No clear government plan yet to confront US aid cuts

No clear government plan yet to confront US aid cuts

South Africa’s National Department of Health is still to outline a clear contingency plan as a US funding freeze puts lives at risk, spells job losses, and presents threats to keeping HIV and TB under control. Ufrieda Ho reports.

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Over 15 000 South African health workers’ jobs are at risk as US cuts aid

Over 15 000 South African health workers’ jobs are at risk as US cuts aid

A coalition of health service organisations has warned that patients will lose access to life-saving treatment if the US withdraws health funding to South Africa. Certain HIV and TB-related health services are continuing for now under a limited waiver. But the waiver has failed to cover organisations that provide services, including HIV care, specifically to LGBTI people and people who inject drugs. Two PEPFAR-funded harm reduction centres have already closed their doors, as have health service organisations that support LGBTI people.

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SA health research facing catastrophic financing cuts

SA health research facing catastrophic financing cuts

Cuts to United States funding of health research could have “catastrophic” consequences, says Professor Ntobeko Ntusi, who is at the helm of the country’s primary health research funder. He says the South African Medical Research Council is “heavily exposed” to the cuts, with around 28% of its budget coming from US federal agencies. Catherine Tomlinson reports.

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Stopping health funding in Africa weakens America

Stopping health funding in Africa weakens America

Following President Donald Trump’s decision to suspend foreign aid, President Cyril Ramaphosa can display great leadership by meeting with leaders of wealthy countries and convincing them to increase spending to support the health systems of poorer countries, write Nathan Geffen and Marcus Low.

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Gauteng MEC threatens schoolgirls’ bodily autonomy with compulsory implant

Gauteng MEC threatens schoolgirls’ bodily autonomy with compulsory implant

The bodily autonomy of young women and girls is under threat as Gauteng Health and Wellness MEC Nomantu Nkomo-Ralehoko intends to make the contraceptive implanon compulsory for learners as long as their parents consent. This approach to addressing teenage pregnancy is misguided and unlawful, argues Khuselwa Dyantyi. 

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Health in 2025: Spotlight’s top 4 questions for the year ahead

Health in 2025: Spotlight’s top 4 questions for the year ahead

From the ongoing political and legal battles over NHI, to the far-reaching health impacts of political change in the United States, it is set to be another tumultuous year for healthcare in South Africa and around the globe. Here’s Spotlight’s top four healthcare questions for 2025.

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Health in 2024: The year in fewer than 1 000 words

Health in 2024: The year in fewer than 1 000 words

From the NHI Act to major advances in HIV prevention, it has been another busy year in the world of healthcare. Spotlight editors Marcus Low and Adiel Ismail recap the year’s health developments and identify some key trends in fewer than 1 000 words. 

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Pretoria company aims to lead SA in making key TB drug ingredients

Pretoria company aims to lead SA in making key TB drug ingredients

Though several South African companies are producing HIV and TB medicines, the active ingredients that go into these medicines are usually imported from India or China. Now, a local company is planning to break new ground by making the active ingredients for two important TB medicines in Pretoria. Catherine Tomlinson zooms in on the company’s efforts and outlines some of the obstacles to getting such local production off the ground.

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South Africa’s AIDS response: Progress, challenges, and opportunities

South Africa’s AIDS response: Progress, challenges, and opportunities

Ahead of World AIDS Day 2024, Professor Salim Abdool Karim and Dr Nikita Devnarain argue that South Africa needs a concerted effort to reduce new HIV infections in young women and to prepare for the rollout of long-acting forms of HIV prevention alongside a well-functioning HIV treatment programme.

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Where in SA someone lives determines how many ARVs they get at a time

Where in SA someone lives determines how many ARVs they get at a time

Whether or not someone living with HIV in South Africa gets a one- or three-months’ supply of antiretrovirals at a time depends partly on the clinic where they happen to go for HIV care. Ahead of World AIDS Day 2024, Elri Voigt unpacks the legal and policy issues relating to prescriptions and HIV medicine refills and asks why people living with HIV are treated so differently in different parts of the country.

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Why the fuss about long-acting antiretrovirals for HIV?

Why the fuss about long-acting antiretrovirals for HIV?

HIV prevention injections that can provide two, or even six, months of protection per shot have arguably been the biggest HIV story of the year. Ahead of World AIDS Day, Professor Francois Venter assesses the state of play and the critical next steps with these potentially game-changing new tools in the fight against HIV.

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Why the Competition Commission’s decision on two cancer medicine cases could have much wider implications

Why the Competition Commission’s decision on two cancer medicine cases could have much wider implications

There is a history of competition law being used to drive HIV medicine prices lower in South Africa. Now, two cases involving cancer medicines seem set to nail down what qualifies as “excessive pricing” in South African law – a legal development that could have far reaching implications for medicines prices in the country. Catherine Tomlinson unpacks the details.

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