The South African Law Reform Commission recently published its discussion paper on medico-legal claims. Baone Twala unpacks the Commission’s proposals on law reform and what it may mean for claimants and the government.
COVID-19 will continue to dominate headlines in 2022, but from National Health Insurance to the availability of a new HIV prevention injection, it will also be an important year for other areas of health service delivery and for health system governance and reforms. Here is Spotlight’s pick of the top ten issues to keep an eye on.
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.
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.
While KwaZulu-Natal is doing comparatively well on key HIV indicators, the public healthcare system in the province is plagued by staff shortages, long waiting times, poor tuberculosis infection control, and in some cases, dysfunctional filing systems. This is according to a new report from community-led monitoring group Ritshidze. Elri Voigt reports.
Budgets alone do not solve structural issues, but what it does is provide some insight into the government’s plans for addressing its broader developmental priorities. Russel Rensburg unpacks what the medium-term budget policy statement means for the health sector.
Some staff members at Livingstone Hospital in the Eastern Cape say old laundry machines and staff shortages are creating backlogs in getting clean linen, towels, and hospital gowns to patients. Patients, in turn, say they have to sleep on bare and soiled mattresses often with no bedding or dirty linen. Luvuyo Mehlwana reports on the situation, its implications for infection control, and the province’s plans to deal with it.
Little is known about the number of people in South Africa who are living with rare diseases. In fact, there is no recognised definition for rare disease in the country, contributing to inadequate record-keeping and very little data on prevalence, treatment options, and support structures. Laura Owings reports.
Rates of Serious Adverse Events that result in unintended harm to patients are disturbingly high in Gauteng public hospitals. Thabo Molelekwa spoke to health activists and government to see what is at the root of these risks to patient safety and what is done to curb it.
Health Minister Dr Zweli Mkhize this week provided an update on investigations into a multimillion-rand NHI communications contract mired in controversy. That same morning, MPs in Parliament were again reminded of how critical an independent National Health Insurance Board will be. One organisation proposed an additional NHI corruption-fighting unit. Alicestine October has the latest from in and outside of Parliament.
For all the suffering and death the COVID-19 pandemic has caused over the last 12 months, it has arguably also provided a unique opportunity to test some of the mechanisms behind South Africa’s proposed National Health Insurance (NHI) system. The centralised procurement of vaccines and the contracting of doctors, for example, are probably not dissimilar from the arrangements we might see under NHI. Kathryn Cleary asks three leading health experts what lessons, for NHI, we should learn from the COVID-19 response.
The persistent challenges in public health in the Eastern Cape, highlight the critical role of leadership. Prof Helen Schneider argues if we are to reimagine a future of access, equity and justice in health and health care in the Eastern Cape, we need bottom-up institution-building involving civil society and not just top-down legislative, budgetary and other reforms.
