Six simple interventions are at the heart of how clinics can be part of turning the tide on TB infection. By following a checklist of good practice, clinics can be safer for patients and staff. However, most clinics are failing to implement enough of these measures, putting people at risk of getting TB while waiting at the clinic, argues representatives from the community clinic monitoring group Ritshidze.
People who miss appointments or stop taking their treatment often report being treated badly by healthcare workers when they return to health facilities. This fear of being reprimanded discourages people from going back to the clinic to seek support and receive their treatment, argues Bellinda Setshogelo and Sibongile Tshabalala.
One of the biggest challenges now facing South Africa’s HIV response is how to support many more people living with HIV to engage or re-engage and then stay on treatment. One way to make it easier for people living with HIV to adhere to treatment is to provide a longer supply of medicines, argues Ndivhuwo Rambau & Simphiwe Xaba.
Too many clinics are in crisis and it is driving the continuing HIV epidemic. People are dying because of it, argue members of the Ritshidze Project as they launch a report into the state of public sector facilities in Gauteng.
Clinic Committees can be a powerful link between the community and primary healthcare facilities. Several clinic committee members however say they have been side-lined in South Africa’s COVID-19 response. Tiyese Jeranji reports.
Thanks to community-led monitoring in South Africa, we now have the data to back up the stories we have all heard about – early morning queues that last all day long when clinics fail to open on time and then also close early, writes Anele Yawa and Lotti Rutter.