Can SA’s new Director-General for health turn around a struggling department?
Dr Thembisile Xulu is South Africa’s sixth permanent Director-General of health since the dawn of democracy. How will she measure up against her predecessors?
SA is one step closer to a new TB vaccine, but there is a lot of work ahead
In March 2024, a pivotal clinical trial was launched to evaluate what might well become the first new tuberculosis vaccine on the market in more than a century. As anticipation mounts for the trial to deliver results, Russell Rensburg argues that we need to start preparing for a rollout of the jab, but that we should think of preparation more widely than just the technicalities of regulatory approval and drug supply.
Inside The Box with Dr Andy Gray | Are complementary medicines effectively regulated in South Africa?
The regulation of complementary and alternative medicines in South Africa has been hotly contested in recent decades, including in court rooms. In his latest column for Spotlight, Dr Andy Gray unpacks the legal background and the current state of this still unfolding regulatory saga.
Reforming prescribed minimum benefits is the first step to affordable medical cover
With plans in motion to roll out universal health coverage in South Africa, Dr Katlego Mothudi, of the Board of Healthcare Funders, argues that revising the compulsory prescribed minimum benefits that medical schemes must provide can be a tool to deliver meaningful improvements today while laying the foundations for a more sustainable healthcare system tomorrow.
Mireille Wenger | What 49 000 Western Cape teenagers taught us about preventing alcohol abuse and violence
A survey of 49 000 teenagers in the Western Cape reminds us that preventing violence does not begin in a hospital, a police station or a courtroom. It begins much earlier, in families, schools, sports fields, faith communities and neighbourhoods, writes Western Cape Provincial Minister of Health and Wellness Mireille Wenger.
To make PIMART work we need to plan – we should focus on these three P’s
Eight months after the Supreme Court of Appeal gave the green light for specially trained pharmacists to dispense antiretrovirals without a script from a doctor, the programme remains stuck in the starting blocks. With enabling permits now seemingly on the horizon, Angela Tembo and Dr Deanne Johnston ask if there has been sufficient planning to make the initiative a success.
SA cannot end TB while tobacco and nicotine addiction go unchecked
If South Africa is serious about ending TB, protecting people living with HIV, and safeguarding the next generation from nicotine addiction, Parliament must finally pass the Tobacco Products and Electronic Delivery Systems Control Bill, argues Professor Lekan Ayo-Yusuf, as we mark World No Tobacco Day on May 31.
EDITORIAL | Spotlight launches new TB dashboard
Spotlight has unveiled a new tuberculosis dashboard and graph generator. We hope this dashboard will help people get a clearer picture of the state of South Africa’s TB epidemic – an epidemic that still claims over 50 000 lives a year. It follows on the launch of a similar HIV dashboard last November.
Spotlight’s top 9 health stories to watch in 2026
From the limited rollout of a new HIV prevention jab to developments with new weight loss medicines, to high-stakes court cases relating to National Health Insurance (NHI), 2026 is set to be another tumultuous year in healthcare. Here are nine stories that Spotlight will keep a close eye on.
Clinic blockades: It is the state’s obligation to remove every barrier to health services
Vigilantes have unlawfully prevented people they deemed to be foreign nationals from accessing public healthcare services. SECTION27 health activists map out the implications of a Gauteng High Court judgment delivered at the end of last year, explaining that it obliges the state to take active and coordinated steps to remove barriers hindering people’s access to healthcare.
Salim Abdool Karim | Transforming adversity into opportunity for the AIDS response
As World AIDS Day 2025 swings by, CAPRISA Director Professor Salim Abdool Karim reflects on the frantic days following this year’s unprecedented cuts to health aid and research funding from the US, arguing that the deliberate disruptiveness was designed to be cruel. Nonetheless, he argues, our HIV response must now forge ahead on a path that is more affordable, sustainable and independent.
After US funding cuts, Mozambican children died: Who bears responsibility?
Spotlight and GroundUp published a two-part exposé showing how US aid cuts led to the deaths of children in Mozambique. Here, Jesse Copelyn considers what led to this tragedy and who should bear responsibility for it.