Let’s be pragmatic – the NHI has constructive and contentious aspects

Let’s be pragmatic – the NHI has constructive and contentious aspects

President Cyril Ramaphosa recently signed the NHI Bill into law. The question is whether this will bring South Africa closer towards Universal Health Coverage. Professor Susan Cleary argues that the NHI is a wide ranging reform with both positive and controversial aspects. The key will be to find a middle ground in order to continue on the journey to UHC.

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The Cass Review provides guidance on gender-affirming care: SA’s medical community is now at a crossroads

The Cass Review provides guidance on gender-affirming care: SA’s medical community is now at a crossroads

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.

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Bob Mash | Three health reforms the new government must prioritise for SA

Bob Mash | Three health reforms the new government must prioritise for SA

To drum up support as South Africans head to the polls, President Cyril Ramaphosa reportedly vowed to “end the apartheid that remains in healthcare” when he hit the campaign trail. Professor Bob Mash has three health reforms on his wishlist for the incoming administration to prioritise.

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OPEN LETTER | R784 million goes unspent as cancer patients continue to die

OPEN LETTER | R784 million goes unspent as cancer patients continue to die

In this hard-hitting open letter, SECTION27, Cancer Alliance and TAC activists argue that the Gauteng Department of Health has failed in fulfilling its obligations to provide radiation oncology services while over 3 000 cancer patients wait for treatment.

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‘Let’s unite to end TB’ – a community-led approach can help wipe out TB in SA

‘Let’s unite to end TB’ – a community-led approach can help wipe out TB in SA

World TB Day is marked in the same week that South Africa celebrates Human Rights Day. A human rights based approach to TB mirrors a public health approach, argue Ingrid Schoeman, Sasha Stevenson, Janet Giddy, Renier Coetzee, and Petula Pienaar.

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Health Budget 2024 fails to address poverty-related health issues and build trust for NHI – SAMRC

Health Budget 2024 fails to address poverty-related health issues and build trust for NHI – SAMRC

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.

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Patient-centred health care: The NHI revolution you deserve

Patient-centred health care: The NHI revolution you deserve

A patient-centred health system will remain an illusion under the NHI unless the public health system is ramped up to better serve users and a clear path is outlined for public-private partnerships, argue Bernard Mutsago and Haseena Majid.

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EDITORIAL: With elections and NHI, this is a big year for healthcare in SA

EDITORIAL: With elections and NHI, this is a big year for healthcare in SA

South Africa is barrelling towards its most consequential and most competitive national and provincial elections since 1994. Spotlight editor Marcus Low asks what is on the line in these elections from a healthcare perspective and argues that the stakes are particularly high when it comes to NHI and the Gauteng and KwaZulu-Natal provincial health departments.

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Yogan Pillay | This is how SA can meet its HIV targets

Yogan Pillay | This is how SA can meet its HIV targets

To respond to the call to end AIDS by 2030, Dr Yogan Pillay argues it is firstly critical to agree on what we mean by ending AIDS. Secondly, he suggests it is important to have accurate and granular data that can inform a more targeted approach to reaching those people that the health system typically does not reach.

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