Healthcare System

Healthcare System

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Track the HIV & TB response

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  • Pressure grows for NHI compromise ahead of Cabinet lekgotla

    Whether or not the ANC and DA can find common ground on the future of medical schemes is set to be a major test of South Africa’s Government of National Unity. Ahead of a Cabinet lekgotla where the issue is expected to be on the agenda, momentum has been gathering behind a compromise option. Chris…

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  • 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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  • Analysis: SA one of only two countries to meet TB research spending target in 2023

    In 2023, tuberculosis was again the top infectious disease killer on the planet, having temporarily been overtaken by COVID-19. Even so, investment in TB research is far below what United Nations agencies estimate is needed. Catherine Tomlinson unpacks a new report on global TB research funding, zooming in on the situation in South Africa.

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  • 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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  • How healthcare workers are being trained to meet the needs of rural communities

    Ukwanda, the isiXhosa word for “grow,” encapsulates the mission of Stellenbosch University’s Ukwanda Centre for Rural Health: nurturing healthcare in rural communities. At the centre’s annual community partnership event in Worcester, Sue Segar discovered how future healthcare professionals are stepping up to address the unique challenges of rural populations.

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  • 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…

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  • 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

    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…

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  • 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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  • The high cost of having too few pharmacists in SA

    It’s acknowledged in key policy documents, well known at the coalface and much ventilated in the media: South Africa’s public healthcare system has too few healthcare workers, especially medical doctors, certain specialists, and theatre nurses. Less recognised however is the shortage of public sector pharmacists. Chris Bateman lifts the lid on this until now largely…

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