It wasn’t rocket science when we predicted at the start of 2021 that South Africa’s biggest challenge this year would be to get COVID-19 shots into as many arms as possible. But the way it has played out with multiple setbacks and scrambling problem-solving is not something anyone could have predicted. In fewer than a thousand words, Spotlight editor Marcus Low takes a look back at a tumultuous year in health in South Africa.
There has been an increase in the number of acute psychiatric admissions in the Western Cape since June, adding to the existing pressure on bed capacity in the province’s hospitals. Tiyese Jeranji unpacks the numbers and the provincial health department’s plans to address them.
Mental health does not have its own ring-fenced budget and given huge inefficiencies in our mental health spending, we need to be strategic on where and how we spend the little we have. Alicestine October unpacks what a new government-commissioned mental health investment case framework can mean for access to equitable and quality mental health services in the country.
In recent years there have been various reports with damning findings on the state of mental healthcare services in the Eastern Cape. Luvuyo Mehlwana and Alicestine October assess what has and what hasn’t changed after recommendations from the Public Protector, the Health Ombud, the PSC, and the HSRC, and almost as many undertakings in response by the Eastern Cape Department of Health.
This month it is two years since Northern Cape Premier Dr Zamani Saul opened the multimillion-rand Kimberley Mental Health Hospital, calling it a ‘monument of corruption’. By then, Saul said the hospital, which has a capacity of 287 beds, already had 160 patients and will be operationalised in phases. Yet, union Nehawu, community healthcare workers, activists, and some mental health practitioners insist mental health users in the public sector are still disadvantaged because the hospital is still not running at capacity. Refilwe Mochoari reports.
It is estimated that “one in ten adults living in South Africa will have experienced major clinical depression at some point in their life but only 25% have sought treatment and care for their mental conditions, such as depression”. Although these estimates are based on the South African Stress and Health (SASH) study, last done in 2009, subsequent studies have stressed the significant challenge of reducing this treatment gap in the country. Elri Voigt asks how conditions like major depression and bipolar disorder are diagnosed and treated in the public sector in South Africa.
The Life Esidimeni Inquest that started in July has been postponed until 15 November. This is the fifth postponement, meaning another agonising wait for family members of the deceased. The Inquest is crucial to determine who should be held criminally liable for the deaths of 144 mental healthcare users in 2016. Here one family member, Christine Nxumalo, shares in her own words some extracts from her journal on the Inquest proceedings, the long wait, and dealing with grief.
A 36-year-old mother living with HIV from Thabong in Welkom in the Free State is among the many millions of people in South Africa who rely on public healthcare services. Also, like many others, the COVID-19 pandemic and its associated disruptions have left her in a constant struggle with anxiety. Refilwe Mochoari asks what mental health services are available to people in the Free State who depend on the public healthcare system.
Studies have shown that the rate of mental health problems, such as suicidality, anxiety, depression, and post-traumatic stress, increase after natural disasters. Mbalenhle Baduza unpacks the findings of a recent report by the Centre for Environmental Rights on the psychological and mental health consequences of climate change in South Africa.
The ongoing judicial inquest into the deaths of mental healthcare users during the Life Esidimeni tragedy in 2016, has again been postponed this week. It is the fifth time the proceedings have been postponed since the inquest started in July this year, signalling that there is still a long road ahead for determining any criminal accountability for these deaths. Julia Chaskalson takes stock of the progress so far and what to expect in the months ahead.
In its observations on South Africa, the UN Committee on the Rights of Persons with Disabilities (UNCRPD) expressed grave concern regarding the rights of people with psychosocial disabilities. Professor Lesley Robertson looks at our medical model of disability and mental health legislation and unpacks the change needed at the societal and health system levels.
In the spirit of mental health awareness month this October, Spotlight will publish a mental health special series in the coming weeks. This is what you can expect.
