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Opinion

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  • NHI offers an opportunity to boost primary healthcare – we must seize it

    To see National Health Insurance primarily as the setting up of a state-run medical aid scheme risks underplaying its massive potential to restructure how public healthcare services are organised and funded, and with that, its potential to boost the delivery of primary healthcare services in South Africa, argues Russell Rensburg.

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  • Why people stop taking their HIV treatment and what we can do about it

    Stopping antiretroviral treatment when you are living with HIV can result in increased HIV transmission, illness, hospitalisation, and eventually death. To combat such disengagement with HIV treatment, Professor Graeme Meintjes and colleagues argue we need smarter differentiated care and better education of healthcare workers, people living with HIV, and communities.

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  • Living with a cleft: “I smile, but without showing teeth”

    The ongoing psychological, functional, and aesthetic challenges experienced by people with cleft lip and palate underscore the need for an individualised, lifelong, and multidisciplinary approach to managing the condition, argues Kholofelo Mphahlele.

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  • Access to contraception and mental healthcare services are critical to empowering women in rural areas

    The lack of access to essential healthcare services in rural areas worsens the challenges women face, particularly when it comes to early pregnancy and gender-based violence. Celene Coleman and Hanifa Mahlangu argue for strategies that prioritise the empowerment of rural women through improved access to contraception and mental health services.

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  • Competition law has again worked to fight a bad drug patent, but we need other solutions

    A Competition Commission probe recently resulted in a patent on an important tuberculosis medicine being dropped in South Africa. Twenty years ago, a similar Competition Commission case resulted in a settlement that helped drive down the prices of several antiretrovirals, thereby helping to set the stage for the country’s HIV treatment programme. Fatima Hassan and…

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  • Eye health services in the public sector are critically impaired – it is high time the health department responds

    Despite South Africa producing a substantial number of trained optometrists, the majority of them work in the private sector and in urban areas. This imbalance leaves rural communities underserved and exacerbates health inequities. Does it make sense for us to use public funds and institutions to train people predominantly for the private sector, ask Dr…

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  • Why affirming treatment for gender questioning youth matters in SA

    Gender-affirming healthcare for transgender youth has sparked intense debate globally. In South Africa, we need to significantly improve accessibility throughout the country, ensure services are well-resourced, include trained healthcare providers skilled in gender affirming care, and offer comprehensive care that integrates mental health and social services, write Jenna-Lee de Beer-Procter and Pierre Brouard, on behalf…

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  • OPEN LETTER | Minister of Health Joe Phaahla, make TB a political priority

    In this open letter to Minister of Health Dr Joe Phaahla, TB activists call for the disease to be made a political priority and demand multisectoral departmental accountability. They outline six demands for implementation by the end of this year. The letter was submitted on the final day of the South African TB Conference being…

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  • The Cass Review provides guidance on gender-affirming care: SA’s medical community is now at a crossroads

    The question as to the best approach to providing care for children and young people with gender dysphoria or gender incongruence is complex, contested, and controversial, both in South Africa and globally. Following the release of a major new report in the United Kingdom, it is clear that a change of course is needed in…

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