Unless we get ahead of both the climate crisis and the current levels of pervasive injustice, we will never be able to catch up – even if the National Health Insurance Project achieves what it originally intended, argues Professor Louis Reynolds.
South Africa’s HPV vaccination programme has by all accounts been a resounding success over the last decade, likely helping to prevent many cases of cervical cancer. But the programme has suffered major setbacks due to COVID-19-related disruptions and in addition to getting it back on track, some argue vaccine eligibility should be expanded to include boys as well as older girls and women newly infected with HIV. Amy Green takes stock of the country’s HPV vaccination efforts.
Following a Labour Appeal Court judgement on Monday, health minister Dr Joe Phaahla during a media briefing on Monday night said the department has given essential health workers until Tuesday morning to report for work. Should they fail to do this, “they will be making themselves liable to charges of misconduct”. Spotlight reporters have been visiting healthcare facilities to assess the situation.
On 8 March 2023, the Gauteng MEC for Finance delivered his budget speech in which he indicated that an amount of R784 million has been set aside for the provincial health department to “address backlogs in surgical and radiation oncology services” in Gauteng. Khanyisa Mapipa and Salomé Meyer reflect on the work done to get to this point.
In his first state of the province address, the new Free State Premier Mxolisi Dukwana said the province will no longer be used as the breeding ground for corruption. Refilwe Mochoari asked him about this and the fate of the head of the provincial health department, who is charged with contravening the Public Finance Management Act.
Cystic fibrosis (CF) is a debilitating and often deadly disease. Until recently, the only treatments for its symptoms were difficult to administer and time-consuming. Life-changing new treatments that dramatically improve the prognosis for people with the disease have been developed, but they are expensive and Vertex, the US company making the drugs, has decided against registering the drugs in South Africa. Cheri Nel, a woman living with CF, is now taking Vertex on in a South African court. Catherine Tomlinson unpacks the details.
For businesses and households that can afford it, solar panels and batteries offer a way to keep the lights on during South Africa’s ongoing bouts of loadshedding. Such technologies may also offer a solution for healthcare facilities, where a reliable energy supply can be a matter of life and death. Nthusang Lefafa spoke to stakeholders and experts in the public and private health sectors about the promise of solar energy to mitigate the impact of loadshedding on health services.
Investment in public health facilities is crucial as the country weathers storms on various fronts – from drought (water shortages) and flooding putting strain on health infrastructure to a harsh economic climate that makes private healthcare unaffordable to more and more people. Mbali Baduza and Matshidiso Lencoasa assess the investments in infrastructure in the budget and what it means for the planned National Health Insurance system.
Spending on public sector infrastructure over the 2023 medium-term expenditure framework (MTEF) is estimated at R903 billion and the health sector accounts for 5% of this. The well-documented poor maintenance and oversight of projects, also in the health sector, will require close monitoring of trends across the public sector, particularly where procurement and contracting is concerned, writes Zukiswa Kota.
The current treatment for drug-susceptible tuberculosis (TB) used in South Africa last for six months, effectively cures TB and is dirt cheap. Two studies in recent years have shown that TB can be cured in four or in some cases even two months, but price and other complications make these treatments tricky to implement. At a conference in Seattle last week, a major trial of an alternative four-month treatment reported disappointing findings. Elri Voigt unpacks the latest findings and asks what the prospects now are for shortening TB treatment.
Budgets, while important, are not the right mechanism to drive the structural change needed to improve the responsiveness of our public health system in meeting the needs of the population. But, argues Russel Rensburg, we can reorient the health system towards meeting the health needs of the population and then let the budget bolster the reforms. Here he provides some suggestions on how to go about it and contrasts that with the budget announced by Minister of Finance Enoch Godongwana this week.
Despite some improvement, the community-led monitoring group Ritshidze’s second report on key populations highlights that sex workers, people who use drugs and LGBTQIA+ community members are often still discriminated against when trying to access public health facilities. This can lead to treatment interruptions and some stopping their clinic visits. Nthusang Lefafa reports.