Access to contraception and mental healthcare services are critical to empowering women in rural areas

Access to contraception and mental healthcare services are critical to empowering women in rural areas

The lack of access to essential healthcare services in rural areas worsens the challenges women face, particularly when it comes to early pregnancy and gender-based violence. Celene Coleman and Hanifa Mahlangu argue for strategies that prioritise the empowerment of rural women through improved access to contraception and mental health services.

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Competition law has again worked to fight a bad drug patent, but we need other solutions

Competition law has again worked to fight a bad drug patent, but we need other solutions

A Competition Commission probe recently resulted in a patent on an important tuberculosis medicine being dropped in South Africa. Twenty years ago, a similar Competition Commission case resulted in a settlement that helped drive down the prices of several antiretrovirals, thereby helping to set the stage for the country’s HIV treatment programme. Fatima Hassan and Leena Menghaney connect the dots between the two landmark cases and map out what has and has not changed over the last two decades.

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Eye health services in the public sector are critically impaired – it is high time the health department responds

Eye health services in the public sector are critically impaired – it is high time the health department responds

Despite South Africa producing a substantial number of trained optometrists, the majority of them work in the private sector and in urban areas. This imbalance leaves rural communities underserved and exacerbates health inequities. Does it make sense for us to use public funds and institutions to train people predominantly for the private sector, ask Dr Haseena Majid and Rene Sparks.

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EDITORIAL | Motsoaledi’s return could work, but he needs a DG who can say “no minister”

EDITORIAL | Motsoaledi’s return could work, but he needs a DG who can say “no minister”

In some respects, Dr Aaron Motsoaledi was the right person for the job when he was appointed as South Africa’s Minister of Health in 2009. But in 2024, the healthcare context in the country looks very different. Spotlight editor Marcus Low asks what we might expect from this new chapter with Motsoaledi in the top health job.

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Why affirming treatment for gender questioning youth matters in SA

Why affirming treatment for gender questioning youth matters in SA

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.

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OPEN LETTER | Minister of Health Joe Phaahla, make TB a political priority

OPEN LETTER | Minister of Health Joe Phaahla, make TB a political priority

In this open letter to Minister of Health Dr Joe Phaahla, TB activists call for the disease to be made a political priority and demand multisectoral departmental accountability. They outline six demands for implementation by the end of this year. The letter was submitted on the final day of the South African TB Conference being held this week in Durban.

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

Susan Cleary | 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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