Despite the proven benefits of newborn hearing screening and early intervention, universal screening is not yet mandated in South Africa and is only available at a few public hospitals.
District managers in South Africa’s public healthcare system currently have to juggle funding from multiple government budget lines, each with different strings attached. To improve district health services, we urgently need to simplify and integrate these funding flows, argues Russell Rensburg.
A child-friendly formulation of the antiretroviral drug dolutegravir was first included in the country’s HIV treatment guidelines in 2023. New estimates suggest that most children aged one to four living with HIV have now been switched to the drug, reports Elri Voigt.
Experts say bacterial infections are responsible for more infant deaths than is generally recognised, and things may get worse as more of the bugs become resistant to commonly used antibiotics. Sue Segar asked local experts about this growing threat to newborns.
The bodily autonomy of young women and girls is under threat as Gauteng Health and Wellness MEC Nomantu Nkomo-Ralehoko intends to make the contraceptive implanon compulsory for learners as long as their parents consent. This approach to addressing teenage pregnancy is misguided and unlawful, argues Khuselwa Dyantyi.
Mireille Wenger was recently appointed to the Western Cape’s top health job. Biénne Huisman chatted to Wenger about health policy, child health, and the challenge of providing quality public health services at a time of shrinking budgets.
New data from the World Health Organization and UNICEF show that globally childhood immunisation coverage stalled in 2023, while in South Africa it decreased. Elri Voigt unpacks the new data and asks local experts to put it in context.
Dr Moherndran Archary’s research has helped shape South African health policy, most notably the rollout of better HIV treatments for children and babies. Spotlight’s Biénne Huisman chatted to him about the state of HIV treatment for kids and some exciting prospects on the horizon.
That South Africa has unusually high levels of inter-personal violence is clear from the country’s crime statistics and regular news reports about violent crime. The knock-on effects on the mental health of people in the country are, however, less easy to quantify. Thabo Molelekwa reports on local research showing an association between exposure to violence in childhood and mental health problems later in life.
For decades, Professor Heather Zar has been at the cutting edge of research into the health of children in South Africa. Last month she received the European Respiratory Society’s lifetime achievement award in paediatrics. Biénne Huisman chatted to Zar about her career, the remarkable Drakenstein Child Health Study, and the urgent need to ensure access to new RSV vaccines in Africa.
Even in 2023, infants under five years in the Free State are still dying from a lack of healthy food. From April to June this year, 21 children in the province died of severe acute malnutrition and one died of moderate acute malnutrition. Refilwe Mochoari unpacks the numbers and asks government about its plans to address what at least one expert is calling a ‘crisis’.
A landmark global observational study found that many neonates get life-threatening bloodstream infections, or sepsis, and are dying because the antibiotics used to treat them are not effective. Sepsis affects up to 3 million babies a year globally and the study authors estimate that 214 000 newborns die every year from sepsis that has become antibiotic resistant – mainly in low- to middle-income countries. Adele Baleta reports.
