Opinion: Quality Tuberculosis care starts with people

Opinion: Quality Tuberculosis care starts with people

The world is seeing tuberculosis (TB) deaths increase for the first time in over a decade. To turn things around and to put an end to TB being a leading infectious disease killer globally, we need to make sure the voices of people affected by TB are at the core of developing person-centered, quality TB care, free from stigma and discrimination, argue a group of TB experts and activists.

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What public sector mental health services look like in the Free State

What public sector mental health services look like in the Free State

A 36-year-old mother living with HIV from Thabong in Welkom in the Free State is among the many millions of people in South Africa who rely on public healthcare services. Also, like many others, the COVID-19 pandemic and its associated disruptions have left her in a constant struggle with anxiety. Refilwe Mochoari asks what mental health services are available to people in the Free State who depend on the public healthcare system.

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In-depth: Does SA have a diabetes testing problem?

In-depth: Does SA have a diabetes testing problem?

Though the numbers are relatively uncertain, it is estimated that between four and five million people in South Africa are living with diabetes. One reason for the uncertainty is a lack of testing. A lack of testing also means that many people get diagnosed too late in the course of the disease. Elri Voigt asks what we do and do not know about diabetes in the country and what should be done about it.

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Mental Health: Grief, loss – we are all traumatised, says psychiatrist on the COVID-19 frontlines

Mental Health: Grief, loss – we are all traumatised, says psychiatrist on the COVID-19 frontlines

Working with Groote Schuur Hospital’s frontline COVID team, Psychiatry Professor Jackie Hoare help manage the mental health of patients admitted with severe COVID pneumonia and also the mental health needs of fellow healthcare workers. Bienne Huisman caught up with her to talk about providing counselling at the bedside of COVID patients and how we deal with the complexities of grief in a time of COVID-19.

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COVID-19: What tests are available in SA and which ones to use?

COVID-19: What tests are available in SA and which ones to use?

The different types of COVID-19 tests are far from equal. Picking a test is generally a matter of speed versus accuracy and, most importantly, why you need a test and when. What are the limitations of these tests? Is there any quality control? What are the chances of false positives and false negatives? Elsabé Brits surveys the landscape of tests available in South Africa and asks which type is most appropriate in what situation.

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Opinion: Climate emergency risks becoming a mental health emergency

Opinion: Climate emergency risks becoming a mental health emergency

Studies have shown that the rate of mental health problems, such as suicidality, anxiety, depression, and post-traumatic stress, increase after natural disasters. Mbalenhle Baduza unpacks the findings of a recent report by the Centre for Environmental Rights on the psychological and mental health consequences of climate change in South Africa.

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Ageing nurses: A crisis on the horizon

Ageing nurses: A crisis on the horizon

Nurses make up a large part of the healthcare workforce in South Africa, but almost half of them are set to retire in the next 15 years. This suggests existing shortages of nurses will become even greater unless we take concrete steps to boost nurse training and retention. Elna Schütz reports.

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In-depth: What is behind the massive cataract surgery backlogs in Gauteng?

In-depth: What is behind the massive cataract surgery backlogs in Gauteng?

As World Sight Day approaches on 14 October, Gauteng faces the damning reality that thousands of cataract patients are waiting up to two years to receive the simple life-changing surgery. Ufrieda Ho reports.

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Mental Health: How are we doing? What do we need to do?

Mental Health: How are we doing? What do we need to do?

In its observations on South Africa, the UN Committee on the Rights of Persons with Disabilities (UNCRPD) expressed grave concern regarding the rights of people with psychosocial disabilities. Professor Lesley Robertson looks at our medical model of disability and mental health legislation and unpacks the change needed at the societal and health system levels.

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EDITORIAL: Spotlight on mental health

EDITORIAL: Spotlight on mental health

In the spirit of mental health awareness month this October, Spotlight will publish a mental health special series in the coming weeks. This is what you can expect.

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Eastern Cape health services hamstrung by staff and medicine shortages, report finds

Eastern Cape health services hamstrung by staff and medicine shortages, report finds

Findings of a clinic monitoring report released last week, again highlighted how delivery of health services in the Eastern Cape are hamstrung by staff and medicine shortages. Luvuyo Mehlwana unpacks the data and the provincial health department’s plans to address the challenges identified in the report.

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Opinion: A look at new abortion guidelines

Opinion: A look at new abortion guidelines

The new national clinical guidelines for the implementation of the Choice on Termination of Pregnancy Act serve as an opportunity to strengthen services in providing much-needed clarity and guidance to health workers. Marion Stevens and Nozizwe Conco unpack these guidelines on International Safe Abortion Day.

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