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.
The top priority in our HIV programme should be to make it as easy as possible for people to start and stay on treatment. Yet, as a number of provincial reports released this year by community monitoring group Ritshidze have shown, there are many healthcare system factors that work directly against this objective. Spotlight editor Marcus Low considers some of the potential solutions.
Although a new community healthcare monitoring report notes some improvement in filling vacancies at Gauteng clinics, concerns remain over staff shortages and the impact this has on providing quality care, especially to people living with HIV. Thabo Molelekwa reports.
Nurses make up a large part of the healthcare workforce in South Africa, but almost half of them are set to retire in the next 15 years. This suggests existing shortages of nurses will become even greater unless we take concrete steps to boost nurse training and retention. Elna Schütz reports.
Many clinics in Limpopo are operating without the required number of staff needed to deliver quality healthcare services, according to a report from Ritshidze, a community healthcare monitoring project. Activists say these staff shortages contribute to long waiting times for patients and overworked staff – which can ultimately undermine the province’s HIV programme.
Shortages of doctors and nurses at hospitals in the Eastern Cape is a well-known systemic issue that creates serious challenges for access to quality healthcare. Attempts to access information on how the Provincial Department of Health is addressing or will address this have been unsuccessful, making it hard to hold the department accountable, writes Sibusisiwe Ndlela.
Even prior to the COVID-19 pandemic many medical interns in South Africa had a tough time, often working long hours and with little oversight or support. Chris Bateman spoke to interns and junior doctors in public hospitals and tag-on COVID-19 facilities, who are performing tasks of porters, auxiliary nurses, and liaising with anxious relatives, instead of getting the required hands-on, supervised learning.
In 1947 the first black woman qualified as a doctor in South Africa. Her name was Mary Malahlela-Xakana. It took the country about 60 years after its first black male doctor started practicing for Malahlela-Xakana to don her stethoscope and practice medicine. Much, but not enough has changed since then, writes Alicestine October.
Troubles regarding the placement of community service doctors have made headlines once again this year, as it seems to do most years. The structural roots of these problems are long-standing and complex. Elna Schütz unpacks the complexities and talks to role-players about possible solutions.
A recent study published in The Lancet medical journal suggests that employing more nurses can result in cost savings double the cost of employing the additional nurses. The study was conducted in Australia but may well have important implications for nursing in South Africa. Tiyese Jeranji reports.
Oral health is critical to people’s overall health, but a dire shortage of oral health practitioners in the public health sector means that many people are not getting the oral healthcare services they need. Luvuyo Mehlwana spoke to health officials and oral health experts about the state of oral health services in the country.
While COVID-19 will continue to make headlines for some time, 2021 will also be a critical year for healthcare reforms in South Africa and for various aspects of the country’s HIV and TB response. These are Spotlight’s top 12 healthcare questions for the year.