Editorial: Dysfunctional provincial health departments make a mockery of the ‘capable state’

Editorial: Dysfunctional provincial health departments make a mockery of the ‘capable state’

One of the great paradoxes in healthcare in South Africa is that, while we have impressive healthcare expertise in the country, most of our provincial health departments are poorly managed. Spotlight editor Marcus Low considers what this means for efforts to build state capacity in general, and for healthcare in particular.

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Opinion: Abortion access in Eastern Cape falls far short

Opinion: Abortion access in Eastern Cape falls far short

Women and girls seeking abortions are often forced to seek informal, illegal, and unsafe abortions as a result of various systemic barriers. Khanyisa Mapipa, Sibusisiwe Ndlela, and Thokozile Mtsolongo look at the state of abortion services in the public sector in the Eastern Cape.

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Eastern Cape health department continues to use mud clinics

Eastern Cape health department continues to use mud clinics

Despite Eastern Cape Health authorities acknowledging that the continued use of mud clinics is a concern, rural residents still have to make do with these dilapidated clinics. Luvuyo Mehlwana visited some of these mud clinics to speak to some residents and asked the provincial health department about their plans to address this.

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Northern Cape health without permanent head for 20 months and counting

Northern Cape health without permanent head for 20 months and counting

The Northern Cape Health Department has been without a permanent department head (HOD) since July 2020 and an acting head has been suspended following his arrest in August last year on charges of fraud and corruption. Organised labour and opposition parties in the province are concerned over the impact that the leadership instability has on healthcare services. Refilwe Mochoari reports.

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Head of Free State health department not suspended despite being charged

Head of Free State health department not suspended despite being charged

It is business as usual at the Free State Department of Health with the acting Head of the Department Godfrey Mahlatsi back at work after he was released on R5 000 bail on 11 February. Mahlatsi is accused of contravening the Public Finance Management Act, while some of his co-accused face charges ranging from corruption and fraud to money laundering. The alleged fraud and corruption led to an R8.7 million loss to the department. Refilwe Mochoari reports.

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Health in the Eastern Cape: New plans to get chronic medicines to people in rural areas

Health in the Eastern Cape: New plans to get chronic medicines to people in rural areas

On a scorching summer day, Siyabonga Kamnqa sat down to listen to the stories of some frustrated gogos and mkhulus waiting to collect their chronic medicines at the busy All Saints Hospital in the rural town of Ngcobo in the Eastern Cape. He then asked the province’s health department about its plans for getting medicines to people in rural areas.

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Analysis: What does a security guard strike reveal about the Eastern Cape Department of Health?

Analysis: What does a security guard strike reveal about the Eastern Cape Department of Health?

Security guards at healthcare facilities in Nelson Mandela Bay went on strike in January when their salaries had not been paid. During the strike, healthcare workers had to close some clinics as they feared for their safety, and patients were left stranded. Luvuyo Mehlwana reports on what happened and asked the health authorities what plans are in place to prevent similar incidents amid persistent budget constraints.

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Ten months later government hits reset button on Charlotte Maxeke Hospital repairs

Ten months later government hits reset button on Charlotte Maxeke Hospital repairs

After almost a year, the Gauteng Health Department yesterday announced a strategic reset for repairs at Charlotte Maxeke Hospital after a fire ravaged parts of the hospital in April last year. The announcement comes ahead of Gauteng Premier David Makhura’s State of the Province Address on Monday but still does not provide immediate relief to patients and hospitals buckling as a result of delays. Ufrieda Ho reports.

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LIFE ESIDIMENI INQUEST: Part 2- Recap on its progress and what to expect

LIFE ESIDIMENI INQUEST: Part 2- Recap on its progress and what to expect

The Life Esidimeni Inquest stands as a crucial accountability process for a national tragedy that ought never to have happened and should never happen again, writes Julia Chaskalson and Mbali Baduza as they summarise and assess progress at the inquest since October – having previously written about the first months of the inquest from July to October last year.

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Frustration and confusion following North West hospital closure

Frustration and confusion following North West hospital closure

The sudden closure of Thusong District Hospital in the North West has left healthcare workers and patients confused and frustrated with some patients still turning up at the hospital gates, not knowing where to go for medication and other healthcare services. Nthusang Lefafa reports.

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Free State pushing to get TB patients back into care

Free State pushing to get TB patients back into care

As was the case in the rest of the country, the COVID-19 pandemic dealt a severe blow to the tuberculosis (TB) response in the Free State. Refilwe Mochoari gathered the available numbers and asked the province’s health department about their plans to get the TB response back on track.

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Questions over implementation of SA’s new infection control plan

Questions over implementation of SA’s new infection control plan

Whether it is in the queue outside a community healthcare clinic, in a GP’s waiting room, or in the ICU at a private sector hospital, infections acquired at healthcare facilities pose a threat to people’s health. Nthusang Lefafa looks at government’s recently relaunched infection prevention and control plans and some obstacles to its implementation.

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