In what is expected to become a verbal minefield littered with the usual ideological quips, the members of Parliament’s Portfolio Committee on Health this week started the clause-by-clause deliberations on the National Health Insurance (NHI) Bill. Alicestine October assesses the first leg of the deliberations and issues set to pop up in the next round of deliberations, starting with clause 5 of the Bill next week.
In 2019, the Department of Health started providing the antiretroviral drug dolutegravir as part of HIV treatment in the public sector. Three years later, close to 3.2 million people in South Africa are taking dolutegravir every day. Even so, the rollout of dolutegravir hasn’t all been smooth sailing. Elri Voigt investigates how the massive undertaking of switching millions of people to a new drug has gone.
Unathi Mtengwane from Zeerust in the North West needs a compatible stem cell donor for a transplant that could save his life. However, for some patients who can’t find a compatible donor the process can be arduous, expensive, and littered with legal barriers, writes Thabo Molelekwa.
Health Minister Dr Joe Phaahla recently announced in Parliament that his department will conduct a study on the treatment of foreign nationals at public health facilities in South Africa. Phaahla singled out foreign nationals (pregnant women) seeking maternity services as the major concern, but the idea of the medical tourist mom is a myth, writes Kholofelo Mphahlele in this open letter.
Gauteng is a province of immense potential and tragic recent history. It is a province that has allowed politics to overwhelm the interests of patients, argues Sasha Stevenson in a talk delivered as part of a lecture series hosted by the Steve Biko Centre for Bioethics at Wits University.
Access to pain management for infants and children in South Africa is inequitable, inconsistent and poorly resourced, resulting in unnecessary and avoidable suffering. Elsabé Brits investigates the state of paediatric pain management in South Africa and asks what can be done to bring pain relief to more infants and children.
After visiting several hospitals in Gauteng in 2020, the Public Protector found that the Gauteng health department has failed to ensure appropriate conditions for the enjoyment and delivery of healthcare services for Gauteng residents. Ahead of the Gauteng health budget vote speech this week, Thabo Molelekwa looked at what has changed after the Public Protector’s recommendations and asked health experts what it will take to improve public healthcare services in the province.
The rollout of new TB prevention medicines in South Africa has progressed slower than expected and new TB prevention guidelines have been delayed. But, reports Catherine Tomlinson, new guidelines should soon be approved and things appear to be falling into place for a faster rollout of the new medicines.
If there is a policy graveyard located somewhere in the country it would be littered with well-written but otherwise poorly implemented policies. Moreover, it would not be unusual to find that most of these policies were buried without proper autopsies being conducted. Claire Botha unpacks the reasons for this and offers some suggestions as to what can be done about it.
Water is crucial for delivering quality healthcare services, so when the taps ran dry at All Saints Hospital in Ngcobo in the Eastern Cape two months ago, patients say things took a turn for the worse. Siyabonga Kamnqa visited the hospital and asked authorities how they plan to deal with the situation.
The World Health Organization estimates that every year 40% of people who fall ill with TB globally are not diagnosed. There is thus an urgent need for faster, safe, and more convenient TB tests. The current gold standard for testing still requires people to cough up sputum, something that some people and children, in particular, struggle with. Tiyese Jeranji looks at the potential of a new experimental oral swab TB test.
The National Department of Health says that lubricant should be freely available alongside condoms at clinics around the country. But according to community-led monitoring group Ritshidze, clinics often do not offer lubricant. Biénne Huisman reports on why access to lubricant is important for HIV prevention and why oil-based lubricants should not be used with condoms.