Analysis: Incentives seem to work in private healthcare, why not in public?

Analysis: Incentives seem to work in private healthcare, why not in public?

Doing ‘the right thing’ for one’s health, be it eating well, exercising, or going for an annual HIV test or blood pressure check, is easier said than done. One way to nudge people to make these ‘right’ decisions is to offer rewards or incentives. Amy Green asks whether aspects of some popular private-sector incentive schemes might be worth copying in South Africa’s public sector.

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Women in health: “No one taught me how to treat a sick system,” says leading young Professor

Women in health: “No one taught me how to treat a sick system,” says leading young Professor

In high school, a guidance councillor told Salome Maswime that she would never be accepted at medical school. Today, she is a professor and head of Global Surgery at the University of Cape Town. Biénne Huisman chatted to Maswime about her work on safe surgery, her remarkable career, and being the only black woman in the room.

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Analysis: What climate change might mean for malaria in SA

Analysis: What climate change might mean for malaria in SA

Malaria-carrying mosquitoes will, and are already moving to new habitats as the earth warms up due to climate change. Adele Baleta asked several local experts what the changing climate might mean for malaria in South Africa and efforts to eliminate the parasitic disease.

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Analysis: SA’s new mental health plan and the problem of stigma

Analysis: SA’s new mental health plan and the problem of stigma

Mental illnesses and the labels that go with these illnesses are often associated with stigma, which in turn influences health-seeking behaviour and adherence to treatment. Nthusang Lefafa looks at how South Africa’s National Mental Health Policy Framework and Strategic Plan 2023 – 2030 addresses stigma and asked some experts for their views.

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There are paths to quality universal healthcare besides NHI

There are paths to quality universal healthcare besides NHI

One of the most damaging aspects of our public discourse on National Health Insurance is the mistaken notion in some quarters that the only two options are NHI and the status quo, argues Marcus Low.

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Mixed responses to Gauteng Health’s latest security plans

Mixed responses to Gauteng Health’s latest security plans

Following reports of healthcare workers who have been robbed, assaulted, or killed in public healthcare facilities in Gauteng, the province’s health department announced that healthcare workers will now be trained to handle patients who become violent. Thabo Molelekwa looked at what these safety plans entail and asked health worker organisations for their views.

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Feature: The complexities of traditional and medical circumcision in the Eastern Cape

Feature: The complexities of traditional and medical circumcision in the Eastern Cape

While most male circumcisions performed in the Eastern Cape are done in the traditional manner, there are also significant numbers of medical male circumcisions being conducted. Siyabonga Kamnqa reports on this year’s winter initiation season in the province and the complex interplay between culture, safety, and protection against HIV involved in deciding between the two types of circumcision.

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Statin lowers cardio risk in people living with HIV, large study finds

Statin lowers cardio risk in people living with HIV, large study finds

Study findings presented this week at a major HIV conference show that taking a statin every day substantially reduces the chances of suffering a major adverse cardiovascular event in people living with HIV who have a low-to-moderate risk of cardiovascular disease. The findings were also published in the New England Journal of Medicine. Elri Voigt unpacks the study findings and asks what it might mean for people in South Africa.

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In-depth: Children are still dying of malnutrition in the Free State

In-depth: Children are still dying of malnutrition in the Free State

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’.

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ANALYSIS: Will new leadership signal a new dawn at the Health Professions Council?

ANALYSIS: Will new leadership signal a new dawn at the Health Professions Council?

In May, Dr Magome Masike stepped into the role of CEO and registrar of the Health Professions Council (HPCSA). Eight weeks into the job, Ufrieda Ho sat down to talk to him about his plans for the beleaguered institution.

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Hospital Histories: Valkenberg today… and 130 years ago

Hospital Histories: Valkenberg today… and 130 years ago

Due to policy shifts and the increased availability of antipsychotic medication, mental healthcare has become decentralised, with most patients being treated in primary and district health facilities nearest to where they live. Only about ten percent of mental health patients are referred to psychiatric hospitals like Valkenberg in Cape Town. As part of Spotlight’s series on hospitals’ histories, Biénne Huisman visited Valkenberg Hospital and found in its fascinating past insight into how our approach to mental healthcare has changed over the years.

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In-depth: Concerns over treatment and care for people with schizophrenia not limited to public sector

In-depth: Concerns over treatment and care for people with schizophrenia not limited to public sector

South Africa’s shortage of public sector psychologists and psychiatrists has made headlines several times in recent years. This has implications for the treatment of schizophrenia in the public sector. But, as Thabo Molelekwa reports, the picture in the private sector is also far from rosy, with several experts questioning the extent to which medical schemes currently provide cover for people with schizophrenia.

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