Healthcare System

Healthcare System

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  • In-depth: What to do about SA’s chronic surgical delays

    Based on figures from the national Department of Health over 107 000 non-emergency or elective surgeries were put on hold during the COVID-19 pandemic. But challenges in addressing surgical backlogs were there before COVID-19. Alicestine October asked some local experts how surgical care can be better coordinated in South Africa.

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  • The human cost of surgical delays

    Elective surgery is often performed on injuries or for conditions considered less life-threatening and some patients can wait up to two years for their procedure, which will often be scheduled and then cancelled when someone with a more serious medical emergency takes their spot on the list. This takes a huge emotional and financial toll…

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  • Differing views on Gauteng’s new health information system

    In January, the computer system at the George Mukhari Hospital broke down with serious implications for patient care. In an effort to improve service delivery and the quality of healthcare services, the Gauteng Department of Health in 2020, announced that it would be upgrading its information technology system. Thabo Molelekwa looked at the progress of…

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  • Child and adolescent mental health services in crisis, report finds

    The latest edition of the South African Child Gauge focuses on child and adolescent mental health and highlights the importance of early interventions for good mental health outcomes. Tiyese Jeranji looked at the report’s findings and recommendations and asked the health department how it will tackle issues highlighted about child and adolescent mental health in the…

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  • Questions raised over functionality of Eastern Cape clinic committees

    In recent years damning findings from the Public Protector, the Human Rights Commission, the Public Service Commission, and the community-led monitoring group Ritshidze have been piling up against the Eastern Cape Department of Health. Luvuyo Mehlwana asks what value clinic committees and hospital boards can add to help improve public healthcare services in the province.

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  • COVID-19 blamed for shortcomings of ‘ideal clinics’ in Free State  

    There are 83 clinics – down from 153 in 2018/19 – in the Free State with Ideal Clinic status, meaning they have adequate staff, infrastructure, and medicines, among others. For many primary health facilities, this accreditation status is crucial for the National Health Insurance, however, some of these ideal clinics still have various shortcomings. Refilwe…

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  • Are youth-only clinics the answer to better healthcare for young people?

    Special youth clinics appear to be an effective means of providing healthcare services to young people who otherwise might not engage with healthcare services. But is building more youth clinics realistic given our resource constraints, or is it better to focus on making ‘normal’ clinics more youth-friendly – or should we be looking beyond clinic-based…

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  • How can we reduce incidence of cerebral palsy in SA? PART 2

    It is estimated that around half of medical negligence claims against the South African government are cerebral palsy-type claims. Apart from the direct impact on infants and families, cerebral palsy thus also has a major impact on health budgets. In this second article in a two-part series, Elri Voigt asks what can be done to…

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  • Cerebral palsy in SA – Part 1

    It is estimated that around half of medical negligence claims against the South African government are cerebral palsy-type claims. Apart from the direct impact on infants and families, cerebral palsy thus also has a major impact on health budgets. In this first article in a two-part series, Elri Voigt asks what we know about cerebral…

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  • Report finds some improvement at Mpumalanga clinics, but serious challenges remain

    The community-led clinic monitoring project, Ritshidze last week, released its follow-up report on the state of (primary) healthcare in Mpumalanga. There were some improvements, but patients are still waiting over four hours to be seen at some clinics. Nthusang Lefafa unpacks some of the report’s findings and asked the health department about its plans to…

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