2023 is set to be another tumultuous year for healthcare services, health policy, and governance in South Africa. We’ve picked 13 things to look out for this year arranged under three broad headings: leadership and governance, policy and legislation, and HIV, TB and the NSP.
Health budgets have the power to advance access to healthcare for millions of people in South Africa. This year, however, as the health sector and the economy recovered from the worst of the COVID-19 pandemic and a volatile global environment, the South African government missed opportunities to provide the financial resources to protect access to healthcare for the most vulnerable. Matshidiso Lencoasa unpacks how the past year’s budget choices will affect key public health services.
Our public health system is creating a new type of disability – ostomates who, with access to the necessary care and medical consumables could live long and fulfilled lives, but who every day are subjected to the indignities of inadequate care, writes colorectal cancer survivor and ostomate, Faizel Jacobs.
South Africa’s National Department of Health is set to receive a donation of child-friendly formulations of several medicines used to treat drug-resistant tuberculosis (DR-TB). It is expected that over the next year the donation will spare roughly 200 children the substantial difficulties associated with taking DR-TB medicines meant for adults.
An HIV prevention injection approved in South Africa, several promising developments on the tuberculosis front, the National Health Insurance Bill grinding its way through Parliament, no end in sight to healthcare worker shortages, another dire year for health in Gauteng – Spotlight wraps up 2022 in under 1 000 words.
Earlier this year, the annual Child Gauge indicated that child and adolescent mental health services in South Africa are in crisis – mostly due to inadequate resources. How to best provide such services within the constraints of our public healthcare system is an open question. Tiyese Jeranji visited the Michael Mapongwane Community Health Centre in Khayelitsha where a pilot project aimed at improving kids’ access to mental health services is showing encouraging results.
The South African Health Products Regulatory Authority has often made the headlines in recent years – be it in relation to COVID-19 vaccines, access to ivermectin, the approval of an HIV prevention injection, or most recently the clearing of inherited backlogs. Catherine Tomlinson assesses the state of South Africa’s medicines regulator as 2022 draws to a close.
Antibiotics play a vital role in the management of bacterial infections, reducing illness, and preventing many deaths. A 2011 report from the UK estimated that they have increased life expectancy by 20 years. However, the extensive use of antibiotics has resulted in drug resistance that threatens to reverse their life-saving power and if the situation is not reversed, it has been estimated that by 2050 as many as 10 million people will die annually of drug-resistant infections. Tiyese Jeranji looks at how antimicrobial resistance plays out in South Africa and the role of pharmacists in the fight against it.
In an open letter to young women in South Africa, Faith Fikizolo reminds us that meaningful comprehensive sex education is an important lever in ensuring girls and young women are fully empowered to exercise their sexual and reproductive health rights. She argues that, due to the lack of meaningful sexuality education, many South African young women and girls lack bodily autonomy.
Asthma is a disease that can be easily controlled through the correct use of medications, yet in many low-and-middle-income countries like South Africa, many still die due to lack of effective management of this disease. According to estimates from the Global Asthma Report 2022, South Africa ranks third out of 28 low-and-middle-income countries for asthma-related mortality. Elri Voigt unpacks the state of asthma in the country.
Diagnosing tuberculosis is difficult in people who struggle to cough up sputum samples – a particular problem in children and people living with HIV. One promising alternative to testing sputum is to test stool. Tiyese Jeranji unpacks the latest developments in this area.
Falling ill with tuberculosis (TB) can be challenging for anyone, but it can be especially hard if you are pregnant or have just given birth. Globally, TB is amongst the top five causes of death in women of childbearing age. Tiyese Jeranji spoke to experts about the risks, challenges, and ongoing studies on maternal TB.