman visited the hospital to learn about its history and its continuing role in helping mothers and babies in the 21st century.
Earlier this month the world celebrated breastfeeding week. To improve infant nutrition by 2025, the United Nations set targets to eliminate malnutrition and increase breastfeeding rates to at least 50% – targets that South Africa also subscribes to. In South Africa, however, often mothers are poor, unemployed, and hungry – all factors impacting their ability to breastfeed and, ultimately, the nutrition their babies receive. As Women’s Month draws to a close, Refilwe Mochoari looked at the nuances of this challenge in the Free State, where mothers often face a litany of socio-economic challenges and asks how government can support these mothers better.
Even in 2023, infants under five years in the Free State are still dying from a lack of healthy food. From April to June this year, 21 children in the province died of severe acute malnutrition and one died of moderate acute malnutrition. Refilwe Mochoari unpacks the numbers and asks government about its plans to address what at least one expert is calling a ‘crisis’.
